• Title/Summary/Keyword: Medical psychotherapy

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A Study on the System of Collaborative Practice between Korean Traditional Medicine and Western Medicine for Dementia based on a Case Study (증례를 통해 본 치매의 한양방 협진 모델 연구)

  • Lee, Go-Eun;Yang, Hyun Duk;Jeon, Won Kyung;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.3
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    • pp.211-228
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    • 2013
  • Objectives : This report describes the diagnostic and therapeutic procedures of Collaborative Practice between Korean Traditional Medicine and Western Medicine for two dementia patients. Furthermore, through these cases, we suggest a model of collaborative practice between Korean traditional medicine and western medicine for the treatment of dementia. Methods : Two patients suffering from several symptoms related to dementia received collaborative practice between Korean traditional medicine and western medicine. Physicians of deparment which paient first visit interviewed patient and patient's guardians, discussed the symptoms and the status of the patient. Since then, the medical team made a differential diagnosis based on the results of brain imaging, hematology, urine test. and apprehended the status of dementia by the neuropsychological test. Korean traditional physicians examined the physical symptoms and identified the pattern of dementia in Korean traditional medicine. Following this, they decided on the method of acupuncture, moxibustion, cupping and herbal treatment. Western physicians decided on the type of medication after consideration of the patient's other medical conditions. Every intervention was decided by both Korean traditional physicians and western physicians after discussion. The medical team provided education on dementia and counseled the guardians. They also wrote the paper for using the long-term care insurance for the aged. Results : Two patients showed no improvement on the neuropsychologic and activity of daily living tests. However, the patients' subjective physical symptoms were improved. The collaborative practice between Korean traditional medicine and western medicine improved the patients' and guardians' satisfaction. Conclusions : Through these cases, we propose a model of collaborative practice between Korean traditional medicine and western medicine for dementia categorized diagnosis-test, treatment, prevention, management. More specifically, we supplement qigong and psychotherapy which was inadequate in these cases.

A study on Oriental-medical Understanding of Tic Disorders (Within Dong yui bo gam Book) (틱(Tic)장애(障碍)의 한의학적(韓醫學的) 이해(理解)에 관(關)한 문헌적(文獻的) 고찰(考察) (동의보감중심(東醫寶鑑中心)으로))

  • Sim, Min;Lee, Jong-Hwa;Kim, Tae-Heon;Lyu, Yeoung-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.2
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    • pp.1-12
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    • 2007
  • Objective : The aim of this study was to categorize tic disorders and introduce the treatments of tic disorders in oriental medicine. This article includes the report of successful treatment with oriental medicine. Methods : The author classifided the terms of oriental medicine in associated with tic disorders based on DSM-IV and then studied symptoms, etiological causes, and treatment through ${\ll}$Dong yui bo gam Book${\gg}$ . Results and Conclusions : 1. The concept of Tic disorders is similar to Mok-cha (目箚), Gun-chuck-youk-soon, Soon-dong, Mae-hack-gi (梅核氣) and etc, in oriental medical term. 2. In oriental medicine, tic disorders can be classified Gan-poong-nae-dong-zung (肝風內動證) type, Dam-hwa-yo-sin-zung (淡火擾神證) type, Bee-her-gan-wang-zung (脾虛肝旺證) type and Gan-sin-um-her-zung (肝腎陰虛證) type. 3. In oriental medicine, tic disorders are treated by much(so) various therapy such as herb medication, acupuncture and moxibustion, oriental psychotherapy and dirigation (Gi-Gong, 氣功) etc. 4. Tourette’s disorder is not easy to cure. When the treatment of occidental medicine and that of oriental medicine are mutually cooperated, more effective medical care might be expected. Therefore, it is necessary for further study to treat tic disorders by mutually cooperated therapy.

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Clinical-Case Study on a Patient with Organic Mental Disorder after Head Trauma Caused by Traffic Accident (교통사고로 인한 외상 후 기질성 정신장애 환자 치험 1례)

  • Seo, Sang-Il;Kim, Nam-Yeol;Kim, Dae-Hwan;Koo, Byung-Su;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.3
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    • pp.307-318
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    • 2015
  • Objectives: This study evaluated the effect of oriental treatments and rehabilitation on a patient with organic mental disorder after head trauma caused by traffic accident. Methods: We treated the patient with acupuncture, herb-medication, oriental psychotherapy, and rehabilitation. MMSE-K, BDI, K-MBI, FIM were evaluated before and after treatment. Results: The results indicated that MMSE-K was maintained at 27 points; BDI was reduced from 16 points to 5 points; K-MBI was increased from 75 points to 99 points; and FIM was increased from 86 points to 115 points. Furthermore, the treatment resulted in reduced mental symptoms and improved work capacity. Conclusions: Oriental medical treatment has potential validity in improving symptoms of organic mental disorder.

A Review Study on the Treatment of Panic Disorder in Traditional Chinese Medicine (공황장애 치료에 대한 중의학의 임상연구 동향)

  • Lee, Seung-Hwan;Seong, Woo-Yong;Lim, Jung-Hwa
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.2
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    • pp.161-170
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    • 2015
  • Objectives: This study was performed to review the research trends in the treatment of panic disorder in traditional Chinese medicine (TCM). Methods: We searched articles in the China National Knowledge Infrastructure (CNKI) from 2004 to 2014. Search key words were '惊恐' and 'panic disorder', and we selected eight studies except for non-clinical, unrelated studies, tests on animals. Results: We finally selected eight articles, and the results were as follows. CCMD-3 was most frequently used as a diagnostic criterion and HAMA was mostly used for outcome measurement. In TCM there are various ways, such as herbal medicine, acupuncture and psychotherapy, to treat panic disorder. Most of the studies showed effective results. Most of the treatment group reported that they had less side effects than the control group. However, the quality of these clinical studies was low. Conclusions: In TCM, research on panic disorder was being conducted more actively than in Korean medicine. According to this study, it seems that in TCM, the treatment of panic disorder might be more effective and have some advantages. Therefore, with this study, we hope to activate more clinical research on the treatment of panic disorder in Korean medicine.

Premenstrual Dysphoric Disorder : A Clinical Review (월경전 불쾌기분 장애에 대한 임상적 고찰)

  • Hwang, Gul
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.14-21
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    • 2007
  • Premenstural dysphoric disorder(PMDD) imposing 4-5% of women is possibly caused by an enhanced responsiveness to the changes of sex steroid hormones and the decrease of serotonin, melatonin and GABA. The common clinical features between PMDD and depression, seasonal affective disorder, panic disorder and anorexia nervosa suggest a relatedness between PMDD and each of them. The diagnostic criteria of DSM-IV-Tr for PMDD requires psychological symptoms, that commonly include irritability, anger, depression, mood swing, affect lability, tension, anxiety, fatigue and food craving. As of today, the best pharmacological treatment for PMDD is the selective serotonin reuptake inhibiter, and leuprolide, danazol, estradiol, spironolactone and bromocriptine are possible alternatives. Nonpharmacological treatments for patients with mild to moderate symptom severity are diet, exercise, light therapy, psychotherapy and keeping a diary.

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A Case Report for an Eating Disorders with Banhabaeckchulchunma-tang and Acupuncture Treatment (반하백출천마탕(半夏白朮天麻湯)과 침 치료에 호전을 보인 섭식장애 환자 치험 1예)

  • Jung, Dong-Hoon;Shin, Woo-Suk;Park, Won-Hyung;Cha, Yun-Yeop;Choi, Woo-Jin
    • Journal of Korean Medicine for Obesity Research
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    • v.15 no.1
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    • pp.45-50
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    • 2015
  • Eating disorders is a significant failure on the dietary behavior, can be distinguished by anorexia nervosa and bulimia nervosa. For the treatment of eating disorders, screening for medical conditions and hospitalizations are needed. Also, medications such as antidepressants may be helpful, and it should be considered a dynamic psychotherapy, cognitive behavioral therapy, and family therapy together. Recently we experienced a 24-year-old woman who was accompanied with binge eating at night, habitual vomiting, dizziness, anorexia, and general weakness. We applied Banhabaeckchulchunma-tang and acupunture treatment during 2 weeks. Through this program, patient's condition was improved on body mass index and Eating Attitude Test-26.

Placebo Control and Placebo Effect in Acupuncture Medicine (침구의학에서 플라시보 대조군과 플라시보 효과)

  • Chae, Younbyoung;Enck, Paul
    • Korean Journal of Acupuncture
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    • v.35 no.2
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    • pp.47-55
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    • 2018
  • Objectives: Clinical improvements can be observed following placebo administrations in clinical trials. Randomized controlled trials have been conducted to disentangle the specific effects of therapeutic interventions over the past decade. In acupuncture trials, non-penetrating placebo needles offer the opportunity to determine the specific effects of needling. Methods: The present review provides an overview of the concept of the placebo effect and the characteristics of the placebo needles. Results: Placebo control can contribute to minimize for bias and the contextual and psychological components of therapeutic interventions. Placebo control should meet two criteria: blinding efficacy (indistinguishable from active treatment) and physiological inertness. In the case of acupuncture, however, it is difficult to meet both criteria simultaneously. The dilemma of placebo needles suggests that placebo needles do not constitute proper control in acupuncture research. Considering the characteristics of placebo needles, patients are more likely to perceive placebo needles as active treatment in acupuncture trials compared to placebo pills in pharmaceutical trials. Placebo response might be observed more frequently to placebo needles than to placebo pills. When acupuncture treatments are utilized in clinical use, placebo effects can be enhanced by exploiting patients' expectations in the contextual or environmental cues that surround medical intervention. Conclusions: We have to consider these unique characteristics of placebo needles in order to avoid drawing premature conclusions that acupuncture itself is just a placebo.

Origin of Aggression in Modern Society: Based on Film 'American Psycho' (현대사회 공격성의 근원: 영화 '아메리칸 사이코'를 중심으로)

  • Hong, Sumin;Ha, Jee Hyun
    • Psychoanalysis
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    • v.29 no.4
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    • pp.63-71
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    • 2018
  • One of the most striking features of modern society in the 21st century, is increased levels of aggression. Aggression refers to aggressive or hostile behavior, and is manifested in suicide or an attack against others. Aggression in modern society is more accidental, reckless, and aimless than before. As more patients visit hospitals due to the serious problem of aggression control, we need to address the nature of this growing aggression. The authors analyzed sources and the nature of aggression, based on the movie 'American Psycho.' The main character of the movie, Patrick, is similar to many people today, with traits such as egotistical thinking, lack of empathy, demand for attention and admiration, and exploited and superficial relationships. Patrick's aggression is in reaction to narcissistic injury. Through this, one can think of pathological narcissism, behind growing aggression in modern society. There are a number of social and environmental factors, attributable to increasing narcissism in modern society. Among them, change in parenting practices, and parent-child relationships, is likely to have affected increase in narcissism in terms of personality development. In conclusion, when treating patients exhibiting aggression in psychotherapy, it is critical to fully consider the possibility of pathological narcissism and its use in analysis.

The Relationship between Employee's Work-Related Stress and Work Ability based on Qualitative Literature Analysis

  • KIM, Jee-Hye
    • The Journal of Industrial Distribution & Business
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    • v.12 no.7
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    • pp.15-25
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    • 2021
  • Purpose: The greatest asset to all organizations is the employees and they should be guarded against factors hindering their work ability. Nevertheless, most organizations are always more concerned about making profits to the extent of forgetting their employee's welfare. On this point, this study aims to examine employee's work-related stress and its relationship with work ability. Research design, data and methodology: This study focused on obtaining mostly peer-reviewed works to suggest research findings, assuming that qualitative literature approach allows researchers to explore in-depth information concerning complex issues in a standard life setting. Numerous prior researchers applied their research design in content analysis, especially where various concepts are present for analysis. Results: Based on numerous qualitative textual resources, this study found that human resource practitioners should plan stress management strategies for their employees to apply five kinds of solutions that the current study suggests because it is vital to ensure their wellbeing towards sustaining their performance. Conclusions: All in all, based on the findings, this study concludes that employee's work stress negatively impacts their work ability with affecting their mental health. As a result, there is little doubt that practitioners should regularly monitor the working environment for stress-related factors besides creating a healthy working environment for all employees.

A Theoretical Approach: the Worker's task Stress and its Association with Job Performance

  • KIM, Ji-Hye
    • The Journal of Economics, Marketing and Management
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    • v.9 no.5
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    • pp.1-13
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    • 2021
  • Purpose: Purpose - This study investigates and aims to discuss regarding the employee's work stress and its relationship with employee's workability based on literature content analysis. Finally, this study will provide how employees can manage it and coexist while enjoying the benefits of a stress-free working environment. Research design, data, and methodology - The author collected many textual contexts from mostly peer-reviewed academic journals, which means that academic comprehensive integrity can be obtained by qualitative approach for this study with discussing and following a constructive review analysis. The content analysis aims to determine a textural dataset in the longtime frame from the newest textural information. Result - There is little doubt that this study was significant and relevant to the relationship between employee work stress and workability, indicating how organizations that manage their employees in a stress-free working environment. the present researcher separate the solutions into five categories according to the person or body responsible for the answers. Conclusion - The numerous solutions on how to deal with various stresses, the theoretical aspect of the solutions involving the theories developed by multiple past articles on how to solve work stress. In general, workability and work stress is a very large field of study. Another consideration is the numerous professionalisms in the world, and each has different ways stress is induced in the organization.