• Title/Summary/Keyword: 정신과 의사

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Nonpsychiatric Physicians' Attitudes toward Psychiatry (타과 의사들의 정신과에 대한 태도)

  • Koh, Kyung-Bong;Lee, Hee-Sang
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.1
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    • pp.13-21
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    • 1998
  • The purpose of the study was to examine nonpsychiatric physicians' attitudes toward psychiatry. 129 physicians responded to the questionnaire regarding attitudes toward psychiatry. A majority were favorable about psychiatric education, psychiatric consultation, psychoanalysis, students' choice of psychiatry as a career, and psychiatrists. Staff were more positive toward psychiatry than residents, and senior staff were more positive about psychiatry than junior staff. Overall, however, no significant differences were found in attitudes toward psychiatry between nonsurgical physicians and surgeons, although staff or residents in nonsurgical departments were more favorable about some aspects of psychiatry than staff or residents in surgical departments. The physicians with more interest in psychiatry as a career in the past were more likely to to be positive about psychiatry as a comprehensive science and a rapidly expanding field of medicine. Physicians with older age were more likely to be positive about status and efficacy of psychiatry, role and functioning of psychiatrists than those with. younger age. The results suggest that previous interest in psychiatry, age and clinical experience favorably influenced physicians' attitude toward psychiatry. In addition, development of models for psychiatric education will be needed to enhance physicians' attitude toward psychiatry.

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Psychiatry, Is It Now Okay? - Enlarging the Boundary of Psychiatry in the Neuroscience Era (정신의학, 이대로 좋은가?-신경과학 시대에서 정신의학의 영역 확대 방안)

  • Park, Jonghan;Kim, Nam Soo
    • Korean Journal of Biological Psychiatry
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    • v.8 no.1
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    • pp.53-61
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    • 2001
  • The authors, in this paper, addressed a variety of problems and difficulties which Korean psychiatrists should cope with. The surprising development of neurosciences, splitting of neuropsychiatry into neurology and psychiatry, easygoing attitude of psychiatrists, changes in the delivery system of health care and ill-balanced education of psychiatry were listed as causes of or contributors to them. Social bias to psychiatry and regulations from outside are also considered as contributors. Psychiatric education, including medical school, residency training, continuing medical education and psychiatric textbooks, need to be changed in order to enlarge the boundary of psychiatry. Reestablishment of identity of psychiatry and psychiatrist is unavoidable, considering far-reaching new knowledge of neuroscience and gradually invisible borderzone between neurology and psychiatry. The other ways worth while to consider are : the expansion of psychiatrists' activities, development of medical behavioral science to a clinical specialty, creation of new psychiatric subspecialties, and additional training of psychiatric residencies in the primary medical care.

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Fusion of the Guardianship System and Mental Health Law Based on Mental Capacity - Focusing on the Enactment and the Application of the Mental Capacity Act (Northern Ireland) 2016 - (의사능력에 기반한 후견제도와 정신건강복지법의 융합 - 북아일랜드 정신능력법[Mental Capacity Act (Northern Ireland) 2016]의 제정 과정과 그 의의를 중심으로 -)

  • Kihoon You
    • The Korean Society of Law and Medicine
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    • v.24 no.3
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    • pp.155-206
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    • 2023
  • When a person with diminished mental capacity refuses necessary medical care, normative judgments about when paternalistic intervention can be justified come into question. A typical example is involuntary hospitalization for people with mental disabilities, traditionally governed by mental health law. However, Korean civil law reform in 2011 introduced a new form of involuntary hospitalization through guardianship legislation, leading to a dualized system to involuntary hospitalization. Consequently, a conflict has arisen between the 'best interest and surrogate decision-making' paradigm of civil law and the 'social defense and preventive detention' paradigm of mental health law. Many countries have criticized this dualized system as not only inefficient but also unfair. Moreover, the requirement for the presence of 'mental illness' for involuntary hospitalization under mental health law has faced criticism for unfairly discriminating against people with mental disabilities. In response, attempts have been made to integrate guardianship legislation and mental health law based on mental capacity. This study examines the legislative process and framework of the Mental Capacity Act (Northern Ireland) 2016, which reorganized the mental health care system by fusing guardianship legislation with mental health law based on mental capacity. By analyzing the case of Northern Ireland, which has grappled with conflicts between guardianship legislation and mental health law since the 1990s and recently proposed mental capacity as a single, non-discriminatory standard, we aimed to offer insights for the Korean guardianship and mental health systems.

Psychosomatic Approach to Plastic Surgery (성형수술의 정신신체의학적 접근)

  • Hwang, Kun
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.3-9
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    • 1999
  • Abnormal external appearance may cause psychiatric trauma or problem in social adaption. The plastic surgeons should consider the patient's quality of life, and their roles are correcting psychiatric and emotional trauma as well as external appearance which help the patient adapting social life. Because the patients in plastic surgery have higher level of expectation for the result of their operation, it is necessary for the surgeons to explain precisely the procedure and possible complications precisely at preoperative meeting and to maintain the good doctor-patient relationship at postoperative follow-up period. In case if the patient dissatisfy the postoperative result, it is recommended to listen the second opinion from another plastic surgeon. If the patient still dissatisfy, then the patient should be consulted to psychiatrist.

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A Case Study of Music Therapy with Song for the Improvement of Mentally Disable Children's Communications (정신지체아동의 의사소통 증진을 위한 노래활동 사례 분석)

  • Kang, Sung-Mi
    • Journal of Music and Human Behavior
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    • v.1 no.1
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    • pp.33-46
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    • 2004
  • Mentally disable children feel as failure because they have difficulty in restricted and undifferentiated communications with others. It also makes the counter-partner feel frustrated. Therefore, in the aspects of language acquirement and communication activities, it is essential to let the disable children learn and communicate voluntarily. Music provides the unthreatening and interesting stimulus as non-language communication vehicle. Musical experiences for mentally disable children's are multi-stimulating experiences that make a positive influence in speech and language development and development of variety of talents. There are many communication intervention and method to treat the mentally disable children. One of the most effective treatments for mentally disable children to acquire communication techniques by expressing the language more naturally and joyfully is the musical therapy. This study analyzes children's communication technique referring to response action and attempt action through video tape observation. Also, this study measured the receptive and expressive language by PRES(Preschool Receptive-Expressive Language Scale) as a test tool in order to examine the pre-post language ability for respective children as pre-post period of therapy activity. First result of this study showed that music therapy with song was effective for mentally disable children in enhancing the communication techniques centered with communication response and in attempt action by increasing the communication action incidence. Secondly, pre-post comparison test with PRES showed that the music therapy with song was effective on improvement the receptive and expressive language ability of 4 children.

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Effect of Nursing Students' Abilities of Communication and Self-Reflection on Attitude toward Mental Illness (간호대학생의 의사소통능력, 자기성찰이 정신질환에 대한 태도에 미치는 영향)

  • Ko, Yejung;Kim, Sin Hyang;Park, Sihyun
    • Journal of Digital Convergence
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    • v.19 no.9
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    • pp.445-451
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    • 2021
  • The purpose of this study was to examine the effect of nursing students' abilities of communication and self-reflection on their attitudes toward mental illness. Data were collected from September to October in 2020. In total, 180 questionnaires were collected, and 170 questionnaires among them were used for analysis, excluding 10 with poor responses. As a result, nursing students' communication ability, self-reflection, and attitude toward mental illness showed a significant positive correlation. Nursing students' communication ability and self-reflection were major factors influencing their attitudes toward mental illness, which explained 49% of the total variance. Continuous education to improve students' communication ability and self-reflection level within the nursing department's curriculum will be needed to pursue nursing students' positive attitude toward mental illness. Also, additional education program to improve students' attitudes toward mental illness will be required.

Employment Needs of People with Mental Disabilities - Centering on Income and occupational ability Variables (정신적 장애인의 소득수준과 직업능력에 따른 취업욕구)

  • Park, Hyo-Eun;Choi, Man-kyu;Lee, Hyun-Kyung
    • Proceedings of the Korea Contents Association Conference
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    • 2013.05a
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    • pp.387-388
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    • 2013
  • 본 연구는 정신적 장애인의 소득수준과 직업능력에 따른 취업욕구를 살펴보고 그에 따른 취업 활성화를 방안을 제안하고자 하였다. 이를 위해 '2008년~2010년 장애인 고용패널조사'에 3년간 참여한 정신적 장애인 298명(가중빈도적용:154,348명)을 연구하였다. 연구결과, 직업교육을 희망하는 정신적 장애인이 남성, 중졸 이상, 자격증 소지자, 그리고 정신적 장애인 유형중 지적장애일때 교육참여 희망률이 높았다. 한편, 취업의사를 가진 정신적 장애인은 남성, 가구주, 중졸이상, 자격증 소지자, 육체활동 능력이 높아질 때, 그리고 정신적 장애인 유형 중 자폐장애일 때 취업의사가 높았다. 이러한 결과를 토대로 정신적 장애인의 경제활동참여를 높이기 위하여 정신적 장애인의 의사를 반영한 직업재활서비스제공, 사업주 주도적 직업활동을 제안하였다

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A Concet Analysis of Psychiatric Nurse's Compassionate Communication Competence: Hybrid Model (혼종모형을 이용한 정신 간호사의 공감적 의사소통역량 개념분석)

  • Won Hee Jun;Hye Suk Im
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.813-825
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    • 2023
  • This study was analyzed using a mixed methods approach to clarify the concept of compassionate communication competencies of psychiatric nurses. In the theoretical phase, the literature published from 2000 to 2022 was collected and 38 articles were analyzed. For the fieldwork phase, in-depth interviews were conducted with eight psychiatric nurses from December 1 to December 28, 2022. In the final analysis phase, the dimensions and attributes of psychiatric nurses' compassionate communication competence were identified and conceptualized. Based on the attributes identified in the theoretical and fieldwork phases, the definition of psychiatric nurses' compassionate communication competence was synthesized into five dimensions and 12 attributes. Therefore, psychiatric nurses' compassionate communication competence refers to the skills and abilities of psychiatric nurses to use active listening and empathic skills for effective communication based on compassion and understanding of the target, to be sensitive to the thoughts and feelings of the target, to accurately convey what the target wants to express, to respect the target, and to empower the target.

Comparison of Psychiatric and Clinical Nurses on Emotional Intelligence, Facilitative communication ability and Communication Conflicts (정신간호사와 일반간호사의 감성지능, 촉진적 의사소통능력 -및 의사소통 갈등 비교)

  • Oh, Eun-Jung;Choi, Hye-Kyung
    • Journal of Digital Convergence
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    • v.16 no.5
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    • pp.329-340
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    • 2018
  • The purpose of this study was to compare emotional intelligence, facilitative communication ability and communication conflict among psychiatric nurse and clinical nurse to improve nurse's emotional intelligence and facilitative communication ability in each clinical field, it was attempted to provide basic data to search for alternatives to reduce communication conflict. Data were analyzed using ANCOVA with SPSS/WIN 20. Finally, emotional intelligence, facilitative communication ability and communication conflicts in clinical nurses higher than psychiatric nurses. These results indicate that need to develope a variety of clinical programs to promote facilitative communication ability and to enhance emotional intelligence of psychiatric nurses and to reduce communication conflicts of clinical nurses.

Pain Disorder Associated with Psychological Factors - Case Report and Review - (심리적 요인과 관련된 통증장애 - 증례 및 고찰 -)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.166-175
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    • 2002
  • Recently many researches support the use of traditional psychiatric treatments in the management of chronic pain. Chronic pain is a significant public health problem and frustrating to everyone affected by it. Psychiatrists offer skills with treatments now recognized as effective in the management of chronic pain. In addition to the diagnosis and treatment of psychiatric co-morbidity, the application of psychological treatments to chronic pain, and the development of interdisciplinary efforts to provide comprehensive health care to the patient disabled with chronic pain, psychiatrists have particular skill in pharmacological treatment that have proven efficacy for a variety of chronic pain conditions. With their expertise in the use of psychoactive medication plus their interest in the personal and family dynamics of patients, psychiatrists have the capacity to be involved in the treatment of patients with chronic pain. So, the author reported three cases of patient with pain disorder associated with psychological factors, and reviewed to propose that psychiatrists in Korea should take an active role in the care of these patients.

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