Methods: All patients diagnosed with chronic schizophrenia (DSM-IV-R), and having a history of relapse and admitted in a six month period were asked to participate in the study. Patients who gave consent (45 patients) were evaluated using the Quality of Life Enjoyment and Satisfaction Questionnaire (QLESQ-18), The Life Orientation Test-Revised (LOT-R), and the Perceived Stress Scale (PSS),. Results to PANSS item G12 were used for the assessment of insight. Admission charts and interview were used for the assessment of social and familial support. Results: The patients who had insight had also reduced optimism, a high rate of perceived stress, these being associated with a high frequency of hospital admissions and with a lower quality of life. 32 subjects, or 71%, had severe insight deficits or even lack of insight. These findings were associated with higher optimism, and a lower rate of perceived stress. Patients who benefited of support system and had an adequate social context had fewer hospital admissions. Conclusion: We could advance the premise that the incapacity to benefit from this higher insight is due to the poor quality of the supporting system in our country. It is vital to be able to connect the capacity of "being aware" that the patient has, with a proper supporting system and social context, in order to obtain a maximum of efficiency. Background and purpose: Despite a recent increase in the attention given to improving communication of chronic kidney disease (CKD) patients' decision-making (Murray, et al., 2009 ), understanding of patients view is still lacking in Japan. The purpose of this study was to describe Japanese dialysis patients' views about advantages and disadvantages of their dialysis treatments (CHD: in-center hemodialysis, CAPD: continuous ambulatory peritoneal dialysis, APD: automated PD). Methods: Forty-one participants, including 17 CHD, 17 CAPD, and 7 APD patients (mean age: 58.5 year old (SD=13.6), mean dialysis period: 43.5 months (SD=29.2)), were requested to undergo a semi-structured interview, and the data obtained were qualitatively analyzed. Results: The participants considered that their dialysis modalities had its advantages and disadvantages. In terms of advantage, "less trouble for the people around me" was the most common answer of all dialysis modalities. "Independence", "less hospital visit", and "flexibility" were advantages of CAPD and APD patients. On the other hand, CHD patients consider the advantages of the treatment were "professional care" and "dialysis-free days". As for disadvantage, "catheter care" and "making trouble for the people around me" were the common answers of CAPD and APD patients. For CHD patients, "making trouble for the people around me", "restriction of diet and fluid", and "feeling bad after carrying out dialysis" were common answers. Waseda University, Tokorozawa, Japan and 2 Tobu Maruyama Hospital, Satte, Japan.