• 제목/요약/키워드: Imagery therapy

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한방정신요법의 의안 분석 (Analysis of Medical Records of Korean Medicine based Psychotherapy)

  • 정선영;김재영;조명의;고영탁
    • 동의신경정신과학회지
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    • 제27권2호
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    • pp.43-55
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    • 2016
  • Objectives The aim of this systemic review was to summarize medical records of Korean medicine based psychotherapy and investigate its therapeutic mechanism.Methods We searched articles on Korean neuropsychiatry in Korean databases. Subsequently, we selected and analyzed medical records on Korean medicine based-psychotherapy that met inclusion criteria.Results Fifty-five medical records were included. They were classified into the following 5 categories. Five minds mutual restriction therapy in 19 medical records; counseling and persuading therapy in 12 medical records; moving essence and changing Qi therapy in 10 medical records; Kyungjapyungji psychotherapy in 2 medical records; and suggestion psychotherapy in 11 medical records.Conclusions The results indicated that emotion is mainly used for cure. Buddhism affects Korean medicine based psychotherapy. Korean medicine based psychotherapy corresponds to western psychotherapy such as short-term dynamic psychotherapy (STDP), supportive psychotherapy, cognitive therapy, behavior therapy, and guided imagery.

정신 연습의 기전과 적용 방법 (Mechanism and Application Methodology of Mental Practice)

  • 김종순;이근희;배성수
    • The Journal of Korean Physical Therapy
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    • 제15권2호
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    • pp.75-84
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    • 2003
  • The purpose of this study was to review of mechanism and application methodology about mental practice. The mental practice is symbolic rehearsal of physical activity in the absence of any gross muscular movements. Human have the ability to generate mental correlates of perceptual and motor events without any triggering external stimulus, a function known as imagery, Practice produces both internal and external sensory consequences which are thought to be essential for learning to occur, It is for this reason that mental practice, rehearsal of skill in imagination rather than by overt physical activity, has intrigued theorists, especially those interested in cognitive process. Several studies in sport psychology have shown that mental practice can be effective in optimizing the execution of movements in athletes and help novice learner in the incremental acquisition of new skilled behaviors. There are many theories of mental practice for explaining the positive effect In skill learning and performance. Most tenable theories are symbolic learning theory, psyconeuromuscular theory, Paivio's theory, regional cerebral blood flow theory, motivation theory, modeling theory, mental and muscle movement nodes theory, insight theory, selective attention theory, and attention-arousal set theory etc.. The factors for influencing to effects of mental practice are application form, application period, time for length of the mental practice, number of repetition, existence of physical practice.

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Effects of Action Observation Training Combied with Auditory Cueing on Gait Ability in Patients with Stroke: a Preliminary Pilot Study

  • Kim, Hyeong-Min;Son, Sung-Min;Ko, Yu-Min
    • The Journal of Korean Physical Therapy
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    • 제34권3호
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    • pp.98-103
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    • 2022
  • Purpose: New therapeutic approaches have emerged to improve gait ability in patients with brain damage, such as action observation learning (AOT), auditory cueing, motor imagery etc. We attempted to investigate the effects of AOT with auditory cueing (AOTAC) on gait function in patients with stroke. Methods: The eighteen stroke patients with a unilateral hemiparesis were randomly divided into three groups; the AOTAC, AOT, and control groups. The AOTAC group (n=8) received training via observing a video that showed normal gait with sound of footsteps as an auditory cue; the AOT group (n=6) receive action observation without auditory stimulation; the control group (n=5) observed the landscape video image. Intervention time of three groups was 30 minutes per day, five times a week, for four weeks. Gait parameters, such as cadence, velocity, stride length, stance phase, and swing phase were collected in all patients before and after each training session. Results: Significant differences were observed among the three groups with respect to the parameters, such as cadence, velocity, stride length, and stance/swing phase. Post-hoc analysis indicated that the AOTAC group had a greater significant change in all of parameters, compared with the AOT and control groups. Conclusion: Our findings suggest that AOTAC may be an effective therapeutic approach to improve gait symmetry and function in patients with stroke. We believe that this effect is attributable to the change of cortical excitability on motor related to cortical areas.

난임 여성의 정서조절기술 향상을 위한 심상 중심 음악감상 프로그램 개발 (Development of Imagery-Focused Music Listening Program to Improve Emotion Regulation Among Infertile Women)

  • 노윤희
    • 인간행동과 음악연구
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    • 제17권2호
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    • pp.29-56
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    • 2020
  • 본 연구의 목적은 난임 여성의 정서조절기술 향상을 위한 심상 중심 음악감상 프로그램을 개발하고 타당도를 검증하는 것이다. 이를 위해 먼저 난임 여성의 정서적 어려움과 이에 대한 대처방식과 관련된 선행연구를 조사하여 난임 여성의 정서적 필요에 개입할 수 있는 이론적 기반을 확립하였다. 또한, 지지적 음악심상기법(Supportive Music and Imagery, 이하 SMI) 관련 선행연구를 고찰하여 중재의 핵심 요소들을 분석했다. 확인된 이론적 기반 및 도출된 핵심 요소를 토대로 본 프로그램이 개발되었고, 음악과 심상 전문가 4인에게 타당도 검증을 받은 후 수정 및 보완되었다. 연구 결과, 개발된 본 프로그램은 긍정 정서 자원의 발견-강화-확립의 체계적 구성을 통해 난임 여성의 긍정적 정서 변화에 효과적으로 적용될 수 있는 것으로 확인되었으며 이후 긍정 정서 자원을 규명하고 확립하는 데 사용할 수 있도록 정서유도 및 조절과 관련하여 기능할 수 있는 음악요소의 특성이 분석된 음악 자원 역시 제시되었다. 본 프로그램은 각 개인이 심상 중심 음악감상을 통해 내적자원을 발견하도록 지지함으로써 난임으로 인한 부적 정서에 대처하고 긍정 정서 자원을 확립할 수 있도록 하는 데 초점을 맞춘 프로그램이라 할 수 있다. 또한, 난임 여성을 대상으로는 처음으로 적용된 본 프로그램은 기존의 SMI를 특정 대상군의 필요에 맞게 응용·확장한 것으로 기존의 일반적 SMI 적용에서 한발 나아가 새로운 시도를 한 것에 학술적 의의가 있다.

외상후 스트레스 장애에 대한 심리치료 효과 개관 : 재난 생존자를 중심으로 (Review of Psychological Treatment for Post-Traumatic Stress Disorder : Focus on Survivors of Disaster)

  • 장은영;이현지;김대호
    • 대한불안의학회지
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    • 제12권2호
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    • pp.69-78
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    • 2016
  • Objective : Disaster causes psychological distress to a large number of people in a short period of time, by both direct and indirect exposure to traumatic events embedded in various realms of disaster experience. Optimal, well-planned treatment interventions should follow from the early acute period to recovery phase, extending up to several months later. In this context, there is an increasing need for systemic review to gain comprehensive insights for disaster interventions. These need to be added to public policy, and for the prevention and treatment of disaster-related psychopathology. Here, we review the published studies on psychological interventions for disaster-related posttraumatic stress disorder. Methods : Specific psychological interventions regarded as effective treatments for have been selected for this review, such as CBT (Cognitive-Behavior Therapy), Exposure Therapy, EMDR (Eye Movement Desensitization & Reprocessing), SIT (Stress Inoculation Therapy) and Psychoeducation. In addition, natural disasters, industrial disasters, and accidents involving aircraft and ships were also categorized as disasters, along with war and combat trauma. Results : Cognitive behavior therapy and exposure therapy had the strongest research support for effectiveness, and could be considered as the first-choice treatment for disaster-related PTSD. The second line of treatment is EMDR, although this treatment modality has the advantage of reaching certain treatment improvements in fewer sessions. However, the effects of SIT and psychoeducation to the survivors of disasters, remains unclear at this point. Additionally, we propose the possibilities of using virtual reality component and imagery rescripting as modified forms of traditional cognitive behavior therapy and exposure therapy. Conclusion : Cognitive behavior therapy and exposure therapy, deemed effective treatments for various trauma, are considered to be effective for survivors from disasters. However, the efficacy of other interventions has not yet been examined methodologically in well-designed studies, such as randomized controlled trials. In particular, future empirical studies are needed, since it is difficult to conclude that psychological interventions have similar effects on different types of disasters.

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일반 대학생의 이미지 상상훈련이 정적 및 동적 균형에 미치는 영향 (Influence of Image Training on Static and Dynamic Balance for College Students)

  • 남형천;임경일;김수현;김설지;김지선;류영우;박인애;이수빈;진한빈;문준석;장세훈
    • 대한통합의학회지
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    • 제2권2호
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    • pp.59-65
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    • 2014
  • Purpose : This study was to investigate the influence of imagery balance for healthy normal people in their twenties. Method : The study has taken a place in Kyung-buk college in Yung-jusi in Kyungbuk with a group of 21 healthy peoples. The study used measurement of good balance. we measured balance for data of each static and dynamic. Training period, a total of 2 weeks. Except Saturday and Sunday, the study did weekdays. Fist, 2-minute relaxation. Second, 6-minute imagine training. Third, 2-minute relaxation. Total 10-minute training was conducted per training. Result : In study, the subjects were compared date for before the study to date for after the study. The subjects showed a little change in each Balance. But, the improvement of balance was not a big change. Conclusion : Image training kinesthetic image using hearing improved incompletely inspite of being no gap, numerically balance.

Understanding the Left Right Judgement Test: A Literature Review

  • Kim, Asall;Yi, Chung-hwi
    • 한국전문물리치료학회지
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    • 제28권4호
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    • pp.235-244
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    • 2021
  • Background: The body schema, which is constantly updated using somatosensory information, enables accurate movement. Since pain is reported as a possible source to alter the body schema, the left right judgement test (LRJT) has been widely used in the pain rehabilitation. However, there was a lack of consistency in the effect of the pain on the LRJT results, and for the effect of the LRJT as a part of intervention programs for pain patients. The deeper understand of the LRJT is necessary for better reproducibility, and to expand the therapeutic applications of the LRJT in the pain and musculoskeletal rehabilitation. Objects: This literature review aimed to understand the LRJT and to study the potential of the LRJT for therapeutic applications. Methods: The PubMed database was searched for studies relevant to LRJT. To establish the query set, the term was regarded from various perspectives. Results: The selected studies were classified into three categories: LRJT development, factors influencing LRJT, and therapeutic applications. Conclusion: Left right judgement test is the evaluation tool for the integrity of body schema as well as a tool for implicit motor imagery. Pain, proprioception, and other factors influence the performance of the LRJT.

음악을 사용한 지시적 심상이 입원 정신질환자의 기분상태 및 생리적 변화에 미치는 영향 (The Effects of Guided Imagery Activities Using Music on Mood States, and Physiological Responses of Psychiatric Inpatients)

  • 조현주;문지영
    • 재활복지
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    • 제20권1호
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    • pp.113-130
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    • 2016
  • 본 연구는 입원 중인 정신질환자를 대상으로 음악을 사용한 지시적 심상이 기분상태와 생리적 변화에 미치는 영향을 알아보고자 시행되었다. 실험 기간은 2015년 7월 8일부터 17일까지이고 장소는 서울시 소재의 일 정신과 병원 폐쇄병동에서 시행되었다. 총 54명의 대상자 중 실험집단 27명은 음악을 사용한 지시적 심상 음원을 11분간 감상하였고, 대조집단 27명에게는 11분간 책을 제공하고 보통의 상태로 지내게 하였다. 음악을 사용한 지시적 심상이 변화시키는 심리적 영향과 생리적 영향을 알아보기 위해 실험의 사전 사후에 기분상태척도(K-POMS-B) 및 수축기 이완기 혈압, 맥박 수, 말초 피부온도를 측정하였다. 수집된 자료를 SPSS 23.0의 독립 t검증과 대응 t검증으로 분석한 결과, 실험집단의 기분상태의 사전-사후 총점과 하위 6개 유형 중 '긴장, 불안, 우울, 분노, 활력, 피로'의 5개 영역에서 유의한 결과를 보였다. 또한, 실험집단과 대조집단 간의 변화를 분석한 결과, 기분상태 총점과 하위 6개 영역 가운데 '긴장, 우울, 활기, 피로'의 4개 영역에서 유의한 결과가 나타났다. 한편, 생리적 반응에서는 실험집단의 사전과 사후 총점에서 말초 피부온도에서 유의하게 상승된 결과를 보였으며, 실험집단과 대조집단 간의 변화에서도 말초 피부온도에서 유의한 결과가 나타났다. 이상의 연구 결과를 통해 음악을 사용한 지시적 심상이 단회기로 시행되었을 때 입원 정신질환자의 기분상태를 긍정적으로 변화시키고, 생리적으로는 긴장이완의 효과가 있다는 것을 알 수 있었다.

외상 후 스트레스 장애(PTSD)의 정신치료에 대한 양·한방 비교 고찰 (A Comparative Study between the Korean-medical and the Western-medical Psychotherapy on PTSD)

  • 박아름;박세진;손아현;허한솔
    • 동의신경정신과학회지
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    • 제29권1호
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    • pp.1-8
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    • 2018
  • Objectives: The purpose of this study is to compare the Korean-medical and the Western-medical psychotherapy on PTSD for improving the Korean-medical psychotherapy on this issue. Methods: We surveyed recent articles relating to psychotherapy on the incidence of PTSD. Results: Under the circumstances of this study, we note that applying the qigong therapeutics would be helpful when conducting relaxation training on the identified PTSD patients. We understand that taking a systematic desensitization style in the use of the kyungja-pyungji treatment is recommended. It would also be more effective to combine other treatments such as the use of the I-Jeong-Byeon-Gi Therapy and the five minds mutual restriction therapy. We have shown that by using the five minds mutual restriction therapy for the imagery rescripting has a better a synergy effect for optimum patient outcomes for patients who have been diagnosed with PTSD. Conclusions: Our study has shown that by improving the shortcomings of the Korean psychotherapy and utilizing Western psychotherapy's merits, we expect to increase the efficacy of the Korean psychotherapy with these recommendations for changes in this case.

자외선 조사에 의한 피부 반응의 디지털 영상분석 (Analysis of Digital Images of Skin Reaction Induced By Ultraviolet Irradiation)

  • 이동엽;두영택;이정우
    • 대한임상전기생리학회지
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    • 제8권2호
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    • pp.39-43
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    • 2010
  • Purpose : The purpose of this study was to analyze skin reactions induced by ultraviolet irradiation using digital imagery. Methods : We recruited 15 women and ultraviolet irradiation was applied to their lumbar area. (The degree of inflammatory reaction was set on the basis of the third erythema dose. Image analysis was divided by Photoshop CS (8 bit RGB scale and gray scale). Then, images were processes using Image Pro Plus 4.5 program analyzing R, G, B, chromatic red value, luminance value and gray value. Results : As a result of analyzing changes in RGB scale, there were statistically significant differences in R, G, and chromatic red values. As a result of analyzing changes in gray scale, there were statistically significant differences in gray value. Analysis of changes in B and luminance values showed that there was no statistically significant difference. Conclusion : This study found that ultraviolet irradiation had influence on RGB and gray scale. These results suggest that changes to digital images on skin reaction by ultraviolet irradiation are related to erythema. In particular, these changes are related to R and gray values.