• Title/Summary/Keyword: 정신화

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A Comparison of Perceived Family Support among Patients with Somatoform Disorders, Psychosomatic Disorders and Depressive Disorders (신체형장애, 정신신체장애 및 우울장애 환자들간의 가족지지도지각의 비교)

  • Koh, Kyung-Bong;Woo, Yong-Il
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.79-86
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    • 1999
  • A comprison was made regarding perceived family support among patients with somatoform disorders, psychosomatic disorders and depressive disorders. The subjects included 49 patients with somatoform disorders, 43 patients with psychosomatic disorders, and 50 patients with depressive disorders. Perceived social support-family scale was used to measure the extent of family support. The patients with somatoform disorders were significantly lower in family support than the patients with psychosomatic disorders. However, no significant differences were found between patients with somatoform disorders and those with depressive disorders, as well as between patients with psychosomatic disorders and those with depressive disorders. Patients with older age had significantly higher scores on family support than those with younger age. Married patients were significantly higher in family support than unmarried ones. These results suggest that low family support may be associated with either the etiology or the sequelae of somatization. Thus, it is emphasized that the role of family support is essential in evaluation and treatment of somatization. In addition, longitudinal studies will be required to investigate the causative role of low family support in somatization.

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Biological Mechanism of Somatization : Mainly Focused on the Neuropsychological Model of Somatization (신체화의 생물학적 기전 : 신체화의 신경심리학적 모델을 중심으로)

  • Lee, Young-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.1
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    • pp.122-140
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    • 2000
  • Somatization disorder is a chronic condition characterized by multiple somatic complaints that are not due to any apparent organic illness. Somatization disorder is related historically to hysteria and hysteria has been defined by the existence of somatic complaints for which no organic reason can be found. Therefore most theories of somatization have focused on the psychodynamic and sociological perspectives. However, the concept that the somatic presentation of emotional distress or psychiatric illness might have a neurobiological basis has also aroused considerable interest. Relative to this perspective, the case of Anna O. which has been considered the prototype of hysteria, was reformulated from a neuropsychological perspective. Several neurophysiological and neuropsychological studies, studies concerning hemispheric differences in symptom presentation of the patients with hysteria have been shown the evidences for the biological basis of somatization. Moreover, recent neuroimaging studies in somatization disorder also show that brain dysfunction in somatization. The author reviewed several candidate theories which could help to explain the process of somatization in the perspective of biological basis and proposed the new neuropsychological model of somatization. The author also examined the possible application of this model to the treatment of somatization disorder and discussed it's limitation and the future directions in this field.

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A Qualitative Study on Public management of the Admission and Discharge of mental hospital (정신장애인의 정신의료기관 입·퇴원과 국가관리에 관한 질적 연구)

  • Lee, Yong-pyo;Chung, Hyun-ju
    • Korean Journal of Social Welfare Studies
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    • no.37
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    • pp.369-397
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    • 2008
  • The purpose of this study is to understand the context of mental hospital admission and discharge related with the stakeholder and to find out issues about public management on mental health disabilities. To this process, the more effecive alternative policies for mental health will be offered. As a research tool, the qualitative study was used, and the 6 case were analyzed. Through this study, we find 5 theme such as admission type occurred outside public management, uneffective public management in mental hospital treatment, long-term treatment mechanism occured in mental hospital, helplessness and role distortion of public follow-up system. According to the mental health law, mental hospital admission and discharge on mental health disabilities is to managed public system. But public management with mental health disabilities did not work on. In this results, we are find infringement on mental health disabilities. According to these findings, several suggestions are offered for better policies about admission and discharge procedures managed by public system.

Characteristics of the Perception of the Somatic Symptoms and the Cognitive Emotion Regulation Strategies in Patients With Posttraumatic Stress Disorder (외상후스트레스장애 환자의 신체증상 지각 특성과 인지적 정서조절전략)

  • Kwon, Joo-Han;Park, Jong-Il;Sakong, Jeong-Kyu;Yang, Jong-Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.102-110
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    • 2021
  • Objectives : The purpose of this study is to investigate the characteristics of the perception of the somatic symptoms and the cognitive emotion regulation strategies in patients with posttraumatic stress disorder (PTSD). Methods : A total of 48 patients meeting DSM-5 criteria for PTSD and 48 normal controls were recruited for participation in this study. We evaluated subjects using Clinician-Administered PTSD Scale (CAPS), Somato-Sensory Amplification Scale (SSAS), Hamilton Anxiety Scale (HAM-A) and Cognitive Emotion Regulation Questionnaire (CERQ). We analyzed data using an independent t-test and Pearson's correlation analysis. Results : In terms of SSAS, PTSD patients presented higher average SSAS scores than normal controls but the result is not statistically significant. In PTSD patients, the severity of PTSD is significantly correlated with CERQ-rumination and CERQ-catastrophizing. The SSAS scores of PTSD patients show the significant positive correlation with PTSD hyperarousal symptoms, CERQ-catastrophizing and CERQ-blaming others. Conclusions : These results reveal that patients with PTSD have maladaptive cognitive emotion regulation strategies such as rumination and catastrophizing. Somato-sensory amplification seems to be related with PTSD hyperarousal, CERQ-catastrophizing and CERQ-blaming others. Therefore, reducing somato-sensory amplification, rumination and catastrophizing can be helpful to reduce PTSD symptoms and somatic symptoms in PTSD patients.

From 'Medicalization' to 'Biomedicalization': the Case of Mental Disorder ('의료화'에서 '생의료화'로: 정신장애의 사례)

  • Kim, Hwan-Suk
    • Journal of Science and Technology Studies
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    • v.14 no.1
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    • pp.3-33
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    • 2014
  • Over the last forty years, the dominant perspective of social science on medicine has been the medicalization theory. It indicates the social process of expanding power of medical professionals by (re)defining the problems which were treated as non-medical phenomena(e.g. homosexuality, alcoholism, obesity, etc.) into "diseases" and thus the spheres of medical intervention. Meanwhile, rapid technoscientific changes in the medical field owing to the diffusion of biological sciences and information technologies since the mid-1980s and the accompanying emergence of new social arrangements such as bioeconomy and biological citizenship have led to the rise of a new social scientific perspective called the biomedicalization theory. This paper attempts to compare the two theories and assess their merits and demerits as a basic work to deepen the understandings of sociology and STS on contemporary medicine. And it also attempts to analyze their relative relevance through the case of mental disorder. The analysis on the case of mental disorder clearly shows that the medicalization in that area seems to have continuously proceeded since the early 19th centiry to the present. Furthermore, it also seems true that the five central processes of biomedicalization(except for risk surveillance technologies of mental disorder) have been observed and realized since the late 20th century. These results indicate that although medicalization has consistently proceeded, it has not been limited to the quantitative expansion of the medical field but been extended to the qualitative transformation asserted by the biomedicalization theory. Therefore, while the concept of medicalization is valid and significant even today, we can recognize that the concept of biomedicalization allow us to capture the new phenomena which cannot be properly and sufficiently captured by that of medicalization.

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벤처인이여 혁신하라,도전하라,창조하라

  • Korea Venture Business Association
    • Venture DIGEST
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    • s.69
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    • pp.12-13
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    • 2005
  • 세계적인 석학 피터 드러커는 우리나라를 기업가정신이 가장 왕성한 나라라고 칭찬한 바 있다. 하지만 국민소득 2만달러의 목전에서 겪은 외환위기, 내수침체, 청년실업난 등으로 10여 년 간 제자리걸음하고 있는 지금, 그 말이 참 무색하게 다가온다. 이 악순환의 고리를 끊기 위해 우리 경제 활성화의 견인차로 다시 벤처가 나섰다. 지금이야말로 우리 벤처인들이 위험을 무릅쓰고 포착한 기회를 사업화하려는 모험과 도전의 기업가정신으로 재무장하여야 할 때이다. 기업가정신은 돈을 벌기 위한 정신이 아니다. 주위 사람과 공동체를 중시 여겨 자기희생을 감수하는 결단이고, 상상하기 어려운 힘든 역경 속에서도 좌절하지 않고 죽을 힘을 다하는 도전이며, 탄탄대로를 거부하고 비바람 부는 날 풀이 무성한 인적 드문 길을 선택하는 모험이다. ‘자본이 없어서, 기술이 없어서, 인재가 없어서’일을 못하겠다고 조건을 탓하거나 주저하지 말자. “신에게는 아직 12척의 배가 있사옵니다”라며 백의종군하여 병사도, 배도, 무기도, 군량미도 없이 홀몸으로 대함대와 맞서 찬란한 승리를 거둔 이순신 장군을 되새겨보라. 우리 벤처인에겐 아직 혁신과 도전과 모험정신이라는 기업가정신이 있지 않은가. 하늘에 온통 구름이 끼여있고 천둥번개가 내리쳐도 여전히 구름 뒤에는 밝은 태양이 빛나고 있다. 우리 벤처인이 기업가정신을 놓지않고 이상을 위해 도전한다면, 곧 구름 뒤 태양은 모습을 드러내고, 그대 벤처인을 향해 찬란히 빛날 것이다. 벤처인이여! 벤처 재도약의 동력이 될 기업가정신으로 재무장하고, 두 발로 땅을 박차고 일어나 구름 위 이상을 향해 힘차게 도약하자.

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Design &Implementation of a Class Management System of the School for the Mentally Disabled (정신지체장애학교의 학급운영시스템 설계 및 구현)

  • 한종호;이지근;이은숙;김희숙;정석태;정성태
    • Proceedings of the Korea Multimedia Society Conference
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    • 2002.11b
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    • pp.665-668
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    • 2002
  • 컴퓨터의 급속한 보급화와 기술의 발달에 따라 컴퓨터의 활용은 사회 전반에 걸쳐 깊숙이 보편화 되었고 정보를 처리하는 대표적인 수단이 되었다. 이런 현상에서 각급 학교에서도 학급 운영과 학생관리 등 거의 모든 업무를 컴퓨터를 이용하여 효율적으로 처리하는 방안을 모색하고 있다. 현재 보편적으로 운용되고 있는 학급 운영 시스템은 일반 학교의 학급을 위한 시스템이 대부분이고, 이들 학급 운영 시스템은 학급운영과 학생관리의 업무 특성상 정신지체장애 학교와 같은 특수학교에 적용하여 운용하기에는 무리가 있는 것이 사실이다. 따라서 본 논문에서는 정신지체 학교와 같은 특수학교의 특성과 실정에 맞는 학급 운영 시스템을 설계, 구현함으로써 특수학교 교사와 학생의 학급 업무에 대한 효율성을 증대시키고 특수학교 학생들의 특성에 맞는 개별 교육을 원활하게 수행할 수 있도록 하는 차별화된 학급 운영 시스템을 제안하고자 한다.

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A Case of Idiopathic Basal Ganglia Calcification with Dementia (치매가 동반된 특발성 기저핵 석회화 1례)

  • Shin, Hee-Young;Shin, Il-Seon
    • Korean Journal of Biological Psychiatry
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    • v.13 no.1
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    • pp.38-42
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    • 2006
  • The case of a 66- year-old woman with coexisting idiopathic basal ganglia calcification(IBGC) and dementia was presented. The calcification was detected in bilateral basal ganglia, dentate nucleus, and thalamus by brain imaging. Serum calcium and phosphorus levels were normal. The underlying diseases of calcification of basal ganglia such as parathyroid dysfunction and other infectious, toxic, or metabolic illness were excluded. The patient had memory impairment and frontal executive dysfunction without aphasia, agnosia, apraxia, and visuospatial impairment in neuropsychological test. It suggested that the cognitive impairment might be due to the dysfunction of frontal-subcortical circuit.

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The Biomedical Medicalization of Depression in Korea (우울증의 '생의학적 의료화' 형성 과정)

  • Park, Hye Kyung
    • Journal of Science and Technology Studies
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    • v.12 no.2
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    • pp.117-157
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    • 2012
  • This paper investigated the biomedical medicalization of "depression"which is growing fast in Korea in terms of the treatment mechanism. Depression has been regarded as a mental disease that occurs with mixing various causations because what was the cause of this disease was not clarified until a recent date. Thus, as depression treatment, the medicine and the psycho-socio therapy have been used. However, from 1990s, as the brain science was introduced in the western society, and the high-tech diagnostic equipment of the brain disease and new drugs for the mental disease were developed, depression was rapidly redefined as 'the brain nerve system illness'that is easy to be taken and is able to obtain the permanent relief with the regular care. Under the influence of the redefinition of depression and the new treatment of it, recently, 8% of depression patients per year emerge as the aggressive cure subjects in the Korean psychiatric circle. However, according to the Korean psychiatric circle's unofficial calculation, it is estimated that only 10% of depression patients are receiving the accurate treatment but over 80% of the patients are not. If so, what does this estimation mean? Based on this question, this paper critically investigated the biomedical medicalization of depression.

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MMPI PROFILE TYPES OF MOTHERS WITH PSYCHIATRIC DISORDERED CHILDREN (정신 장애 아동들의 어머니의 MMPI 유형 분석)

  • Shin, Min-Sup;Oh, Kyung-Ja;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.3 no.1
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    • pp.97-105
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    • 1992
  • Present study investigated the relationship between children's psychiatric disorders and their mothers' psychological problems. Ninety-one psychiatric outpatients from a children's hospital were classified into three diagnostic groups - internalizing symptom group(n=35), externalizing symptom group(n=35), and developmental disorder group(n=21) - based on their psychiatric problems. A normal control group was formed by matching on the age and education of mothers. Mothers' MMPI profiles which were classified into five types - normal, depression, anxiety disorder, somatization disorder, and personality disorder - were examined in relation with children's diagnoses. The profiles of the mothers in the normal control group were mostly normal, while depressive profiles were dominant among those of the clinical groups regardless of the children's diagnoses. Therefore, the data implied association between children's psychiatric problems and their mothers' psychological problems. A possibility of negative reciprocal interactions between children and their mothers was discussed. It was also suggested that further research need to examine the specific effects of children's psychiatric problems on the psychological adjustment of their mothers, as well as the effects of parental psychiatric problems on the adjustment of their offsprings.

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