The Multidimensional Health Locus of Control (MHLC) scales developed by Wallston et al., were applied to 82 subjects with cerebral vascular accidents with a view to objectively deciding the patients' health locus of control. As a result, an external control tendency was observed. The result of the analysis revealed that no major effect was observed in internality (IHLC) or powerful others (PHLC), while a major effect was observed in chance (CHLC) externality when comparing sex differences or hypercortical dysfunction. There were no observable interactions among any of these factors. From the above findings we concluded that loss of confidence occured from difficulties experienced in their daily lives due to cerebral vascular accidents and that the subjects became more susceptible to incidents and accidents. Also, it is suggested that the sence of health locus of control is not related to lesions in the right and/or left hemisphere but to gender difference and/or hypercortical dysfunction. Therefore, it is necessary to regard hypercortical dysfunction as a vital factor affecting the health locus of control instead of simply regarding it as one of the symptoms. The Multidimensional Health Locus of Control (MHLC) Scales are useful for evaluating the health locus of control of patients with hypercortical dysfunction.

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For the measurement of subjective Quality of Life (QOL) of patients, we developed the QOL20 Questionnaire, which consists of 20 questions related to psychological, physiological, and environmental factors. The questions were selected from many items by analyzing the survey results for patients and healthy persons. In general, it is possible that personality influences subjective responses to QOL questionnaire. The purpose of the present study was to examine the hypothesis that QOL20 scores differ among personality types. Using the Eysenck Personality Questionnaire (EPQ), we classified subjects into several personality types and examined differences in the QOL20 scores among them. Considering feasibility and differences of disease and severity of illness, we used healthy persons in the present study. The survey was conducted on the parents of 120 students. Uncompleted responses were excluded and 97 males and 111 females were used for the analyses. Results indicated that, in terms of a positive response tendency to the QOL20, the QOl20 scores of. the tolerable type subjects (high E, low N, high P) were greater than those ot the intolerable type (low E, high N, low P). The result suggested that one must interpret carefully, as diagnostic measures, the QOL scores of the patients with “tolerable type” personality.

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Psychotherapy for a middle-aged woman with obesity and diabetes mellitus is reported. In diabetic patients, binge eating caused by stress as well as stress itself heighten the blood-sugar level. The client was hospitalized many times for the purpose of dieting, but she could not keep dieting nor go to hospital regularly. Stress also made her blood-sugar level higher. Psychotherapy was introduced to improve compliance by making the relationship between the stress and the diseases clearer and more conscious. Through the therapy, three reasons were found for her binge eating: (1) Due to lack of sufficient self-confidence, she felt stress in her relations with other people. (2) She tried to become an ideal wife and overworked herself. Her husband did not notice her overwork. (3) She was poor at stress-coping and could not reduce her stress except by eating. Gradually she came to understand these mechanisms. She is now trying to cope with these stresses counsciously and stop binge eating. Compliance is improving and the blood-suger level falling.

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