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Background: Nurses experience moral distress when they cannot do what they believe is right or when they must do what they believe is wrong. Given the limited mechanisms for managing ethical issues for nurses in Japan, an Online Ethics Consultation on mental health (OEC) was established open to anyone seeking anonymous consultation on mental health practice. Research objective: To report the establishment of the Online Ethics Consultation and describe and evaluate its effectiveness. Ethical considerations: The research was conducted in accordance with the Declaration of Helsinki. Research design: This evaluation describes the outcomes of 5 years of operation of the Online Ethics Consultation on mental health in Japan Participants: The Online Ethics Consultation received 12 emails requesting consultation. Consultees included mental health nurses, psychiatrists, and service users. Findings: The most common questions directed to the service were about seclusion and physical restraint. Response time from receipt of email to sending a reply was between 1 and 14 days. Despite the disappointing number of consultations, feedback has been positive. Discussion: The Online Ethics Consultation was established to assist morally sensitive nurses in resolving their ethical problems through provision of unbiased and encouraging advice. Mental health care in Japan has been less than ideal: long-term social hospitalization, seclusion, and restraint are common practices that often lead to moral distress in nurses and the questions received reflected this. The head of the Online Ethics Consultation sent a supportive, facilitative response summarizing the opinions of several consultants. Conclusion: This study provides key information for the establishment of an online ethics resource the adoption of which has the potential to improve the experience of nurses, allied health and clients of mental health services. This paper has implications for services concerned with improving patient care, managing nurses' moral distress, building ethics into decision-making. [ABSTRACT FROM AUTHOR]

This article explores an example of the transmission of Dutch psychiatric knowledge to Japan in the Edo period (1600–1868), through the translation of a case study first published by Schroeder van der Kolk in 1826. The translation appeared in an innovative new journal of Western medicine edited by the Japanese rangaku (Dutch-learning) scholar, Mitsukuri Genpo. The case study describes the symptoms and treatment of a woman who experienced delusions following an ear infection, in terms largely familiar to the Japanese doctors of the time. This translation provides opportunities to consider the globalization and localization of psychiatric knowledge, the medicalization of mental health care in Japan, and the growing interest in Western psychiatry before its official introduction to Japan after 1868. [ABSTRACT FROM PUBLISHER]

This article explores the making of a relationship between Japanese psychoanalysis and Buddhism, in the life and work of Kosawa Heisaku. Kosawa did not work out the compatibility of psychoanalysis with Buddhism in abstract, theoretical terms; rather, he understood them as two different articulations of the same practical approach to living well. He saw this approach in action in the lives of Freud and Shinran, the latter a thirteenth-century Japanese Buddhist reformer. For Kosawa, both individuals exemplified the ‘true religious state of mind’, at the achievement of which Kosawa understood psychoanalytic psychotherapy as ideally aiming. This article uses newly available documentary and interview material to examine the historical dynamics both of Kosawa’s work in this area and of the broader ‘religion-psy dialogue’ of which it is an early example. [ABSTRACT FROM PUBLISHER]