今後の心身医療のあり方についての一提言(パネルディスカッション : 社会のニーズに応えるために心身医療はどうあるべきか,2007年,第48回日本心身医学会総会(福岡))  [in Japanese] Proposals as to What Psychosomatic Medicine should be Hereafter(Panel Discussion : How should be the Psychosomatic Medicine to Respond the Social Needs)  [in Japanese]

心身医療に対する社会的ニーズとは,従来の医療にはない心身医療の意義そのものと考えられる.心身医療の意義としては,良好な患者-医師関係の構築を重要視すること,および治療効果が高いことなどが挙げられる.治療効果は時として「自己変革」のレベルに至る.また,心身医療では身体疾患が対象となることも重視しなければならない.心療内科の理想像は,各科の専門医でしかも心身医学に精通したスタッフで構成され,教育・研修に重点を置いた活動をする科となることと考える.これにより心身医療が臨床各科に広がり種々の身体疾患に対する心身医学的アプローチを推進することになる.また心身医療の今後の課題としては,社会に対して心身医療の本質を周知していくこと,そして特にプライマリ・ケアレベルでの実践を重視することが望まれる.これを推進するためには,本学会の認定医レベルの医師による,それぞれの地域における啓発活動が重要である.

The social requirements concerning psychosomatic medicine are considered to lie in the importance of psychosomatic medicine itself, because it seems that little is known about an idea of psychosomatic medicine by general public. The significance of psychosomatic medicine, I think, consists of establishment of good patient-physician relationships, and higher effectiveness of the treatment for psychosomatic disorders. These characteristics may make patients who visit a department of psychosomatic medicine relax at the consulting room, and be satisfied with the treatment they received. Furthermore, the cognition and behavior of patients who received psychosomatic treatment may alter a great deal. Another essential element of the psychosomatic medicine is that the target symptoms are physical symptoms especially caused by somatic diseases. I suppose that the ideal model of the department of psychosomatic medicine is that staff consists of various clinical specialists who also have received adequate training on psychosomatic medicine. Educational function accordingly becomes more important in the department of psychosomatic medicine, that is to say, the educated clinical specialists start psychosomatic approaches in their clinical fields. As a result, psychosomatic approach will be generalized. For the development of psychosomatic medicine, we must disseminate information about the nature of psychosomatic medicine to people, and promote the idea that psychosomatic approach will be done by primary care physician. To actualize this promotion, it is necessary for the members such as authorized physicians by Japanese Society of Psychosomatic Medicine to play an active part in enlightening psychosomatic medicine at their local areas.