• Title/Summary/Keyword: psychotherapy

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Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators

  • Wachter, Tanja;Frari, Barbara Del;Edlinger, Michael;Morandi, Evi Maria;Mayerl, Christina;Verstappen, Ralph;Celep, Emre;Djedovic, Gabriel;Kinzl, Johann;Schwabegger, Anton Herbert;Wolfram, Dolores
    • Archives of Plastic Surgery
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    • v.47 no.2
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    • pp.126-134
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    • 2020
  • Background Pectus excavatum is less common in females than in males, and it often aggravates a coexistent breast asymmetry. We conducted a study comparing female patients' versus medical professionals' evaluation of pectus excavatum repair to assess differences in aesthetic outcome ratings. Moreover, we evaluated the influence of surgical correction on patients' self-perception. Methods Of 30 female patients who were initially screened, 18 patients (mean age, 20 years) who underwent bar removal after surgical correction of pectus excavatum deformity participated in the survey (60%). They completed a questionnaire rating their appearance before and after surgery and responded to a psychological questionnaire about the changes that they had experienced. The mean interval between pectus bar removal and evaluation was 28 months. Standardized preoperative and postoperative patient photographs were evaluated using the same questionnaire by a panel of medical professionals and students (n=24) and the results were compared. Results Patients rated their preoperative deformity as more severe than the other evaluators, revealing the significant impact of the deformity on patients' self-perception. Postoperatively, patient and professional evaluations were much better than before and were very similar. The psychological evaluation showed a clear improvement in well-being. The ratings of the medical professionals were not influenced by their degree of medical education. Conclusions Surgical correction of pectus excavatum in female patients positively influences body perception and psychological well-being. It should therefore not be considered as a merely aesthetic correction, but as an important procedure to restore a patient's self-perception.

Music Choices of GIM(Guided Imagery and Music) Therapist in GIM: Narrative Literature Review (GIM(Guided Imagery and Music)에서 GIM 치료사의 음악 선택에 관한 내러티브 문헌 고찰)

  • Kim, Young Shil
    • Journal of Music and Human Behavior
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    • v.11 no.1
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    • pp.39-62
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    • 2014
  • The purpose of this research was to review the music choices of GIM therapists in GIM. Seven databases and nine music therapy journals were searched with keywords such as "Guided Imagery and Music", "GIM", "Helen Bonny", "Bonny method", "Music and Imagery" and "BMGIM" between 1964 to 2013. Every abstract was confirmed to see whether it meets this research topic. 12 of 126 articles that described the reasons for music choices were selected. It is the result of narrative literature review that GIM therapists chose music to match clients' qualities of moods, emotions, feelings related with issues and clients' themes in therapy. In 5 articles among the 12 articles, authors chose music with considering music elements analytically to match clients' states. Reasonable explanations for music choice were reviewed in these 5 articles. There were limitations to obtain common facts between articles because most of 126 articles were case studies which described from therapists's point of view in a qualitative way. A more fundamental research is required to obtain rationales of music choices in GIM as a music-centered music psychotherapy for the further research.

Experience with the Application of Magnetic Resonance Diagnostic $Analyser^{(R)}$ -A case of reflex sympathetic dystrophy- (자기공명분석기에 의한 반사성 교감신경성 위축증의 치험)

  • Kim, Jin-Soo;Kwak, Su-Dal;Kim, Jun-Soon;Ok, Sy-Young;Cha, Young-Deog;Park, Wook
    • The Korean Journal of Pain
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    • v.6 no.2
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    • pp.275-279
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    • 1993
  • Reflex sympathetic dystrophy is a syndrome characterized by persistent, burning pain, hyperpathia, allodynia & hyperaesthesia in an extremity, with concurrent evidence of autonomic nervous system dysfunction. It generally develops after nerve injury, trauma, surgery, et al. The most successful therapies are directed towards blocking the sympathetic intervention to the affected extremity by regional sympathetic ganglion block or Bier block with sympathetic blocker; other traditional treatments include transcutaneous electrical stimulation, immobilization with cast & splint, physical therapy, psychotherapy, administration of sympathetic blocker, calcitonin, corticosteroid and analgesic agents. The purpose of this report is to evaluate and describe the effects of magnetic resonance following unsatisfactory results with traditional treatments of RSD. A 17 year old female patient, 1 year earlier, had received excision and drainage of pus at the right femoral triangle due to an injury caused by a stone. Afterwards, she experienced burning pain, knee joint stiffness, and muscle dystrophy of the right thigh, especially when standing and walking. Despite a year of number of traditional treatments such as: lumbar sympathetic block, continuous epidural analgesia, transcutaneous electrical stimulation, & administration of predisolone, her pain did not improve. Surprisingly, the patients was able to walk free from pain and difficulty after just one application of magnetic resonance. The patient has been successfully treated with further treatment of two to three times a week for approximately ten weeks. More recently, magnetic resonance has been demonstrated to produce effective results for the relief of pain in a variety of diseases. From our experiences we recognize magnetic resonance as a therapeutic modality which can provide excellent results for the treatment of RSD. It has been suggested that polysynaptic reflex which are disturbed in RSD may be modulated normally on the spinal cord level through the application of magnetic resonance.

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The Effect of a Group Program Designed to Resolve the Psychological Career Barriers of University Freshmen on Their Psychological Career Barriers, Self-Efficacy in Career Decision-Making, and Self-Determination (대학 신입생을 위한 심리적 진로장벽 해소 집단프로그램이 심리적 진로장벽, 진로결정 자기효능감과 자기결정성에 미치는 효과)

  • Lee, Mi-Young
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.485-496
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    • 2018
  • This study set out to organize and apply a group program designed to resolve the psychological career barriers of university freshmen and test its effects on their psychological career barriers, self-efficacy in career decision-making, and self-determination. For this purpose, the investigator divided the subjects into a treatment group of eight and a comparison group of nine, implemented a group program designed to resolve psychological career barriers over seven sessions, and applied no treatment to the comparison group. In an effort to examine the program's effects, the investigator conducted tests on psychological career barriers, self-efficacy in career decision-making, and self-determination in the pre- and post-test both in the treatment and comparison groups and examined the differences between them. The findings were as follows: first, the treatment group made a significant decrease to its psychological career barriers scores compared to the comparison group; second, the treatment group made a significant increase to its self-efficacy in career decision-making scores compared to the comparison group; and finally, the treatment group also made a significant increase to its self-determination scores compared to the comparison group with a significant enhancement. That is, the program was effective for lowering the psychological career barriers of university freshmen and improving their self-efficacy in career decision-making and self-determination. The study also discusses the utilization of its findings and future study.

A Study on Depression with Acupuncture & Moxibustion Traetment in Chinese Medical Literature (우울증(憂鬱症)의 침구치료(鍼灸治療)에 관(關)한 중의문헌(中醫文獻)의 고찰(考察))

  • Kim, Yeo-jin;Park, Dong-suk;Lee, Yun-ho
    • Journal of Acupuncture Research
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    • v.22 no.1
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    • pp.223-234
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    • 2005
  • Objective : The objective of this study was to research depression with acupuncture & moxibustion treatment. Methods : We searched Chinese Medical Literature(published from 1985~2002) related to depression and acupuncture. Results : 1) PC6(內關), HT7(神門), ST36(足三里), GV20(百會), LR3(太衝), SP6(三陰交) are much used for the treatment depression. 2. LR3(太衝), CV17(전중), GB34(陽陵泉), ST40(豊隆), PC6(內關) are much used for the excess type of depression and PC6(內關), SP6(三陰交), HT7(神門), BL15(心兪) are much used for deficiency type of depression. 3. ST36(足三里), SP6(三稜交), HT7(神門), PC6(內關), HT5(通里), KI1(通泉) are used for the treatment depression in electroacupuncture therapy. BL15(心兪), BL20(脾兪),ST36(足三里) are used for the treatment depression in acupoint injection therapy. 4. In dermal needle therapy, it is used to tap slightly until the skin becomes congested in the region of Bladder meridian and nape, back of Governor Vessel. 5. It seems that psychotherapy, music therapy and light therapy will be applied for the treatment of depression. Conclusion : We expect that acupuncture treatment of depression will be applied practically in clinical medicine due to further study on depression with acupuncture.

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Development of VR Healing Content 'NORNIR' Using Color Therapy (컬러테라피를 활용한 VR 힐링 콘텐츠, '노르니르' 개발)

  • Choi, Seyoung;Kim, Sujin;Lee, Nayoung;Lee, Kihan;Ko, Hyeyoung
    • Journal of the Korea Computer Graphics Society
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    • v.26 no.3
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    • pp.143-153
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    • 2020
  • This study embodies and proposes VR color therapy healing contents 'Nornir' that can manage stress in daily life. "Nornir" applies the CRR analysis method to provide a customized VR color therapy experience according to the three colors selected by the user. It is designed to enable users to understand themselves through their color journey, to rec eive various color interactions and stimuli to implement in the future, and to provide healing that lowers stress levels. Based on the results implemented, the Korean version of the mood condition test 'K-POMS' was conducted before an d after the demonstration to check the user's stress changes after the content demonstration. Experiments have shown that users clearly see a decrease in negative emotions and an increase in positive emotions. By using VR technology, color psychotherapy rules are combined to provide the possibility of relieving stress for users who are exposed to fre quent stress in daily life.

Topical Application of Clonazepam to Burning Mouth Syndrome (구강 작열감 증후군에서 클로나제팜의 국소적 적용)

  • Shim, Young-Joo;Choi, Jong-Hoon;Ahn, Hyung-Joon;Kwon, Jeong-Seung
    • Journal of Oral Medicine and Pain
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    • v.34 no.4
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    • pp.429-433
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    • 2009
  • Burning mouth syndrome (BMS) is defined as burning pain in the tongue or other oral mucous membrane associated with normal sign and laboratory findings at least 4 to 6 months. There are many factors that affect this condition and the pain characters are various among the sufferers, so it is difficult to diagnose exactly and treat properly. The cause of BMS is currently unknown. The etiology is presumed to be that it is related with local, systemic and psychogenic factor. The BMS is related with local factor such as allergic reaction, oral fungal infection(candidiasis), parafunctional oral habits and systemic factors such as diabetes mellitus, hypothyroidism, nutritional deficiencies(vitamin $B_{12}$, folic acid), hyposalivation and psychogenic factor such as depression, anxiety, cancerphobia. So clinicians must be aware of these factors and can give proper treatment options to patients. The management of BMS are pharmacologic management, cognitive behavioral therapy and psychotherapy treatment. Clonazepam, gabapentin, amitriptyline, alpha-lipoic acid and capsaicin are used to manage the BMS. Among these, topical clonazepam is reported that the effect is higher than systemic medication and the complications are rare. This case report is about some cases of the effect of topical clonazepam on BMS.

Smart Emotion Management System based on multi-biosignal Analysis using Artificial Intelligence (인공지능을 활용한 다중 생체신호 분석 기반 스마트 감정 관리 시스템)

  • Noh, Ayoung;Kim, Youngjoon;Kim, Hyeong-Su;Kim, Won-Tae
    • Journal of IKEEE
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    • v.21 no.4
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    • pp.397-403
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    • 2017
  • In the modern society, psychological diseases and impulsive crimes due to stress are occurring. In order to reduce the stress, the existing treatment methods consisted of continuous visit counseling to determine the psychological state and prescribe medication or psychotherapy. Although this face-to-face counseling method is effective, it takes much time to determine the state of the patient, and there is a problem of treatment efficiency that is difficult to be continuously managed depending on the individual situation. In this paper, we propose an artificial intelligence emotion management system that emotions of user monitor in real time and induced to a table state. The system measures multiple bio-signals based on the PPG and the GSR sensors, preprocesses the data into appropriate data types, and classifies four typical emotional states such as pleasure, relax, sadness, and horror through the SVM algorithm. We verify that the emotion of the user is guided to a stable state by providing a real-time emotion management service when the classification result is judged to be a negative state such as sadness or fear through experiments.

A Study on the Effectiveness of Social Work Intervention for the Family Caregivers of Older Persons with Stroke (뇌졸중 기능손상 노인의 가족수발자에 대한 사회복지실천 개입의 효과에 관한 연구)

  • Lee, In-Jeong
    • Korean Journal of Social Welfare
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    • v.53
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    • pp.231-255
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    • 2003
  • The purpose of this study was to determine the effectiveness of social work intervention for the family caregivers of the older persons with stroke. Twelve caregivers were assigned to either a treatment group or a control group. The treatment group intervention consisted of 8 weekly, 2-hour sessions which included education, peer and professional support, individual counselling. Wilcoxon test of the pretest and posttest scores of the two groups showed that those in the treatment program experienced significant decrease in caregiving burden and loneliness compared with caregivers who received no intervention. They also experienced increase in self-esteem, self-efficacy in dealing with caregiving tasks, satisfaction with a relationship with the care-receiver, emotional support. Most of these intervention effects were maintained in the 3-month follow-up measurement except loneliness and the caregiver-carereceiver relationship. Caregivers in the treatment group showed overall satisfaction with the program and willingness to continue to attend in the interventions. Based on these findings, implications for social work practice including self-help groups, psychotherapy for the caregivers, expanding social work intervention for the family caregivers of the older persons were discussed.

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A Study on Relationship between Undergraduates' Personality Characteristics, Emotional Intelligence, and Empathic Ability : Moderating Effect of Experience in Taking Counseling Course (대학생의 성격특성과 감성지능, 공감능력의 관계 : 상담 수강 경험의 조절효과)

  • Lim, Ae-Ryon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.268-276
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    • 2020
  • The purpose of this study is to determine the moderating effect of counseling class experience on the relationship between an undergraduate's personality characteristics, emotional intelligence, and empathic ability. As a result of verification, having course experience has a moderating effect on empathic abilities, reversing agreeableness from positive into negative. It also has a moderating effect on the influence of empathic concern, making that of an extravert positively significant. The experience of taking a course did not show a moderating effect on emotional intelligence that can be improved by learning. This demonstrates that education in counseling as carried out in universities is inappropriate, and course experience enhances empathic concern only when the student tends to be an extrovert. This implies that the current counseling system is a curriculum suitable for extroverted people. Also, when students have a friendly, amicable tendency, the experience of taking a course lowered empathic ability. This means that an amicable tendency is not a variable influencing educational experience, and that the present curriculum needs to be diversified. Although it is hard to provide a curriculum customized for each individual's characteristics, this study holds significance in emphasizing diversity in the curriculum to allow students to choose a small-group class or the lecture method based on personality or individual tendency.