• Title/Summary/Keyword: 정신적

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A Study on the conceptualization of disability of the Mental Health Act and Related Laws (정신장애인 관련 법령의 정신장애개념과 정신보건법의 정신장애개념 개정방향에 관한 연구)

  • Kim, Moon Guen
    • Korean Journal of Social Welfare Studies
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    • v.44 no.2
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    • pp.297-326
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    • 2013
  • The purpose of this study was firstly to analyse the conceptualization of disability of the Mental Health Act and related laws and to suggest revision of the definition of psychiatric disability of Mental Health Act to improve the protection of human rights and welfare of the people with psychiatric disability. For these purposes this paper reflected on the disability models of WHO(1980, 2001) and multiple paradigm of disability of Priestley(1998) and suggested a new conceptualization of disability consists of impairment, functional disability, and social interactional disability. Based on the analyses of conceptualizations of psychiatric disability of related laws, this study suggested revision of Mental Health Act to distinguish between mental disorder and psychiatric disability, to introduce the definition of mental capacity, and to expand the conceptualization of social interactional disability.

Assessment and Treatment of Somatization (신체화의 평가 및 치료)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.2
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    • pp.149-164
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    • 2000
  • Somatization is regarded as a process rather than a diagnostic entity. It should be emphasized to identify psychopathology rather than to make a choice regarding diagnosis in assessing somatizing patients. Psychiatrists should be aware of the psychosocial cues underlying the patients' physical symptoms. Special skills and strategies are required by nonpsychiatric physicians to facilitate the patients' acceptance of psychiatric treatment. The goal of treatment for somatization is management but not cure. The approach should be flexible, depending on the patients' responses and need. The difficulty in diagnosing and treating somatization is likely to be related to abnormal illness behavior such as the patients' denial of their psychosocial problems and resistance to psychiatric approach. In conclusion, biopsychosocial approach is needed to treat these patients effectively. Psychiatrists should also teach other physicians the interview skill that they could identify these patients as early as possible and facilitate their acceptance of psychiatric treatment.

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Variation of reaction time and accuracy of mental work with strength of whole-body activity gradually increasing (강도가 점증하는 전신활동에 따른 반응시간의 변화와 정신작업의 정확도)

  • 김정만
    • Journal of Korea Society of Industrial Information Systems
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    • v.9 no.1
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    • pp.56-62
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    • 2004
  • This paper examined the change in reaction time and accuracy of mental work by physical activity. A treadmill-equipped instrument is used to attain several levels of physical activity. Subjects were recruited from college students and football players; and they were instructed to run on a treadmill at different speeds. In order to determine the individual levels of physical activity of subjects, in this paper, Borg's-RPE scales which indicates subjective levels of physical activity were obtained. And reaction time was evaluated before and after running by arithmetic calculation test Restricted within the limit of this experiment, the results of this study showed that arithmetic calculation performance as a scale of accuracy of mental work rather increase after the exercise even though there are slight difference among the subjects.

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청년예비창업가의 창업가정신과 창업동기가 창업의지에 미치는 영향 : 사회적 자본의 조절효과로

  • Gwon, Yeong-Seong;Jeong, Hwa-Yeong;Kim, Myeong-Suk
    • 한국벤처창업학회:학술대회논문집
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    • 2019.11a
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    • pp.61-65
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    • 2019
  • 본 연구에서는 청년예비창업가의 창업가정신과 창업동기가 사회적 자본을 조절효과로 창업의지에 미치는 영향에 관한 연구이다. 최근 앞으로의 국가경제를 이끌어갈 청년들의 일자리 부족문제와 청년실업률(15세에서 29세의 경제활동인구 중 실업자의 비율)의 증가에 따른 문제가 대두되고 있다. 이를 극복하기 하고 국가경제발전을 위해선 창업은 매우 중요한 전략 중 하나이며 이를 위해 정부에서는 (청년)예비창업가들의 창업의지를 높이기 위해 다양한 노력하고 있다. 창업의지에 있어 창업가정신과 창업동기가 필수적으로 필요하며 이러한 창업가정신과 창업동기를 가지게 되면 (청년)예비창업가들은 자신들이 부족한 사회적 자본을 확보하기 위해 노력하게 되고 이러한 과정 속에서 사회적 자본을 가지고 있고 없고의 차이로 인한 (청년)예비창업자들의 창업의지에 대해 연구하고자 한다. 그렇기에 창업의지에 있어 창업가정신과 창업동기 그리고 사회적 자본의 중요성을 강조하고자 한다. 본 연구는 첫째, 창업가정신이 창업의지에 영향을 미치는지 여부 분석, 둘째, 창업동기가 창업의지에 영향을 미치는지 여부 분석, 셋째, 사회적 자본이 창업가정신과 창업의지에 관계에서 조절효과를 가지는지 여부 분석, 넷째, 사회적 자본이 창업동기와 창업의지에 관계에서 조절효과를 가지는지 여부 분석 등이다. 현재까지 받은 140개의 설문을 받았으며, 본 연구는 창업가정신과 창업동기가 창업의지에 유의한 정(+)의 영향을 미치는지, 사회적 자본은 창업가정신과 창업의지의 관계에서 정(+)의 조절효과를 가질 것인지, 사회적 자본은 창업동기와 창업의지의 관계에서 정(+)의 조절효과를 가질 것인지 등을 분석할 것이다 앞으로 더 많은 설문지를 통해 가설에 대한 검증을 할 것이며 이에 본 연구결과를 통해 (청년)예비창업가에 창업의지에 있어 창업가정신, 창업동기, 사회적 자본의 필요성을 시사점으로 제시하려 한다.

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Current Situation of Psychiatry in North Korean : From the Viewpoint of North Korean Medical Doctors (북한 의사들이 바라보는 북한의 정신의학 현황)

  • Kim, Seog-Ju;Park, Young-Su;Lee, Hae-Won;Park, Sang-Min
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.32-39
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    • 2012
  • Objective : Psychiatry in North Korea is believed to seem very different from psychiatry in South Korea. However, there is nearly no information regarding psychiatry in North Korea until now. Our study aimed to get information about North Korean psychiatry. Methods : Three North Korean defectors in South Korea, whose clinical experience as medical doctors in North Korea was over 10 years, were recruited. They underwent the semi-structured interview, content of which included the clinical experience with psychiatric patients, the details of psychiatry, the treatment of psychiatric patients, the stigma of mental illness, and the suicide, in North Korea. Results : In North Korea, psychiatric department was called as 49th(pronounced as Sahsip-gu-ho in Korean). Only patients with vivid psychotic symptoms came to psychiatric department. Non-psychotic depression or anxiety disorders usually were not dealt in psychiatry. The etiology of mental illness seemed to be confined to biological factors including genetic predisposition. Psychosocial or psychodynamic factors as etiology of mental illness appeared to be ignored. Psychiatry was apparently separated from political or ideological issues. The mainstay of psychiatric treatment is the inpatient admission and out-of-date therapy such as insulin coma therapy. Stigma over mental illness was common in North Korea. Suicide is considered as a betrayal to his/her nation, and has been reported to be very rare. Conclusion : The situation of psychiatry in North Korea is largely different from that of South Korea. Although some aspects of North Korean psychiatry are similar to psychiatry in former socialist countries, North Korean psychiatry is considered to have also its unique characteristics.

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Psychogenic Dizziness for Psychiatrists in Korea (정신건강의학과 의사를 위한 심인성 어지럼)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.1
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    • pp.9-19
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    • 2016
  • Many patients with dizziness present with a symptom pattern that does not reveal the cause by neurotologic diagnostic approaches. In such cases, the physician frequently diagnoses psychogenic dizziness. Psychogenic dizziness is not characterized by true vertigo, and occurs in combination with other psychiatric symptom cluster. One out of two to four patients with dizziness are psychogenic dizziness. But there are few concern about this including clinical practice and study in Korea. I wrote this paper to increase concerning and attending to this for psychiatrists in Korea. I reviewed etiology including biological and psychological relations between dizziness and psychiatric disorder(especially anxiety), diagnostic approaches of, characteristics of dizziness of various psychiatric disorders related to, and the treatment of psychogenic dizziness. I also briefly reviewed the central and peripheral dizziness for psychiatrists. I suggest psychiatrists and clinicians in the psychosomatic field in Korea to acknowledge, concern, and attend to psychogenic dizziness. In turn, it will be helpful to well treat the patients with psychogenic dizziness.

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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Employment Needs of People with Mental Disabilities - Centering on Economic Status and Occupational Ability Variables (정신적 장애인의 경제수준, 직업능력 및 취업욕구관련 분석)

  • Lee, Hyun-Kyung;Park, Hyo-Eun;Choi, Mankyu
    • The Journal of the Korea Contents Association
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    • v.13 no.7
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    • pp.265-277
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    • 2013
  • The study aimed to figure factors affecting employment needs of people with mental disabilities as the employment needs may differ according to income and occupational ability among people with mental disabilities who are classified economically inactive population. Study subjects included 298 economically inactive populations among registered people with mental disability. And the data from 2008-2010 Panel Data of Employment of Person with Disability were analyzed with logistic regression analysis. The result of the study is as follows. It has been found that interested in vocational education of mentally disabled when the graduated from junior high school, the types of intellectual disability, hope education participation rate was high. And then, Mental disabilities with employment needs, male, head of household, when the graduated from junior high school, when ability to increase physical activity and mental disabilities type of autism spectrum disorder when employment desires were. Based on these results, to increase the economic participation of people with mental disabilities, provide vocational rehabilitation services that reflect the needs of people with mental disabilities and employer-driven professional activity is proposed.

Mental Health Reform through the National Mental Health Strategy in Australia and Convergence Policy Implications (호주의 국가정신보건전략을 통한 정신보건개혁과 융복합 정책적 함의)

  • Shin, Chang-Sik;Kim, Se-Won
    • Journal of Digital Convergence
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    • v.13 no.6
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    • pp.341-350
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    • 2015
  • This study aims to understand main contents of the National Mental Health Strategy and changes after mental health reform through the National Mental Health Strategy in Australia, and to find some convergence policy implications on mental health policy in South Korea. The direction of reform has changed considerably over the 20 years that the National Mental Health Strategy has been in place including the National Mental Health Policy(1992, 2008), the National Mental Health Plan(1993~2014), COAG National Action Plan on Mental Health(2006~2011), the Roadmap for National Mental Health Reform 2012-2022. The National Mental Health Strategy has advocated fundamental change in the national spending on mental health, mental health service provision, the expansion of community-based mental health services and care system, NGO, consumer and carer participation in mental health care.

Psychiatry, Is It Now Okay? - Enlarging the Boundary of Psychiatry in the Neuroscience Era (정신의학, 이대로 좋은가?-신경과학 시대에서 정신의학의 영역 확대 방안)

  • Park, Jonghan;Kim, Nam Soo
    • Korean Journal of Biological Psychiatry
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    • v.8 no.1
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    • pp.53-61
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    • 2001
  • The authors, in this paper, addressed a variety of problems and difficulties which Korean psychiatrists should cope with. The surprising development of neurosciences, splitting of neuropsychiatry into neurology and psychiatry, easygoing attitude of psychiatrists, changes in the delivery system of health care and ill-balanced education of psychiatry were listed as causes of or contributors to them. Social bias to psychiatry and regulations from outside are also considered as contributors. Psychiatric education, including medical school, residency training, continuing medical education and psychiatric textbooks, need to be changed in order to enlarge the boundary of psychiatry. Reestablishment of identity of psychiatry and psychiatrist is unavoidable, considering far-reaching new knowledge of neuroscience and gradually invisible borderzone between neurology and psychiatry. The other ways worth while to consider are : the expansion of psychiatrists' activities, development of medical behavioral science to a clinical specialty, creation of new psychiatric subspecialties, and additional training of psychiatric residencies in the primary medical care.

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