동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제31권3호
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  • Pages.197-211
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  • 2020
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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한의치료와 '마음의 방 그리기'를 활용한 공황장애 치험 1례 보고

A Case Report on Panic Disorder Patient Using the 'MRM (Mentalizing the Rooms of Mind)' and Korean Medicine Therapy

  • 김지수 (원광대학교 한의과대학 신경정신과학교실) ;
  • 정문주 (원광대학교 장흥통합의료병원 난치질환치료연구소) ;
  • 이가원 (원광대학교 한의과대학 신경정신과학교실) ;
  • 유영수 (원광대학교 한의과대학 신경정신과학교실) ;
  • 강형원 (원광대학교 한의과대학 신경정신과학교실)
  • Kim, Jeesu (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Cheong, Moon Joo (Wonkwang University Jangheung Integrated Medical Hospital Rare Disease Treatment Research Center) ;
  • Lee, Ga-Won (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Lyu, Yeoung-Su (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Kang, Hyung Won (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University)
  • 투고 : 2020.09.07
  • 심사 : 2020.09.23
  • 발행 : 2020.09.30
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초록

Objectives: The purpose of this study was to introduce the progress of treatment and improve clinical use after conducting Mentalizing the Rooms of Mind, the main technique of Mindfulness & Loving Beingness psychotherapy, for a patient with panic disorder. Methods: We conducted a Mentalizing the Rooms of Mind for 10 sessions on an age 23 female diagnosed with panic disorder based on the DSM-5 diagnostic criteria. After receiving consent from the subject, through chart review, the progress of treatment was observed focusing on the MMPI-2 and CSEI-s (The Core Seven Emotions Inventory-short form) conducted pre- and post-treatment. This study was approved by the Institutional Review Board of Wonkwang University Sanbon Hospital (WMCSB202007-55). Results: 1. The MMPI-2 clinical scales of an age 23 female with panic disorder showed a 7 (Pt)-1 (Hs)-3 (Hy) profile pre-treatment, but for post-treatment, the scale showed 1 (Hs)-3 (Hy) profile, and the 7 (Pt) scale showed significant decline. In the MMPI-2 reconstructed clinical scales, RC7 (Dysfunctional Negative Emotions) and RC8 (Aberrant Experiences) showed significant decline. 2. In the pre- and post-treatment MMPI-2 content scales, Anxiety, Fears, Obsessiveness, Social Discomfort, and Work Interference scores decreased, showing overall positive stability. On the MMPI-2 supplementary scales, the Anxiety and Post-Traumatic Stress Disorder scores decreased, and the Ego Strength increased, resulting in improved overall psychological adaptation. 3. Pre- and post-treatment of an age 23 female with panic disorder, CSEI-s showed significant decline of 恐, 驚, 悲, and 思. So it seems that the emotions caused by Chiljeongsang (七情傷) were more stable than before treatment. Conclusions: As shown above, the treatment of panic disorder through Mentalizing the Rooms of Mind, a major technique of Mindfulness & Loving Beingness psychotherapy, showed positive changes in MMPI-2 as well as improvement of the subjective symptoms. Thus, Mentalizing the Rooms of Mind has high clinical use, and it seems that it is necessary to create a manual for this in the future.

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