• Title/Summary/Keyword: 치료적 개입

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Qualitative Case Study on Theraplay Application of Children with Eating Disorder : Focusing on Polyvagal Theory (섭식장애아동의 치료놀이 적용에 대한 질적 사례 연구 : Polyvagal 이론을 중심으로)

  • Kim, Seyoung;Yoo, Meesook
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.601-612
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    • 2018
  • This study is a clinical single case study of the application of Theraplay approach for the treatment of children with eating disorder based on Polyvagal Theory. The first research question is how children with eating disorder change through Theraplay. The second research question is to analyze what the therapeutic factors are for changes in children with eating disorder. To do this, I used a qualitative case study method that explores a small number of cases closely and reveals the case deeply. As a result, the client has a sense of security in Theraplay session, expands the window of tolerance and develops a social engagement system. Through these, client become increasingly adaptable and overcome eating disorder. The results of this study can contribute to neuroscience validation of the counseling effect.

The Trends of Cyber Counseling and Psychotherapy (사이버 상담 및 심리치료 동향)

  • Park, Jisun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.12
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    • pp.1571-1577
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    • 2019
  • There is a growing interest in psychological counseling and pyschotherapy and many experts are working to help clients more efficiently. Given the many advantages of cyber counseling can be a good alternative to traditional face-to-face counseling. This paper examines the trends of cyber counseling and psychotherapy in South Korea. As a result, when comparing traditional counseling with cyber counseling, cyber counseling had advantages such as high accessibility, convenience, cost reduction effect, and inconvenience in face-to-face counseling. In addition, cyber counseling in South Korea began in the late 1980s, and many studies were conducted for teenagers who are familiar with ICT. Lastly, I briefly researched the current status of cyber counseling and psychotherapy in South Korea. Currently, more active cyber counseling and psychotherapeutic interventions are being carried out using images, AI, and VR. However, because the interdisciplinary approach is somewhat lacking, it is necessary to develop various counseling and psychotherapy programs and verify the effectiveness through the interdisciplinary approach.

Surgical Treatment for Celiac Trunk Aneurysm -2 case report - (복강동맥류의 수술치험 2예)

  • 이길수;방정희;우종수;이재익;김시호;조원준;조광조
    • Journal of Chest Surgery
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    • v.36 no.9
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    • pp.695-698
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    • 2003
  • Celiac artery aneurysms are rare, their incidence being reported as only 4% of all visceral artery aneurysms. Atherosclerosis and medial degenerative changes are recognized main pathogenesis. They are usually asymptomatic and diagnosed incidentally, but the mortality rate of ruptured celiac artery aneurysm is approximately 80%. So one should give an aggressive surgical aid to the patients. We report 2 cases of celiac artery aneurysm which were successfully treated by elective aneurysmorrhaphy and anerysmectomy with aortoceliac bypass graft.

A Study on the Development of a Technology to Improve Anger Coping Strategies Using Location-based Service (위치기반 서비스를 활용한 분노대처 능력 향상 서비스 기술개발에 관한연구)

  • Lee, Pung-Sam;Lee, Yun-Gil
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.9
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    • pp.289-296
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    • 2017
  • Anger cause heart disease and domestic violence and recently there have been an increasing number of media reports of crimes committed because of their inability to control their anger. Anger has been reported to cause massive financial losses due to heart disease and domestic violence. Therefore, since anger raises serious social problems and social costs, it is necessary to take active intervention methods to alleviate inappropriate anger coping. A variety of methods such as cognitive and emotional approach, psycho-mechanical approach, psycho-educational approach, relaxation therapy, cognitive behavior-art therapy, and stress immunization are being explored and utilized for presenting effective anger-coping intervention alternatives. In this manner, information and communication technology is likely to be used as an effective means for this, and various researches are being conducted. The purpose of this study is to develop an anger coping service technology using ICT (Information & Communication Technology) technology as an effort to improve anger coping ability. In other words, the goal is to develop a technology that delays anger and evokes the surroundings by providing location-based services to recognize anger situations and facilitate anger. This research is about the technology which intervene directly the anger situation to resolve it using location information and introduce the base technology to realize it.

Survey of Insomnia Treatment Status for Doctors (의사 대상 불면증 치료 현황 조사 연구)

  • Choi, Yeonsun;Lee, Mi hyun;Choi, Jae-Won;Kim, Soohyun;Kim, Jichul;Lee, Yu Jin
    • Sleep Medicine and Psychophysiology
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    • v.23 no.2
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    • pp.77-83
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    • 2016
  • Objectives: The present study investigated current practices of insomnia treatment among Korean doctors in clinical settings. Methods: A total of 100 doctors participated in the present study and filled out a series of survey questions regarding their treatment of insomnia patients. Results: The results revealed that the primary type of insomnia treatment was pharmacological and that the most popular medication was zolpidem. The majority of doctors reported that they also utilized non-pharmacological treatments such as sleep hygiene education and cognitive-behavioral therapy. However, these treatments tended to result in low satisfaction. In addition, the doctors perceived that patients largely preferred pharmacological treatments to non-pharmacological ones and did not have sufficient knowledge of non-pharmacological treatments. Conclusion: Many doctors believed that non-pharmacological treatments for insomnia were important, but reported that they were difficult to implement in practice. The results of this study suggest that improved medical conditions for non-pharmacological treatments and education of physicians are necessary to appropriately treat insomnia.

The Perception and Emotional Experiences of Rare and Intractable Diseases in Caregivers and Pediatric Patients with Mitochondrial diseases (미토콘드리아 질환 소아 환자 보호자에서의 질환 인식 및 정서변화)

  • Eom, Soyong;Lee, Joo Young;Hyun, Jiah;Lee, Young-Mock
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.17 no.1
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    • pp.1-10
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    • 2017
  • Purpose: This study aimed to investigate the perception and emotional experiences in rare and intractable diseases for caregivers of pediatric patients with mitochondrial diseases in order to provide therapeutic interventions for patients, caregivers, and families. Methods: A total of 83 caregivers of pediatric patients with mitochondrial diseases were recruited from the pediatric mitochondrial disease clinics of the Gangnam Severance Hospital in South Korea. Participants completed the survey about their perception of mitochondrial disease and emotional experiences after the diagnosis, and these clinical data were analyzed accordingly. Results: Surveys from a total of 83 caregivers of patients were analyzed, and the patients' age ranged from 6 to 12 years (33%), followed by ages 1 to 6 years (30%). Children with mitochondrial diseases were between 0 and 0.5 years of age at the time of first symptom onset (43%), and the duration of illness lasted more than 10 years in most cases (42%). Prior to diagnosis of mitochondrial diseases, the amount of awareness the caregivers had was 'Not at all' for both rare and intractable diseases and mitochondrial diseases in 44 cases and 68 cases, respectively. For the caregivers' emotional experiences, the most common initial responses were 'Discouraged/despair', 'Helpless/lethargic', and 'Disconcerted'. 'Anxious', 'Committed to treatment', and 'Responsibility as family members' were the most common emotional responses from the caregivers, followed by 'Disconcerted' and 'Helpless/lethargic'. Conclusion: It is important to consider the level of perception and emotional experiences of caregivers and patients with rare and intractable mitochondrial diseases for planning treatment programs.

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MOTHER-CHILD RELATIONSHIP OF CHILDREN WITH REACTIVE ATTACHMENT DISORDER (반응성애착장애아의 어머니-아동 관계)

  • Shin, Yee-Jin;Lee, Kyung-Sook;Park, Sook-Kyung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.22-33
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    • 1997
  • The objective of this study is to understand disordered parent-child relationships of Reactive Attachment Disorder(RAD) systematically through the mother’ internal working model of child. In this study, RAD mothers’internal representations of the child were compared with mothers’of control group and association between mothers’ representation classifications and children’ attachment classifications was examined. Also individual differences in mother-child interaction by mothers’representation classifications was observed. The subjects of this study were 40 2-5 year-old children and their mothers, 20 attachment disordered dyads and 20 normal dyads of control group. Mothers were interviewed using the Working Model of the Child(Zeanah, Benoit & Barton 1986) to classify internal representations of child. Children’ attachment patterns were assessed by the Strange Situation Procedure. For observation of motherchild interaction, Each dyad was seen in DPICS devised by Eyberg and Robinson(1983). The results of the study were as follows:1) Among RAD group, 55% of mothers were classified as disengaged and 45% classified as distorted, while all mothers of control group were classified as balanced. In rating scales, there were significant differences in all 3 representation classifications in Intensity of involvement and Coherence. In Intensity of involvement disengaged representations had the lowest score and distorted representations had the lowest score in Coherence. 2) Mothers’representation classifications were related to children’ attachment classifications. All mothers of control group whose children were classified as secure were classified as balanced. Among RAD’ mothers, by contrast, 82% of mothers classified as disengaged had children classified as anxious-avoidant, 56% of mothers classified as distorted had children classified as disorganized / disoriented and 33% of mothers classified as distorted had children classified as anxious-resistant. 3) There were individual differences in mother-child interactions by mothers’representation classifications. In the child-centered play, mothers classified as disengaged used discriptive statement, reflective statement and discriptive-reflective question less than balanced mothers. Mothers classified as distorted used direct command and indirect command more than balanced mothers. In the clean-up task, mothers classified as disengaged and distorted used direct command and indirect command more than balanced mothers. The results of this study suggest that parents’working model of the child is an important factor to understand parent-child attachment relationships and their interactions. The understanding of parents’ working model of the child is thought to enrich our understanding of disordered parent-child relationships and to provide useful informations for specific and successful treatments.

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Correlation of motor and non-motor symptoms in Parkinson's disease: a factor-analytic convergence study (파킨슨병 환자의 운동과 비운동 증상의 상관관계: 요인 분석 융합 연구)

  • Gang, Miyeong
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.71-78
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    • 2022
  • Parkinson's disease (PD) is clinically characterized by a variety of motor and non-motor symptoms, including cognitive and neuropsychiatric symptoms. Integrating a large variety of symptoms into a small number of clinical subtypes could be valuable for appropriate and early therapeutic intervention. As a first step toward this aim, this study attempted to identify correlation patterns among motor, cognitive and neuropsychiatric symptoms in PD without dementia. One hundred four non-demented patients with PD underwent a comprehensive motor, neuropsychological, and neuropsychiatric assessments. Factor analysis was performed to identify correlation patterns among demographic, motor, cognitive and neuropsychiatric variables. The eight factors were extracted: 1 motor-related, 3 cognitive-related and 4 neuropsychiatric factors. We indentified that characteristics of correlation can have associated symptom pattern in the disease process of Parkinson's disease. The current results suggest that a broad range of motor and non-motor symptoms in PD may be reducible to a small number of clinical parameters, which may be useful for identifying clinical subtypes of PD for individual patients.

A Case Report about Treatment of Childhood Conversion Disorder with Psychotherapy of Oriental Medicine -The Giungoroen(至言高論), Supportive Psychotherapy and Behavioral Therapy- (한의학 정신요법을 이용한 소아 전환장애 환자 1례 - 지언고론요법(至言高論療法), 지지적 정신치료와 행동치료 -)

  • Suh, Hyun-Uk;Suh, Jin-Woo;Hwang, Eun-Young;Kim, Jong-Woo;Jung, Sun-Young
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.4
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    • pp.185-196
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    • 2009
  • Objectives : This case report presents a 7-year-old female patient diagnosed with conversion disorder improved by application of oriental medical psychotherapy, the Giungoroen. Her chief complaint was dysesthesia of anal. Methods : Through interview and several psychological testing such as HTP test, DAF test, JTCI 7-11, we assessed her psychological state and seek for the psychological reason induced her physical symptom, dysesthesia of anal. After assessment we concluded her main psychological problem was loss of love relationship with her parents. So we decided to use supportive psychological therapy and behavioral therapy-like changing upbringing attitudes of her parents, for example- with Herbal medicine treatment. Results : After 2-month of therapeutic period, chief physical symptom of patient-dysesthesia of anal-was reduced to 20% compared with first visit day. Conclusions : The Giungoroen corresponds to supportive psychotherapy and behavioral therapy. And this oriental medical psychotherapy is fairly effective on the treatment of conversion disorder in childhood.

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A Study on the Parenting Experience of the Child with ADHD (ADHD 자녀를 둔 어머니의 양육경험에 관한 연구)

  • Oh, Yeon Soo
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.252-264
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    • 2019
  • The purpose of this study is to explore the meaning of the essence through the parenting experience of the mother with ADHD child and to divide the parenting experience into the domains and categories. The data was collected through several depth interviews with 12 semi-structured questionnaires of the mother with ADHD child. The analysis of the data has adopted a consensus qualitative research method(CQR) that describes the phenomenon based on the collected data and can deduce inductive conclusions. Through CQR, various experiences of ADHD mothers were deeply analyzed. Through the consensus process, 12 cases were combined and quantified to understand the overall pattern and specificity. As a result, 11 domains and 51 categories were derived. The 11 areas were classified as 'Ignorance of ADHD symptom', 'Confronting ADHD diagnosis', 'Peripheral reaction after ADHD diagnosis', 'Acceptance of ADHD diagnosis', 'Ambivalence for medication', 'ADHD active treatment intervention', 'Family support','Social support', 'Social perception change', and 'Mature parent'. This suggests that early treatment and intervention for ADHD child is significant. Also, appropriate intervention is required based on accurate understanding through acceptance of ADHD diagnosis and that parent education can lead to positive life for child and mother of ADHD. Finally, based on this, I made suggestions the future research.