Exploring how depression has become a national disease in Japan, this work shows how psychiatry has responded to the nation's ailing social order & how, in a remarkable transformation, the discipline has begun to overcome longstanding resistance to its intrusion in Japanese life.

"This is a terrific book―moving, clear, and compassionate. It not only illustrates the way psychiatric illness is shaped by culture, but also suggests that social environments can be used to improve the course and outcome of the illness. Well worth reading." — T. M. Luhrmann, author of Of Two Minds: An Anthropologist looks at American Psychiatry Bethel House, located in a small fishing village in northern Japan, was founded in 1984 as an intentional community for people with schizophrenia and other psychiatric disorders. Using a unique, community approach to psychosocial recovery, Bethel House focuses as much on social integration as on therapeutic work. As a centerpiece of this approach, Bethel House started its own businesses in order to create employment and socialization opportunities for its residents and to change public attitudes toward the mentally ill, but also quite unintentionally provided a significant boost to the distressed local economy. Through its work programs, communal living, and close relationship between hospital and town, Bethel has been remarkably successful in carefully reintegrating its members into Japanese society. It has become known as a model alternative to long-term institutionalization. In A Disability of the Soul, Karen Nakamura explores how the members of this unique community struggle with their lives, their illnesses, and the meaning of community. Told through engaging historical narrative, insightful ethnographic vignettes, and compelling life stories, her account of Bethel House depicts its achievements and setbacks, its promises and limitations. A Disability of the Soul is a sensitive and multidimensional portrait of what it means to live with mental illness in contemporary Japan.

Mental health, including widespread depression and a very high suicide rate, is a major problem in Japan. At the same time, the mental health system in Japan has historically been more restrictive than elsewhere in the world. This book looks at the challenges of mental illness in Japan, including deficiencies in health care such as the abuse of patients and the institutionalisation of long term patients in mental hospitals.

This book examines the phenomenon of social withdrawal in Japan, which ranges from school non-attendance to extreme forms of isolation and confinement, known as hikikomori. Based on extensive original research including interview research with a range of practitioners involved in dealing with the phenomenon, the book outlines how hikikomori expresses itself, how it is treated and dealt with and how it has been perceived and regarded in Japan over time. The author, a clinical psychologist with extensive experience of practice, argues that the phenomenon although socially unacceptable is not homogenous, and can be viewed not as a mental disorder, but as an idiom of distress, a passive and effective way of resisting the many great pressures of Japanese schooling and of Japanese society more widely. The Open Access version of this book, available at http://www.taylorfrancis.com/books/e/9781351260800, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives (CCBY-NC-ND) licence.

Mental health, including widespread depression, a high suicide rate and institutionalisation, is a major problem in Japan. At the same time, the mental health care system in Japan has historically been more restrictive than elsewhere in the world. This book looks at the challenges of mental health care in Japan, including problems such as the institutionalisation of long-term patients in mental hospitals. The book discusses the latest legislation to deal with mental health care, and explores the various ideas and practices concerning rehabilitation into the workforce, the community and service user groups that empower the mentally ill. It goes on to look at the social stigma attached to the mentally ill in Japan and Britain, which touches upon the issue of counselling those with post traumatic stress after the recent earthquake.

The definitive--and by far the most popular--guide to the therapeutic Japanese practice of shinrin-yoku, or the art and science of how trees can promote health and happiness Notice how a tree sways in the wind. Run your hands over its bark. Take in its citrusy scent. As a society we suffer from nature deficit disorder, but studies have shown that spending mindful, intentional time around trees--what the Japanese call shinrin-yoku, or forest bathing--can promote health and happiness. In this beautiful book--featuring more than 100 color photographs from forests around the world, including the forest therapy trails that criss-cross Japan--Dr. Qing Li, the world's foremost expert in forest medicine, shows how forest bathing can reduce your stress levels and blood pressure, strengthen your immune and cardiovascular systems, boost your energy, mood, creativity, and concentration, and even help you lose weight and live longer. Once you've discovered the healing power of trees, you can lose yourself in the beauty of your surroundings, leave everyday stress behind, and reach a place of greater calm and wellness.

In the latter half of the 20th century, Japan developed into a thriving economy, and the Japanese remain one of the healthiest populations in the world to this day. However, in the past 25 years, low-growth, mounting debt, and rapid ageing have complicated this image, and global interest in the longevity and social cohesion of the Japanese populace is now greater than ever. Health in Japan brings together the perspectives and research of Japan's leading social epidemiologists in English for the first time, creating an enriching reading experience for both Japanese and international readers. With chapters on key topics such as Chronic Disease, Disasters and Health, and Mental Health and Wellbeing, this textbook offers a comprehensive examination of all major health issues facing the country. Focusing on the primary, upstream causes of health and disease, as well as novel evidence on the wider determinants of well-being and illness, this is a must-read for any public health professional or researcher with an interest in Japanese society, culture, and healthcare.

Negative moral judgements seem to have been a constant fixture in the way societies and cultures have regarded groups displaying deviant behavior. This is particularly true of the mentally ill. Stereotypes are most ingrained for mental pathologies with heightened visibility in society, such as schizophrenia. Preconceived notions about danger, occult powers and mysterious malevolence which hover over the illness, contribute to the total debasement of the patient. Persons suffering from other forms of mental illness are stigmatized to a lesser degree. But the threat is real that labeling will extend to every endeavor linked to mental illness: care facilities, professionals, therapies in general and psychotropic medication in particular. Lay belief in the existence of important side-effects to this medication and public fears about the risk of addiction form the basis of very restricted, or even hostile, attitudes towards it and result in weak compliance. Inversely, psychotherapy now seems widely accepted and different forms of intervention have contributed to de-stigmatizing psychiatric illness and to stop the exclusion of patients. This book is of interest not only to psychiatrists, but also to mental health workers, psychologists, social scientists and social workers who wish to alter common precepts and prejudices regarding psychiatric disorders.

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.