• Title/Summary/Keyword: psychogenic

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The blindness of Sim Bongsa and the conversion disorder (심봉사의 안맹과 전환 장애)

  • Yoon, In-Sun
    • Journal of the Korea Convergence Society
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    • v.8 no.4
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    • pp.287-295
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    • 2017
  • The purpose of this study is to find the characteristics of the blindness of Sim Bongsa, Sim Cheong's father, in Sim Cheong Jeon (the story of Sim Cheong). This is one of the representative works about the filial piety in Korea. This article regards the story as the process of restoring the sight of the father and tries to examine the cause and the timing of his blindness to make its diagnosis in the psychoanalytic perspective. The predominant characteristics of Sim Bongsa were very dependent and irresponsible. He was so unqualified to be a head of a family. He sought to close his eyes toward reality in his unconsciousness. His blindness can be diagnosed as a case of psychogenic hysteria, conversion disorder. The fact that he suddenly could see when the empress turned out to be his own daughter, Cheong, can be a meaningful proof for this diagnosis. It means that his symptom of blindness disappeared when he realized a new reality which ensures a comfortable and easy-going life for himself.

Chronic Pain Control of SCI Patients after Cervical Epidural Block -Case report on 2 cases- (경부 경막외 차단에 의한 척수손상 환자의 만성 통증 조절 -2예 보고-)

  • Lee, Ji-Young;Sung, Choon-Ho
    • The Korean Journal of Pain
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    • v.5 no.2
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    • pp.273-278
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    • 1992
  • With the medical progress that has given spinal cord injured(SCI) individuals greater longevity and better overall health, chronic pain is emerged as major challenge in treating this population. According to past reports, estimates of prevalance of severe/disabling chronic pain in SCI patients have ranged from 18% to 63%. In etiologies of chronic pain in SCI patients, psychic or psychogenic pain categories should be included and more recent data have demonstrated that the persistant pain is directly related to higher levels of psychosocial distress and impairment. Recently, neurophysiological classification of the SCI pain syndrome into three etiologic groups(a; mechanical pain, b; radicular pain, c; deafferentation pain) is more frequently adopted for the classification of chronic SCI pain syndrome. The deafferentation pain is most common of the pain syndromes associated with SCI. After cervical epidural anesthesia for the surgical intervention of decubitus ulcer on the hip of two SCI patients, there were much reduction of existing chronic deafferentation character pain.

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Globus Pharyngeus : The Psychiatric Perspective (인후두 이물감의 정신과적 접근)

  • Joo, Young-Hoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.27 no.2
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    • pp.84-86
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    • 2016
  • Globus pharyngeus or globus sensation is the painless sensation of a lump in the throat and may be described as a foreign body sensation, a tightening or choking feeling. It is often associated with persistent clearing of the throat, chronic cough, hoarseness, and catarrh. Its etiology remains unclear ; however, laryngopharyngeal reflux may play a role in a subset of patients. Psychogenic problems have often been thought to cause or trigger the globus sensation. Personality studies have found higher levels of alexithymia, neuroticism, and psychological distress (including anxiety, low mood, and somatic concerns) and lower levels of extraversion in patients presenting with globus. Globus patients with laryngopharyngeal reflux exhibited weaker psychological symptoms than non- laryngopharyngeal reflux globus patients, and globus patients who did not respond to proton pump inhibitor had significantly higher anxiety scores. In cases with negative clinical investigations and consistent globus symptom, other treatment strategies, including speech therapy, antidepressants, and cognitive-behavioral therapy, should be considered.

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Movement Disorders that Psychiatrists Should Know (정신과의사가 알아야할 운동장애)

  • Cheon, Jin Sook
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.99-105
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    • 2013
  • The movement disorders in psychiatry have been neglected, though it is an important psychiatric dimension to exert unfavorable influence on patients'quality of life. The etiologies of movement disorders in psychiatry can be classified as primary neurological disorders, psychiatric comorbidities of neurological disorders, manifestations of primary psychiatric disorders, drug-induced movement disorders and psychogenic movement disorders. For the rapid and proper treatment for movement symptoms and signs easily observed from psychiatric patients, psychiatrists' ability toward precise disgnosis and differential diagnosis of movement disorders should be preceded.

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A Clinical Report of Flutter of Palpebranum;part of Tourette's Disorder (안검도동(眼瞼跳動)의 치험예)

  • Lyu, Heui-Yeong;Heo, Eun-Jung;Jeon, Seong-Ha
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.2
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    • pp.231-239
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    • 2008
  • Although most of flutter of palpebranum (part of Tourette's disorder) was though to be functional and psychogenic emotional disorder, author has understood that it was organic disease due to abnormal interaction of Heart Gall bladder according to many clinical experience. The confirmation was accomplished by four examinations, pulse, meridian and it was supplemented by ECG because it was surely to correlate with the wave of ECG. The treatment was done medically by prescirbing mainly O pe san, samsoyeum, zagumhuan and good result was obtained.

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Controversies in Management of Functional Dysphonia (기능성 음성 장애 치료의 고려사항)

  • Kim, Han Su
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.25 no.2
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    • pp.86-89
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    • 2014
  • Functional dysphonia (FD) is a voice disorder in the absence of structural or neurologic laryngeal pathology. FD is not a single disease but a disease entity. Therefore several voice disorders, which have completely different pathogenesis, are included in this category. The first step of treatment of FD is differentiating patient's voice symptoms from other organic voice disorders and other functional voice problems. Several different treatment modalities are included in the managements of FD. Voice therapy is in charge of the main role in treatment of FD. Medical treatment is also necessary when patient has general problems which would affect voice production. Vocal folds mucosal lesions can cause FD even the lesion is minor. In this case proper surgical intervention helps to improve the symptom of FD. Psychiatric consultation should be considered when the patient has psychological problems.

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A Clinical Study about Psychogenic Gait Disturbance of the Patient Who Operated THRA(Total Hip Replacement Arthroplasty) after Falling on her Buttocks (인공 고관절 전치환술 환자의 낙상 이후 발생된 심인성 보행불리 1례)

  • Bae, Hyo-Sang;Cho, Sung-Kyoo
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.2
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    • pp.115-120
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    • 2005
  • l. Objectives To analyse gait disturbance of patient who was operated Total Hip Replacement Arthroplasty(THRA). 'This study is reported to emphasize on psychological stability and balance of vital dynamics. 2. Methods This patient was treated by the remedy of Soyangin, who was diagnosed as Soyangin. We used visual analogue scale(V AS) for the assessment of Rt. femoral pain. 3. Results The patients operated THRA are needed not only rehabilitation of gait, but also psychological stability and balance of vital dynamics. 4. Conclusions We suggest that patients operated THRA are needed not only rehabilitation of gait, but also psychological stability and balance of vital dynamics.

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Exploring the Nature of Hwa-Byung Using Pragmatics (‘화병’ 개념에 관한 화용론적 고찰)

  • 김순용;이초식
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.104-112
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    • 2003
  • Purpose: While most psychiatrists diagnose Hwa-Byung as a chronic psychogenic disorder associated with familial, financial and personality, the purpose of study was to shed light on the nature of Hwa-Byung through pragmatics. Hwa-Byung is characterized as ‘Hwa’ which means fire ‘Byung’ which means disease. This condition cannot be empirically experienced, rather it is represented by suffering internally (in the mind). It also could find an aspect of somatization, and self-diagnosing. Method: As patients themselves diagnose Hwa-Byung, pragmatical approach was taken to analyze the context of the learning through their communication with others. The case examples resulted from in-depth telephone counseling with a client who is housewife with Hwa-Byung over a period of time at the Women's Hot Line. Result: The study showed that the client experienced continuous improper attacks by her husband. She expressed improperness by applying her personal emotions to social-justice reasoning. Conclusion: ‘Hwa’ means lack of mutual intimacy in this research. By expressing this ‘Hwa’, the client would like to recover mutual intimacy with her husband.

Erection Penogram with Papaverine and 99m Tc-HSA (파파베린과 테크니시움을 이용한 음경발기촬영술)

  • Choi, Hyung-Ki;Chung, Byung-Ha
    • Clinical and Experimental Reproductive Medicine
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    • v.13 no.2
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    • pp.181-185
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    • 1986
  • To estimate the penile blood flow changes during artificial with erection intracorporeal papaverine injection, we injected 99 m Technitium-Human Serum Albumin via antecubital vein simultaneously and calculate the radioisotope activity of the penis using computerized Gamma Camera. We classified the results into 3 groups according to the transit time, erection persistent time and venous index in 67 impotence patients. We defined the arteriogenic impotence with the delayed transit time (more than 600 seconds) in 13 patients and venogenic with the shortened erection persistant time (less than 200 seconds) and decreased venous index (less than 0.8) in 11 patients. The rest of them (43 patients) were regarded as equivocal impotence, probably nonvasculogenic or psychogenic.

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Psychological and Behavioral Factors Associated with Cardiovascular Disease - Stress and Personality - (심혈관 질환과 관련된 심리적인 요인과 행동적 요인 - 스트레스와 성격을 중심으로 -)

  • Han, Chang-Hwan
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.2
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    • pp.174-184
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    • 1995
  • The author conducted a literature review to better characterize the current state of knowledge regardeding the relationship between psychological and behavioral factors and cardiovascular disease. This review focus on several Problems : hypertension, coronary artery disease such as myocardial infarction and angina pectoris, sudden death, arrhythmia, vasomotor(vasodepressor) syncope, and psychogenic cardiac nondisease. We describe model for understanding the relationship of psychological factors to the disease, review the results of relevant research studies and provide recommendation for further research.

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