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I went to Kansai, Japan in recent years, and if my friend Fujii doesn't go far away, we will all meet.

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Fujii and I are both wandering psychiatrists. The difference is that, as soon as he graduated from medical school, he devoted himself to psychological rehabilitation after the Hanshin Earthquake (1995 438+0.438+07), and stuck to his post all the way up to now.

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Last September (20 13), I learned that Fujii was about to change his job. He was menstruating in Kansai 12. Of course, I must see him.

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My friends are going to Fukushima. After March 1 1, 20 1, Fukushima became the global focus due to the earthquake and tsunami. After nearly three years of irregular support, Fujii decided to leave Kobe, his hometown, and set foot on the road of recovery in Fukushima disaster area with his professional knowledge.

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It is difficult to get away from the subject when meeting with colleagues. Fujii told me that nearly half of the people who put into mental health work after the disaster came from other places. A friend who is determined to be a front-line employee supervisor said simply, "I am not a special case."

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My friends are very calm, but I pour out: Is the environment safe? Is the local water drinkable and the food edible? Fujii patiently explained that Fukushima has a vast territory and the gap between different places is quite large; Even when the wind direction changes, the background radiation value will jump. "It's a pity that the whole place has been stigmatized," he shook his head at Fukushima, which left a deep impression on him.

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Yes, I thought of "no nuclear weapons; "No more Fukushima" (no more Fukushima) is the most common slogan in anti-nuclear activities in the past two years. When the people of Fukushima saw it, their hearts must be very painful. "No nuclear weapons are enough," my friend implored thoughtfully.

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Paradoxically, another test in front of a good friend is actually the shame of his profession-psychiatric treatment.

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The story has to start from the "royal turmoil" more than 100 years ago. During the Meiji period, Ma Yin Cheng, an old minister in Nakamura, located in the Xiangma area, was detained by his younger brother from 65438 to 0879 because he was suspected of having integration disorder (schizophrenia, renamed by the Japanese Psychiatric Association in 2002), and was later transferred to a mental hospital in Tokyo. Jin Zhi, a loyal minister of Yin Cheng, just refused to accept the Qing Dynasty, and in 1887, he broke into the hospital and robbed the owner. Unexpectedly, Yin Cheng died in 1892, due to the ups and downs of his illness. The Xiangma family accused Brocade of poisoning every other year, and Brocade countered with false accusations. After many years of troubles, due to the extensive coverage of the new media-newspapers at that time, the whole country knew about it, which also buried the serious prejudice of local residents on mental health care. Until the Great East Japan Earthquake, there was not only no psychiatric hospital in Xiangma City, but also it was difficult to set up psychiatric clinics in general hospitals, so patients had to go to other places for medical treatment.

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"After the earthquake, the psychiatric team was careful and finally broke the local 100-year taboo and established an outpatient clinic in the name of psychological rehabilitation." The friend showed a happy expression.

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Looking back on192 1 99 earthquake, isn't it also an important milestone for mental health care/mental health work in Taiwan Province province to enter the community? Before the earthquake, most people thought that psychiatry only looked at "neuropathy"; When mental health care and mental health workers are outspoken, it is difficult to break preconceptions. Unexpectedly, a world shock has become an opportunity to break the prejudice of mental illness. People in Taiwan Province know from personal experience that whether it is irresistible natural disasters or daily accumulated stress, brain function may temporarily lose balance, and they may fall into a state of anxiety, panic or depression. Mental disorder is not a scourge, let alone heresy.

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3 1 1 After the earthquake, I repeatedly wrote in my email greeting Japanese friends: "When the situation is stable, I must go to Fukushima to enjoy cherry blossoms and soak in hot springs. Today, in addition to imitating friends to practice medicine locally, this is still the most powerful support I can think of.

& lt This column reflects experts' opinions and does not represent our position. "

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