• Title/Summary/Keyword: psychological abuse

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Complex Trauma and Disorder of Extreme Stress(DESNOS) (복합외상과 극단적 스트레스 장애)

  • Park, Seon-Cheol;Kim, Seok-Hyeon
    • Anxiety and mood
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    • v.5 no.2
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    • pp.80-88
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    • 2009
  • Disorder of Extreme Stress, Not Otherwise Specified (DESNOS) is the proposed diagnosis that meets the severe, complex, and prolonged psychological sequela of victims with chronic traumatization (e.g., family violence, incest, and childhood sexual or physical abuse). The hallmarks of DESNOS are a multiplicity of symptoms (e.g., somatization, dissociation, and depression), pathological changes in relationships, identity disturbances, and a propensity to experience repeated harm and injury at the hands of oneself and others. DESNOS can be directly assessed by Structured Interview of Disorder of Extreme Stress (SIDES) and Self- Report Inventory of Disorder of Extreme Stress (SIDES-SR). The treatment of DESNOS should be phaseoriented and involve movement back and forth among three basic stages : 1) stabilization ; 2) trauma processing ; 3) reintegration.

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Limonene Inhibits Methamphetamine-Induced Sensitizations via the Regulation of Dopamine Receptor Supersensitivity

  • Gu, Sun Mi;Kim, Sung Yeon;Lamichhane, Santosh;Hong, Jin Tae;Yun, Jaesuk
    • Biomolecules & Therapeutics
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    • v.27 no.4
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    • pp.357-362
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    • 2019
  • Limonene is a cyclic terpene found in citrus essential oils and inhibits methamphetamine- induced locomotor activity. Drug dependence is a severe neuropsychiatric condition that depends in part on changes in neurotransmission and neuroadaptation, induced by exposure to recreational drugs such as morphine and methamphetamine. In this study, we investigated the effects of limonene on the psychological dependence induced by drug abuse. The development of sensitization, dopamine receptor supersensitivity, and conditioned place preferences in rats was measured following administration of limonene (10 or 20 mg/kg) and methamphetamine (1 mg/kg) for 4 days. Limonene inhibits methamphetamine- induced sensitization to locomotor activity. Expression of dopamine receptor supersensitivity induced by apomorphine, a dopamine receptor agonist, was significantly reduced in limonenepretreated rats. However, there was no significant difference in methamphetamine-induced conditioned place preferences between the limonene and control groups. These results suggest that limonene may ameliorate drug addiction-related behaviors by regulating postsynaptic dopamine receptor supersensitivity.

A Study on the Expression of Social Agenda through the Analysis of Symbolism and Meaning of Formative - Focused on the Animation (조형의 상징성과 의미 분석을 통한 사회 의제 표현 연구 - 애니메이션 <윌러비 가족>을 중심으로)

  • Kim, Ye-Eun;Lee, Tae-Hoon
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.607-615
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    • 2022
  • Animation is a popular art in the form of enlightenment that intimately approaches people of various ages and makes them reconsider the social problems they have ignored. Therefore, this paper analyzes how the character setting and formative symbolism in "The Willoughbys" raise awareness of social agendas. The previous studies found that the modern society needs to be aware of child abuse and various types of family, and examined that color and formativeness of animation induce psychological and behavior change from the audience. The work shows emotional abuse and neglect as characters, and presents the subdivided form of the family. The rainbow symbolizes diverse family members. The agents with visual characteristics express the modern principle-based secondary perpetrator along with apathetic neighbors to urge a change in audience perception. This paper insists the value of animation when it is essential to raise public awareness prior to the construction of a welfare society and support system.

Psychiatric Treatment of Chronic Pain Disorder (만성 통증장애의 정신과적 치료)

  • Rho, Seung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.256-262
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    • 1999
  • Because chronic pain disorder may has multiple causes or contributing factors, including physical, psychological, and socio-environmental variables, the treatment of patients with the disorder requires biopsychosocial approaches in a multidisciplinary setting. In treating chronic pain, it is important to address functioning as well as pain, and treatment should be to increase functional capacity and manage the pain as opposed to curing it. Therefore treatment goal should be adaptation to pain or minimizing pain with corresponding greater functioning. Treatment begins with the initial assessment, which includes evaluation of psychophysiologic mechanisms, operant mechanisms, and overt psychiatric comorbidity. Psychiatric treatment of the patients requires adherence to sound pharmacologic and behavioral principles. There are four categories of drugs useful to psychiatrist in the management of chronic pain patients : 1) narcotic analgesics, 2) nonsteroidal antiinflammatory drugs, 3) psychotropic medications, and 4) anticonvulsants, but antidepressants are the most valuable drugs in pharmnacotherpy for them. Psychological treatments tend to emphasize behavioral and cognitive-behavioral modalities, which are divided into self-management techniques and operant techniques. Psychodynamic and insight-oriented therapies are indicated to some patients with long-standing interpersonal dysfunction or a history of childhood abuse.

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The Effects of Consultation Program upon the Mental Health of Female Victims of Domestic Violence and Psychological·Social Factors (상담프로그램이 가정폭력 피해 여성의 정신건강과 심리·사회적 요인에 미치는 효과분석)

  • Yu, Hae-Sun;Byun, Sang-Hae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.4
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    • pp.2511-2519
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    • 2015
  • This research was executed to develop a consultation program for female victims of domestic violence in the past and appraise its effectiveness. For the research, we selected 30 persons for an experimental group and a control group respectively, and practiced frequency analysis, reliability analysis, homogeneity check and T-test of independent sample by using SPSS 20.0 for Windows. The result of analysis is as follows. First, it was probed that the consultation program had the effect to improve the self-esteem of female victims of domestic violence, and reduce depression levels and anxiety. Second, it appeared that consultation program improved the psychological and social adaptation of female victims of domestic violence positively and cast an affirmative effect on the satisfaction of communication of subdivision and conflict-coping method. Therefore, it app[eared that this program had a close relation with the attitude etc. to solve the issues of interpersonal relations and communication of female victims of domestic violence. That is, it was verified that the program had the effect in that they escaped from the sequela of abuse and adapted themselves to mental society.

Characteristics of Impulsive and Premeditated Aggression Subtypes in Patients with Schizophrenia in South Korea Who Committed a Crime (범죄로 수감중인 국내 조현병 환자의 충동적 공격성과 계획적 공격성의 특성 비교)

  • Kim, Minah;Jo, Yongwoo;Lee, Tae Young;Lim, Kyung-Ok;Kwon, Jun Soo
    • Korean Journal of Schizophrenia Research
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    • v.24 no.1
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    • pp.8-16
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    • 2021
  • Objectives: Although the characteristics of different aggression subtypes provide important information in establishing treatment and prevention strategies in schizophrenia patients, limited information is available about the characteristics of the aggressive subtype in schizophrenia patients in South Korea. The present study was designed to compare the demographic and psychological characteristics across the impulsive and premeditated aggression subtypes in schizophrenia patients in South Korea who had committed a crime. Methods: We enrolled 116 schizophrenia spectrum disorder patients who were admitted to the National Forensic Psychiatric Hospital. Using the criminal and interview records, the study subjects were divided into 83 impulsive and 33 premeditated aggression groups. The subjects' demographic and psychological characteristics were summarized and compared across aggression subtypes. Results: Compared to the premeditated aggression group, the impulsive aggression group had a higher intelligent quotient and a lower rate of physical and sexual abuse experience. Conclusion: To our knowledge, this is the first study to describe the characteristics of aggression subtypes in schizophrenia patients in South Korea who had committed a crime. Our results suggest that different treatment and prevention strategies should be considered for each aggression subtype.

Mental Health Issues in Solid-Organ Transplant Recipients; Pre-, Peri-, and Post-Transplant Phases (고형장기이식 환자의 정신건강: 이식의 시기별 이슈)

  • Yeonjin Jung;Jee In Kang
    • Anxiety and mood
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    • v.19 no.2
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    • pp.37-47
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    • 2023
  • This review article explores the psychological characteristics, comorbid mental disorders, and psychosocial assessments throughout the solid organ transplant journey, spanning the pre-transplant, peri-transplant, and post-transplant phases for transplant recipients. The psychological burden and anxiety in the pre-transplant phase are high for organ failure patients with complex physical difficulties who are deciding to undergo transplantation and are on the waiting list. The pre-transplant psychosocial evaluation covers various aspects, including the patient's readiness, awareness of, and commitment to transplant treatment, medical compliance, psychopathological conditions such as cognitive function and personality disorders, lifestyle factors, including substance abuse, as well as various psychosocial factors like social support. During the peri-transplant phase, mental health problems such as postoperative delirium should be carefully recognized and addressed. After transplantation, it is essential to assist patients in coping with the various stressful experiences they encounter, manage psychiatric symptoms such as depression, anxiety, and insomnia, and improve treatment adherence and quality of life during long-term care for the transplanted organ. Managing psychiatric problems in post-transplant patients requires a deep understanding of immunosuppressant medications and a keen awareness of associated risks, including adverse effects and potential drug interactions. This comprehensive review emphasizes the significance of proactive mental health care and psychosocial evaluation, highlighting the necessity of a multidisciplinary approach to enhance the quality of life and overall success of transplant patients throughout all phases of transplantation.

A Study on the Relationship Dynamics of Perpetration and Victimization in Early Adult Couples according to the Types of Dynamics in Dating Violence (성인 초기 커플의 데이트폭력 유형에 따른 가해와 피해에 대한 관계 역동 연구)

  • Kyung Eun Park
    • Korean Journal of Culture and Social Issue
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    • v.29 no.4
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    • pp.497-536
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    • 2023
  • This study was conducted with the purpose of exploring the relationship dynamics of couples who experienced dating violence. For this purpose, interviews were conducted with 15 couples who experienced dating violence. The collected data was analyzed using the consensual qualitative research(CQR) method. As a result, 3 domains, 13 categories, and 30 subcategories were derived. Domain 1 was about "the direction of the dynamics of perpetration and victimization, types of violence, and experience level," and found that the dynamics of perpetration and victimization are bidirectional, and that there are situational and controlling types of violence. For domain 2, we explored "major conflict themes, unique perceptions, and psychological dynamics of violence" and identified "other and communication issues" and "interference and personality issues" as major conflict themes, "gender stereotypes" and "violence permissive beliefs" as unique perceptions, and "attribution styles," "major emotions," and "coping styles" as psychological dynamics of violence. For domain 3, we looked into the 'changes in commitment and satisfaction as well as relationship maintenance factors' and presented changes in commitment and satisfaction, and found that the relationship maintenance factors were divided into positive and negative factors. These results are significant in that dating violence consists of mutual abuse and that it empirically revealed the detailed elements of the psychological dynamics of male and female. This was compared and analyzed with previous studies, and limitations and future research were also presented.

FAMILY DYNAMICS OF INCEST PERCEIVED BY ADOLESECENTS (청소년이 지각한 근친상간의 가족역동)

  • Kim, Hun-Soo;Shin, Hwa-Sik
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.6 no.1
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    • pp.56-64
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    • 1995
  • Family is a primary unit of the major socialization processing for children. Parents among the family members are one of the most important figures from whom the child and adolescent acquire a wide variety of behavior patterns, attitudes, values and norms. An organization of family members product family structural functioning. Abnormal family structure is one of the most important reference models in the learning of antisocial patterns of behavior. Therefore incest and child sexual abuse including spouse abuse, elderly abuse, and neglect occurs in the abnormal family structural setting. In particular, incest, a specific form of sexual abuse, was once thought to be a phenomenon of great rarity, but our clinical experiences, especially over the past decade, have made us aware that incest and child sexual abuse is not rare case and on the increasing trend. Therefore, the aim of this study was to determine the family problem and dynamics of incest family, and character pattern of post-incest adolescent victim in Korea. A total of 1,838 adolescents from middle and high school(1,237) and juvenile correctional institute(601) were studied, sampled from Korean student population and adolescent delinquent population confined in juvenile correctional institutes, using proportional stratified random sampling method. The subjects' ages ranged from 12 to 21 years. Data were collected through questionnaire survey. Data analysis was done by IBM PC of Behavior Science Center at the Korea university, using SAS program. Statistical methods employed were Chi-square, principal component analysis and t-test etc. The results of this study were as follows ; 1) Of 1,071 subjects, 40(3.7%) reported incest experiences(sibling incest : 1.6% ; another type of incest : 2.1%) in their family setting. 2) The character pattern of post-incest adolescent victim was more socially maladjusted, immature, impulsive, rigid, anxious and dependent than non-incest adolescent. Also they showed some problem in academic performance and their assertiveness. 3) The other family members of incest family revealed more psychological and behavioral problem such as depression, alcoholism, psychotic disorder and criminal act than the non-incest family, even though there is no evidence of the context between them. 4) The family dynamics of incest family tended to be dysfunctional trend, as compared with non-incest family. It showed that the psychological instability of family member, parental rejection toward their children, coldness and indifference among family member and marital discordance between the parents had significant correlation with incest.

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Study of Emotional Behavior Development of Children (아동의 정서.행동발달에 관한 연구)

  • Park, Kyung-Min;Yang, Yun-Kyoung;Jang, Soon-Yang
    • Journal of the Korean Society of School Health
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    • v.23 no.2
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    • pp.256-265
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    • 2010
  • Purpose: The purpose of this study was to identify the psychological problems of the children in early stage and provide basic data for develop the children's mental health promotion programs. Methods: There were 270 subjects who were fist and forth grade of elementary school and the data was collected through their parents. This study use Child Problem-Behavior Screening Questionnaire that was divided into five sub-scales, including internal problems, external problems, cognitive problems, abuse problems and psychosomatic problems. Each sub-scales have one cutting points, children whose scores above the cutting points means abnormal in correspond subscale. Results: 1) The most appearing problems was psychosomatic problems with 10.8% of subjects and next internal problems with 8.6% of subjects in elementary school student. 2) For distribution of mental behavior development according to gender, there was significant difference in psychosomatic problems between male and female (p =.009). 3) For distribution of mental behavior development according to grade, the results showed that significant difference in internal problems (p =.000) and total scores of CPSQ (p =.012) between first grade and forth grade. Conclusion: When we develop children's mental health promotion program, it is necessary to considerate the gender and grade characteristics.