부산대학교 도서관

Background Today in the world, mental health is becoming a big problem. In Japan, mental health is also a remarkable problem. There are many social problems caused by various psychotic disorders. Social withdrawal of young people is among them, and it is named 'hikikomori' by a Japanese psychologist in 1990. We have 2 purposes in this paper. The first purpose is to discuss how we can support patients with hikikomori caused by schizophrenia, as a medical student. The second purpose is to share the result of this study with Asian medical students, and to promote their understandings on this symptom -hikikomori-, so that students can deal with a patient when they encounter. Material and Methods On discussing this subject, we used reliable statistic researches and studies as systematic review. We interviewed 2 experts to incorporate their professional opinions. We also conducted a survey by using a questionnaire to medical students. Results There are 2 reasons of increasing the number of hikikori; too fond parents and Confucianism. And various difficulties exist in coping with hikikomori caused by schizophrenia in Japan as following; take them to them along to a hospital, letting them continue to take medicines. Moreover, there is a prejudice to the people with mental illness from society, and it makes the patients hard to return to society. The effective treatment for the patients has 3 steps; (1) to find hikikomori from schizophrenia as soon as possible, (2) to see a psychiatrist, (3) to get proper rehabilitation to have chance to get a new job. Conclusion In conclusion, to overcome difficulties, it is important to utilize 3 facts; A) Patients and their family have to know management steps: early detection, encouragement of treatment and social rehabilitation, B) Medical staffs have to accept them as extant and acquire the infrastructures for treatments, knowledge, and clinical skills for the middle to long-term medical supports, C) Society and governments have to resolve the prevalent prejudice against mental disorders. For medical students, we suggest 3 elements which can contribute to the patients; 1) to attend the lectures which actual patients attend and know the facts that aren't usually described in the textbooks, 2) to work as a volunteer member to support the patients and their family as counselors and mental friends, 3) to establish a non-profit organizations to do continuous grass-roots supports with the existing organizations propagating us.
INTRODUCTION Today, about 13% of the burden of disease has been attributed to neuropsychiatric disorders around the world, mostly due to the chronically disabling nature of depression and other common [...]