• Korean Journal of Psychosomatic Medicine
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• v.7 no.2
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• pp.256-262
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• 1999

Because chronic pain disorder may has multiple causes or contributing factors, including physical, psychological, and socio-environmental variables, the treatment of patients with the disorder requires biopsychosocial approaches in a multidisciplinary setting. In treating chronic pain, it is important to address functioning as well as pain, and treatment should be to increase functional capacity and manage the pain as opposed to curing it. Therefore treatment goal should be adaptation to pain or minimizing pain with corresponding greater functioning. Treatment begins with the initial assessment, which includes evaluation of psychophysiologic mechanisms, operant mechanisms, and overt psychiatric comorbidity. Psychiatric treatment of the patients requires adherence to sound pharmacologic and behavioral principles. There are four categories of drugs useful to psychiatrist in the management of chronic pain patients : 1) narcotic analgesics, 2) nonsteroidal antiinflammatory drugs, 3) psychotropic medications, and 4) anticonvulsants, but antidepressants are the most valuable drugs in pharmnacotherpy for them. Psychological treatments tend to emphasize behavioral and cognitive-behavioral modalities, which are divided into self-management techniques and operant techniques. Psychodynamic and insight-oriented therapies are indicated to some patients with long-standing interpersonal dysfunction or a history of childhood abuse.

• 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.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.6 no.1
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• pp.43-46
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• 1995

Like each treatment for the psychiatric patients psychotherapeutic approach for the adolescent borderline patients is case by case. However some principles are derived from the characteristics of the adolescent psychology. As they put it adolescence is psychologically 'the second individuation period'. Both sexual dvive and aggressive drive are aggrevated, and 'the actual object' like parent are to be separated. Given that borderline patients are weak in their egos and show poor indentity formation 'analytic supportive psychotherpay' would be more effective than analysis itself.

• Proceedings of the Korea Contents Association Conference
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• 2018.05a
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• pp.353-354
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• 2018

최근 스마트폰의 과다 사용과 관련한 문제를 해결하기 위하여 스마트폰 디톡스라는 새로운 개입방법이 소개되고 있다. 스마트폰 디톡스는 마치 단식을 통해 몸에 있는 독소와 노페물을 제거하듯이 스마트폰 사용을 잠시라도 중단하고 내면의 모습을 돌아봄으로써 스마트폰을 건강하게 활용하여 신체적 정신적 사회적 건강을 실천하자는 취지이다. 이러한 흐름에 발을 맞추어 본 연구에서는 대학생들의 과다한 스마트 폰 사용을 개선하고 전인적인 건강(well-being)을 실천하기 위하여 "스마트폰 디톡스 프로그램"을 개발하고 그 효과를 확인하였다. 서울의 S대학교 16명의 대학생이 전체 프로그램을 완료하였으며, 각 회기별 자기평가보고서와 사전-사후 설문조사(스마트폰 중독척도 정신건강척도 긍정심리자본척도 자기생활관리척도)를 완성하였다. SPSS 23을 이용하여, 사전검사와 사후검사에서 변수 간의 차이를 확인하기 위해 Wilcoxon 부호순위검정을 시행하고, 각 척도들 사이의 관계는 피어슨 상관분석을 이루어졌다. 그리고 자기평가보고서는 각 회기 참여에 대한 질적 자료로 분석되었다. 그 결과, 개입 프로그램을 통해 스마트 폰 중독 및 정신 건강 점수가 유의미하게 감소하였으며, 자기 관리 및 긍정심리자본의 평균 점수가 증가하였다. 더불어 프로그램이 진행되는 동안이라도 스마트폰 사용을 중단하고 건강한 신체, 긍정적인 정신, 역동적인 대인관계를 경험하면서 스마트폰을 지혜롭게 사용하고 주변을 여유롭게 돌아보는 변화가 생겼으며, 대학생들의 생활에서 스마트폰을 건강하게 사용할 수 있는 모습이 확인되었다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.9 no.1
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• pp.13-25
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• 1998

Aim：We think that the most important etiology in parent abuse is the psychodynamic and psychopathology in the family. So, we investigated the adolescents being admitted in SNMH, whose chief complaints were parent abuse. We were trying to explore families psychodynamic and psychopathology, especially mother-child interaction and to differentiate them in according to developmental psychopathology. Method：Our objects were the adolescent patients admitted in SNMH from 1987 to 1997 because they attacked parents verbally and physically. We examined 21 adolescents except those with psychosis, organic mental disorder, autism and mental retardation by means of interview or chart review. Result and Conclusion：The number of male patients was 14 and the number of female patients was 7. The most common diagnosis was conduct disorder and borderline personality disorder. The mean age was in the mid-teens. We observed 4 subgroups that were divided developmentally in object relation. 1) Symbiotic group with mother：(1) They did not separate and remain in symbiotic relationships with their mothers based on insecure attachment. Fathers were abscent emotionally and physically, and their mothers were prominent in close relationships with the patients in their family , where as the patients were the only man in the family. Adolescents entered the second separation-individuation. They expressed anger and internal tension involved with the close attachment with their mothers and also attempted separation from their mothers through physically attacking them. (2) These patients had suffered from physical illness and developmental delay since birth. Therefore the parents overprotected their children. The children had persistent infantile omnipotence and fantasies of power, so they could not deal with unrealistic states, adapt to reality, and depended on their parents overtly. They easily acted out unless their demands were fulfilled. 2) Borderline personality disorder：We observed deficiencies in care taking. Their parents had personality problems and immaturity. They coulden’t help their children to be separated in the rapproachment phase. Their conflict about dependence-independence was revived in the second separation-individuation adolescent period. We understand parent abuse as an attempt to overcome the conflict. 3) Conduct disorder：They did not build up basic attachment with their parents. They think of their parents as only a means of fulfilling their needs. When patients’ need were not fulfilled and remained in a conflicted state, they attacked their parents, unable to control their aggressions and impulses.

• Korean Journal of Psychosomatic Medicine
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• v.20 no.1
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• pp.32-39
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• 2012

Objective : Psychiatry in North Korea is believed to seem very different from psychiatry in South Korea. However, there is nearly no information regarding psychiatry in North Korea until now. Our study aimed to get information about North Korean psychiatry. Methods : Three North Korean defectors in South Korea, whose clinical experience as medical doctors in North Korea was over 10 years, were recruited. They underwent the semi-structured interview, content of which included the clinical experience with psychiatric patients, the details of psychiatry, the treatment of psychiatric patients, the stigma of mental illness, and the suicide, in North Korea. Results : In North Korea, psychiatric department was called as 49th(pronounced as Sahsip-gu-ho in Korean). Only patients with vivid psychotic symptoms came to psychiatric department. Non-psychotic depression or anxiety disorders usually were not dealt in psychiatry. The etiology of mental illness seemed to be confined to biological factors including genetic predisposition. Psychosocial or psychodynamic factors as etiology of mental illness appeared to be ignored. Psychiatry was apparently separated from political or ideological issues. The mainstay of psychiatric treatment is the inpatient admission and out-of-date therapy such as insulin coma therapy. Stigma over mental illness was common in North Korea. Suicide is considered as a betrayal to his/her nation, and has been reported to be very rare. Conclusion : The situation of psychiatry in North Korea is largely different from that of South Korea. Although some aspects of North Korean psychiatry are similar to psychiatry in former socialist countries, North Korean psychiatry is considered to have also its unique characteristics.

• Venture DIGEST
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• no.2 s.127
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• pp.48-49
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• 2009

국내 최초 아이디어 경매쇼'를 표방하며 벤처기업인들의 반짝이는 아이디어와 제품을 선보이는 TV프로그램이 화제다. 매주 목요일 저녁 6시 30분부터 SBS에서 방송되는 '아이디어 하우머치(tv.sbs.co.kr/howmuch)'가 바로 그것. 경매라는 역동적인 포맷을 통해 참신한 제품에 투자자를 연결해주는 아이디어 하우머치를 제작 연출하고 있는 '필름잇다우' 최희성 대표를 만나봤다. 세계 1위의 중소벤처기업 기술이 대한민국 경제의 유일한 희망이라는 믿음을 갖고, 벤처기술 홍보와 이미지제고를 위해 뛰고 있는 그에게 몇 가지 질문을 던져본다.

• 건강소식
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• v.31 no.10 s.347
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• pp.14-17
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• 2007

대명천지 밝은 낮에 졸음을 느껴 본적 있으신지, 월요일 아침 일찍 잠에서 깨기 어려운 적이 있으신지? 사람들은 잠을 잘 자야 한다는 것은 알고 있지만 잠이 음식이나 물, 공기처럼 우리가 살아가는데 필수적으로 꼭 필요하다고 실감하고 있는지 모르겠다. 믿어 줄 사람이 있을지 모르겠지만 잠은 역동적인 행동이다. 1950년대 까지는 잠이란 우리가 살아가는 하루 중에 일부로서 그저 수동적인 휴면 상태쯤으로 알고 있었다. 그렇지만 잠을 자는 중에도 우리의 뇌는 아주 활발하게 활동하고 있다. 더구나 잠이 우리의 일상 기능과 신체적, 정신적 건강에 다방면으로 영향을 주고 있다는 것이 알려지기 시작했다.

• RED RIBBON
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• s.63
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• pp.26-27
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• 2005

성교육의 단점은 일정한 형식이 없어서 너무 힘이 들지만 또 반대로 생각하면 그것 때문에 여러 가지를 고민하며 창조적인 수업을 만들어 갈 수 있는 장점도 있다. 물론 고민도 있다. 학생들 자신이 진짜 고민하는 이야기는 하나도 안 나오고 선생님이 준비해서간 자료들만 나열하는 수업에서 어떤 변화가 일어날 것인지? 그냥 수업시수만 때우는 것은 아닌가 하는 고민이 늘 내 주변을 맴돌고 있었다. 학력신장에만 정신이 없는 학교 구조 속에서 성교육의 설자리는 어디며 가장 핵심 가치는 무엇이고 어디서부터 시작을 해야 하는지? 개인적으로 그 고민이 가족역동 치료 공부하면서 많이 해소되고 길이 보이는 것 같다.

• Journal of vocational education research
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• v.36 no.4
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• pp.79-102
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• 2017

The purpose of this study was to develop curriculum framework for entrepreneurship development for adolescents. In order to achieve this goal, we studied and developed entrepreneurship semantics, entrepreneurship education, entrepreneurship education, entrepreneurship education contents. This study was developed through Delphi survey. The results of this study were as follows. First, the meaning of entrepreneurship is Innovative mind-set to create true value by experience into life in order to pursue 'self full-filling life' as the organizer of life. Second, the nature of entrepreneurship education for youth is that entrepreneurship education aims to find and solve new problems through self-management to young people who will lead the future, and to create dynamic challenges and creative changes to create innovative values. Leadership skills, challenging spirit, and ability to solve practical problems'. Third, we developed a general goal for youth and elementary, middle and high school goal for entrepreneurship education. Fourth, as a domain of entrepreneurship education, we have developed 'core discovery', 'entrepreneurial skills', 'becoming an entrepreneur' and developed key themes. Based on the results of this study, we developed a systematic entrepreneurship education linkage and educational condition creation for young people outside schools; entrepreneurship program application and educational condition development according to the operation of the free-learning semester system; the strengthening of business start-up support for youth in late adolescence, the establishment of measures to utilize related institutions in local communities and others.