Ideally, medical treatment in hospital should be performed based on the concurrent purpose of patients themselves, patients' families and clinicians in charge. However, in psychiatric medical settings, there are many patients without insight or perception about their own disease, therefore they cannot protect themselves from their own. In such cases, sometimes it becomes difficult to provide appropriate and acceptable psychiatric treatments for clinicians. Unfortunately, we are still on the path to human rights protection regarding non-voluntary psychiatric treatment and hospitalization in Japan. As some deplorable events happened in psychiatric hospital, searching for the place of refuge from international criticism, Japanese psychiatric medical treatment system was improved just by inches. The United Nations committee has also required the Japanese government to improve the skimpiness of psychiatric medical treatment system. However, the gap between the ideality and reality in Japanese psychiatric medical field still exists, and often we, Japanese psychiatrist, have felt it intractable in various situations. Therefore, we should discuss these contemporary problems while verifying those related to non-self-contained hospitalization in this paper.
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