• Title/Summary/Keyword: Medical psychotherapy

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마음의 방 그리기에 관한 양적, 질적 분석 연구 (The Study on Quantitative and Qualitative Analysis of Mentalizing the Rooms of Mind)

  • 유수양;강형원
    • 동의신경정신과학회지
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    • 제28권3호
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    • pp.275-286
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    • 2017
  • Objectives: To suggest the basis of clinical applications through qualitative and quantitative analysis of mentalizing the rooms of mind in the mindfulness meditation program. It is one of the M&L psychotherapy techniques that enables observing the mind more objectively by structuring, visualizing and embodying state of the mind at the moment of drawing a room of the mind. Methods: In this study, we conducted 5t mindfulness meditation program sessions with 85 college students studying Oriental Neuropsychiatry at the University of Oriental Medical College. Before and after the program, data checked the FFMQ and drew the room of mind. Qualitative analysis by subjects were analyzed using qualitative and quantitative methods. Results: First, results of the quantitative analysis revealed significant difference between pre-and post on describing one of the FFMQ sub-factors. However, there were no statistically significant other factors. Second, qualitative analysis results follow as: It extracted 2 keywords including 'viewpoint as a therapist' and 'viewpoint as a client' and 3 consisting words 'positive response', 'negative response', 'ambiguous response'. Conclusions: Mentalizing the room of mind is the work of visualizing, diagramming, objectifying, and specifying the mind of this moment. It is concerned that the value of clinical use is high as a useful tool to increase concentration of meditation and observe and evaluate changes of mind before and after treatments.

청소년기 경계선 장애의 치료 - 정신분석적 입장에서 - (THERAPY FOR ADOLESCENTS WITH BORDERLINE DISORDER)

  • 이동수
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제6권1호
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    • pp.43-46
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    • 1995
  • ‘청소년기 경계선 장애’의 치료는 전반적으로 모든 정신과 질환을 치료할 때와 마찬가지로 각 경우마다 다르게 접근해야 할 것이다. 즉, 환자개인의 독특한 역동과 성격구조를 바탕으로 개인적으로 치료접근을 모색하는 것이 필요하다. 그러나, 어느정도의 기본이 될만한 것이 있다면 다음과 같다. 우선 청소년기의 심리를 이해함에 있어서 그들이 ‘제2의 개체화 시기’라는 점을 알아 사춘기의 신체적 변화에 따른 성신내적 상태의 변화, 특히 성동력 및 공격성 동력의 항진을 염두해 두어야 할 것이다. 또한, 청소년기의 심리를 바탕으로 경계선 장애의 특징인 비교적 ‘약화된 자아’와 ‘주체성의 상실’을 치료자와의 전이 관계를 통해 적절히 이해하고 다루는 것이 필요하다. 실제적으로는 치료의 중립성을 바탕으로 하는 분석치료보다는 어느정도의 지지를 동반한 ‘분석적지지요법’(analytic supportive psychotherapy)가 효과적이라고 할 것이다.

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소아기 특정 공포증의 EMDR 치료 증례 (Eye Movement Desensitization and Reprocessing (EMDR) for Childhood Specific Phobia : A Case Report)

  • 배활립;김대호;장희순
    • 대한불안의학회지
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    • 제5권1호
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    • pp.42-47
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    • 2009
  • Recently, Eye Movement Desensitization and Reprocessing (EMDR) was given the status of an approved form of psychotherapy for the treatment of post-traumatic stress disorder. However, its effectiveness in the treatment of other anxiety disorders such as phobia is yet to be determined given that controlled studies have provided mixed results. This report summarizes the case of a child with a specific phobia (i.e. nighttime fear) which was successfully treated with two sessions of EMDR. This result suggests the further and thorough evaluation of this technique for use in childhood phobic disorders.

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우울증(憂鬱症)의 한방적(韓方的) 이해(理解)에 관한 문헌고찰(文獻考察) (A Study on The Oriental-medical Understanding of Depression)

  • 장현호;강인선;문형철;황유진;유영수;강형원
    • 동의신경정신과학회지
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    • 제12권2호
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    • pp.1-15
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    • 2001
  • According to ICD-10, The typical Depression are characterized by dejected mood, loss of interest and pleasure, feeling of helplessness. Also, other symptoms such as loss of attentiveness and concentration, guilty conscience, pessimistic attitude for the future, sleeping disorder, lack of appetite, thinking of or doing a self-injury or suicidal act may characterize Depression. These Symptoms of Depression are similar to Wool-Zeng(鬱證), Zeon-Zeng(癲證), Her-ro(虛勞), Bul-Sa-Sik(不思食), Tal-Young-Sil-Zeong(脫營失精), Bul-Myeon(不眠), Ki-Myeon(嗜眠) in Oriental Medicine. In general, Depression is classified into Wool-Zeng type and Zeon-Zeng type. The former is similar to the neurotic type of depression, the latter is similar to the psychopathic type of depression. The clear causes of Depression are not known yet. But psychodynamic and biological factors are assumed to cause Depression. Psychodynamic factors may correspond to Chil-Zeong(七情) and biological factors to Tae-Byeong(胎病) and Dam(痰) in Oriental medicine. In Occidental medicine, Depression is treated by psychotherapy and medication. Electrically-induced spasm therapy and phototherapy also used for the treatment of Depression. In Oriental medicine, Depression is treated by more various therapy such as herb medication, acupuncture and moxibustion, oriental psychotherapy and dirigation(Gi-Gong, 氣功). Depression is not easy to cure. When the treatments of Occidental medicine and Oriental medicine are mutually cooperated, more effective medical care might be expected. Therefore, futher study to treat depression by mutually cooperated therapy is necessary.

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치매의 한방치료와 한양방 협진치료에 관한 전문가 집단 설문연구 (The Study on the Korean Traditional Medical Treatment and System of Collaborative Practice Between Korean Traditional Medicine and Western Medicine for Dementia: Based on Analysis of Questionnaire Survey in Professional Group)

  • 이고은;전원경;허은정;양현덕;강형원
    • 동의신경정신과학회지
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    • 제23권4호
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    • pp.49-68
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    • 2012
  • Objectives : Recently, the elderly population and dementia prevalence have been rapidly increasing in Korea. Dementia is a concept of syndrome composed of characteristic symptoms. However, there have been no approved treatments for dementia with proven efficacy. Therefore, we investigated Korean traditional treatment being used in clinic and collaborative practice for dementia in the professional group. Methods : We conducted a survey using questionnaires to professors of oriental neuropsychiatry for a month. Items of the questionnaire consisted of overall Korean traditional medical treatment for dementia, which included herbal medicine, acupuncture, moxibustion, cupping, psychotherapy and others. Results : 1. It was shown that Yukmijihwangtanggamibang, Jowiseungcheongtang, Seonghyangjeonggisan have been used the most in herbal medicine. 2. Chechim, Saamchimbeop, and scalp acupuncture have been used the most in acupuncture treatment. 3. In Korean traditional psychotherapy, Ijeongbyeongi, Jieongoronyobeop, Gigongyobeop have been used, and effective in anxiety, agitation, improvement of comprehension for caregiver and environment. 4. Most professors answered that collaborative practice between Korean traditional medicine and western medicine has been needed for dementia. They suggested that herbal medicine, followed by acupuncture, and moxibustion can be used with western medicine simultaneously. Conclusions : The survey revealed that professors use herbal medicine and acupuncture as main treatments for dementia. They share perspective regarding the need of long period to treat dementia patients, and there are needs of collaborative practice for dementia.

화병과 주요우울장애가 병발한 근위축성측삭경화증 환자 1례(例) 증례보고 (One case Report with a Amyotrophic lateral sclerosis(ALS) patient who has Hwabyung and Major Depressive Disorder)

  • 김상호;박종훈;박소정;변순임;황의완;김종우
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.159-169
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    • 2005
  • Amyotrophic lateral sclerosis (ALS) is characterised by progressive impairment of motor functions up to a complete loss of autonomy, and most of ALS patients are associated with the total preservation of mental state like depression. A patient in this case report had ALS and during progress of ALS had undergone depression and Hwabyung's Symptoms. This patient was treated with herb medication, acupuncture, psychotherapy(relaxation & councelling) primarily. During the 18 days of treatment from admission, the patient experienced much improvement of depression and Hwabyung's Symptoms. and ALS's symptom like weakness & numbness of lower limb had improved considerably, too.

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정신과에 의뢰된 내과계 환자들에 대한 치료적 접근 - 정신약물치료 - (Therapeutic Approaches to the Patients Who were Referred for Psychiatric Consultation from Medical Departments - Psychopharmacotherapy in Medically Ill Patients -)

  • 나철
    • 정신신체의학
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    • 제1권1호
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    • pp.92-97
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    • 1993
  • Successful management of mental symptoms requires proper diagnostic tools and comprehensive treatment including psychotherapy, physical therapy and psychopharmacotherapy. For this purpose. valid and reliable diagnostic instruments need to be developed. and the data regarding various treatment methods in medical and psychiatric comorbid conditions should be available. Because mental symptoms originate from various aspects of biological, psychological and social factors. each aspect may have slightly different therapeutic goal. Alterations in pharmacokinetics and pharmacodynamics of medically ill and/or old patients may complicate the treatment outcomes. Best psychopharmacological treatment needs to be elaborated in various states. Mental symptoms of the medically ill patients may be treated more effectively with an eclectic approach.

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하지불안증후군 환자에 대한 한의학적 치료 효과에 대한 연구 (The Study on Effect of Korean Medical Treatment for Patients with Restless Legs Syndrome)

  • 이유진;이재은;김수진;유종호
    • 동의신경정신과학회지
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    • 제26권4호
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    • pp.357-364
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    • 2015
  • Objectives: The purpose of this study was to examine the effects of Korean medical treatment for Restless Legs Syndrome (RLS). Methods: We examined the effects of Korean medical treatment for patients with RLS who visited the neuropsychiatric clinic of Korean medicine. We treated the patient with herbal-medication, acupuncture, oriental psychotherapy. IRLS, STAI-X1,X2, BDI-2, BAI, STAXI-S,T were compared before and after 4 and 8 weeks of treatment to determine whether the symptoms and mood of patients were improved. Results: After 4 weeks treatment (n=13), STAI-X1,X2, BDI-2, BAI, STAXI-S scores increased significantly; whereas, IRLS and STAXI-T scores decreased. After 8 weeks treatment (n=8), IRLS, STAI-X1,X2, BDI-2, BAI scores increased significantly; whereas, STAXI-S scores decreased.Conclusions The treatment of RLS with Korean medicine was clinically efficient and resulted in improvement of the symptoms as well as psychological problems.

응급구조학과 학생의 실습이 주관적 안녕감 및 삶의 영역별 만족에 미치는 영향: 경험에 대한 개방성의 조절 효과를 중심으로 (Influence of field practice on subjective well-being and domains of life satisfaction in paramedic students: focused on control effects of openness to experience)

  • 임낭연;이상구;김영화
    • 한국응급구조학회지
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    • 제20권2호
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    • pp.65-79
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    • 2016
  • Purpose: This study was performed to evaluate the influence of field practice on subjective well-being and domains of life satisfaction in paramedic students. Methods: A self-reported questionnaire was completed by 143 paramedic students from March 5 to 31, 2016. The questionnaire consisted of subjective wellbeing, openness to experience, and domains of life satisfaction. The statistical analysis was done with SPSS/WIN 22.0. Results: The number of field practice had a lesser influence on degree of life satisfaction and positive emotions. Field practice did not influence negative emotions. Those who were open to experience tended to have higher degrees of personal satisfaction and competence irrespective of field practice. Conclusion: Openness to experience can enhance the life satisfaction and competence against the stressful conditions paramedic students experience in field practice.

우울, 불안 척도를 통해 살펴본 우울증 환자에 대한 한의학적 치료 효과에 대한 연구 (Clinical Effects of Korean Medical Treatment on Depressive Disorder using Depression and Anxiety Scales)

  • 안윤영;김락형;유종호
    • 동의신경정신과학회지
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    • 제33권3호
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    • pp.317-327
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    • 2022
  • Objectives: To examine clinical effects of Korean medical treatment on depressive disorder. Methods: Medical records of 102 patients diagnosed with depressive disorder who were treated with Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 12 weeks and measured psychological scales (Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI)) every 4 weeks were analyzed. Results: After 12 weeks of treatment, BDI-II, STAI-X-1/2, BAI, and STAXI-S/T all decreased statistically significantly. STAI-X-1 and BAI were significantly decreased throughout the treatment interval (comparisons every 4 weeks). The other four scales decreased significantly from 0 to 4 weeks and from 8 to 12 weeks. Conclusions: Treatment for depressive disorder with Korean Medicine was effective not only in improving overall symptoms of depressed patients, but also in improving accompanying anxiety, anger, and physical symptoms. In addition, since all scores were gradually decreased, continuous treatment would be important.