• 제목/요약/키워드: Emotional trauma

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Myths and truths about pediatric psychogenic nonepileptic seizures

  • Yeom, Jung Sook;Bernard, Heather;Koh, Sookyong
    • Clinical and Experimental Pediatrics
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    • v.64 no.6
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    • pp.251-259
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    • 2021
  • Psychogenic nonepileptic seizures (PNES) is a neuropsychiatric condition that causes a transient alteration of consciousness and loss of self-control. PNES, which occur in vulnerable individuals who often have experienced trauma and are precipitated by overwhelming circumstances, are a body's expression of a distressed mind, a cry for help. PNES are misunderstood, mistreated, under-recognized, and underdiagnosed. The mind-body dichotomy, an artificial divide between physical and mental health and brain disorders into neurology and psychiatry, contributes to undue delays in the diagnosis and treatment of PNES. One of the major barriers in the effective diagnosis and treatment of PNES is the dissonance caused by different illness perceptions between patients and providers. While patients are bewildered by their experiences of disabling attacks beyond their control or comprehension, providers consider PNES trivial because they are not epileptic seizures and are caused by psychological stress. The belief that patients with PNES are feigning or controlling their symptoms leads to negative attitudes of healthcare providers, which in turn lead to a failure to provide the support and respect that patients with PNES so desperately need and deserve. A biopsychosocial perspective and better understanding of the neurobiology of PNES may help bridge this great divide between brain and behavior and improve our interaction with patients, thereby improving prognosis. Knowledge of dysregulated stress hormones, autonomic nervous system dysfunction, and altered brain connectivity in PNES will better prepare providers to communicate with patients how intangible emotional stressors could cause tangible involuntary movements and altered awareness.

The Relationship between Anxiety and Depression Symptoms of Children with Post-Traumatic Stress Disorder and Their Parents (외상 후 스트레스장애 아동의 정신병리와 부모의 우울불안 증상과의 관계)

  • Park, Subin;Kim, So Yoon;Kwon, Oh-Hyang;Bae, Jeong-Hoon;Yoo, Hee Jeong
    • Anxiety and mood
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    • v.9 no.1
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    • pp.19-24
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    • 2013
  • Objectives: The objective of this study is to examine the association between the children's psychopathology and age, intellectual quotient, and parental psychopathology in children with post-traumatic stress disorder (PTSD). Methods: The emotional and behavioral problems of 35 children with PTSD (23 boys, 12 girls, mean age, $10.26{\pm}2.47$ years) were investigated by retrospective chart review. Their parents' anxiety and depression symptoms were also investigated. We examined the correlations between children's psychopathology and their parents' anxiety and depression symptoms, as well as their age and IQ. Results: There were positive correlations between maternal trait anxiety and depression, and children's emotional problems. State and trait anxiety of children with PTSD were positively correlated with age, and attention-deficit hyperactivity disorder symptoms were negatively correlated with age. Conclusion: Our results suggest that psychiatric manifestation of children who experienced trauma could differ according to the development stage, and the treatment of children with PTSD should involve parental education about the effect of maternal emotional states on children.

A Study of Personality Profile of Halitosis Patients by Symptom Checklist-90-Revision(SCL-90-R) (간이정신진단검사를 이용한 구취환자들의 인성평가에 대한 연구)

  • 함동선
    • Journal of Oral Medicine and Pain
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    • v.23 no.4
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    • pp.361-368
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    • 1998
  • In order to evaluate the clinical features of the rcurred patients with temporomandibular disorders, 52 patients were subjected at the Dept. of Oral Medicine, PNUH from 1985 through 1996. As related to gender, duraton and diagnosis, Ll the relate factors-multiple diagnosis, emotinal problem, history of treatment, parafunctional habit, life distrubance, and trauma were analyzed. The obtained results were as follows : 1. The patients with multiple diagnosis were 83 percent and more often seen in women, chronic group and muscle-joint disorder group. 2. Duration of retreatment in chronic group and muscle-joint disorder was longer. 3. The patients with oral parafunctional habits were 89 percent and more often seen in women, chronic gorup, muscle-joint disorder group. 4. the Recurred patients showed 46 percent in history treatment, 42 percent in life distrubances, 39 percent in macrotrauma and 12 percent in emotional problem.

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A Study on the Violence in Dating Relationships (이성교제중 발생한 폭력)

  • 이영숙
    • Journal of the Korean Home Economics Association
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    • v.36 no.4
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    • pp.49-62
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    • 1998
  • The purpose of this study was to describe the features of dating violence and to examine the perceptions of why dating violence occurred and the influence of violence on their relatioships. This study relied on the qualitative research method in order to approach their subjective experience. The major findings were as follows; 1) Respondents had been involved in various forms of violence, including insulting, hitting, slapping in the face, and kicking. Dating violence occurred primarily on weekends and in private and public settings such as the residence of one of the partners and restaurant. It was likely to occur repeatedly and in serious relationships. There were sex differences in prevalence of dating violence. Male partner was likely to be a initiator and do severe acts. 2) The majority of respondents had a tendency to label themselves as victims rather than as initiators of violence. Jealousy was perceived as the primary causal factor leading to dating violence. 3) Both offenders and victims reported emotional trauma like anger and shame. Their relationships has worsened because of physical violence, but didn't terminate.

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임상가를 위한 특집 3 - Minimally Invasive Approach with Composite Resin

  • Jang, Hui-Seon
    • The Journal of the Korean dental association
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    • v.51 no.11
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    • pp.604-609
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    • 2013
  • Crown fractures are relatively common trauma to anterior teeth, and should be restored immediately in most cases. For those who suffer from unfortunate traumatic episode, the best treatment option should be minimally invasive approach. In the presence of fractured tooth fragment, reattachment procedure creates positive emotional response in the patient and simplifies the procedure and maintenance of the patient's original tooth anatomy and occlusion. Without fractured tooth fragment, next conservative option could be direct composite restoration which is based on minimal invasion concept. This article proposes simple and very conservative techniques that anyone can do in daily practice.

A Study of Psychopaths' Make-up Coordination Expressed on the Slasher Films (슬래셔 영화에 나타난 사이코패스의 분장 코디네이션 연구)

  • Chang, Mee-Sook
    • Fashion & Textile Research Journal
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    • v.10 no.3
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    • pp.399-406
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    • 2008
  • The purpose of this paper is to show how psychopaths' psychological factors are expressed on the characters' visual styles in the make-up coordination of slasher films. Psychopath is an ordinary person who has suffered some terrible trauma (humiliation, the death of a loved one, rape, psychological abuse), and features a disorder that consists of multiple components ranging on the emotional, interpersonal, and behavioral spectrum. Slasher films are sub genre of horror films that psychopathy characters, namely, Leather Face, Michael Myers, Jason Voorhees, Kenny Hampson, Harry Warden, Freddy Kruger and Billy kill the unfamiliar victims by cruel weapons with mercilessly. Their aesthetic characteristics of make-up coordination were shown in concealment, cruelty and suggestion. The concealment was presented by killers' masks, the cruelty was represented by their weapons, and the suggestion, especially space-time and status was depicted by their garments.

How to Deal with the Past Memories of Patients in Palliative Care: A Suggested New Approach

  • Yu, Eun-Seung
    • Journal of Hospice and Palliative Care
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    • v.24 no.2
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    • pp.69-73
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    • 2021
  • Dealing with existential concerns experienced by patients is an important part of palliative care. Interventions that use the life review method to encourage patients to reminisce about their lives can help them find new positive meanings, promote ego integrity, and reduce emotional suffering. Not everyone has positive memories when they look back on the past, however. This poses a limit on the effectiveness of the life review method for healthcare providers working in palliative care contexts. In this study, we discuss the limits of life review and suggest imagery rescripting as a new modality constituting a psychotherapeutic approach to deal with negative memories safely and effectively.

Changes in the Regional Cerebral Perfusion after Eye Movement Desensitization and Reprocessing:A SPECT Study of Two Cases (안구운동 민감 소실 및 재처리 요법(Eye Movement Desensitization and Reprocessing) 치료 후 국소 뇌 혈류 변화:두 증례의 SPECT 연구)

  • Oh, Dong-Hoon;Choi, Joonho
    • Korean Journal of Biological Psychiatry
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    • v.11 no.2
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    • pp.173-180
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    • 2004
  • Over the last decade, EMDR(Eye Movement Desensitization and Reprocessing) has emerged as a promising new treatment for trauma and other anxiety-based disorders. However, neurobiological mechanism of EMDR has not been well understood. Authors report SPECT findings of two patients of PTSD before and after EMDR. Brain 99mTc-ECD-SPECT was performed before and after EMDR treatment. To evaluate the significance of changes in the regional cerebral perfusion, t-test was conducted on the resulting images using SPM99. In addition, clinical scales(CAPS, CGI, STAI) were employed to asses the changes in the clinical symptoms of the patients. After EMDR treatment, each showed significant improvement in clinical symptoms. The cerebral perfusion increased in bilateral dorsolateral prefrontal cortex, and decreased in the temporal association cortex. The differences in the cerebral perfusion between patients after treatment and normal controls decreased. These changes appeared mainly in the limbic area the and the prefrontal cortex. These results suggest that EMDR may show the therapeutic effect through 1) improvement in the emotional control by increased activity in the prefrontal cortex, 2) inhibited hyperstimuli on amygdala by deactivation of the association cortex, 3) inhibition on past trauma related memory, and 4) keeping the functional balance between the limbic area and the prefrontal cortex. This case report needs further replication from studies with larger sample.

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Affects in and of Archives : Focused on 4.16 Memory Storage (정동의 기록화 '4.16 기억저장소'를 중심으로)

  • Lee, Kyong Rae
    • The Korean Journal of Archival Studies
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    • no.74
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    • pp.5-43
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    • 2022
  • This study aims to explore the 'affective value' of records. Traditionally, records have been evaluated as having evidence value, information value, and artificial value. However, the 'affective turn' in the humanities and social sciences, which began in the 1990s, calls for discussion on the affective value of records. The overseas archive academia is in full swing discussing the emotional value of records after the 'affective turn'. However, there is no emotional discussion on records in the domestic archive academia. This study first conducts theoretical discussions to overcome these domestic limitations and explore the emotional value of archives in earnest. Following the theoretical discussion, a specific case will be dealt with next. As a representative storage of affect, which records the pain, sadness, and condolences of the domestic disaster era, this study investigates the record management case of the 4.16 Memory Storage. The Ferry Sewol disaster, which provided a dramatic opportunity to witness the unexpected ripple effect of affect in Korea, and the 4.16 Memory Storage as a recording activity, can be seen as a representative example of affective recording of the pain and sadness of survivors of the trauma incident. It will capture the differentiation of affet recording, which is different from the record management practice, and demonstrate empirically how this differentiation is implemented from collection to evaluation and service through the '4.16 Memory Storage'.

A Phenomenological Study on Sexual Experience of Sexual offenders and Insight on Unfinished through Psychodrama (사이코드라마를 통한 성폭력 행위자들의 성경험역사와 아동기외상의 통찰에 관한 현상학 연구)

  • Kong, Hyun-jun;Shin, Dong-yeol
    • Industry Promotion Research
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    • v.5 no.2
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    • pp.71-81
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    • 2020
  • This study has verified the process of helping actors recognize their sexual problems linked to sexual violence cases through early sexual experience history, and exploring and insighting the stuck feelings of sexual violence actors through psychodrama, which focuses on expressing behavior and emotions. The research questions were divided into sexual violence cases and perceptions of actors, actual insights through psychodrama, and dealt with past biblical history related to actors' events and events, exploration of childhood trauma, and insights and changes in emotions through psychodrama. The results from the study are as follows. First, they showed low self-understanding levels and frequent use of defense mechanisms against sexual violence cases in an environment related to cases involving sexual offenders, and were aware of the problematic factors affecting the cases in the course of their daily lives, but did not take them seriously. Second, there were many distorted masculinity and adult sites related to participants' biblical experience history. In the early experience of sexual activity, it was often viewed as a sexual object rather than an emotional exchange with a lover, and the contents of the initial Bible experience were linked to actual sexual violence cases committed by participants. Third, childhood trauma of participants through psychodrama led to rapidly changing family circumstances and abuse by fathers. Fourth, the actual content of emotions represented by anger in the early stages of psychodrama is meaningful in that it revealed the process of sadness, pain, regret and longing for a departing mother leading to objective insight into emotions through the catharsis process.