Abstract

• This study was made on patients who were Hospitalized due to sickness caused by the abuse of marihuana at the Psychiatic Section of a hospital during the period from Feb. to Oct., 1974. The following conclusion was obtained by reviewing the literature with respect to the nursing, and problem solving of those patients, 1. It appears that marihuana is a comparatively miid intoxicant in ordinary preparation without causing physical dependence or tolerance. 2. According to the status of men who are marihuana smokers, approxiately 20% of them were college students, those preparing to retake college entrance examinations, non-employed and parmacists. The men belong mostly to the middle foreigner's mistrese of higher, income fracket, and in the case of women, most of the smokers were US. servicemen entertainers. 3. Dinamic developmental factors; Case 1. : The patient had a characteristic, hysterical and emotionally untable character, and was of low intelligence. In addition, to this already eristing problem, the added uses of marihuana caused a mental illness to develope. Case 2 : The character, was reserved and introspective, her creative power and sentiment was fading and his ability of self-control was weakened. She used the smoking of marihuana to get rid of her own feeling of inferiority complex and tensions coming from interpersonal relationships. Case 3 : The patient was unconditionally resistive to the authoritativeness of superiors and irrisponsible in his relationship with women, in his attitude concerning sex in general. He smoked marihuana because he felt become peace-loving and get enchanted experience through smoking it. 4. The points of issue appearing from the above case; (1) Movement of anti-social feelings aginst the "established system' by the ycungsters. (2) Family problem. (3) Shamelessness, loss of motiavtion, disorderly attitude toward the sex. (4) Worries concerning the future. (5) Lack of knowledge concerning smoking of cigarette and marihuana. Chronic use of marihuana made, those youngmen who had originally been ambitions to achieve something in life, lazy, inefficient, unable to make long-term plans, and such weak mined persons that they did not try to overcome problems when encountered. This will pose a great and important question in the mental health of the society. 5. Treatment and problem sloving According to the literature, we will have to place importance upon hospitalized treatmen' The phases of treatment were divided into five parts. (1) Prehospital phase (2) Withdrawal phase (3) Rehabilitation phase (4) Transitional phase (5) Afterr-care phase The experiments have proved that there was much progress in the recovery of patients through environment therapy, supportive therapy and group psychotherapy. This was the above mentioned 5 phases of treating process in accordance with the weekly schedule of the hospital. It was thought that the patipnts would require prolonged after care management even after they were released from the hospital and that they will also require periodic visit, to the hospital and doctor's interview with their family. In conclusion, the question of the young generation and marihuana smoking is becoming a great social problem in which their resistances to the "established system" and society is growing in the from of antiestablishment movements. In our country, the smoking of marihuana is gradually developing, therefore, I think, that it would be a very fortunate thing for us, if this report could be helpful for the motivation of further Study on the questions of the young generation and its problems.

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