Abstract
At the symposium of epidemiology of psychosomatic disease (hereafter : PSD), the author will report on the following themes with his considerations bud upon his own clinical experiences ; the definition of PSD, the standard of diagnosis, the investigation of actual condition and the guidance therapy. First, with regard to the definition of PSD, the author took into consideration of the definition made by Japanese Society of Psychosomatic Medicine, Dr. Nakagawa, Dr. Katayama, Dr. Shimpuku, ICD-9 and DSM-III, and concluded thet the PSD in a narrow sense is limited to case where correlation of body and mind can be recognized in the bodily disorder with tissue damage. In addition, in connection with the definition of PSD, the description of PSD will be mentioned. Secondly, in diagnosing PSD, the confirmation of the correlation of body and mind is required, that is to say, the diagnosis of pathological state ranges over both body and mind. The method of its confirmation will also be mentioned. Thirdly, concerning the investigation of actual condition, since July in 1970 the author has been advocating "the department of psychosomatic medicine". For the past 13 years and six months, the number ot patients whom the author treated directly was 1,937,of which male patients were 863 and female 1,074. According to the data at Tokyu Hospital, gathered tor six years from January in 1978 through December in 1983,there have been 662 cases of the patienth303 males, And Sly femaIeS. Concerning the Above numbers of the patients, the Structure of ages, the clwiGcation of diseases, the Ailing period of the patients, the period the the patients receivid therapy, actual days of therapy, patients treated once for all, effectiveness of psychological tests, the grade of improvement of the patients, and other factors will be investigated and reported. Lastly, the guidance of therapy will be mentioned. The author thinks that among others the therapists are riquired to know how to control their own personality of such intricacy as diversity and immense inconsistency, which is considerd to determine the success or failure of therapy.
