Skip to main content
Log in

Development of mental health services among existing community institutions in rural areas: The case of the Japanese kumiai

  • Articles
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

Despite high rates of emotional disorder, rural areas of Japan have a dearth of modern community mental health professionals and facilities. Reasons for this situation are explored and a form of interest organization, the kumiai, is proposed as one unexploited avenue for better coordinating the efforts of consultants, community leaders, and indigenous prosessionals in the future. The functions served by the kumiai in rural communities are outlined, particularly with regard to problems of developing mental health services in communities possessing inadequate facilities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Caplan, G.The theory and practice of mental health consultation. New York: Basic Books, 1970.

    Google Scholar 

  • Caudill, W. Observations on the cultural context of Japanese psychiatry. In M. K. Opler (Ed.),Culture and mental health. New York: Macmillan, 1959.

    Google Scholar 

  • Caudill, W., & Schooler, C. Symptom patterns and background characteristics of Japanese psychiatric patients. In W. Caudill, & T. Lin (Eds.),Mental health research in Asia and the Pacific. Honolulu: East-West Center Press, 1969.

    Google Scholar 

  • Eisdorfer, C., Altrocchi, J., & Young, R. F. Principles of community mental health in a rural setting: The Halifax county program. In P. E. Cook (Ed.),Community psychology and community mental health. San Francisco, Holden-Dag, 1970.

  • Fukutake, T.Japanese rural society (Trans. by R. P. Dore.) Ithaca: Cornell University Press, 1967a.

    Google Scholar 

  • Fukutake, T.Asian rural society: China, India, Japan. Seattle: University of Washington Press, 1967b.

    Google Scholar 

  • Jacobson, A., & Berenberg, A. N. Japanese psychiatry and psychotherapy.American Journal of Psychiatry, 1952,109, 321–329.

    PubMed  Google Scholar 

  • Kato, M. Psychiatric epidemiological surveys in Japan: The problems of case finding. In W. Caudill, & T. Lin (Eds.),Mental health research in Asia and the Pacific. Honolulu: East-West Center Press, 1969.

    Google Scholar 

  • Kitano, H. H. L. Japanese-American mental illness. In S. C. Plog, & R. B. Edgerton (Eds.),Changing Perspectives in Mental Illness. Chicago: Holt, Rinehart & Winston, 1969.

    Google Scholar 

  • Leighton, A. H. A Comparative Study of Psychiatric Disorder in Nigeria and Rural North America. In S. C. Plog and R. B. Edgerton (Eds.),Changing perspectives in mental illness. Chicago: Holt, Rinehart & Winston, 1969.

    Google Scholar 

  • Liberman, R. Police as a community health resource.Community Mental Health Journal, 1969,5, 111–120.

    Google Scholar 

  • Libo, L., & Griffith, C. R. Developing mental health programs in areas lacking professional facilities: The community consultant approach in New Mexico.Community Mental Health Journal, 1966,2, 163–169.

    Google Scholar 

  • Lindstrom, D. E.Community development in Seki-Mura. Urbana: University of Illinois College of Agricultural Experiment Station, 1960.

    Google Scholar 

  • Looff, D. H. Appalachian public health nursing: Mental health component in eastern Kentucky.Community Mental Health Journal, 1969,5, 295–303.

    Google Scholar 

  • Norbeck, E. Postwar cultural change and continuity in northeastern Japan.American Anthropologist, 1961,63, 297–321.

    Google Scholar 

  • Riessman, F. Strategies and suggestions for training nonprofessionals. In P. E. Cook (Ed.),Community psychology and community mental health. San Francisco: Holden-Day, 1970.

    Google Scholar 

  • Spielberger, C. D. A mental health consultation program in a small community with limited professional mental health resources. In E. R. Lowen (Ed.),Emergent approaches to mental health problems. New York: Appleton-Century-Crofts, 1967.

    Google Scholar 

  • Steiner, K. The Japanese village and its government.Far Eastern Quarterly, 1956,15, 185–199.

    Google Scholar 

  • Torrey, E. F. Mental health services of American Indians and Eskimos.Community Mental Health Journal, 1970,6, 455–463.

    PubMed  Google Scholar 

  • Townes, B., Lytle, C. E., Wagner, N. N., & Wimberger, H. C. The diagnostic consultation and rural community mental health programs.Community Mental Health Journal, 1968,4, 157–163.

    Google Scholar 

  • Ward, R. L. Some observations on local autonomy at the village level in present-day Japan.Far Eastern Quarterly, 1953,12, 183–202.

    Google Scholar 

  • Wedel, H. L. Characteristics of community mental health center operations in small communities.Community Mental Health Journal, 1969,5, 437–444.

    Google Scholar 

  • Yamamoto, K. A Comparative study of patienthood in Japanese and American mental hospitals. In W. P. Lebra (Ed.), Transcultural research in mental health. Honolulu: East-West Center Press, 1972.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

The authour wishes to thank Akira Yamamoto, Kenneth Heller, and Vernon Noll for their comments on an earlier draft of this paper.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shupe, A.D. Development of mental health services among existing community institutions in rural areas: The case of the Japanese kumiai. Community Ment Health J 10, 351–358 (1974). https://doi.org/10.1007/BF01410782

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01410782

Keywords

Navigation