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■しかく TATEIWA Shin'ya November 13, 2015 The End of Mental Hospital Regime: In the Age of Dementia,Seidosha, 433p. ISBN-10: 4791768884 ISBN-13: 978-4791768882 2800+ [amazon]/[kinokuniya]

■しかくContents

(From "BOOK" Database)
What makes this "evil" keep existing? Through government policies and activities by people involved in psychiatric treatment during the past half a century, concerning intern of mental patients, community transition, taking in of people with dementia and euthanasia, and transinstitutionalization, the author examines considerations of this society to disclose the structure that prevents mental hospitals from being closed. Moreover, the author makes suggestion to make the structure ended.

■しかくTable of Contents

■しかく■しかく■しかくIntroduction

■しかく■しかく■しかくChapter 1 Present Gloomy Condition and Summary of What I Will State in This Book
■しかく1 Present:The Elderly with Dementia + Transinstitutionalization
■しかく2 Power of the Industry
■しかく3 Juzenkai Hospital:The Current Situation Started Long Time Ago and It Has not Changed
■しかく4 What Is Said that We Have to Accept
■しかく5 What Can Be Said Basically

■しかく■しかく■しかくChapter 2 Kyoto Juzenkai: Although It Was Accused, It Sustained Its Life
■しかく■しかく1 Beginning
■しかく1 Kyoto Juzenkai
■しかく2 Start of Accusation
■しかく■しかく2 Small Local Movements and NHK TV Program
■しかく1 "Zenshin Tomonokai" (Association of Advancement)
■しかく2 Reportage Nippon (1980) (TV Program)
■しかく■しかく3 At the Diet
■しかく1 Diet in 1970s
■しかく2 Diet in 1980s
■しかく■しかく4 What Were We Supposed to Do?
■しかく1 What to Do/Stop
■しかく2 Who Respects the Limitation of What Should (or not) Be Done and Proves It? / Who Makes Whom Respect the Limitation of What Should (or not) Be Done and Prove It?
■しかく3 Who Poses It and Intervenes in It?
■しかく■しかく5 It Went in a Different Direction / What Were We Supposed to Do?
■しかく1 Planning and Corporation Body Were Focused
■しかく2 Supervision
■しかく3 The Way of Participating in Management

■しかく■しかく■しかくChapter 3 Transitional Discharge / Counseling Support
■しかく■しかく1 Counseling Support:Prehistory
■しかく1 From Five Repetition to Transitional Discharge
■しかく2 Beginning of Counseling Support in Psychiatry
■しかく3 Support by the Fund / Municipal Life Support Business for People with Disabilities
■しかく4 Care Management
■しかく■しかく2 Retreat
■しかく1 Review of the Outline Including "Counseling Support"
■しかく2 Care Management and Life Support Business
■しかく3 Retreat
■しかく4 Factors
■しかく■しかく3 Instead
■しかく1 Instead, Eliminating what Can Be Eliminated
■しかく2 The Way of Working that Always Exists

■しかく■しかく■しかくChapter 4 Escaping from the Structure that Dementia leads to Mental Hospital and Euthanasia
■しかく■しかく1 The Structure that Dementia Leads to Mental Hospital and Euthanasia
■しかく1 Dementia Has Been Invloved from the Beginning
■しかく2 New Orange Plan / Japan Psychiatric Hospitals Association
■しかく3 Dementia and Euthanasia / Death with Dignity
■しかく4 Monomania to Plan
■しかく5 Japan Society for Dying with Dignity and Dementia
■しかく■しかく2 How Dementia Is not Good
■しかく1 Being Incurable / Cure
■しかく2 Switch / Having No Say
■しかく■しかく3 About the Structure Again
■しかく1 About the Structure
■しかく2 How to Decide the System / Manage an Organization: Conducting without Enough Preparation
■しかく3 Making an Unstable Work My Work
■しかく4 Just before It
■しかく5 Response to Involvement
■しかく6 Ancestral Language / Scene of Confrontation

■しかく■しかく■しかく■しかくPart 2

■しかく■しかく■しかくSupplementary Chapter 1 What I Have Stated etc.

■しかく■しかく1 Knowing the Past (Even if It Is not Honorable) for the Future (2012年07月10日)
■しかくDrawing the Line
■しかくSupplementary Parts
■しかくParts that Cannot Be Done Only with Provision of Measures
■しかくSeeing the History that Is Surely Bitter

■しかく■しかく2 There Are Some Cases in which Hospitals and Medical Staff No Longer Have Anthing to Contribute (2013年11月23日)
■しかくTo Rebel Is Justified: Toward the Modern History of Psychiatry
■しかくAbout the "History"
■しかくWhat We Call "Transinstitutionalization"
■しかくWe Need People who Decide to Stand by the Invloved Person
■しかくAgain, How to Succeed

■しかく■しかく■しかくSupplementary Chapter 2 Memorandum concerning Hospitalization

■しかく1 What We Need to Understand in Advance
■しかく2 Remedy Comes First
■しかく3 Defense Existed under Mental Hospitalization
■しかく4 It Has Been Said Much Later and It Receded into the Background without Being Noticed
■しかく5 Family / Family Association Supported Mental Hospitals
■しかく6 They Made the Situation of Mental Hospitals Maintained and Enlarged while Affirming Dehospitalization
■しかく7 Aspects of Demand-side / Supply-side concerning Mental Hospitals Were Largely Understood
■しかく8 However, the Situation Was not Changed
■しかく9 Saying that Mental Hospitals Are Better than Nursing Homes
■しかく10 Transinstitutionalization / Institutions for Supporting Hospital Discharge / Health Care Facilities for the Elderly...
■しかく11 Still, It Is Possible to Change

■しかく■しかく■しかくSupplementary Chapter 3 Book Guide

■しかく01 Appearance of "Bioethics" in the U.S. (2001年01月25日)
■しかく02 Books concerning "Consumerism" (2001年02月25日)
■しかく03 Books concerning Medical Sociology No.1: Profession / Specilization (2002年03月25日)
■しかく04 Books concerning Medical Sociology No.2: Goffman Asylums (2002年04月25日)
■しかく05 Books Written by Kazuo Okuma (2002年05月25日)
■しかく06 Clinical Sociology (2002年06月25日)
■しかく07 Yasunobu Deguchi / Yuji Noguchi (2002年07月25日)
■しかく08 Non-aid Theory of the Bethel House No.1 (2002年08月25日)
■しかく09 Non-aid Theory of the Bethel House No.2 (2002年10月25日)
■しかく10 Continuation of Survivors' Books No.1 (2002年11月25日)
■しかく11 Continuation of Survivors' Books No.2 (2002年12月25日)
■しかく12 Continuation of Survivors' Books No.3 (2003年01月25日)
■しかく13 The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder (2004年02月25日)
■しかく14 Making Us Crazy: DSM: The Psychiatric Bible and the Creation of Mental Disorders (2004年03月25日)
■しかく15 Book Review: Mikio Sato Autism Trial: "Sin and Punishment" of the Man Wearing a Lesser Panda Hat (2005年11月15日)
■しかく16 Books Written by Josuke Amada No.1 (2006年03月25日)
■しかく17 For You who Are Diagnosised as Dementia (2006年04月25日)
■しかく18 What to Write about: Books Written by Josuke Amada No.2 (2006年05月25日)
■しかく19 What Is Care? (2006年06月25日)
■しかく20 What Is Care? No.2 (2006年07月25日)
■しかく21 Psychiatry: From a Person who Is Supposed to Study Sociology (2012年07月25日)
■しかく22 To Rebel Is Justified: Toward the Modern History of Psychiatry

■しかく■しかく■しかくReference

■しかくExcerpt

■しかく Foreword

Everyone thinks that present conditions of mental health and mental hospitals are not good. But when dissatisfaction is voiced, it is always countered with a question: well, then, what can we do about it? It also makes sense. In 2013, my book entitled To Rebel Is Justified: Toward the Modern History of Psychiatry was published, and the movements I described there could not solve the problems posed by the structures addressed by the book ? just as other movements and people who engaged in them. The book tries to find what can be done about the circumstance.

Chapter 1 describes one aspect of what the current conditions are (2014 to 2015), and in Section 5 (page 31), I tries to summarize the essential points, which can be drawn from there. The current state of affairs ? a rather comic one ? is described in this chapter. Those who would like to quickly get to the point and see what should be done should first and foremost read Section 5 of the chapter.

Chapter 2 is about Kyoto Juzenkai Hospital, an enormous hospital, which had been subjected to very strong critique and accusations for about 20 years, but all these efforts did not succeed in changing in any substantial way that hospital or other hospitals of this country operate. I try to examine reasons why no changes were made and what alternative means are available to us to make changes. Sections 4 to 5 explain, based on the scandals around the hospital and the ways they were addressed, what should be done or should have been done, showing that among the three and two points made in Section 5 of Chapter 1, four of them are undoubtedly true.

In the beginning of Chapter 3, I first state in the briefest way possible my answer to those who want to get to the point, describe the problems of community support listed fifth, why the community (transition) support goes from bad to worse? which, I would think, is not yet widely known ? and in Section 4 (page 140), show the alternative measures.

In Chapter 4, I show that people with dementia are expected to be customers of the mental hospitals on the one hand and do, in fact, become such customers, while they, on the other hand, are deemed worldwide as candidates for euthanasia and dignified death. On that basis, in Section 2 (page 174), I discuss how we can help those with dementia, and in Section 3 (page 146), I briefly summarize the points made in the book. I have established a point that troublesome matters are not going to just go away and we shouldn't try to get rid of them all in the first place. Then, I describe the little frameworks that can and should be conducted.

Impatient readers are advised to head straight to this "answers" section. But if you want to know why things that are listed there, which, from my point of view, have to be, as a matter of course, ensured in our society, are, in fact, not ensured, you will need to read what I write in the preceding parts of the book. There even those well informed in these matters will find information that is not well known or is not well remembered. Also, to get an understanding of why I believe that my answer is right you will sometimes need to read some quite lengthy accounts. That is why I would prefer that those of you who have time try and read the whole book in the chapter order.

The above four chapters comprise the main part of the book, and the second part carries three supplementary chapters.

Supplementary Chapter 1 carries reprintings of a paper I was asked to write and a lecture I was asked to deliver. I think that you can well start with reading these two. The second part of the chapter, that is, my lecture (Tateiwa [2013b]) held at the Mental Health Forum, was delivered on the date when the book To Rebel Is Justified: Toward the Modern History of Psychiatry was published. Or pehaps I should say that I particularly asked the publisher to publish the book by that date. This book is an account of what I have researched on and wrote about after that day, and, in that sense, it would have been better to publish the book when I delivered a lecture about a year later at the plenary session of the Japanese Hospital and Community Psychiatry Association (Tateiwa [2014d]). But the record of this lecture does not exist. Also, as that lecture used some of the materials used for the serial articles, which this book is based on, there is naturally some content overlapping. On the other hand, the paper and the lecture, which both precede it, although they do not cover the points made in this book, still can convey the basic stance it is written upon. Medical workers are busy, and what I tell them is that if they are that busy, they simply should not work. The book is written in a somewhat simplified manner, but that may make you read it easier.

Supplementary Chapter 2 describes a number of events and causes that are connected to the fact that since the end of the war, the number of mental hospitals (and the number of hospital beds) has been steadily increasing with no decreases at all. This is a part of the whole we need to grasp, and I, for one, cannot view it as a whole. This is why I consider this part a mere note. But although it is just that ? a note ? I believe that there are some points there that are worth understanding.

Supplementary Chapter 3 carries reprintings of a number of book reviews that I had been writing for quite some time without changes. Many of these were published in the "Guide to Books on Medical Care and Society", a series that ran 101 times from 2001 to 2010 in the Kango Kyoiku (Medical Education) published by Igaku-Shoin. The reviews cover books on dementia and mental disorders, as well as on medical sociology and DSM which have been published over the course of these 15 years, as well as some books which were published before that, and these books are also connected to the content of the first part of the book. When the reviews are brought together, the reviews add up to quite an amount. Yet I feel that those interested in the issues raised there will find them informative, and even those well acquainted with the subjects will be able to enjoy them. Here is also a text I wrote about Mikio Sato's Jiheisho Saiban: Ressar Pandabo Otokono Tsumi to Batsu (The Autism Court Case: Crime and Punishment of the Man in Red Panda Hat), and the one about filmmaker Kazuhiro Soda's Seishin (Mental). The conclusion is based on the supplementing notes to my previous book To Rebel Is Justified: Toward the Modern History of Psychiatry, which were written after the book was published.

Except for Supplementary Chapter 1 and 3 (excluding the introduction of my previous book), this book is based on the 14 articles, which appeared in serial form in the Gendai Shiso (Contemporary Thoughts) journal. Chapter 1 and Supplementary Chapter 2 were rewritten the most, not only in content but also in the structure. I would like to express here my gratitude to Mr. Kazuki Kurihara of the Seidosha (for his office) concerning my series of articles in the Gendai Shiso as well as this book.


September, 2015 Shin'ya Tateiwa