Yamazaki Kosuke
Dept. of Psychiatry and Behavioral Science, Tokai University School of Medicine.
Seishin Shinkeigaku Zasshi. 2002;104(10):789-801.
Accompanying the fall in birth rate, problems pertaining to the child's mind such as school in attendance, bullying, violence in the school, intrafamilial violence, eating disorders, substance abuse, and child abuse have rocketed and diversified, in addition to affecting increasingly lower age groups. The importance of child and adolescent psychiatry has never been more profound, but our country, without a chair in Child and Adolescent Psychiatry in the medical school framework, and lacking recognition of Child and Adolescent Psychiatry as a clinical department has undoubtedly become an underdeveloped country in terms of child and adolescent psychiatric care. The medical schools have been in the process of review and reorganization these past few years. The range of mental science is wide, and despite being a major discipline constituting one of the two arms of medical science together with somatic medicine, it is regarded as a minor existence in our country. This is the time to re-establish mental science, with areas such as child and adolescent psychiatry, geriatric psychiatry, social psychiatry, and crime psychiatry placed on an equal footing with general psychiatry. Turning our eyes on the world, the children are being robbed of their mental health as refugees, through child labor, starvation, and civil war. The demand of this age is true symbiosis, surpassing differences in race, religion, language, and culture, which is probably the indispensable element in the quest for a happy future for the children of this age.
随着出生率的下降,与儿童心理相关的问题,如入学率、欺凌、校园暴力、家庭内部暴力、饮食失调、药物滥用和虐待儿童等问题急剧增加且呈现多样化,影响的年龄群体也越来越低。儿童和青少年精神病学的重要性从未如此深刻,但我国在医学院框架内没有儿童和青少年精神病学的教授职位,也未将儿童和青少年精神病学认可为一个临床科室,在儿童和青少年精神科护理方面无疑已成为一个不发达国家。在过去几年里,医学院一直在进行审查和重组。精神科学的范围很广,尽管它是与躯体医学共同构成医学两大分支之一的主要学科,但在我国却被视为次要学科。现在是时候重新确立精神科学了,应将儿童和青少年精神病学、老年精神病学、社会精神病学和犯罪精神病学等领域与普通精神病学置于同等地位。放眼世界,儿童正作为难民,通过童工、饥饿和内战等方式被剥夺心理健康。这个时代的需求是真正的共生,超越种族、宗教、语言和文化的差异,这可能是为这个时代的儿童谋求幸福未来不可或缺的要素。