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2006 Volume 46 Issue 9 Pages
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Article type: Cover
2006 Volume 46 Issue 9 Pages
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Article type: Index
2006 Volume 46 Issue 9 Pages
773-
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Article type: Index
2006 Volume 46 Issue 9 Pages
773-
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
774-775
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
776-777
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
778-779
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Article type: Appendix
2006 Volume 46 Issue 9 Pages
780-
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Article type: Appendix
2006 Volume 46 Issue 9 Pages
781-
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Daisuke Sasaki
Article type: Article
2006 Volume 46 Issue 9 Pages
785-
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[in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
787-788
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Norifumi Kishimoto, Seiji Saito
Article type: Article
2006 Volume 46 Issue 9 Pages
789-797
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Case study is ranked as the lowest level of evidence in evidence based medicine (EBM). However, in case study that is based on rich descriptions of patients'narrative and psycho-social contexts as well as objective data, it would be possible to discuss subjective and/or interactive phenomena. This means that case study is more suitable for a human science oriented-research. The main features of case study based on patients'narrative is; 1) to respect a unique experience of the individual, 2) to make it possible to discuss a process of therapy, 3) to pay an attention to relationship, 4) to generate a hypothesis. On the other hand, narrative based medicine (NBM) arose from research and practice of EBM when they came to face a difficulty in applying evidence to an individual patient. Narrative based medicine deals with illness as story and patient as subject. NBM is concerned with individuals. It presupposes a narrator and a listener and telling a narrative connects them. It uses an interpretive and interactive framework. Thus narrative based case study has many characteristics in common with NBM. This is the reason why it would be a powerful and useful method of research and practice from the perspective of NBM.
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Takuya Tsujiuchi, Katsumi Suzuki, Yuko Tsujiuchi, Shisei Tei, Hiroaki ...
Article type: Article
2006 Volume 46 Issue 9 Pages
799-808
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Medical Anthropology is one of the branches of social and cultural anthropology, and it explores the relationship between health-illness and their socio-cultural systems. In this reports, we wish to present in detail methods of qualitative study on psychosomatic research applying the approach of Medical Anthropology, illustrating our original reports such as <1> Socio-Cultural Background of the Clients in Folk Sector Medicine; Qualitative Research by Medical Anthropology Concept (Jpn J Psychosomatic Med 45: 53-62, 2005), <2> Illness Narrative in Psychosomatic Medicine: Qalitative Research in Cultural Anthropology (Jpn J Psychosomatic Med 45: 449-457, 2005), and <3> "Witness-Based Medicine" in Psychosomatic Medicine: Qualitative Research in Cultural Anthropology (2nd report) (Jpn J Psychosomatic Med 45: 907-914, 2005). In clinical medical anthropology, following 3 key concepts are much useful to clarify the socio-cultural interaction of illness experience. 1) Illness behavior in pluralistic health care system: Health care system of a society consists of medical subsystems that exist in cooperative or competitive relationship with one another. A. Kleinman (1980) described it as a local cultural system composed of three overlapping parts: the popular, folk, and professional sectors. It is meaningful to determine a patient's characteristic illness behavior within this pluralistic health care system. 2) Explanatory Model (EM): Doctors and patients view illness-health in very different ways. Doctors regard sickness as 'Disease' objectively in accordance with scientific rationality, while patients look at sickness as 'Illness' subjectively from their individual experiences of agony. In clinical sessions, these two different EM's conflict and assimilate. 3) Illness narrative & Clinical ethnography: Narrative approach aims to understand meanings of illness experiences and describes practical knowledge based on a patient's first-hand experience of illness by multi-vocal story telling. Ethnography approach tries to illustrate through clinical fieldworks the various worlds of patients' individual and local life story or history.
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Kenji Kanbara, Mikihiko Fukunaga, Hiromi Mutsuura, Yuko Mitani, Hiroha ...
Article type: Article
2006 Volume 46 Issue 9 Pages
809-817
Published: September 01, 2006
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While a wide range of investigations including mind-body interaction have been expected, researches in the area of psychosomatic medicine are behind because of it's own difficulties. For instance, the following difficulties exist: patients with psychosomatic disorders are heterogeneous and are difficult to be treated as a group of subject, a number of phenomenons in this area are not suitable for quantitative assessment, the systems are complex and multifactorial, and it is difficult to treat subjective assessment while it is important. Various attempts for these difficulties have been made. We have tried to investigate mind-body interactions and find clues to clarify the pathologic conditions of psychosomatic disorders through psychophysiological approaches and some combined methods. In this article, we introduce our attempts and discuss the symposium's theme "The research methods in psychosomatic medicine". The results consist of 4 analytic methods: 1) univariate and linear analysis, 2) multivariate analysis, 3) subjective bodily feeling and psychophysiological assessment, and 4) nonlinear analysis. Through these results and the process, the following discussions are presented: the risks in use of mean value, a probable assessment axis penetrating diagnoses based on biomedicine, investigations about the relationship between objective and subjective assessment, limitations of quantification, and a potency of non-linear analyses. We showed probabilities to catch phenomenon including mind-body interactions to some extent by changing the viewpoint, although our methods are rather classical and the data are based on reductionism.
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
817-
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Takeharu Chijiwa, Hiroshi Sogawa, Chiharu Kubo
Article type: Article
2006 Volume 46 Issue 9 Pages
819-825
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A 20 year old male patient with intractable atopic dermatitis was treated with fasting therapy. Longterm corticosteroid ointment therapy had been performed without success. The patient became depressive and was violent toward his mother. He was introduced to our hospital by a primary physician who recommended fasting therapy. After fasting therapy, his atopic symptoms were improved and his peripheral eosinophil count was reduced. Moreover, he recognized his dependency on his mother, and thereafter, through successfuly completing the fasting therapy, developed a more independent spirit and realization of his own power. These data suggest that atopic dermatitis has a side of psychosomatic disorders and fasting therapy may be useful in the treatment of patients with intractable atopic dermatitis.
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
825-
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Manami Ozaki, [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
827-829
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
831-
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
831-
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
831-
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
832-
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[in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
832-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
832-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
832-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
833-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
833-
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
833-834
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[in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
834-
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
834-
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
834-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
834-835
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
835-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
835-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
835-
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[in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
835-836
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[in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
836-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
836-
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
836-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
836-837
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
837-
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
837-
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
839-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
839-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
839-840
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[in Japanese]
Article type: Article
2006 Volume 46 Issue 9 Pages
840-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
840-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
840-841
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
841-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2006 Volume 46 Issue 9 Pages
841-
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