Japanese Journal of Psychosomatic Medicine
Online ISSN : 2189-5996
Print ISSN : 0385-0307
ISSN-L : 0385-0307
A Consideration on the Functional Differentiation of Psychosomatic Medicine between General Hospitals and a Psychiatric Hospital : From 6 Cases in Our Psychiatric Hospital
Daisuke OhtaKoji TsuboiHiroko NakajimaKatsuaki YoshidaSueharu Tsutsui
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2000 Volume 40 Issue 1 Pages 49-58

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Abstract
We aimed to identify the functional differentiation of psychosomatic medicine between general hospitals and a psychiatric hospital. Subjects in this issue were 6 inpatients in our hospital, who experienced former admission to some general hospitals. The author of this issue interviewed subjects and doctors on duty using the semistructured style. The age of 6 patients ranged from 14 to 64 years old. Subjects consisted of a male and 5 females. Four of them were diagnosed as eating disorders, and the remaining 2 as mood disorder, and adjustment disorder respectively. Former hospitals were all general hospitals including a university hospital. The following are our results. 1)The psychosomatic medical unit in a psychiatric hospital allows long-term admission and a patient-centered approach in psychosomatic medicine. 2)It works as a rehabilitation center between general hospitals and patients' comunities. 3)The cooperation of general hospitals with psychiatric hospitals in psychosomatic medicine makes it possible to individualize every patient suffering from his/her problems.
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© 2000 Japanese Society of Psychosomatic Medicine
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