Abstract
The therapeutic guideline for psychosomatic disorders, which was edited by the Medical Strategy Committee of the Japanese Society of Psychosomatic Medicine in 1970,has been cited and utilized on many occasions. Hewever, following the progress of medicine, there have been increasing numbers of opinions, which insist on the necessity of revised criteria of psychosomatic disorders and introduction of new therapeutic approaches to the guideline among the members of the above-mentioned Society. Under such circumstances, Dr. Ikemi, the chairman of the Board of Directors and also the chairman of the Committee of Medical Education and Training, started working on the revision of the therapeutic guideline. After consulting with the members of the Board of Directors and councillors several times, he pointed out the fundamental problems concerning the revision of the therapeutic guideline in December, 1989. As the chairman of the Committee of Medical Education and Training, succeeded to Dr. Ikemi, I proceeded with the work and at the 31st Congress of the Japanese Society of Psychosomatic Medicine I would like to propose the outline of newly revised guideline for diagnosis and treatment in psychosomatic medicine as the presidential address. The main items of the new guideline are as follows. 1. The concept of psychosomatic medicine 2. The developmental background of modern psychosomatic medicine 3. Behavioral medicine and psychosomatic medicine 4. Consultation-liaison psychiatry and psychosomatic medicine 5. Classification of mental disorders by DSM-III and DSM-III-R. 6. Psychosomatic disorders 7. Doctors who engage themselves in the practice of psychosomatic medicine 8. General principles in the practice of psychosomatic medicine 9. Psychosocial evaluation a) Interviews b) Psychological tests 10. Psychophysiological examination 11. Psychosomatic diagnosis 12. Psychosomatic treatment modalities 13. Summary of psychosomatic treatments 14. Terminal care From now on, after discussing and arraging the proposed draft for the new guideline with the members of the Comittee of Medical Education and Training, I will announce the final form of the revised guideline for diagnosis and treatment in psychosomatic medicine to all the members of the Japanese Society of Psychosomatic Medicine. Ideeply appreciate many constructive opinions and supports by the councillors of the Japanese Society of Psychosomatic Medicine and the present and former staff members of our Department of Psychosomatic Medicine.
