The Japanese Journal of Health and Medical Sociology
Online ISSN : 2189-8642
Print ISSN : 1343-0203
ISSN-L : 1343-0203
Volume 31, Issue 2
Displaying 1-13 of 13 articles from this issue
Keynote Lecture
Symposium
Original Articles
  • Keiko Hayashi
    2021 Volume 31 Issue 2 Pages 26-35
    Published: January 31, 2021
    Released on J-STAGE: January 31, 2022
    JOURNAL FREE ACCESS

    In understanding what work means to breast cancer patients who are working or taking sick leave while having chemotherapy, I conducted semi-structured interviews with four patients. Based on the interviews, work meant to “live,” “maintain the way I am,” “fulfill my responsibilities,” and “find my place in life.” Having someone who needs them or a place to belong to will help motivate them to fight against cancer. However, it could be a burden for the patients to fulfill their duties. Until receiving treatments, it is hard to know the change in physical conditions even if they obtain information of the treatments. When the treatment is working or a physical change may be predicted from their experience, they become positive to returning to their work. Because work is essential in their life, the nurse needs to keep in mind each patient’s desire for a way of living.

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  • Ikuko Kashiwazaki
    2021 Volume 31 Issue 2 Pages 36-46
    Published: January 31, 2021
    Released on J-STAGE: January 31, 2022
    JOURNAL FREE ACCESS

    “Guideline on the Medical Care Decision Process at the End of Life” has been generally viewed positively for showing the processes necessary to respect patients’ right to self-determination. However, it has become necessary to reconsider the guideline again from the perspective of the policy for withholding and withdrawing of medical treatment. This paper examines the possible effects of the guideline, focusing on two conceptions of futility and the relationship between the social insurance system and Advance Care Planning (ACP). The result shows that there is some confusion as regards futility conceived as either “logos” or “pathos,” and the social insurance system in relation to ACP arranges for the withholding and withdrawing of medical treatment as an appropriate response because of this confusion. The conclusion reveals that a system is being created in which withholding and withdrawing of medical treatment can occur without conflict.

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  • Shohei Suzuki
    2021 Volume 31 Issue 2 Pages 47-56
    Published: January 31, 2021
    Released on J-STAGE: January 31, 2022
    JOURNAL FREE ACCESS

    The purpose of this paper is to clarify the motivations and perceptions behind the participation of medical research and education by “laymen.” Therefore, this study will illustrate the history of “kentai”; the voluntary donation of bodies to universities for medical research and education. Specifically, laymen who participated in medical research and education at Nagasaki, Tokyo, and Aichi in the 1950s–60s were regarding body donation as a mean to follow the imperial family, to recall the war dead, and to memorialize the victims of the regional development. Furthermore, the essay will clarify the relations that have been reconstructed between the living and the dead through body donation.

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  • Masafumi Sunaga
    2021 Volume 31 Issue 2 Pages 57-66
    Published: January 31, 2021
    Released on J-STAGE: January 31, 2022
    JOURNAL FREE ACCESS

    In this article, we analyze how consultations that were extracted as “have a consultation before that” treated in the consultation situation of a board certified family physician (general practitioner). During a family physician’s visit, patients may begin to consult with their family for problems prior to their visit. At this time, what is the meaning of how to extract the consultation in the entire examination scene? And how are “consultations” made there heard by doctors and how to give advice? In this paper, by examining how to handle this consultation, it will be clarified what kind of diagnosis the family physician is conducting.

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  • Satomi Kuroshima
    2021 Volume 31 Issue 2 Pages 67-77
    Published: January 31, 2021
    Released on J-STAGE: January 31, 2022
    JOURNAL FREE ACCESS

    This paper examines how participants make use of medical records through reading aloud, reading and looking at them in order to produce practical actions during medical consultations. In particular, when records are read aloud or simply read, the information contained in medical records can serve as evidence for the informing of test results, acknowledging a positive outcome, as well as making medical inferences. In comparison, ‘looking at’ records provides an activity within a medically-relevant framework. The paper will also discuss the accountability of patients and doctors while managing healthcare aimed towards the patient’s welfare, which is traceable via the use of medical records.

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Research Note
  • Makiko Iguchi
    2021 Volume 31 Issue 2 Pages 78-87
    Published: January 31, 2021
    Released on J-STAGE: January 31, 2022
    JOURNAL FREE ACCESS

    Doctors’ suffering in clinical practice has not been addressed in the context of criticism against professionals. Their behavior in dealing with it have been regarded as inappropriate and criticized. While previous studies focused on hospital medicine, the author focuses on home-care medicine, which is an emerging area in Japan and a field responding to the criticism against the predominance of biomedicine. In homecare medicine, doctors are placed at the “interface” between the lifeworld and the biomedical system. There, doctors and patients interact to transform each other. This article clarifies how doctors have been transformed through suffering. Among interviews with homecare doctors conducted in 2017, we focused on Dr. D who provided suggestive narratives. He realized different values of others through dialogue with patients and willingly chose to embrace uncertainty with his patients.

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