精神科長期在院症例Aの退院経緯の解明 : 語彙分析による予備的研究

抄録

We selected case A as the subject of our research: this schizophrenic individual had been hospitalized for about 12 years in a private psychiatric hospital. In order to determine factors crucial to his discharge, we used the method of vocabulary analysis to examine his medical and nursing records over 1,450 days. In this case, we focused in particular on eleven words concerning recovery and discharge. Our findings suggest the following: (1) the need for adequate assessment of his improvement, (2) the need for empowerment enabling improvement of his interpersonal relationships, and (3) the importance of resolving large gaps in intention regarding discharge between the patient and health professionals.