著者

佐々木 秀夫

出版者

経済社会学会

雑誌

経済社会学会年報 (ISSN:09183116)

巻号頁・発行日

vol.41, pp.110-120, 2019 (Released:2021-09-10)

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Under the period of economic growth, Japanese government took an institutionalization based psychiatric medical treatment policy. In 1970s, when Japanese society had a strong prejudice to mental disabilities, the small-scale workshop activities started, and the number of the small- scale workshop for mental disabilities reached to more than 1700 in early 2000s. The activity greatly contributed the localization of the people with mental disabilities. The study focus to the pioneer generation who started the small-scale workshop activities with no subsidy and supporting system by the government, and try to clarify the unique points of the activity by the interview with 20 pioneer generation people. The data was acquired by the semi-structured styled interviews and was analyzed using the Modified Grounded Theory Approach. The result shows that the pioneer generation were voluntarily immersed in the activity by the deep understandings and empathy to the psychiatric disabilities and the conflict between pioneer generations and local residents, which drove the recursive and continuous cycle of the activities.

著者

貫井 英明 長屋 孝雄 宮城 修 玉田 潤平 金子 的実 佐々木 秀夫 三塚 繁 川渕 純一 河野 徳雄 苅野 忠雄

出版者

日本脳神経外科学会

雑誌

Neurologia medico-chirurgica (ISSN:04708105)

巻号頁・発行日

vol.22, no.6, pp.437-445, 1982-06-15

被引用文献数

8 13

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The authors reported 7 cases that showed development of new aneurysms or enlargement of small aneurysms originally less than 3mm in diameter. New aneurysms of the anterior communicating artery and the right pericallosal artery were found in one case. In this patient with a 5 year history of hypertensiovn, cerebral angiography performed 8 years before following a head trauma had revealed marked arteriosclerosis and a hypoplasia of A1_1, but no aneurysm. Development of an aneurysm from a dilatation at the origin of the right embryonal posterior cerebral artery was found 3 years after the clipping of an aneurysm of the left internal carotid artery in the other case. In 3 cases, a small unruptured aneurysm all originally less than 3mm in diameter previously noted in conjunction with a ruptured aneurysm were found to have enlarged 3 to 13 years after the clipping of the ruptured aneurysm. In these 3 cases, anomalies of the circle of Willis, such as hypoplasia of unilateral A_1, infundibular dilatation at the origin of the posterior communicating artery and the embryonal posterior cerebral artery were revealed. Arteriosclerosis and hypertension were noted in 2 cases. In 2 cases, a small ruptured aneurysm, which had not been recognized at the first subarachnoid hemorrhage, was noted to have enlarged 5 and10 years after the first bleeding. Changes of the arterial wall due to hypertension, arteriosclerosis, etc., and hemodynamic stress caused by anomalies of the circle of Willis seemed to be responsible for the new development of aneurysm and the enlargernent of aneurysm. A small aneurysm less than 3mm in diameter, including an unruptured aneurysm that is found in association with the ruptured aneurysm, have a high incidence of progressive enlargement and rupture. Therefore, even a small aneurysm should be diagnosed and treated precisely.