• 제목/요약/키워드: mind-body problem

검색결과 44건 처리시간 0.022초

소화성궤양환자의 통증표현양상에 관한 연구 (A study on Pain Express Pattern of Peptic Ulcer Patient)

  • 김정선;최영희
    • 대한간호학회지
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    • 제21권2호
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    • pp.230-246
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    • 1991
  • Pain is a subjective and multidemensional concept. Therefore the patient's expression of pain have been referedl to the best believable indicator of pain condition but the support data obtained from the patient considered cultural difference is a deficient condition in determinded on the precise nursing diagnosis. The purpose of this reasearch was to understand multiple pain reponses in cultural difference and sensitivity, to encourage communication between medical teams, and to provide the foundation data of on data of precise nursing assessment for the patient in pain. The research problem was to grasp pain express pattern of Korean peptic ulcer patients. The subjects were 20 peptic ulcer patients in medical unit or OPD of twp university hospitals in Seoul. Data were collected from September 7th to 22nd, 1990 by intensive interviews. Interviews were done by the researcher and all were tape - recorded. The Data analysis was done by Phenomenological method from Van Kaam. Validity assured by confirmation of the internal consistency of the statements and catigory by nursing collegue in educational and clinicions in medical care. From the emic data, 96 descriptive statements were organized in 18 theme cluster. The results of study were summerized as follows. 1. Pain Express Pattern cluster of Peptic Ulcer Patients were “Pain as clogging”, “shallow pain”, “pain as pressing”, “nauseating pain”, “pain as smarting”, “pain as pulling”, “pain as pricking”, “pain as bursting”, “wrenching pain”, “excising pain”, “uncontrollable pain for mind and body”, “awakening pain”, “pain as hollowing” and the other cluster. As above mentioned, Pain Express Pattern of Peptic Ulcer Patient appeared diversely in verbal and they were propered to Korean culture. Therefore they will provide for the foundation data of precise nursing assessment.

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노인성치매(老人性痴呆)에 대(對)한 문헌적(文獻的) 고찰(考察) (The bibliographical study on the senile dementia)

  • 김현아;정지천;이원철
    • 대한한방내과학회지
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    • 제13권2호
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    • pp.57-69
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    • 1992
  • The study has been carried out to investigate of the senile dementia by referring to 35 literratures. The results were as follows ; 1. In oriental medical science, senile dementia is belong to the category of dullness(매病), insanity(癲狂證), weak(虛勞), amnesia(健忘), etc. 2. The cause of senile dementia summarize the phlegm preventid-heart hole(痰迷心竅), marrow lack(髓海不足), aged follow weaking of body and disfunction of the internal organs(年老體弱과 臟腑機能 失調), the bad blood with vatal block(氣滯血瘀), feeling inharmony, etc in the view of oriental medical science and make the vanishment of the cerebral atrophy and the cerebral cell but havn't indicated the remarkable cause in that of western medical science. The diseases with cause make a point of Alzheimer's dementia, frequent infarction dementia, etc and psychological and environmental factor too. The marrow lack is related to Alzheimer's dementia, the feeling inharmony, psychologic and environmental factor, the phlegm prevented-heart hole and bad blood with vatal block, frequent infarction dementia. 3. The senile dementia is related cleary to the function of the internal organs in oriental medical sciences respect Especially in relation to kidney and marrow, it is presented new cause view to solve the cure problem of western medical science is studying its cause only the anatomic pathology with cerebrum and is thinking to solve cure possibility. 4. The symptom of senile dementia is as follows. The obstacle of a aspect of the Language, Emotion, Behavior. mute, speech inversion, sometimes a laugh sometimes a cry, behavior strange, failure of memory etc. 5. The treatment of senile dementia is follows. The methodes of cure apply phlegm changed-mud(豁痰化濁), self-kidney and added marrow(補腎益髓), self-energy and nutritive blood(益氣補血), vital blood(祛瘀活血), peace of mind and relief(安神情志). The medicines of cure make the most of (sesimtang, jwagui-hwan, tonggwuhwalhuel tang) add and subtract, daeboweonjeon, guibitang, and so on.

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사상의학(四象醫學)에서 심리 치료를 활용하기 위한 방법론적 접근 (An Approach of How to Use Psychotherapy for Sasang Constitutional Medicine)

  • 이희승;박성식
    • 사상체질의학회지
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    • 제19권1호
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    • pp.127-136
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    • 2007
  • 1. Objectives It is necessary to find the psychological methods to treat not only physical but also mental problems. Because the Sasang Constitutional medicine is based on Mind-Body Medicine, so that the Nature and Emotion-Happiness, Anger, Sorrow, Pleasantness- have to be controlled properly. 2. Methods We analysed the characters of each constitutions, drama therapy and meditation and tried to find the suitable application of one for Sasangin. 3. Results and Conclusions Soeumin is feminine, easy to worry, pessimistic and non-active so they need to express their problems, be encouraged and participate to be one of a group having relationship with other people. Soyangin is out-going, easy to start, not enough to be aware of themselves so they need to relax, calm and try to have an insight into themselves. Taeumin is stable, easy to keep something so they need to communicate well with the exterior. Taeyangin is going forward, masculine and necessary to avoid being angry so they need to calm down and relax. Drama therapy is group work with actors, staffs and audiences so it is useful to express their negative feelings through motions, dances and sounds unless they talk. So it is supposed to be useful far Soeumin and Taeumin. And we can apply it to heal the Emotion because it is based on the relationship and the contact with other people. Meditation is helpful to not only concentrate, relax, have insight into themselves but also calm down anxiety, depression an anger. So it could be the best psychotherapy for Soyangin and Taeyangin. And we can apply it to reflect oneself alone to express their Nature adequately.

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불타(佛陀)의 출가아동관(出家兒童觀) - 원시경전(原始經典)을 중심(中心)으로 - (Buddha's View on Children in Priesthood)

  • 백경임
    • 아동학회지
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    • 제3권
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    • pp.115-126
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    • 1982
  • Nobody denies that to detect a view of children agreeable to us is one of our tasks. Studying the Early Buddhist Scriptures, for the purpose of finding and the view of children entered the priesthood of Buddhism rooted deeply in our culture, I can find out the following conclusions. 1. Buddha regards that adults and children are same in that both of them are equally able to attain Nirvana, and he recognizes the differences between adults and children appeared in body and mind in the process of spiritual discipline. 2. He consideres that parent's worldly love is needed to the children priests below the age of 12. 3. He called priests over the age of 12 to 20 children priests, and he said that they have to be under a certain guard in particular, because unlike adults they have a lot of problem in the discipline process. 4. In the view of human being's growth and development, it is assumed that the group of children priests played a part as a group of spiritual discipline for youths. 5. It's regarded that the group of children priests also had function as a group of child welfare of today. 6. In other side, we can see Buddha's strict view of education for children priests, that is, even though they were children they had to discipline themselves thoroughly according to the view of values of Buddhism as far as they are priests who entered the temple. 7. Even if they are children, only minimal living things are permitted to them, and an ascetic life is required to them. In modern sense, how can such views be accepted and used? I think, this is our new task deeply looked into again in the standpoint of education of whole man rooted in religions psychology.

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RELATIONAL CONTRACTING: THE WAY FORWARD OR JUST A BRAND NAME?

  • Fiona Y.K. Cheung;Steve Rowlinson
    • 국제학술발표논문집
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    • The 1th International Conference on Construction Engineering and Project Management
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    • pp.1013-1016
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    • 2005
  • Accounts of the development of a successful construction project often stress the importance of team relationship, project environment and senior management commitment. Numbers of studies carried out in the past decades indicate there needs to be a change of culture and attitude in the construction industry. In order for a turn around in the industry, relational contracting approaches have become more popular in recent years. However, not all relational contracting projects were successful. This paper details the fundamental principles of relational contracting. It further reports findings of a research currently taking place in Australia, how effective is relational contracting in practice. The problem addressed in this research is the implementation of relational contracting: • Throughout a range of projects • With a focus on client body staff The context within which the research was undertaken is: • Empowerment, regional development and promotion of a sustainable industry • The participating organisations have experience of partnering and alliancing • Success has been proven on large projects but performance is variable • Need has been identified to examine skill sets needed for successful partnering/alliancing The practical rationale behind this research is that: • Partnering and alliancing require a change of mind set - a culture change • The Client side must change along with contracting side • A fit is required between organisation structure and organisation culture Research Rationale: The rationale behind this project has been to conduct research within participating organisations, analyse, rationalise and generalise results and then move on to produce generic deliverables and "participating organisation specific" deliverables. This paper sets out the work so far, the links between the various elements and a plan for turning the research output into industry deliverables.

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한의학적(韓醫學的) 대상관(對象觀)의 특징과 성격 (The Characteristic and Implication of the View of Object in Oriental Medicine)

  • 이충열
    • 대한한의학회지
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    • 제16권1호통권29호
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    • pp.505-530
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    • 1995
  • Recently some people in learned circles of oriental medicine raised a Question about a terminological problem, i.e., 'oriental medical'. This question was thought as an attempt to find out the identity of oriental medicine which exists among the various current medical knowledge systems. In spite of same object, human body, there are diverse medical knowledge systems which has different concepts and theories. This come from the difference of a view of object which defines the experiences of that. The knowledge system of oriental medicine was established by the view of object in oriental medicine which depended on the way of thinking as Yin and Yang. The view of object in oriental medicine has come out in the special cultural soil, namely, the oriental world. Because of this the view of object in oriental medicine cannot be seperated from the oriental world view. What distintive feature does the oriental world view have? It can be summarized as the holistic, dynamical and organic ideas of the world. The term 'oriental medical' is being used to emphasize the characteristic and the peculiarity of the oriental medicine among the various medical knowledge systems. Can the current so called scientific method accept this peculiar and special method of oriental medicine? The efforts of philosophers who had been stimulated by the awful scientific achivements and had tried to find out the unified method penetrating through all the empirical science by mobilizing the logic and mathematics has became out of date for the raise of a question about the inductive method. On the contrary, the theses of theory-laden observation was accepted widely and the relativism was accepted as a new established theory. But the relativism has its own problem. The relativism was founded upon the concept, the incommensurability, which Khun and Feyerabend had proposed. This concept was criticized strongly by some of philosophers because of its own self-refuting. The view of object in oriental medicine has a relative characteristic in the aspect of its urge that in accordance with the perspective a different medical knowledge system can be possible. But our possible choice is the moderate conceptual relativism. Therefore if the view of object in oriental medicine includes the relative aspect, there is the 'conceptual relativity' between the knowledge system of oriental medicine and the western medicine. This preview an important aspect for the standardization and modernizing research of oriental medicine by lending the knowledge of the western medicine. And when we choose the moderate conceptual relativism, it means that we do not support the extreme relativism, that is, 'anything goes'. The concept of truth and rationality cannot be abandoned, and it plays the role of the norm on the knowledge system of oriental medicine and other knowledge systems of medicine in a limited meaning. And the view of object in oriental medicine has an organic view about the human body and the characteristic which wants to interpret the phenomena of human body by using the holistic method. But the availability of this method will be evaluated by the achievements of oriental medicine. Finally what relationship does the theory of oriental medicine have with the world the theory is applied to? It is recognized that the theory of oriental medicine has the instrumental characteristic. But it can be thought the instrumentalism is different from the oriental medical standpoint in the aspect that the instrumentalism seperates the theoretical existence from the observational existence sharply. Because in the oriental thinking way there is no seperation between the mind of observer and the object and no conflict between the idealism and the realism like the western world. For this problem there must be a further study.

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초등학교 고학년의 올바른 식생활 교육을 위한 활동중심의 영양교육 교재 및 영양교사용 지침서 개발 (Development of Nutrition Education Textbook and Teaching Manual in Elementary School)

  • 이경혜;허은실;우태정
    • 대한영양사협회학술지
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    • 제11권2호
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    • pp.205-215
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    • 2005
  • Health is easily overlooked because it doesn’t be changed good or bad due to sudden effort or indifference unexpectedly but kept in daily life. Especially, schoolchildren period, an important lifetime to develop both physically and mentally needs to be helpful to promote the growth of the body and keep well-balanced mind through balanced and nourishing diet. The purpose of this study was to develop nutrition education contents for discretional activities in elementary school. The present educational contents about food and nutrition was analysed in the curriculum of elementary school. The results showed the Korean language(20.8%) included an highest ratio in educational contents about food and nutrition, the next was the courses of physical education and wise life(18.1%, each). As the educational contents about food and nutrition in the textbook were dealt with food information (20.8%), Health․Disease(15.3%), and correct dietary habits by order. We could found more contents in the text for the higher classes than for the lower classes. But the most of the contents appeared lack of structure, profundity and continuity for the systematic nutrition education in its entirety. The developed nutrition education contents for discretional activities in this study consist of korean dinning cultures and foreign dinning cultures, correct dinning etiquette, how to choose healthy food, personal sanitary and health, nutrients and food tower, and problem for children’s nutrition as main subject. This six main subjects were composed of 23 subtitles. The teaching manual consisted of the educational goal, background, teaching plan and effect-evaluation plan, and the notice point for the effective lesson. The teaching plan was made for 30 hours and consisted of cooking course, singing/making lyrics, games in nutrition, debate on dietary habit, and role play etc which are oriented to practical learning. We intended to develop this program that attempts to improve in dietary habit of schoolchildren. It is because once formed an adults dietary habit is difficult to change. Schoolchildren’s period is the best adjustable stage. Therefore, nutrition education in elementary stage can change to dietary habit and build the awareness of health.

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신경정신학에 융복합되는 신경생물학적 접근법의 한계점: 발달성 협응장애와 두 시각 이론에 관한 종설 (Limitations of neurobiological approach convergent to neuropsychiatry: DCD and two visual systems theory)

  • 이영림
    • 디지털융복합연구
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    • 제13권6호
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    • pp.225-234
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    • 2015
  • 신경생물학 접근법은 정신학에서의 심신 이원론 문제를 해결하고 새로운 진단과 치료법을 발달시키는 데 도움을 주었다. 하지만 신경정신장애의 복합성 때문에 신경생물학의 신경해부학 부분을 너무 강조하는 것은 문제가 될 수 있다. 예를 들어, 발달성 협응장애 (DCD)는 일반적으로 움직임과 관련된 장애이지만 종종 지각과도 긴밀한 관계가 있다. 뇌의 기능적 분류에 입각한 두 시각 이론은 대뇌의 복측은 물체의 재인을, 배측은 움직임, 위치와 관련되어 있다고 주장한다. 하지만 물체의 지각은 시각적으로 유도되는 행동과 밀접한 관련이 있다. 이 논문에서는 두 시각 이론을 설명하는 기본적인 연구들을 검토하고, 이 이론에 대한 비판을 제시한다. 특히, 발달성 협응장애와 같은 운동뿐만 아니라 지각과 관련이 있는 신경정신장애에 구조적인 신경생물학 접근법을 적용하는 것의 한계점을 제시한다. 결론적으로, 현대의 신경정신분야에 융복합적으로 사용되는 신경생물학 접근법은 유용하지만, 신경구조적 분류에 너무 집중하면 한계점이 나타날 수 있다.

해롤드 핀터의 『길 떠나기 전 한잔』에 나타난 폭력과 윤리적 주체 (Violence and an Ethical Figure in Harold Pinter's One for the Road)

  • 이선현
    • 영미문화
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    • 제18권4호
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    • pp.103-137
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    • 2018
  • Harold Pinter's One for the Road(1984) is a play about violence. Nicholas, who appears to be the manager of a place, interrogates Victor, Nicky, and Victor's wife Gila in a room for one day from morning to night. There is no direct physical violence in this play. But hints about the atrocities that took place outside the stage make the audience guess the violence and cruelty. Violence, which is not seen as such, is the central theme of the play. One for the road is worth reading as a resistance to breaking the mirror of global ideology, not as it deals with violent events confined to Turkey. The problem which Pinter had in mind, in particular, is that the United States plays a leading role in producing world-class ideologies, and that Britain is involved in collusion with the United States in cultivating such ideological fantasies, both abroad and at home. This thesis analyzes the contrasting reactions of each character in the play based on this social context. In particular, the conflicting reactions of the characters on the system are the most important conflict in the drama. Nicolas is a manager who moves on the system without seeing the truth. Victor and his family, on the other hand, do not move within the same ideology as Nicholas. This paper will take a look at what their strategies of resistance is and how they are revealed in the work. In fact, Nicholas appears split. Nicholas seemingly reacted decisively to the interpellation of the system. He expresses his belief and respect for the legitimacy of his actions. However, he has repeatedly sought the respect and love of Victor. Nicholas is now swaying. The theme that Nicholas presents consciously by grabbing at his own sway is 'Patriotism.' But this fantasy splits through Victor's silence and death demands. Therefore, the questions to be answered are: So why does Nicolas appear to be torn apart in a system that directs violence? But why is he forced to assimilate into the system? What other figures imply? To answer these questions, this thesis will take Slavoj Zizek's view of ideology. On the other hand, there are previous studies that read the system of violence in One for the road from the Althusser's perspective. Surely, this play explores the role of Ideological State Apparatus. However, from the point of view of Althusser, it is not possible to read Nicholas's division and the point of resistance seen by Victor's family. Pinter does not limit the scope of the ideological system as a closed one that regenerates ideologies, but secures the domain of main body resistance and struggle. On the other hand, there are already several domestic theses that read Pinter's work in Zizek's perspective. But these theses are mainly focused on analysis of Mountain Language. What this thesis would suggest is that there is a potential for an ethical figure of Zizek to be considered in One for the Road.

노인의 사회적 입원으로 인한 요양병원에서의 삶의 변화 (Change of Life of the Older due to Social Admission in Long-Term Care Hospital)

  • 강군생;김정선
    • 한국노년학
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    • 제37권1호
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    • pp.103-123
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    • 2017
  • 본 연구의 목적은 노인이 사회적 입원으로 인해 요양병원에서 경험하는 삶의 변화 현상을 탐색하여 그 삶의 경험들 속에 내재되어 있는 본질적 의미와 구조를 파악하고자 하였다. 이에 따른 연구질문은 "요양병원에 입원한 노인의 사회적 입원으로 인한 삶의 변화의 의미와 본질은 무엇인가?"이다. 본 연구는 요양병원에 입원한 노인환자가 사회적 입원으로 인해 경험하게 되는 삶의 변화 현상과 그 의미의 본질을 밝히기 위해 현상학적 연구방법을 적용한 질적 연구이다. 본 연구 참여자는 A시와 B시에 있는 요양병원 입원 환자 중 65세 이상으로 연간 재원기간이 6개월 이상이고 인지기능의 장애가 없고 의사소통이 가능한자로 본 연구 참여에 동의한 노인 15명을 의도적 표집하였다. 자료수집은 개별적인 심층면담을 통해 2016년 4월부터 7월까지 실시하였으며, 자료분석은 Colaizzi(1978)의 현상학적 분석방법에 근거하였다. 본 연구에서 노인의 사회적 입원으로 인한 요양병원에서의 삶의 변화의 본질적 의미를 분석한 결과, 6개의 주제 모음과 19개의 주제가 도출되었다. 6개의 주제모음은 걱정거리가 해소됨, 새로운 관계형성, 환자인 듯 환자 같지 않은 병원생활, 심신이 편안해짐, 퇴원에 대한 두려움, 사회적 고립이었다. 이를 볼 때 요양병원에 사회적 입원을 한 노인의 삶은 의료적 욕구 해결보다는 그들이 안고 있는 사회적, 심리적 욕구 해소에 더 많은 의도를 가지고 입원 생활하는 현상을 나타냈다. 따라서 노인들이 주로 입원하고 있는 요양병원의 현실은 의료법에 근거한 요양병원과 노인장기요양보험법에 근거한 노인요양시설의 기능이 혼재되어 운영됨에 따라 고령사회를 앞둔 현 시점에서 이와 관련된 제도적 보완이나 정부의 지속적 모니터링과 함께 현실적인 문제해결을 위한 다각적인 대책마련이 필요함을 시사해 주었다.