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Article type: Cover
2006 Volume 46 Issue 2 Pages
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Article type: Cover
2006 Volume 46 Issue 2 Pages
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Article type: Index
2006 Volume 46 Issue 2 Pages
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Article type: Index
2006 Volume 46 Issue 2 Pages
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Article type: Appendix
2006 Volume 46 Issue 2 Pages
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2006 Volume 46 Issue 2 Pages
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Article type: Appendix
2006 Volume 46 Issue 2 Pages
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Article type: Appendix
2006 Volume 46 Issue 2 Pages
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Article type: Appendix
2006 Volume 46 Issue 2 Pages
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Article type: Appendix
2006 Volume 46 Issue 2 Pages
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Takakazu Oka
Article type: Article
2006 Volume 46 Issue 2 Pages
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Yoshihide Nakai
Article type: Article
2006 Volume 46 Issue 2 Pages
119-126
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I decided to title this lecture "My Bio-psycho-social Medical Science" rather than mere "Bio-psycho-social Medical Science, " because what I would like to specifically share with you in my presentation is the bio-psycho-social medicine as I see it as well as the medical science and medical treatment that I study and practice on a daily basis. Another reason for using the word "my" is that bio-psycho-social medical science is a newly emerging field that has not yet been fully established or widely recognized. The word "Science" represents my hope to see the development of this particular field into a body of knowledge that is not only applied to clinical practice but also is taught and studied in undergraduate and postgraduate trainings and programs. I believe that the mission of the Japanese Society of Psychosomatic Medicine is to conduct interdisciplinary studies on clinical practice, education and research of the kind that will further promote bio-psycho-social medical science, the field that serves as the foundation of all aspects of medical science and medical care, and thereby develop bio-psycho-social medical science into a fully-established area of study.
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Natsuki Ozawa, Tadaaki Tomiie, Yuji Sakano, Shin Fukudo
Article type: Article
2006 Volume 46 Issue 2 Pages
127-136
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Objectives : The purpose of this study were (1) to investigate the relationship between PMDD symptoms, depression and bulimic tendency in young females and (2) to compare the differences between a retrospective study and a prospective study in the reporting of PMDD symptoms. Method : A questionnaire, which was based on research criteria for PMDD from DSM-IV, SDS and BITE were administrated to 373 female undergraduate and graduate students. And we administrated a prospective symptom rating form "DRSP" to 26 subjects who retrospectively reported that they had experienced PMDD symptoms. Results : Although 33.7% of the subjects reported having experienced PMDD symptoms (at least 5 of the 11 symptoms, including 1 or more mood symptoms), only 2.5% of the subjects have been severely impaired their social life by PMDD symptoms. Result of ANOVA, people who had PMDD symptoms and were impaired their social life, were more depressed and had higher bulimic tendency than asymptomatic people and symptomatic people without functional impairment. In addition, Most of the data in prospective study showed no pattern of increase in PMDD symptoms during the premenstrual phase. Conclusion : These results indicated that PMDD might be related with not only the depression but the bulimia nervosa.
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Kyoko Kawahara, Hidetaka Tanaka, Hitomi Ninomiya, Hiroshi Tamai, Shige ...
Article type: Article
2006 Volume 46 Issue 2 Pages
137-143
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Over 100,000 children in Japan refuse to attend school and the situation is serious. Among these children, there is a subgroup diagnosed as having orthostatic dysregulation (OD). Symptoms of OD affect life habits and psychosocial backgrounds. Therefore, these children need mental and physical care. In this study, we used the tree drawing test to define the psychological traits of children with OD who refuse to attend school and investigated the parameters of adequate mental care for such patients. The subjects were 37 children with school refusal (20 children with OD, 17 children without OD). As a result, it was suggested that children with school refusal and OD tended to suppress themselves and feel helpless. Consequently, it is effective to promote their ability to express their feelings by psychotherapy with acceptance. For patients who refuse psychotherapy, it is necessary to adopt a non-verbal and non-structured therapy. Treatments of OD should include medication, guidance in daily life and consultation for parents and teachers in addition to psychotherapy from the perspective of whole-parson medicine, that is to say, holistic tailor-made care in the future.
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
144-
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Junko Nakamoto, Yuka Hirabayashi, Keiko Murate, Yoshio Hayashi
Article type: Article
2006 Volume 46 Issue 2 Pages
145-152
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Objective : The Family System Test (FAST) is a figure placement method that simultaneously and pluralistically expresses the structure of family member relations. We evaluated the characteristics of family relations by FAST in 3 patients with eating disorder. Results : [Patient 1 : Anorexcia Nervosa Binge Purging Type] Typical representation : Grandmother's power was strong, and there was only slight cohesion between the parents. The patient observed the mother and younger sister from the distance. Ideal representation : Family members excluding the grandfather and grandmother gathered around the patient and younger sister, suggesting that the patient wishes to be the center of attention. [Patient 2 : Bulimia Nervosa Purging Type] Typical representation : There was only slight cohesion between the parents, and the father was estranged from the other family members. The cohesion between the patient and the mother was slight, and there was no difference in hierarchies. Ideal representation : The patient wished a situation in which the members face one another, smiling, with the patient in the center. [Patient 3 : Eating Disorder Not Otherwise Specified] Typical representation : There was cohesion between the parents as well as between the sisters. Generational boundaries were observed. Father's power was strong. Ideal representation : The patient wished to be separated from the other members. Conclusion : The FAST visually clarifies family relations and may be a useful psychological test that allows the evaluation of concrete problems in family relations in each patient with eating disorder.
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Hideaki Amayasu, Yuka Sendo, Yuichiro Tani, Seiko Yamaguchi, Masako Iz ...
Article type: Article
2006 Volume 46 Issue 2 Pages
153-159
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Considering the problems of denial is very important in palliative care team activities. Serious conflicts owing to denial, one of the defense mechanisms, that cancer patients and their families have used arise frequently among the patients, their families and the medical staffs. We studied how to manage the denial problem in palliative care team activities, through the three cases of which the patients with advanced cancer or their families had used denial. Treatments to decrease psychological pressure as well as physical symptoms are important. We should assume that the patients and their families use denial. We should understand the structure of denial to care for each patient and their families.
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
160-161
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 2 Pages
163-
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[in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
163-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 2 Pages
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
163-164
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Article type: Article
2006 Volume 46 Issue 2 Pages
164-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 2 Pages
164-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 2 Pages
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
164-165
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[in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
165-
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Article type: Article
2006 Volume 46 Issue 2 Pages
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Article type: Article
2006 Volume 46 Issue 2 Pages
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Article type: Article
2006 Volume 46 Issue 2 Pages
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Article type: Article
2006 Volume 46 Issue 2 Pages
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Article type: Article
2006 Volume 46 Issue 2 Pages
166-
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Article type: Article
2006 Volume 46 Issue 2 Pages
166-
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
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Article type: Article
2006 Volume 46 Issue 2 Pages
167-
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Article type: Article
2006 Volume 46 Issue 2 Pages
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Article type: Article
2006 Volume 46 Issue 2 Pages
167-
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
169-
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Article type: Article
2006 Volume 46 Issue 2 Pages
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Article type: Article
2006 Volume 46 Issue 2 Pages
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
170-
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
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Article type: Article
2006 Volume 46 Issue 2 Pages
170-171
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Article type: Article
2006 Volume 46 Issue 2 Pages
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Article type: Article
2006 Volume 46 Issue 2 Pages
171-
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Article type: Article
2006 Volume 46 Issue 2 Pages
171-172
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Article type: Article
2006 Volume 46 Issue 2 Pages
172-
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 2 Pages
172-173
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2006 Volume 46 Issue 2 Pages
173-
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