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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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Article type: Index
2002 Volume 42 Issue 6 Pages
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Article type: Appendix
2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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Shinobu Nomura
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2002 Volume 42 Issue 6 Pages
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Ryuzo Kawahara
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2002 Volume 42 Issue 6 Pages
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Naikan therapy was established by Ishin Yoshimoto in 1941. There are intensive Naikan for the hospitalized patients and dispersive Naikan for outpatients in Naikan therapy. Intensive Naikan consists of the basic structure of three items and a structure for inducing concentration. Therapeutic techniques include fatherly guidance and motherly support, the attitude of the interviewers in which they do not mention the patient's symptoms and pathology, and a field of treatment where individuality is mixed with the collective consciouness of the therapy room. Only the basic structure is used in dispersive Naikan, while there is no specific treatment structure for concentration. In the therapeutic process, a sense of appreciation and support, a sense of self-reproach, others people's viewpoints and breaking out from the self develop. Therefore, characteristic growth and cooperation are recognized after Naikan therapy. Indications include neuroses, psychosomatic diseases, drug dependence and prolonged depression.
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2002 Volume 42 Issue 6 Pages
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Zentaro Yamagata
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2002 Volume 42 Issue 6 Pages
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Human genome analysis has clarified about 38,000 genes and genetic polymorphisms represented by SNPs, in addition to determining all the base sequences. The benefit of the genetic information brought to human beings is so immeasurable that its use has gained attention in medical diagnosis, treatment and also in the preventive field. Moreover, in a new research area called molecular genetic epidemiology, elucidating the genetic factors of lifestyle related diseases with genetic polymorphisms will be attempted and preventive measures established according to individual predisposition. In treating genetic information however, because of the specificity, it is necessary to sufficiently consider ethical, legal and social implications. Guidelines for genetic research have recently been proposed in Japan.
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Shinko Minotani, Hiroko Nakajima, Akiko Kato, Makoto Matsuzaki, Manami ...
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2002 Volume 42 Issue 6 Pages
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We conducted a survey of medical facilities around Kanagawa and Shizuoka prefectures from October to November 1999 on the state of therapeutic approach for eating disorders. We received responses from 272 facilities, 129 of which had treated patients with eating disorders. In 34.1% of the 129 facilities, the patients were first treated at psychiatric department, while the patients were treated at departments of either internal medicine, pediatrics or obstetrics and gynecology in 49.6% of the facilities. Among the facilities, which referred patients after the first consultation, 54.3% referred to psychiatric and 39.1% referred to non-psychiatric departments. Among the facilities, which treated patients at either psychiatric or non-psychiatric departments, 75.7% subsequently referred patients to other psychiatric and 24.3% chose non-psychiatric departments. Statistically, a psychiatric tendency shows as well as a non-psychiatric's one. Among the facilities, whether or not psychiatric departments, that were compared with the facilities which didn't have the patients with eating disorders, 52% expressed their needs for specialists and specific facilities (p<0.05). In conclusion, it was found that non-psychiatric (=medical) departments played an importance role for primary consultation in eating disorders and they have a need for specialized facilities for medical treatment of eating disorders.
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Kinji Yokota, Sankei Nishima, Shigeru Fujise, Reiko Kishikawa, Satoru ...
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2002 Volume 42 Issue 6 Pages
379-385
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The effect of psychosomatic treatment (PST) plus internal medical treatment (IMT) on bronchial asthma was compared with the effect of IMT alone in 13 pairs of young asthmatic patients (5 men and 8 women) aged 16 to 29. The IMT included the simple explanation of the pathology of bronchial asthma and allergic mechanisms, the coping methods in case of asthmatic attacks, avoiding methods from allergens, and pharmacological treatment of bronchial asthma with detail explanation especially about beclomethasone diproprionate inhalation therapy. The PST consisted of frequent explanation of the influence of psychosocial stress on asthma, of several advices to change patient's behavior, and of solution-focused approach (SPA) to the patients. In SPA, patients were sympathized in their sufferings, asked what would their lives be like when they were in good condition, were asked how they had managed to conquer difficulties so far and were helped to recover self-confidence. Each of the patients treated in PST was paired with another asthmatic patient who was the same in sex, age and severity in asthma, according to the patient's visiting list in October 1997 on its order. These patients were treated in IMT alone. The change of asthmatic symptoms and the change of dose of medicine in each patient was scored as -2, -1, 0,1 or 2 based on the Table 1 and the Table 2 according to patient's records, both in 6 months and in 1〜1.5 years later from the beginning of the treatment. For example, such a patient was scored 2 that had suffered from frequent asthmatic attacks at the beginning but that improved in 6 months later so much as had seldom attacks. Then total score was calculated from the sum of the both scores. The effect of PST plus IMT and IMT alone was compared in each pair of patients. In the result, the symptom score and the total score were significantly better in PST group than in IMT group in 6 months later (Fig.1), and the symptom scores were apt to improve more in PST group than in IMT group in 1〜1.5 years later (Fig.2). In conclusion, PST were effective in the treatment of bronchial asthma in adolescence.
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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2002 Volume 42 Issue 6 Pages
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