1996: Kaosiung, Taiwan: SYMPTOMATOLOGY OF SCHIZOPHRENIA IN EAST ASIA

THE SIXTH CULTURAL PSYCHIATRY SYMPOSIUM IN KAOSIUNG 1996

 

 SYMPTOMATOLOGY OF SCHIZOPHRENIA IN EAST ASIA

 

Place : Grand 50 Tower, Kaosiung, Taiwan

Dec. 5-Dec. 7 1996

 

PROGRAM

December 5(Thu) The Grand Hotel Kaohsiung

16:30-18:00                       Visit Chang Gung Memorial Hospital             Jung-Kwang Wen

18:00-19:00                       Business Meeting                                        Hsien Rin

19:00-21:00                       Reception                                                   Jung-Kwang Wen

December 6(Fri)                Grand 50 Tower

08:45-09:00                       Presidential Address                                    Hsien Rin

09:00-09:45          Symptomatology of              Nobuo Nakayasu,   Bou-Yong Rhi

Schizophrenia in Japan                                                Andreq T.A. Cheng

09:45-10:05                       Formal Discussion    Jung-Kwang Wen

10:05-10:30                       Coffee Break

10:30-12:00                       General Discussion                                      Zuk-Nae Lee

Kenji Kitanishi

12:00-13:30                       Lunch

13:30-14:15          Symptomatology of                Hwan-Il chang,         Kyoichi Kondo

Schizophrenia in Korea                          Kwang-Iel Kim

14:15-14:35                       Formal Dsicussion             Kazuya Yoshimatsu

14:35-15:00                       Coffee Break

15:00-16:30                       General Discussion                                      Hyun-Woo Kim

Wie-Tsuen Soong

18:30-21:00                       Banquet

December 7(Sat)  Grand 50 Tower

08:45-09:30         Symptomatology of             Hai-gwo Hwu,          Si-Hyung Lee

Schizophrenia in Tiawan                                            Kazuya Yoshimatsu

09:30-09:50                       Formal Dsicussion            Kwang-Iel Kim,

09:50-10:15                       Coffee Break

10:15-11:45                       General Discussion                                      Ho-Young Lee

Yoshihiro Narita

11:45-12:00                       Closing Address & Farewell                          Si-Hyung Lee

                                                                                              

l  Venue : 1) Business Meeting & Reception : The Grand Hotel Kaohsiung

u  2) Meeing Symposium : Grand 50 Tower

u  3) Banquet : The Grand Hi-Lai Hotel

 

 

 

MEMBERS OF JAPAN

 

Kyoichi Kondo, M.D.

Professor, Dept. of Human Sciences

Taisho University

Nishi-Sugamo 3-20-1, Soshima-ku Tokyo, 170, Japan

 

Kazuya Yoshimatsu, M.D.

Professor, Dept. of Psychiatry

Shinshu University School of Medicine

3-1-1-, asai, Matsumoto, 390, Japan

 

Yoshihiro Narita, M.D.

Professor, Dept. of Human Sciences,

Sugiyama Jogakuen University

37-234 Takenoyama, Nisshin City

Aichi, 470-01, Japan

 

Satoru Saito, M.D.

Director, Institute for Family Functions

Azabu 10-ban A bldg., 2-14-5,

Azabu 10-ban, Minato-ku, Tokyo, 106-0045 Japan

 

Kenji Kitanishi, M.D.(Sacretary)

Associate Professor, Dept. of Psychiatry

Jikei University School of Medicine

4-11-1, Izumi-Honcho, Komae City

Tokyo, 201, Japan

 

Vice-President

Narimasu Kosei Hospital

1-19-1, Misono, Itabashi-ku, Tokyo, 175, Japan

 

Nobuo Nakayasu, M.D.

Associate Professor, Dept. of Psychiatry

Medical College, Tokyo University

7-3-1, Hongo, Bunkyo-ky, Tokyo, 113, Japan

 

Yomishi Kasahara, M.D.(ex-member)

Advisor, La Clinique Sakura

8-B riversideterrace Ishikawabashi 6

5-Chome Danke-dori, Showa-Ku

Nagoya, 466-0842, Japan

 

Takeo Doi, M.D.(ex-member)

Cousultant in Psychiatry

Saint Luke’s International Hospital

10-1, Asashi-Cho, Chuo-Ku

Tokyo, 104-0011, Japan

 

 

MEMBERS OF KOREA

 

Bou-Yong Rhi, M.D.

Professor, Dept. of Neuropsychiatry, Seoul Nat. Univ. Hospital

28 Yeonkun-Dong, Chongro-Ku,

Seoul, 110-744, Korea

 

Ho-Young Lee, M.D.

Professor,

Dept. of Psychiatry,

Ajou Univ. School of Medicine

Paldal-Gu, Wonchon Dong, Suwon, 442-749, Korea

 

Si-Hyung Lee, M.D.

Director,

Korea Institute of Social Psychiatry

Samsung Life Insurance Co., Ltd.

26Fl. Samsung Life Insurance Bldg.

150 Taepyungro 2-Ga, Chung-Ku Seoul, 100-716 Korea

 

Kwang-Iel Kim, M.D.

Professor,

Dept. of Psychiatry, Han Yang Univ. Hospital

17 Haengdang-Dong, sungdong-Ku, Seoul, 133-792 Korea

 

Zuk-Nae Lee, M.D.

Professor and Chairman

Dept. of Neuropsychiatry, Kyung-Pook Univ.Hospital

52 Samduk-dong 2-Ka, Chung-Ku, Taegu, 700-412 Korea

 

Hwan-Il Chang, M.D.

Professor,

Dept. of Neuropsychiatry, Kyung Hee Univ. Hospital

1 Hoiki-Dong, Dongdaemun-Ku, Seoul, 135-702 Korea

 

Hyun-Woo Kim, M.D.

Professor and Chairman,

Professor and Dept. of Psychiatry

DanKook University Hospital

San 16-5, Anseo-Dong, Chonan, Chonan Chungchungnam-Do 330-715, Korea

 

 

MEMBERS OF TAIWAN

 

Hsien Rin, M.D.

Professor Emeritus,

Dept, of Psychiatry, National Taiwan University Hospital

No. 7. Chung-Shan S.Rd.

Taipei, Taiwan 100

 

Wei-Tsuen Soong, M.D.

Associate Professor

Dept. of Psychiatry, National Taiwan University Hospital

No. 7. Chung-Shan S.Rd.

Taipei, Taiwan 100

 

Hai-Gwo Hwu, M.D.

Professor

Department of Psychiatry

National Taiwan University Hospital

No. 7. Chung Shan S.Rd. Taipei, Taiwan 100

 

Jung-Kwang Wen, M.D.

Chairman, Dept. of Psychiatry,

Professor, Chang Gung Memorial Hospital, Kaohsiung

123, Ta-Peio Rd., Niao-Sung Hsiang

Kaohsiung County, Taiwan 833

 

Tai-Ann Cheng, M.D., Ph.D., MRCPsych.

Asociate Research Fellow

Division of Epidemiology & Public Health

Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan 115

 

 

Taiwan Obervers

 

Yu Lee, M.D.

Dept. of Psychiatry

Chang Gung Memorial Hospital,

Kaohsiung

123, Ta-Peio Rd.

Niao-sung Hsiang

Kaohsiung County, Taiwan 833

 

Hao-Wei Wang, M.D.

Dept. of Psychiatry

National Taiwan University Hospital

No. 7 Chung-Shan S. Rd, Taipei, Taiwan 100

 

Taiwan Assistant

 

Jim-Tang Wang

Department of Psychiatry

Chang Gung Memorial Hospital,

Kaohsiung

123, Ta-Peio Rd.

Niao-Sung Hsiang Kaohsiung County Taiwan 833

 

Jui-Lian Ho

Dept. of Psychiatry

Chang Gung Memorial Hospital,

Kaohsiung

123, Ta-Peio Rd.

Niao-Sung Hsiang Kaohsiung County Taiwan 833

 

Chia-Ming Chang, M.D.

Dept. of Psychiatry

Chang Gung Memorial Hospital,

Kaohsiung

123, Ta-Peio Rd.

Niao-Sung Hsiang Kaohsiung County Taiwan 833

 

Yu-Chi Yeh, M.D.

Dept. of Psychiatry

National Taiwan University Hospital

No. 7 Chung-Shan S. Rd, Taipei, Taiwan 100

 

Shih-Yun Huang

Dept. of Psychiatry

Chang Gung Memorial Hospital,

Kaohsiung

123, Ta-Peio Rd.

Niao-Sung Hsiang Kaohsiung County Taiwan 833

 

 

Presidential Address

 

It is delightful to meet you again. This time shifted the site of conference here in Kaohsiung for the sixth symposium of ourEast-asian Academy of Cultural Psychiatry. Kaohsiung is the second largest and industrially progressive city in Taiwan, and its harbor is regarded as one of the ten largest harbors and also it has become one of the three largest container transportation harbors in the world.

Professor Wen and his associates have worked on the preparation of this symposium. Having the symposium in Kaohsiungalso offered us the opportunity to see the newly established Psychiatric Unit at Chang Gung Memorial Hospital. It moved to the 11th floor of Children’s Hospital during May 1996. The hospital blocks are located in the suburb of Kaohsiung City. It is nearbyChen-Ching Lake, one of the most famous scenic spots in southern Taiwan.

Psychiatric unit of this hospital, which was designed mainly by Professor Wen, is a most superfluous department, invested by Taiwan Plastic Company Foundation, the leading syndicate in Taiwan. They chose the figure of phoenix to work as the symbolic mark that is to explain putting light/fire on each of the dark/desperate mind of mental patients. We just had an opportunity to visit the unit before the meeting. The other reason we have chosen Kaohsiung as the site of conference is the opportunity to observe intense traditional cultural context developed in southern Taiwan. Extraordinary numbers of Tangi shamans are active in numerous temples and whose medical devices provided are common among our patients. A group of healer in particular, Long-Hwa-Tan [Dragon temple] has been currently demonstrated and discussed for its particular indigenous form of setting-up.

The main theme of this symposium is Symptomatology of Schizophrenia. Cross-cultural comparative studies of schizophrenic symptoms were already done three decades ago. Some pioneer works during 1960’s attempted to confirm there were definite difference in the symptom manifestation of schizophrenia cros-culturally. In a comparative study of symptomatology of Japanese and U.S. Patients, it was found that symptoms of insomnia and physical assault were over-represented in Japanese schizophrenics while hallucinatins were much more frequently presented by the U.S. schizophrenics. In another study, Taiwanese patients were compared to Japanese patients, and the result of cluster analysis of symptoms revealed two definite different direction of symptom expression, that Japanese patient presented more depression, obsession, hebephrenia, insomnia and Gl symptoms, while Taiwanese patient appeared to tend to manifest paranoid and hostility symptoms with headache and hypochondriac tendencies. Culture provides determing factors on the symptomatology. Also, cultural change might cause a change in the pattern of symptomatology of schizophrenia.

With fruitful presentation of papers and discussions, we hope this symposium will be another success. Please, enjoy yourselves, and take in Kaohsiung’s beautiful tropical scenery.

 

December 6, 1996

President

Hsien Rin, M.D.

 

 

Closing Address

 

Gentlemen, no doubt we did it again this year. Schizophrenia, an everlasting challenge and topic for us as psychiatrists, is still in a dark veil. In our everyday practice, we often stop and think why and what is the cause of the problem that these patients have. We really don’t know the nature of this problem that leads us to puzzlement, even to confusion. However as our symposium of this year is about to close, our challenge to this topic has been so successful that we are better-oriented and we are sure to tackle this tough subject again. Thanks to all those speakers for their excellent job and to the discussants as well as participants for their stimulating discussion. Our youngest member, Dr. Nakayasu, has presented a challenging topic that is so new & exciting that it put him on the hot spot. However, we all know that it is worthwhile for the cross-cultural study in the future. So, his way of looking at this problem makes a great contribution to the world psychiatry.

Dr. Chang’s paper also was fascinating; its well documented summary helped us to understand the Korean side of schizophrenic world. I may have to add here, it’s interesting that this is the place where we can have better and clearer communication among Korean colleagues. Maybe  we are too busy back home for our everyday practice. Last, but not least, Dr. Hwu’s paper is also really intriguing. He is kind to present all his case materials so that we can grasp a picture of his entire framework. Thanks again.

Well, this is the 10th anniversary of our academy and we are proud of ourselves to be members of this academy. And we are very grateful for those three founders, Dr. Rin, Dr. Kondo and Dr. Bou-Yong Rhi. As East-Asian countries have their unique culture, this academy has made a great contribution to world psychiatry. Starting from the first meeting in Seoul on social phobia, especially the offensive nature of social phobia has been finally described on DSM IV, as you know. Of course, Japanese colleagues have done pioneer work in many years. However, our academy following Dr. Kim Kwang-Iel reviews on cultural psychiatry, is well imformed to DSM III-R. Dr. Liebowitz, a head of the anxiety section of DSM IV, was really pleased with our academy’s contribution on social phobia. We would like to share this with all of you. We hope our academy countinues to make a contribution not only for our understanding but also for world psychiatry.

Well, yes, Kaohsiung is beautiful nothing but beauty. Visit to Changkyung hospital is a shock. Psychiatric unit is like a palace and Dr. Wen is an emperor, not just a small king. We envy him. And at the very same time, we respect and congratulate him for his big success as a psychiatrist. And our respect and thanks also extend to all of its young staff who have made this meeting successful. Tnanks again on the behalf of all academy members. We admire Dr. Rin’s great leadership in the past as a president and also a leader of Taiwan psychiatry that has made this academy in Kaohsiung successful.

Strolling through the night market will remain deep in our hearts with the sweet memory of Koashiung’s warm friendship. Dear colleagues, I have to say goodbye as it’s time to close. Two years seem quite long, yet it’s short, as we all eagerly look forward to meeting in Seou, 1998. We, Korean colleagues, try our best to meet you and we were quite confident to do so till we come to Kaoshiung meeting. Dr. Wen really spoiled us and made us worry about our Seoul meeting. But we will try our best.

Three days in Kaohsiung, by no means long, and yet our heart is filled with joy and happiness. One last thing, I would like to thank Taiwanese colleagues, deep friendship to celebrate Dr. Kim Kwang-lel’s 60th birthday. And we understand Dr. Rin’s 70thbirthday is coming up soon. So are three other Dr. Lee’s from Korea. That shows our academy’s weight, presitigious name and tradition. As we have decided in the business meeting, we are going to have you candidates as observers who will well-match and well-balance the old and the new generation. Well, let’s not say goodbye but say see you again in Seoul soon. Thanks.

 

President-Elect

Si-Hyung Lee, M.D.