@article{oai:niigata-u.repo.nii.ac.jp:00022751, author = {森田, 昌宏 and 須賀, 良一 and 滝沢, 謙二}, issue = {11}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Nov}, note = {Psychiatrists have been confronted with a difficult task to help psychiatric patients adequately adapt to their social environments. Thus, it is necessary for psychiatrists to make efforts persistently to improve Quality of Life in psychiatric patient. The present paper describes two types of problems concerning QOL from the viewpoint of Consultation-Liaison Psychiatry. The first problem frequently occurs in the case of chronic schizophrenia associated with severe physical illness. There are some obstacles resulted in settings of medical and surgical treatements for their physical illness, since schizophrenic symptoms (loss of spontaneity, disturbance of reality-testing and so on) injure their ability of cooperating with medical staffs. For a successful treatment on their physical complications, physicians should ask psychiatrist for collaboration and set up an adequate goal of treatment and rehabilitation inconsideration of their mental and physical aspects of disabilities. The second is psychosocial problems, including a refusal to medical treatments, an interpersonal trouble with the medical staffs, a suicidal act and so on, that sometimes occur in the patients suffering from chronic and severe physical illness. It is useful to apply psychiatric approach to a solution of these problems. In this approach each patient is appreciated comprehensively as an unique existence who has his own personality and life, and treated with focusing on the therapeutic relation between patient and therapist.}, pages = {901--910}, title = {6) 精神科からみたQuality of Life(シンポジウム Quality of Life(QOL)を考慮した各科診療方針, 第444回新潟医学会)}, volume = {103}, year = {1989} }