Spread of Cognitive Therapy in Japan

Kenji Fukui1j@
Hideto Tsuchida1j@
Naoya Saito1j@
Yoshiro Maebayashi2j@
Kazuomi Inoue3j

1jDepartment of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
2jDepartments of Psychiatry and Palliative Care Unit, Ohtsu Municipal Hospital3jNaruto University of Education

Cognitive TherapyiCTjis one of the psychotherapeutic approaches. Of these many psychotherapeutic approaches, the evidence of the effectiveness for CT has been accumulated.

CT was firstly applied to depressed patients by Beck, A.T. and has been shown to improve adherence to medication and reduce relapse rates in Depression. Recently, CT has been applied to various psychiatric disorders such as anxiety disorder, bipolar disorder, schizophrenia, substance„Ÿrelated disorders and many other psychiatric disorders. In addition, as for the anxiety disorder and depression, the similarity and difference between Morita Therapy originally established in Japan and CT was briefly discussed.

To investigate the actual situation of the medical curriculum and the clinical practice of CT, we sent out questionnaires to the medical department of universities in Japan. CT is applied to the medical students in 18.6“, and to the residents in 31.4“ of the universities. 54.3“ of the universities put CT into practice for both inpatients and outpatients.

As the strategy for more infiltration of CT, CT might be included in the guidelines of the national examination for medical practitioners, and we need the further investigation involving the cost effectiveness of CT and the modification of a more„Ÿshortened program of CT.

Japanese Journal of Cognitive Terapy, 1 ; 26„Ÿ32, 2008

Key WordsFcognitive therapyiCTj, spread and infiltration, Japan, medical curriculum, clinical practice