• Title/Summary/Keyword: Psychodynamic

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Psychodynamic Psychotherapy of PTSD (외상 후 스트레스 장애의 역동정신치료)

  • Kim, Jung-Young;Park, Jong-Il;Yang, Jong-Chul
    • Anxiety and mood
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    • v.11 no.2
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    • pp.106-113
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    • 2015
  • In psychodynamic therapy, trauma related symptoms are considered as an attempt to overcome the traumatic experiences. Therefore, psychodynamic psychotherapy regards the symptom not as a patient's defect but as an adaptive reaction. In contrast to other therapies, psychodynamic theory places heavy emphasis on the understanding and resolution of the patient's symptoms. In addition, transference is a distinctive feature of this theory, which plays a significant role of reflecting the realistic evaluation on the therapist's characteristics, and in guaranteeing the therapeutic alliance. The psychodynamic therapist inducts meaning from the patient's unconscious mind. The therapist's task is to help the patient to better understand defense mechanisms guide their management of experiences and reactions, and facilitate a better understanding of their personal experiences.

Consultation - Liaison Psychiatry and Psychodynamics (자문조정 정신의학과 정신 역동)

  • Kim, Hyun-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.3-7
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    • 2002
  • The author reviewed the historical background of development of consultation-liaison psychiatry along with the psychosomatic medicine. Historically consultation-liaison psychiatry has developed over the past 70 years as an outgrowth of general hospital psychiatric units, and the psychodynamic approach including psychoanalysis has influenced to the development of the consultation-liaison psychiatry. Through the review, the author suggested psychodynamic understandings as a basic tool for the practicing of medical psychotherapy.

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A Stress Management Strategy -Psychodynamic Approach- (스트레스 대응전략 -정신역동적 접근-)

  • Hwang, Ik-Keun
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.1
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    • pp.58-63
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    • 1995
  • The author introduced 12 session short term dynamic psychotherapy for the intervention of stress related disorders. An examplary case was introduced to suggest the clinal usefulness of time limitted short term dynamic psychotherapy for stress related disorders. It was suggested that the term "stress" should be limitted to certain natural and man-made catastrophies and disasters whose consequences rep quire a total reorganization of the person. Common defensive manuvers and psychological responses in the stress disorders were also reviewed.

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

  • Jang Hyun-Ho;Kang In-Seon;Moon Hyung-Cheol;Hwang Yoo-Jin;Lyu Yeoung-Su;Kang Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.12 no.2
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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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The Mechanisms of Somatization (신체화의 기전)

  • Song, Ji-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.262-268
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    • 1996
  • It is important not only understanding the underlying psychodynamic mechanism of the somatization but also understanding the somatization as a process where biological and sociocultural factors are acting as maintaining and exaggerating the primary vague somatic symptoms. Recently, among mechanisms of the somatization biological and cognitive aspect became more important than psychodynamics. When the doctors see patients complain physical discomforts without organic foundation, they should give attention to the mechanism of symptom amplification, misinterpretation, individual cognitive characteristics and learned behavior. Psychiatric disorders which show somatic symptoms should be also evaluated. Autonomic dysfunctions linked with stress would give some clues of the mystery of the mind-body relationship.

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A Psychodynamic Inquiry into the Self-Esteem of a Middle-Aged Man via Bibliotherapy (중년남성의 자존감 향상을 위한 독서치료 - 성서와 일반도서 활용을 중심으로 -)

  • Kim, Young-Ah
    • Journal of Korean Library and Information Science Society
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    • v.43 no.4
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    • pp.201-224
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    • 2012
  • This paper applies bibliotherapy in order to restore the self-esteem of a middle-aged man in particular. The Bible and six self-help books are used for its therapy. In conclusion, the middle-aged male clients have restored their self-esteem and improve their sense of human dignity in the counseling program which used the Bible and self-help literatures. Bibliotherapy has also proven itself as an important method of psychotherapy which educates the clients to resolve their psychological issues.

Hata's Black Sun: The Melancholic and the (Gendered) Morbid Bodies in A Gesture Life

  • Yang, Na Young
    • American Studies
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    • v.41 no.1
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    • pp.179-202
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    • 2018
  • This study approaches the novel from psychodynamic perspectives, where the narrative is woven into the strands of traumatic memories and past. Deriving from Julia Kristeva's discussion on melancholia, this paper discreetly examines Hata as a melancholic, who is unaware of what he has lost and even that he has lost. Racially abject but in defiance of his separation from 'the mother,' Hata introjects loss as his own subjectivity. The insoluble void causes him to wander through the bravado of belongingness, which he eventually transforms into Sublimation. This paper reads that Hata finally faces his own black sun, deviating from his earlier gesture life; thus, the novel becomes a successful case study of the melancholic. However, female bodies are at stake, subsumed under Hata's sexual perversion. The novel renders trauma behind the fragmented narrative of an Asian American man at the expense of consuming morbid 'feminine' bodies physically and psychologically.

Pathogenesis of Enuresis: Brain, Sleep Dysfunction and Psychological Effects (야뇨증의 병태생리: 뇌, 수면장애 그리고 정신적 효과)

  • Park, Kwan-Jin
    • Childhood Kidney Diseases
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    • v.16 no.1
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    • pp.9-14
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    • 2012
  • The relationship between central nervous system (CNS) and enuresis has not been sufficiently elucidated despite the presence of several circumstantial evidences. Contrary to common belief, polysomnographic sleep analysis revealed that the disturbance of arousal rather than deep sleep was responsible for enuresis. Subsequent studies confirmed depressed sympathetic tone and retarded brainstem reflex indicating abnormal arousal threshold in enuretics. In accordance with the bladder-brain dialogue, chronic stimulation of bladder may modify the brainstem function elevating arousal threshold. Epidemiological studies have suggested the association between enuresis and various psychosomatic disorders like attention deficit hyperactivity disorder (ADHD), which has shown the abnormal brainstem reflex similar to enuresis. Taken together, CNS is assumed to play a crucial role in the pathogenesis of enuresis. Psychological assessment is vital to understand the psychodynamic effect of enuresis. Studies have shown that the prevalence of psychological problems was higher in enuretic children and externalization of the symptoms was usually found. Several explanations have been brought up regarding the development of enuresis and psychological problems. Enuresis may cause psychological problems and vice versa. Otherwise, both may be associated with other variables, such as socioeconomic status (SES).

Early Interventions After Trauma (외상 후 초기중재)

  • Park, Joo-Eon;Lee, Boung-Chul;Jung, Young-Eun;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.5 no.2
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    • pp.75-79
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    • 2009
  • In this article, we review the efficacy of early interventions after traumatic incidents and during acute stress disorder (ASD). There are some evidences that psychopharmacological medications such as propronolol, morphine, and hydrocortisone are effective in the prevention of posttraumatic stress disorder (PTSD). Considering the role of selective serotonin reuptake inhibitors in hippocampal neurogenesis and an animal model of PTSD, early administration of selective serotonin reuptake inhibitors is also fairly promising. Other pharmacological treatments including benzodiazepines did not treat ASD nor prevent PTSD. There are good evidences that cognitive behavioral therapy including cognitive therapy and prolonged exposure is a valuable intervention for ASD and the most effective prevention for PTSD. No contolled researches on eye movement desensitization&reprocessing, psychodynamic psychotherapy and hypnotherapy have performed. Recent randomized controlled studies using psychological debriefing did not prove as a useful intervention for the prevention of PTSD until now, although the efficacy of debriefing has been at the centre of controversy.

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Psychoanalytical View of Anxiety (정신분석적 관점에서의 불안)

  • Park Yong-Chon
    • Anxiety and mood
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    • v.1 no.1
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    • pp.14-17
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    • 2005
  • By the influence of the descriptive approach of DSM-III, the anxiety became the same thing as the anxiety disorder to the clinicians. This unfortunate result sacrificed psychodynamic model of symptom formations and simplified the anxiety as one of the disease entity not as the overdetermined symptoms. These phenomenon awakened the psychoanalytic interest which was in sleep. Freud was the first major articulator of the basic significance of anxiety in human behavior. He attributed the particular quality of the anxiety experience to the trauma of birth, and subsequently to the fear of castration. Such classification of the anxiety according to the psychosexual development is helpful for the clinicians in understanding the origin of anxiety which the patient shows during the psychotherapy. The other analytical view of interpersonal psychoanalysis came from Sullivan. A large part of his therapy is taken up with recognizing and correcting parataxic distortions that interfere with realistic self-appraisal of events and of oneself in relation to others. Perhaps no explanation is the 'most basic' explanation for human anxiety. Anxiety is a multifaceted entity consisting of aspects of realm of discourse. Existential anxiety is inescapable in Western culture but it can be transcended by the cultivation of mind in Eastern culture. The analysts need to stay attuned to their own propensities for anxiety and must permit their own experiences with anxiety to be the grist for the psychotherapeutic mill.

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