The purpose of this study was to examine the correlations among the three constituents of the Naito scale (1991) ; students' attitudes in understanding patients, in awareness of themselves, and in understanding the relationships with patients. It was projected that students would achieve deeper understanding in all three areas and thus improve their performance in psychiatric nursing. We analyzed the data from 80 students, who had carried out their self-evaluation weekly for three weeks, using the scale. The analysis showed that : 1) there was a high correlation between the attitude of understanding patients and that of understanding the relationships from the first week onward ; 2) a high correlation between the attitude of understanding the relationships and that of being aware of themselves was observed only in the third week ; while 3) the correlation between understanding of patients and awareness of themselves was weak throughout the three weeks. Possible reasons for these correlations are discussed in order to share our findings about psychiatric nursing practice pedagogy.

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This study was considered about pathology and techniques of support for eating disorder case in pubertal from a psycho-dynamical point of view. These are summary of result : 1. One of causes of eating disorder is family dynamics : It contributes to incompatibility between sensitive child and parents who have inability of affect attunement. 2. It is pointed out that enmeshment and dissociation for the feature of family. In this family the patient is forced to play a role what resolve conflict in family. And situaton at the table reflect this conflict. 3. Eating disorder arise from conflict aroud establisment of identity and second individuation-separation as development task in pubertal. It is considered that her symptoms and behavior is somatic language. 4. For support, it is important to respect her subjectivity and to make her develop ability of self expression.: The aim of support is restudy of self-control. These are important points for support : CD to let express herself and have inter- subjective exprience, c to catch her verbal and nonverbal message, (3) these can be explained by concept of holding environment.

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Psychotherapeutic nursing care was done for a borderline child. The care was considered from a psychodynamic point of view. The nurse's techniques of not reacting, not paying any attention to the contents of, and not interpreting the patient's speech and behavior of the primary process were effective, though nurse is a real steady character. Accepting the fantasies shown in the patient's play as displacement, watching him playing by playing together, and arranging the conditions where he can play freely, all were effective for the development of the patient's ego function. Setting up the holding environment under the nurse's consistency and framework was effective for the patient's acquisition of the object consistency. Both interviewing the patient's mother in the frame- work at appropriate times and supporting her brought the psychological stabilization to the mother. This stabilization reinforced the patient's object consistency. It was useful for the psychological stabilization of the patient.

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