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    The JapaneseReception of Belgian Family Care

    through German Psychiatry

    A close look

    into the Gheel visitors Register

    Akira HashimotoAichi Prefectural University

    A foster family in Gheel,with 2 patients by the window

    (ca. 1900)

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    Two register books of Gheel visitors

    1st book

    (no title)

    visitors 1863-1892

    2nd book

    Registre des permis de

    visiter ltablissementvisitors 1892-1935

    The Geel Public Psychiatric Hospital (OPZ)

    Registre des permis de visiter ltablissement

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    Gheel visitors from foreign countries

    (1892-1935)

    North America (11%)

    Europe (78%)

    Central & SouthAmerica (6%)

    Asia (4%)

    Africa &Oceania (1%)

    403 (persons)

    54

    31

    18

    6 (persons)

    In Europe (78%) , 19 visitorsfrom Russia are included.

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    0 20 40 60 80 100 120 140

    1892-1895

    1896-1900

    1901-1905

    1906-1910

    1911-1915

    1916-1920

    1921-1925

    1926-1930

    1931-1935

    year

    number of visitors

    Gheel visitors from foreign countries

    (1892-1935)

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    0 5 10 15 20 25 30

    1892-1895

    1896-1900

    1901-1905

    1906-1910

    1911-1915

    1916-1920

    1921-1925

    1926-1930

    1931-1935

    year

    number of visitors

    Germany USA

    Gheel visitors from Germany and USA

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    5 visitors from Saxony Province

    on March 4th and 5th, 1899.

    (from Registre)

    Graf von Wintzingerode

    Dr. PaetzThewes

    Dr. AltDr. Fries

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    8 Japanese visitors

    May 10,1935? (Kurimuras companion)

    May 10,1935KURIMURA, Kazuo (Doctor, Nippon Yusen)

    May 30, 1935MURAMATSU, Tsuneo (University of Tokyo)

    May 10,1935? (Kurimuras companion)

    Oct.13, 1931KUBO, Ikujiro (Kyoto Medical College)

    Jul.or Aug.1901

    KURE, Shuzo (University of Tokyo)

    Jul. 22, 1899SHIMIZU, Toru (Imperial Household Agency)

    Jul. 22, 1899KAWAMURA, Yoshimasu (Osaka District Court)

    Date of visitName (affiliation)

    ?

    ??

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    Shuzo Kure 1865-1932, Professor

    of psychiatry at theUniversity of Tokyo

    If modified, Iwakurawould be likeGheel.

    Compendium ofPsychiatry(1895)

    KURE at the age of 60

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    What is Iwakura? Tradition: Daiunji

    Temple and yadoya(small home-styleJapanese inn)

    Modern law a new interpretation:

    family care, the pair of

    Gheel and Iwakura

    Left: yadoya right: DaiunjiTemple

    The holly well(DaiunjiTemple)

    Kwannon(god of mercy)(DaiunjiTemple)

    The waterfall(DaiunjiTemple)

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    How did the idea of the pair of Gheel

    and Iwakura come to Kures mind?

    before Kure

    SAKAKI, Hajime(Berlin: 1882-1886)

    SHIMAMURA, Shunichi

    (Berlin and Vienna: 1891-1894)

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    How did Kure develop the idea of the

    pair of Gheel and Iwakura?

    study in Austria andGermany (1897-1901)

    Karl Moeli in Berlin visit in Gheel (1901)

    lecture on family care

    (1902)

    MOELI, Karl (1849-1919)

    Kures document in the Registre

    Shuzo Kure

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    Kures hope stayed hope. Iwakura stayed as before: no medical

    system of family care like in Gheeldeveloped.

    family care at the new Tokyo Prefectural

    Asylum was not realized.

    One of the wards for male patients of the new

    Tokyo Prefectural Asylum at Matsuzawa in Tokyo

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    Iwakuras development and the fictitious

    discourse: a Japanese Gheel (1)

    Yadoya (= Hoyojo)

    increased in the

    1920s and 1930s. Homely atmosphere

    Expensive Hoyojo

    Lacking in system of family care

    Patients at the hoyojo

    (Weygandt, 1933)

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    Iwakuras development and the fictitious

    discourse: a Japanese Gheel (2)

    Iwakura Mental

    Hospital is the centralclinic of the Iwakurafamily care.

    (Tsuchiya,1930)Dr. Tsuchiya (left),director of IwakuraMental Hospital,in the consultationroom

    Iwakura Mental

    Hospital (newbuildings est. 1909)

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    Topography at Iwakura in 1935

    Iwakura Mental Hospital

    The holly wellat DaiunjiTemple

    Watanabe hoyojo

    (map: Nakamura O, 2005)

    Imai hoyojo

    Okayama hoyojo

    Muramatsu hoyojo

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    Iwakuras development and the fictitious

    discourse: a Japanese Gheel (3)

    Criticism toward Iwakura : making good

    money, no social welfare and support End of Iwakura (until ca. 1945)

    a Japanese Gheel (until now)

    Authors often refer to Iwakura in the Gheeldescriptions.

    From left,Roosens E: Dansen met de maan (2005)Roosens E: Geel: een unicum in de

    psychiatrie (1977)Konrad M et.al.: Die zweite Familie (1993)

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    Family care: Germany and Japan

    Germany experiences in Gheel to realize family care in

    their own lands interest in family care faded after WWI

    Japan the idea of family care through German

    psychiatry no family care was realized (in European sense) instead, the tradition at Iwakura was recognized

    as family care and survived until WWII