• 제목/요약/키워드: psychotherapy

검색결과 476건 처리시간 0.024초

불안에 대한 한의정신요법과 중의정신요법의 비교고찰: 임상연구를 중심으로 (Comparison of Korean Medicine Psychotherapy and Traditional Chinese Medicine Psychotherapy for Anxiety: Focusing on Clinical Studies)

  • 이지원;황인준;박민령;권찬영
    • 동의신경정신과학회지
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    • 제33권3호
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    • pp.301-316
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    • 2022
  • Objectives: To compare Korean medicine (KM) and traditional Chinese medicine (TCM) psychotherapy for anxiety. Methods: Databases including MEDLINE (via PubMed), EMBASE (via Elsevier), Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, and Oriental Medicine Advanced Searching Integrated System were comprehensively searched. Prospective clinical studies on KM or TCM psychotherapy for patients with anxiety disorder or individuals with elevated anxiety levels published up to August 3, 2022 were reviewed. Psychotherapy was divided into counselling, art therapy, and meditation according to its characteristics. Results: A total of 12 clinical studies were reviewed, including nine randomized controlled trials. The most common disorder investigated was post-traumatic stress disorder. Ten studies used TCM psychotherapy and two used KM psychotherapy. As for differences between TCM psychotherapy and KM psychotherapy, TCM psychotherapy utilized pattern identification in the procedure more actively than KM psychotherapy. In addition, some TCM studies have attempted to directly converge Western psychotherapy (i.e., hypnosis) and Eastern psychotherapy (i.e., Taoin qigong therapy). In the case of KM psychotherapy, there was an attempt to incorporate psychotherapy with Sasang constitutional medicine. Reported effects of TCM psychotherapy and KM psychotherapy on anxiety were positive. Conclusions: Research status of KM psychotherapy and TCM psychotherapy for anxiety was investigated, revealing some of their characteristics, commonalities, and differences. Findings of this review have the potential to provide a clue to the development of conventional KM psychotherapy and new medical technology for KM psychotherapy.

정신요법(精神療法)에 대(對)한 동서의학적(東西醫學的) 고찰(考察) (The comparative study on the psychotherapy of oriental and occidental medicine)

  • 하수영;이상룡
    • 혜화의학회지
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    • 제8권2호
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    • pp.341-359
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    • 2000
  • The following result are obtained through that comparative study on the psychotherapy of oriental and occidental medicine. 1. The shamanism(祝由) and active emotion therapy(移精變氣療法) are a primitive form of psychotherapy. It is an opinion that between active emotion therapy(移精變氣療法) and psychoanalytic therapy or supportive psychotherapy are similar. Also, the basic cognition pattern of shamanism(祝由) is projection. 2. Taoism is inseparably related to the psychotherapy of korean oriental medicine, the major thought has become the ideal base of oriental psychotherapy. 3. According to study of clinical document in relation to oriental psychotherapy, psychotherapy had been widely used by medical cure. 4. The five emotion restraint therapy is a high level psychotherapy of oriental medicine. Oriental psychotherapy that disease caused by surprising must be cure by surprising is like to systematic desensitization in western, and that pseudopsychosis must be cure by patient rely on doctor is like to suggestive therapy in western. 5. There are psychotherapy in western that Supportive psychotherapy, Short-term dynamic psychotherapy, Psychoanalytic therapy, Group psychotherapy, Family therapy, Morita therapy, Hypnotherapy, Autogenic training, Behavioral therapy, Milieu therapy, Occupational therapy, Psychodrama, the others. I think that they have wide application to the psychotherapy of korean oriental medicine.

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정신치료와 신경생물학적 연구결과의 관계 (The Relationship between Psychotherapy and Neurobiological Findings)

  • 오현영;박용천
    • 생물정신의학
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    • 제19권1호
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    • pp.1-8
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    • 2012
  • The mechanism of psychotherapy is explained by the recent developments in neuroscience and neuroimaging. The purpose of this study is to understand the nature of psychotherapy and to discuss the future of psychotherapy improvement with the help of advances of the neurobiological findings in psychotherapy. For this study, we investigated a wide range of materials. We searched for various researches on psychotherapy, brain, and neurobiology. In addition to the conventional psychodynamic psychotherapy, we investigated research findings on cognitive behavioral therapy, interpersonal psychotherapy and eye movement desensitization and reprocessing (EMDR). Moreover, based on the actual experiences of treating patients, we speculated the neurobiological mechanisms of the process and results of psychotherapy. With the development of neuroscience, we are now able to understand the personal consciousness, unconsciousness and developmental process. Also subdividing the disease is made possible. Personalized treatment has become available, and we are able to predict the prognosis of patients. Our memories are composed by implicit memory and explicit memory. By psychotherapy, we can consciously remember explicit memory, and it becomes easier to explore implicit memory through free association. Through psychotherapy, we will also be able to learn the effect of acquired environment and experience. Psychotherapy is able to correct human behaviors by modifying the memories. Through the regulation of emotions, it becomes possible to modify the memories and correct the behaviors. In this process, doctor-patient relationship is the main factor which cause positive treatment effects. Furthermore imagination therapy or unconscious, non-verbal stimuli could bring about positive treatment effects. Now psychotherapy could be explained and studied by neuroscientific researches. In this sense, we could provide the direction of future advances in neuroscience by the neurobiological understanding of psychotherapy.

한방정신요법의 의안 분석 (Analysis of Medical Records of Korean Medicine based Psychotherapy)

  • 정선영;김재영;조명의;고영탁
    • 동의신경정신과학회지
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    • 제27권2호
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    • pp.43-55
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    • 2016
  • Objectives The aim of this systemic review was to summarize medical records of Korean medicine based psychotherapy and investigate its therapeutic mechanism.Methods We searched articles on Korean neuropsychiatry in Korean databases. Subsequently, we selected and analyzed medical records on Korean medicine based-psychotherapy that met inclusion criteria.Results Fifty-five medical records were included. They were classified into the following 5 categories. Five minds mutual restriction therapy in 19 medical records; counseling and persuading therapy in 12 medical records; moving essence and changing Qi therapy in 10 medical records; Kyungjapyungji psychotherapy in 2 medical records; and suggestion psychotherapy in 11 medical records.Conclusions The results indicated that emotion is mainly used for cure. Buddhism affects Korean medicine based psychotherapy. Korean medicine based psychotherapy corresponds to western psychotherapy such as short-term dynamic psychotherapy (STDP), supportive psychotherapy, cognitive therapy, behavior therapy, and guided imagery.

지언고론(至言高論)에 의한 한의학적(韓醫學的) 정신치료(精神治療)에 대(對)한 연구(硏究) (의안(醫案)을 중심으로) (A study of psychotherapy by means of oriental medicine though the Giungoroen(至言高論)-Focusing on Ancient clinical document)

  • 구병수;김근우
    • 동의신경정신과학회지
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    • 제12궈1호
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    • pp.29-45
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    • 2001
  • Objectives: In order to overcome psychotherapeutic problems though the theory of oriental medicine by means of the Giungoroen(至言高論-wise saying and lofty opinion). Methods: This research was done by comparing the contents of psychotherapeutic ancient clinical document with the western medical method of psychotherapy Results: 1. Inquire into the clinical document, the psychotherapy is used treatment of wide area disease inclusive of neuropsychiatric disease different from the western medicine. 2. Inquire into the method of psychotherapy, the supportive psychotherapy and behavior therapy is applied. 3. In case of psychotherapy and treatment of medicines is done at the same time, treatment of medicines followed psychotherapy. 4. A viewpoint of Yusic(唯識-vijnaptim-atra)-a field of Buddhism, possibility of psychotherapy is showed. 5. A doctor's oriental thought and oriental medical Preservation of Health view was based. 6. The change of patient's the emotion and will is focused than disease itself. Conclusion: When western medical method of psychotherapy is complemented by a oriental thought and oriental medical Preservation of Health view, the good effects is hoped in psychotherapy.

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한방정신요법과 서구 정신요법의 비교연구 (A Comparative Study on the Psychotherapies between Western and Oriental Medicine)

  • 이승기
    • 동의신경정신과학회지
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    • 제21권1호
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    • pp.145-157
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    • 2010
  • Objectives: Oriental psychotherapy and western psychotherapy in Korea were investigated in order to develop a new oriental psychotherapeutic model for modern Korean. Methods: Oriental psychotherapy and Western psychotherapy were compared and investigated in some viewpoints such as cognition, behaviour, emotion and ultimate purposes for the therapies. Cultural differences are examined, too. Results: There are clear differences between two psychotherapies. It seems that cognition is more important than behaviour or emotion in western psychotherapy. On the other hand, emotion is more important than cognition or behaviour in oriental psychotherapy. Ultimate purposes for the therapies are also different because of cultural differences. Conclusions: New oriental psychotherapeutic model considering cultural differences and merits of two therapies is needed.

한방정신요법 및 치매 검사의 현황, 수가 적절성 연구 (The Current Status and Medical Fee Propriety of Psychotherapy and Neuropsychological Test for Dementia in Korean Medicine)

  • 장재순;황의완;조성훈
    • 동의신경정신과학회지
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    • 제25권4호
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    • pp.411-422
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    • 2014
  • Objectives: A large number of patients require psychiatric therapy. We attempted to determine the present situation regarding psychotherapy and neuropsychological tests for dementia in Korean medicine for the benefit of the Health Insurance Review and Assessment Service (HIRAS). The aim of this study was to aware of the current status about psychotherapy and neuropsychological test for dementia in Korean medicine. Methods: We searched the medical practice records for psychotherapy and neuropsychological tests in oriental neuropsychiatry between 2009 and 2013 using the Health Insurance Review and Assessment Service (HIRAS) database. The search categories were: IJeongByunGi (Medical practice code:59001), JiUnGoRoen (59002), Kyungjapyungji (59003), OhJiSangSeung (59004), neuropsychological test for dementia (29005). Results: 1. The number of patients treated with Korean Medical Psychotherapy increased annually by 151%. The total number of patients treated with Korean Medical Psychotherapy was 4,289 in 2013. 2. The total cost for patients treated with Korean medical Psychotherapy in the public health medical insurance budget was 268,032,000 won in 2013. The average medical cost for one therapy was 17,000 won in 2013. 3. The number of patients in local clinics is increasing faster than the number in Korean medical hospitals. 4. The age group between 20~30 years of age, for both men and women, is the group with the greatest density in Korean Medical Psychotherapy. 5. Neuropsychological Testing for Dementia in Korean Medicine is slowly decreasing. Conclusions: The prevalence of mental illness in Korea is increasing, therefore, the demand for Korean Medical Psychotherapy has increased recently. Authorizing Korean Medical psychiatrists to utilize Korean mental Health resources is essential. This study could be helpful in understanding the current status for the purpose of expanding Korean Medical Psychotherapy.

한방정신요법의 연구현황 (Research Status on Psychotherapy in Korean Medicine)

  • 서주희;유춘길;조아람;이고은;유영수;강형원
    • 동의신경정신과학회지
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    • 제24권spc1호
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    • pp.63-88
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    • 2013
  • Objectives : We attempt to find out the present situation of a study regarding psychotherapy in Korean medicine through research journals in the JON (The Journal of Oriental Neuropsychiatry). Methods : We searched and read every JON from 1990 to 2012 and selected articles relating to Psychotherapy. We then analyzed the data and divided them into 3 categories: literature study, case studies and clinical trials. Results : 1) We found 16 literature articles, in which 6 compared Korean psychotherapy with that of the Western, 4 reinterpreted it focusing on traditional cases in Korean psychotherapy, 3 articles were on Qigong, 1 article was on Buddhism and another on Tao, and 1 article was with regards to dreams. 2) There were a total of 26 case reports about Korean psychotherapy. Among them, JiUnGoRoen had the most at 12; somatoform disorder was the most target disease in 9. 3) There were a total of 13 clinical trials on Korean psychotherapy. There were 4 trials on meditation, 6 on Qigong, each 1 of each for EFT, suggestion and autogenic relaxation. Conclusions : In spite of many resources in Korean psychotherapy, it was limited because it was not able to systematize clinically. Hence, we need to hand down and systematize Korean psychotherapy further.

우울장애가 있는 독거노인에 대한 긍정심리 집단치료의 효과 (Effect of Group Positive Psychotherapy on the Elderly Living Alone with Depressive Disorder)

  • 이승원;하주원;김현수;이지희;이주영;이정애;오강섭
    • 대한불안의학회지
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    • 제11권1호
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    • pp.69-74
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    • 2015
  • Objective : Positive psychotherapy is based on the premise that positive thoughts and satisfaction with life are determinants for improving the symptoms of depressive disorder. This article highlights the effectiveness of group positive psychotherapy on the elderly living alone with depressive disorder in Korea. Methods : A total of 25 Korean elderly living alone with depressive disorder participated in group positive psychotherapy. The participants completed the Hamilton rating scale for depression (HAMD) and the Positive Thinking Questionnaire (PTQ) before and after the group positive psychotherapy. Results : The HAMD and PTQ scores of the participants after the group positive psychotherapy were higher than before the psychotherapy. A correlation between the age of patients and improvement of symptoms after group positive psychotherapy was found : the older the patients were, the better the improvements were. Conclusion : The study shows that group positive psychotherapy in the elderly living alone is effective in improving the symptoms of depressive disorder. The participant's age was found to be a factor that affects the improvement of depressive disorder symptoms.

실직 노숙자 자아정체감 회복을 위한 집단정신치료 (The Effects of Group Psychotherapy on Recovery of Self-identification with the Unemployed Homeless)

  • 이정숙;김윤희
    • 한국생활과학회지
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    • 제10권3호
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    • pp.237-251
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    • 2001
  • The purpose of this study was to verify the effects of group psychotherapy on recovery of self-identification with the unemployed homeless. To this end, 28 attending welfare-centers in Seoul area were sampled to be subject to 12 rounds of group psychotherapy for 6 weeks. In order to determine the effects the, test, preliminary test and post-program test were conducted. Every round of the program activities were video-taped, while being observed. The results of this study were as follows. First, the group psychotherapy influenced positive effect. Especially, the unemployed homeless had a opportunity of self-comprehension, self-insight, catharsis, etc. Second, during group psychotherapy, individual characteristics of the unemployed homeless were determined. Third, during group psychotherapy, the unemployed homeless complained about family problem, health, alcoholism, etc.

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