精神経誌（2010）112 巻 2 号

124

第回日本精神神経学会総会

シ ⃞ン ⃞ポ ⃞ジ ⃞ウ ⃞ム⃞

Current Status of Psychiatry in Asian Countries
座長

Naoki Hashimoto

Asia is very large area and have a great
variety of geographical, cultural, historicalin developing the mental health care systems inrural area in India.

backgrounds. These diversities have cultivatedOn the other hand, high quality of traininga various types of psychiatry there. On thein mental health is another common feature ofother hand, there are some common problems

India and Pakistan. There are attempts tolike shortage of human and social resources.

focus on research and link with renowned AsianIn this symposium entitled “The current sta-

psychiatrists overseas to contribute to strength-

tus of psychiatry in Asian countries”we haveening the training programs in both countries.

three young psychiatrist panelists, from Japan,Iʼm very sorry not to be able to introduce hisIndia and Pakistan.

presentation in this article, Dr Saqib Bajwa

India and Pakistan are similar to eachfrom Pakistan has introduced the academic

other in several aspects. Both of them are notdeveloping course of his country which he him-

so aﬄuent and have large population. As aself is belonging to, in the symposium.

result, the shortage of the psychiatrists andJapan is an aﬄuent country and hasother co‑medical staﬀs, and the diﬀerences

diﬀerent feature from India or Pakistan. Therebetween rural and urban area became the com-are a large number of psychiatrists, and themon problem of both countries. Pathway study

largest number of psychiatric beds in the world.

in this region shows that general practitioners

Pathway studies showed that almost 90% of

do not work well and native or religious healers

people living there choose medical facilities asplay an important role. However,in this three

their ﬁrst care giver when they are mentally ill.

decades,many eﬀorts have been made for chan-

But there also are many problems about cur-ging the situation in both countries. Dr Kal-

rent status of psychiatry in Japan,for example,

mane Sridhara Pavitra, one of our panelists

the highest number of psychiatric beds and thefrom India, has introduced her own experience

longest average duration of stay in the hospital

シンポジウム Current Status of Psychiatry in Asian Countries 座長

Naoki Hashimoto（Department of Psychia-try,Graduate School of Medicine,Hokkaido University),Norio Ozaki（Department of Psychiatry,Nagoya University Graduate School of M edicine) コーディネーター：Naoki Hashimoto（Depart，Tsuyoshi Akiyama
ment of Psychiatry, Graduate School of Medicine, Hokkaido University）（Kanto M edical Center, NTT EC）

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シンポジウム：Current Status of Psychiatry in Asian Countries

125

in the world, and developing the training pro-Since 2006,we JYPO（Japan Young Psychi-gram which has just started. The certiﬁcation

atrists Organization）have continuouslytaken asystem of psychiatrist in Japan has just started

role in the international symposium in JSPN

2 years ago and training program is underand have developed the partnership with theevaluation.

About the child and adolescentyoung psychiatrists in many Asian countries.

psychiatrists, situation is more severe. The

From our experience,we believe that it is quite

number of them is not enough and there are noimportant to have more association with for-oﬃcial training programs in this ﬁeld.

Dreign psychiatrists and to know more about

Mariko Setsuie who had been a pediatrician

current status of psychiatry in diﬀerent coun-and has become a psychiatrist showed the cur-tries or diﬀerent cultures for further develop-

rent state of child and adolescent psychiatrist in

ment of our own psychiatry. This is the object

Japan from her own experience and the resultof this symposium.

of her questionnaire survey.