• Title/Summary/Keyword: 정신장애의 회복

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An Exploration on the Applicative Potentials of the Late Modern Social Space to Deinstitutionalization of the Mental Health Field (정신보건영역의 탈시설화에 대한 사회적 공간이론의 탐색적 적용)

  • Choi, Myung Min;Kwon, Ja Young;Kim, Gi Duk
    • Korean Journal of Social Welfare
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    • v.68 no.4
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    • pp.225-246
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    • 2016
  • This study aims to explore the theoretical and practical potentials of the late modern social space theories concerning deinstitutionalization issues in the field of the Mental Health. Deinstitutionalization, the process of converting the living space mentally ill people from facilities to the community, is a meaningful event realizing the modern ideology of human rights and welfare in social work territory. Although the continuos and accumulative efforts to realize the ideas of deinstitutionalization, which have focused on the ideological validity and the conditions and administrative supports needed for materialization, however, discussing the issues without analyzing late modern societal space neglects the constraints of the generic and comprehensive 'space' in which the deinstitutionalization can actually occur. Thus, this study attempts the following by analyzing the concrete reality of social space: focusing on deinstitutionalization in a larger social context, different from previous studies that discussed it on a normative and fragmentary level; and more concretely analyzing the realistic limits and challenges facing deinstitutionalization. In order to do this, previous literature related to deinstitutionalization is laid out and theories of late modern social space are studied. Based on this, the kinds of phenomenon that occur when this sort of late modern social space meets with the deinstitutionalization of mentally ill people are analyzed. Finally, based on the results, the study suggests several implications to realize the rights and welfare of mentally in the late modern space concerning deinstitutionalization.

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A Study on Life Experience by Persons with Mental illness - Focusing on the Experience after the Onslaught of Mental Illness - (정신장애인의 생애경험에 관한 연구 - 정신질환발병 이후의 경험을 중심으로 -)

  • Park, Eun-Ju
    • Korean Journal of Social Welfare
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    • v.63 no.1
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    • pp.5-28
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    • 2011
  • This study, based on the research on the history of life, aimed to recompose and analyze into what life progressive structure the life experience by the mentally ill, after the onslaught of the disease, developed in a bid to understand the risk progress in the mentally ill's life, and to determine what contributed to the current stabilized recovery and adjustment. Five mentally ill persons participated in the study, and Sch$\ddot{u}$tze's narrative interview was used to gather data. The gathered data were analyzed according to Sch$\ddot{u}$tze's process structure of life. The interviewees' life experiences were chronologically organized as understood, and significant stories were recomposed that not only brought about changes but also helped overcome their disabilities in the process of treatment and rehabilitation after the onslaught of the disease. As a result, their experiences were recomposed into the stage of onslaught of the mental illness and confusion, and into the stage of intensive treatment and rehabilitation. The former was categorized into suppression by the disease, repetition and endurance of the painful life, and separation from their family and frustration. The latter was categorized into the rediscovery of self through social role change, others who helped realize the life potential, the expansion of mental health services in the community, obstacle to the integration of communities, re-integration of family relationships, re-analysis of experience of the disease through the examination of the life prior to onslaught of the disease, and expectation for the future. Also, these themes were comparatively examined so as to examine the crisis progress in the mentally ill's life after the onslaught of the disease, as well as the life transfer process through positive rehabilitation. Lastly, on the basis of these results, important areas of mental health services for the mentally ill were discussed.

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Emotional State and Personality Characteristics in Patient with Panic Disorder (공황장애 환자의 정서상태와 성격특성)

  • Lee, Kyung-Kyu;Choi, Eun-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.76-85
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    • 2004
  • Objectives: The purpose of the present study was to investigate the emotional state and personality characteristics of patient with panic disorder. Methods: Twenty patients with panic disorder, 21 patients with somatoform disorder, and 20 normal healthy controls were studied. Korean version of Beck Depression Inventory(BDI), State and Trait Anxiety Inventory(STAI) and Korean standardized edition of Cattell's 16 Personality Factors Questionnaire(16-PF) were used for assessment. Statistically, One-way ANOVA with Scheffe test were used by SPSS/PC for windows. Results: 1) Total score of BDI was higher in the panic group than the somatoform group and normal control group(p<0.001). 2) Total score of state anxiety and trait anxiety in the panic group was higher than the somatoform group and normal control group(p<0.001). 3) In 16 PF, there were no definitely abnormal range of scores. But in first-stratum source traits of 16PF, the panic group was higher than the somatoform group and normal healthy group in O-factor (p<0.01) and Q4-factor(p<0.001). In second-stratum source traits of 16PF, the panic group was higher than the somatoform group in ANX-factor(p<0.05), but lower than normal control group in TOUfactor(p<0.05). 4) There were no differences in the panic subgroup according to sex and cutoff points of BDI score 16 and STAI-T score 54. 5) According to cutoff point of STAI-S score 52, the panic subgroup above 52 was higher than the panic subgroup under 52 in G-factor(p<0.001), Q3-factor(p<0.05) and SUP-factor(p<0.001), but lower in L-factor(p<0.05). Conclusion: These results suggest that emotional state of patients with panic disorder are depressive and anxious as compared with patients with somatoform disorder and normal controls. Patients with panic disorder did not show any abnormal personality characteristics but were more guilt-prone, anxious, emotionally sensitive. We propose that the understanding of panic patients' emotional state and personality characteristics will helpful to treat and manage in patient with panic disorder.

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A Study on the Use of the Media for Positive Perception and Attitude towards People with Mental Illness: Focusing on Depression, Obsessive-Compulsive Disorder, and Panic Disorder (정신질환자에 대한 태도와 인식 개선을 위한 대중매체 활용 방안 연구 : 우울증, 강박증, 공황장애를 중심으로)

  • Park, Jong-Ho;Lee, Hyun-Sim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.250-263
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    • 2019
  • This study aimed to improve the public perception of people with mental illness by suggesting the need for public efforts and proposing specific plans. Demographic differences in the attitudes towards mental illness, the need of public service announcements to improve public perception of mental illness, and the current and expected situation of each advertising medium were analyzed, and plans to improve the advertising were proposed. Three mental illnesses that are possible to recover from through treatment-depression, obsessive-compulsive disorder(OCD), and panic disorder-were examined primarily, and the general public residing in Seoul and the capital area were surveyed. A comparison of the respondents' attitudes towards people with mental illness showed that there were significant differences in their attitudes with respect to gender, marital status, age, and family history. On the other hand, there was no significant difference with respect to religion, monthly income, or academic background. Most of the respondents recognized that public efforts to improve the public perceptions of mental illness, i.e., efforts through the mass media, were necessary and should be intensified though television, Internet, radio, billboard, and transport advertising. Based on the above findings, this study highlights the necessity for advertising through mass media for positive public perceptions of people with mental illness and proposes plans to intensify the advertising, focusing on social, organizational, and individual levels.

Full mouth rehabilitation of the intellectually disabled patient with collapsed bite using partial removable dental prosthesis: a case report (교합이 붕괴된 지적장애 환자의 국소의치 수복증례)

  • Kim, Min-Ji;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-dug;Park, Chan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.3
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    • pp.216-222
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    • 2017
  • Intellectual disability is an imperfect disorder in which mental development is permanently retarded and development of intellectual ability is inadequate. Having intellectual disabilities makes it difficult to handle their own work and adapt to social life. For this reason, it is difficult to hygienically manage the patient's oral condition, multiple caries are easily observed, and the periodontal disease incidence rate is high. The patient in this case is a 33-year-old female with a mental retardation first grade who had a problem with meals. In first visit, Patients had decreased occlusal vertical dimension and posterior bite collapse due to periodontitis and multiple caries. This case reports a satisfactory functional and esthetic results by reconstructing occlusion using partial removable dental prosthesis.

The Effect of Social Exclusion of Marginal Workers on Mental Health (비정규직 근로자의 사회적 배제가 정신건강에 미치는 영향 - 건설직 일용근로자의 우울을 중심으로 -)

  • Rho, Byeong-Il;Son, Jung-Hwan
    • Korean Journal of Social Welfare
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    • v.63 no.1
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    • pp.113-135
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    • 2011
  • As intense economic competition has led to more flexibility in the labor market, marginal or atypical employment has rapidly grown. Although marginal work represents an important proportion of whole employment, it is still characterized by insecure and unfavorable working conditions. Therefore employees in marginal jobs are highly likely to be subject to social exclusion. In turn, social exclusion puts marginal workers in a high risk of mental health problems. One of major mental health symptoms has been depression. So far, however, little attention has been paid to the effect of social exclusion of marginal employees on mental health problems including depression. Hence this study examines empirically the effect of social exclusion of casual workers in the construction industry, a protype of marginal employees, on depression. Its results indicate that social exclusion has influence upon depression of marginal workers. This study is the first one to delve into the relationships between temporary employment, social exclusion, and depression of marginal employees. Yet much more empirical researches are needed in order to shed brighter light on these relationships.

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Social Consensus among Two sides of Industry and the Government and its Implication for Disability Policy (노.사.정 사회적 합의가 장애인 복지정책에 주는 함의)

  • Lee, Seong-Gyu
    • Korean Journal of Social Welfare
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    • v.36
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    • pp.259-283
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    • 1998
  • This research is based on the assumption that Korea's social consensus among two sides of industry and government on Feb. 2 '98 was not just temporary response to the economic crisis caused by International Monetary Fund financial fund. Some arguments on the applicability of social democracy and corporatism and D. Donnison's perspective on Democratic Socialism are employed in search of an appropriate social consensus model for Korean situation. In the process of analyzing Korean situation in historical context it becomes apparent that there is embryo of stable social consensus beyond the level of tentative social cooperation to overcome the economic crisis. The next step applying the social consensus model to the employment policy for people with disability levels up empirical and theoretical validity of this research. It casts some implications for disability labour market which demands another kind of social consensus among people with disability, employers and the government. These implications include a desirable solution for hard lives of unemployed people with disability in economic difficulties and current policy issues facing Korean government.

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Social Stigma on People with Mental Disorder (정신장애인에 대한 사회편견 연구)

  • Yang, Ok-Kyung
    • Korean Journal of Social Welfare
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    • v.35
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    • pp.231-261
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    • 1998
  • This study was designed to find out a degree of social stigman on people with mental disorder. Many comparisons were made. The first was a comparison with the stigma on the physically disabled. And the differences between general public, the mentally ill, their families, and professionals were explored. Among general public attitudes, the sociodemographic and regional differences were also explored. The subject was 600 people, including 300 general public, 100 mentally ill, 100 families, 100 professionals. They were evenly distributed to 3 regions - big city, urban area, and rural area. The data were collected by a survey questionnaire consisting of the Attitude toward People with Mental Illness Scale, and the Attitude toward People with Physical Disabilities Scale. The analysis showed that the public attitude toward the mentally ill was quite acceptable. Social stigma was low in areas like accepting his/her human right. But the public also showed low acceptance on areas in allowing social functioning roles, and social integration. High stigma on the hospitalized mentally ill was expressed to those hospitalized patients regarding divorce against their will. However, volunteer experiences with this population seemed influential in high acceptance and low stigma. In comparison with the stigma on people with physical disabilities, the results showed. different levels in different areas. In regional comparison, the results showed that big city is the lowest among three. And the results of urban and rural area revealed different levels in different areas. In regard to self-stigma, while the subjects expressed low in general, they revealed high on areas like relating with others. Based on the findings, the study would conclude that mental health policy should be community-based, social integration oriented policy instead of in-patient oriented policy. Moreover, the professionals should intervene on the elements affecting both negative and positive attitudes.

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A Systematic Review of the Variables Related to Post-Traumatic Stress Disorder in Firefighters (소방공무원의 외상 후 스트레스 장애 관련변인에 관한 체계적 문헌고찰)

  • Kang, Min-Ju;Kim, Young-Hwa;Han, Seung-Woo
    • Fire Science and Engineering
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    • v.33 no.2
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    • pp.164-172
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    • 2019
  • This study examined the Post-Traumatic Stress Disorder (PTSD)-related variables of firefighters through a systematic literature review. Electronic databases were searched, including RISS, National Assembly Library, NDSL, KmBase. The search terms were PTSD, Post-Traumatic Stress, Post-Traumatic Stress Disorder and Firefighter. Eleven studies from 146 references screened were included. All studies were non-experimental and correlational analyses. The positive correlation factors were age, duration of work, traumatic events, frequency of mobilization, number and strength of traumatic events experienced, work burden, coping method, D-type personality, depression, and anger rumination. The negative correlation factors were resilience, social support, self-esteem. To improve the mental health of firefighters in the future, professional intervention programs should be constructed to improve resilience, social support, and self-esteem, which are protective factors of PTSD.

Effect of Mood and Personality Characteristics on Psychophysiological Responses (기분과 성격특성이 정신생리적 반응에 미치는 영향)

  • Koo, Moon-Sun;Yu, Bum-Hee
    • Sleep Medicine and Psychophysiology
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    • v.8 no.1
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    • pp.59-66
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    • 2001
  • Objectives: This study examined the effect of mood and personality characteristics on psychophysiological responses measured by a biofeedback system in a normal population. Methods: Fifty healthy volunteers without any history of medical or psychiatric illnesses participated in this study. We measured the Spielberger trait anxiety inventory, Beck depression inventory, and Eysenck personality questionnaires in these subjects. Using the J & J biofeedback system, we also measured skin temperature, electrodermal response, forearm and frontal electromyography (EMG)s in 3 experimental conditions of baseline, stress, and recovery phases. Results: Trait anxiety did not show any significant correlation with psychophysiological responses except stress response in forearm EMG levels(r=0.282, p<0.05). Depressed mood was negatively correlated with forearm EMG levels in baseline (r=-0.299, p<0.05) and recovery phases(r=-0.314, p<0.05). Subjects with relatively high levels of depressed mood showed different stress and recovery responses in frontal EMG levels compared with those with relatively low levels of depressed mood (F=4.26, p<0.05). Extroverted subjects showed higher levels of forearm EMG than introverted ones in stress phase. Conclusion: Mood and personality characteristics in healthy subjects are closely related with psychophysiological responses measured by a biofeedback system. We suggest that mood and personality characteristics should be considered as important variables in analyzing abnormal psychophysiological responses in some psychiatric patients.

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