Abstract
Long-term effective continuation of the treatment for morbid obesity is often difficult. This is because a daily therapeutic fact is entrusted to the patient, even though the demand by the medical staff is a difficult task, which requires a change of everyday life as a whole as well as a change of diet. Actually the demand tends to be abstract, and it is expected that the patient is puzzled in everyday life. To give the patients appropriate measures and lead the treatment successfully, it is necessary for the medical staff to analyze detailed environment of living and eating habits, investigate a change of body weight and grasp human relations in society and family at present as well as in past. Therefore, organization of a medical care team is very important, which includes physicians, psychiatrists, nutritionists, nurses, clinical psychologists and physical therapists. For the further grasp of psychological problems of a case, personality analysis is important. We reported that "high lambda style", suggested in Rorschach test, was present significantly more in the group of obese patients with above BMI30 as compared with a healthy control group. As for the frequency, it showed a tendency to increase with aggravation of obese degree. These results may indicate the importance of psychological approach to the treatment of obesity. The most important point in the treatment by the team is that each member communalizes his/her problems and unified treatment strategies. Furthermore, the strategy must be concrete and have the long-term prospects for the future not to mention of the past or the present of the patient. Presence of the medical care team which has comprehension of a psychological approach and common recognition of patient's problems is very important for the treatment of obesity.
