[Studies on the occupational maladjustment syndrome. (Part 3). In reference to the therapeutic system for the OMA syndrome and the industrial physician's roles].

In order to ascertain the effects of the newly-devised therapeutic system (described later) and clarify the industrial doctor's roles, a study was made on 96 patients with O.M.A.S. (34 in core group, 26 in dropout group, 15 in other group, 13 in transient reaction group and 8 in special job maladjustment group) whom we had directly treated. The subjects of the present study were 54 patients with O.M.A.S. who were treated in the clinic (our clinic) at the Dept. of Mental Health, Osaka Prefectural Institute of Public Health during the past 19 years and 42 patients who were examined in the company's clinic (this company consists of 15,000 employees) where we have practiced mental hygiene of industrial medicine during the past 15 years. Two typical cases in respect of the therapeutic system are presented. We developed a newly-devised therapeutic system of O.M.A.S. (I. Medical examination, II. Counselling for the patients and their family, III. Psychiatric rehabilitation, and IV. Therapeutic advices for their colleagues or superiors in their working place). Of the 96 patients, 81 were reinstated to their office and are at work by using the therapeutic system. Of 96 patients it was necessary for 59 to accept the therapeutic advices. In 49 of 59 patients (Accepted group), doctor's therapeutic advices were accepted by their colleagues or superiors in their working place. In the remaining 10 patients (Refused group) treated by our clinic, the therapeutic advices were refused. Accepted group was observed to be more adaptable to their jobs than refused group. As to the therapeutic content we manipulated their conditions as follows: therapeutic transposition in 27 patients, reduction of duty and guidance of work in 18 patients, and therapeutic preliminary reappointment in 13 patients. It is considered that the industrial doctor of mental hygiene plays an important role in order to establish the therapeutic system of O.M.A.S.