The Emergence and Development of a Psychodynamic Approach to Japanese Managerial Operations The Need to Heal Japanese Mental Institutions: How to Restore the Splitted Self and Adapt to Reality

Japan is currently in the midst of a trend toward significant structural change. This major structural change has been brought about primarily by plunging into an era of low economic growth and a rapid increase in the number of elderly persons in society. Inevitably, mental institutions in Japan are also being required to adapt to this structural change. Low economic growth strengthens the pressure to curb health care costs, which as a result, requires to achieve greater efficiency in health care resources. In addition, it also becomes necessary to switch from quantitative expansion to qualitative expansion. As the number of elderly in society continues to increase in the future, it will be necessary to establish a system for accepting the elderly both in terms of facilities and services, including the social security system.