A psychosomatic studying group belonged to the C. N. S. center of the Konodai National Hospital studied 20 cases of primary juvenile hypertension patient younger than 35 years old visiting the department of circulatory organs in our hospital for a year from January, 1965 to January, 1966. These patients were clinically examined by the psychiatrist at the psychosomatic center, and as psychological examination CMI (Cornell Medical Index), KSCT (Kataguchi's sentence complation test), and R-T (Rorschach test) were given. Characteristic tendency and psychophysical factors concerning to hypertensional patients were discussed on the basis of the data obtained in the case studies of the patients.
1) Concerning our cases, consistent character tendency was not found as other researchers often reported. For example, schizophrenic type and epileptic-like symptom are found.
However, number or cases showing characteristic abnormality which itself become the problem were noted. Patients with such remarkable personality deviation can not judge things whatever the deviation is, and they also can not control their emotion properly, so that they easily become neurotic. Then, according to the result of CMI, about 80% of the patients studied revealed neurotic or similar states, This might verify the above descriptions.
2) Ten cases out of 20 cases were found to be hypertension by chance and the rest of 10 cases were those who came hospital with complaints due to their illness. Reviewing the corelation with genetic factor, group of genetically positive was found in the former and negative in the latter. Therefore, the patients. group having negative geneticofactor, had complaints and no psychological problem can be extracted as a subtype. It may be practical to distinguish this group from a group having clear psychological problems.
3) There are some periods without complaints . in hypertension, so the time. of onset is very difficult to determine, thus the corelation . between the induction of hypertension and psychological problem may not be determined directly.
Among our cases, two patients were found to be hypertension without psychological factor at that time but later the patient suffered from the psychological problem, and the symptom became aware, then hypertension was re-found. These two cases suggest that the time of induction of hypertension and corelationship between the induction and psychological problem should be discussed with the most careful manner.

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Setagaya Rehabilitation Center was opened seven years ago as the second public rehabilitation center for psychiatric patients in Japan. It consists of two day care units and two halfway house units. The experience in day care was described in this paper. Each units of day care contains 40 patients and 9 or 10 staffs. There are many staffs as compared with the number of patients, and it is characteristic that the team consists of various kinds of staffs (doctor, nurse, clinical psychologist, occupational therapist, social worker, etc.).
A typical case of schizophrenic patient who visited day care was presented. He fell ill in his early adolescence and entered a mental hospital for several times. He was abulic and autistic in his daily life, and out-patient clinic could not offer proper solution. Effective rehabilitation process for him was described. Disturbances from which most of chronic patients suffer are not necessarily in medical symptoms such as hallucination or delusion, but are in social life, especially in interpersonal relationship or occupational ability. To improve those annoying disturbances, rehabilitation program in day care unit must be well planned and realistic as in ordinary social life in order to offer patients an opportunity to restitute social independence.
563 patients made use of day care units for the past six years and a half. Most of them were schizophrenics. Treatment results at the time of discharge were investigated. According to its analysis, some improvement was observed in 80%. The percentage of patients who lapsed in their day care treatment was 20%. Even if underestimated, over one half patients were much improved and became more adaptable to vocational life or school life. These results may indicate that day care is a useful facility for psychiatric rehabilitation.

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本稿では戦後10～30年の期間のロボトミーとそれを取り巻く日本の社会状況について解説する。日本のロボトミーの歴史で最も激動の時代であった。脳生検問題，国際学会騒動，ロボトミー訴訟といった，苛烈な社会的圧力がロボトミーを襲った。1973年東京の国際学会騒動に巻き込まれた会長の佐野圭司および学会理事として出席していたスコヴィルに触れる。そしてスコヴィルの術式を更に進化させた広瀬貞雄の後半生の業績を記す。最後にロボトミーを封印した1975年の日本精神神経学会による精神外科否定決議に至る顛末を解説する。

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1) Of 423 patients handled by the medical department of National Konodai Hospital during the month of July, 1950, psychopathic factors of varying degree were found in 30% of the cases.
2) In this respect there is no significant difference between the findings made in American hospitals and those of ours.
3) About 50% of patients who visited this department were found to have a certain assumed disease which they fear.
4) Among the diseases they fear, tuberculosis ranks the highest (50%).
5) About a quarter of patients fear the disease which was mentioned by the former attending physicians.
6) an the basis of my statistical data, the environment under which patients live plays little in the causation of neurosis.
7) Neurosis is found in many patients who think themselves as being in poor health.
8) Neurosis is often found in those who have a history of having had neurasthenia.
9) Patients who have among their family or friends someone seriously ill or recently dead, are likely to suffer from neurosis.
10) Emotional shock plays a large roll in the development of psychoneurosis.
11) The fact that about 30% of the patients who come to the medical department have psycopathic factors, indicates that doctors should examine patients more closely from the psychosomatic aspect in every day practice.

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Although the interrelations among dizziness and various psychological factors have been well reported, this is not the case for various therapies. Group psychotherapy was attempted in twenty-six patients who consulted the Department of Otolaryngology, Aichi Medical University between April and September 1997. In addition, questionnaires and the locus length measured by stabilometry with opened eyes and closed eyes were studied before and after the therapy to evaluate the effect. Eight doctors and nurses were studied with the patients as a control group.
Twenty-one of the twenty-six (81%) patients answered that therapy was effective in improving their dizziness. The locus length did not change after therapy on either opened-eye or closed-eye testing in the control group. A similar result to that in the control group was noted on opened eye testing, however, significant improvement (p < 0.05) was observed after therapy on closed-eye testing in the patient group. Furthermore, patients above 55 years old showed less improvement than patients under 55.
Group psychotherapy was effective for dizzy patients, however, it was more effective for patients under 55 years old than for those above 55.

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身体表現性障害および心身症の概念の変遷について、現時点で最もポピュラーな国際疾病分類システムであるICD-10とDSM-IVをもとに、両システムにおける関連領域の異同性などとともに紹介した。両者の開発当初の目的が異なっていたことから、双方が一体化を企図しても完全に一致するには、さらに長期間を必要とするようにうかがえた。また、これまでに得られた関連領域疾患の国際的な頻度を示した。国内からのデータとして、WHO共同研究における同疾患群の頻度、および内科医とにおける関連領域の概念の違いも紹介し、今後合同して解消に努めるべきことの必要性を訴えた。

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