• 제목/요약/키워드: Forensic Psychiatry

검색결과 19건 처리시간 0.026초

정신질환 전문 교정시설에 대한 교도관의 선호도에 영향을 미치는 요인에 관한 연구 (Examining the Factors Affecting the Correctional Officer's Preference toward the Institute for Forensic Psychiatry)

  • 홍문기;박종선
    • 디지털융복합연구
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    • 제19권10호
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    • pp.21-28
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    • 2021
  • 교정시설 내 정신질환 수용자 수 급증에 대한 해결방안으로 다양한 전문 수용시설의 확충 방안이 제시되고 있지만, 관계자의 선호도에 관한 연구는 미진한 편이다. 따라서 본 연구는 정신질환 전문 수용시설에 대한 교도관의 선호도에 영향을 미치는 요인들을 탐색한다. 2019년 국내 교정기관 6곳에서 근무 중인 교도관들의 설문조사를 바탕으로, 정신질환 전문 교도소, 정신질환 전문 구치소, 정신질환 전문 수용동, 종합의료 교도소에 대한 교도관의 선호도와 다양한 변수들의 인과관계를 이항 로지스틱 회귀분석을 적용해서 분석하였다. 연구결과, 교도관들은 정신질환 전문 교도소 확충을 선호하는 것으로 나타났으며, 교도관 나이, 정신질환 수용자의 교정위반 행동, 치료 또는 약물 거부, 관련 법령 미비, 교도관의 정신질환센터 근무 경험이 정신질환 전문 교도소의 선호도를 높이는 요인으로 나타났다. 반면에 교도관 직급은 이런 선호도를 낮추는 것으로 증명되었다. 이를 통한 정책대안으로는 정신질환 전문수용시설 확충 과정에서 교정현장의 목소리 반영과 치료를 거부하는 정신질환 수용자들에 대한 법령의 마련을 제안한다. 후속연구에서는 보다 많은 교도관들의 특성 및 의견이 반영된 자료를 수집하여 다양한 변수들이 활용된 좀 더 분석적인 연구를 진행할 예정이다.

성도착증과 성도착 장애의 평가 (The Evaluation of Paraphilia and Paraphilic Disorder)

  • 이장규;이수정;임명호
    • 대한불안의학회지
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    • 제12권2호
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    • pp.86-96
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    • 2016
  • Paraphilia and paraphilic disorder is one of mental disorders making it difficult to assess and treat. Recently, a number of methods for assessing the paraphilia are being developed gradually outside south Korea. And the reliability and validity of various assessment tools are being reported. The standardization of the assessments and questionnaires was not made yet. For assessment of paraphilia that has been reported from abroad, the author comprehensively organized clinical interview, physical examination, psycho-physiological methods, self-reporting scale of sexual thoughts, fantasies and attitudes and multiple self-reporting scale of sexual interests and described the clinical significance of the assessment tools. The national standardization of both self-reported questionnaire and physical evaluations is expected to be completed later.

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

  • 김민아;조용우;이태영;임경옥;권준수
    • 대한조현병학회지
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    • 제24권1호
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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.

치료 감호중인 조현병 환자에서 정신병질 성격과 대인관계문제 (Assessment of Psychopathic Personality and Interpersonal Problems in Korean Criminal Offenders with Schizophrenia)

  • 왕성근;권지현;이재우;지익성
    • 대한불안의학회지
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    • 제10권2호
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    • pp.157-162
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    • 2014
  • Objective : This study was conducted to evaluate the validity of the Korean Inventory of Interpersonal Problems (K-IIP) with Psychopathic Personality Inventory-Revised (PPI-R) to assess interpersonal problems in Korean criminal offenders with schizophrenia. Methods : The sample consisted of 187 inpatients with schizophrenia who had committed crimes. All participants filled out self-report questionnaires ofPPI-R and K-IIP. Results : The result showed that all scales of K-IIP were correlated highly with the PPI-R total score (r range=0.25-0.65). Correlations with K-IIP scales were highest for Blame Externalization, Rebellious Nonconformity, and Machiavellian Egocentricity scales (r range=0.50-0.66, 0.43-0.64, 0.39-0.58, respectively). All scales of K-IIP exhibited a negative correlation with Social Influences, Stress Immunity, Coldheartedness (C) scale ofPPI-R. Cold/Distant scale ofK-IIP was not correlated with C scale of PPI-R. All scales of K-IIP was highly correlated with PPI-R-factor-2 (r range=0.44-0.71) and negatively correlated with PPI-R-factor-l (r range=-0.03-0.38). Conclusions : Despite of strong correlation between PPI-R total score and K-IIP total score, K-IIP was not correlated with PPI-R-I that represents affective and interpersonal deficits. It suggests K-IIP may not proper for measuring the interpersonal problems of criminal offenders with schizophrenia. It will be needed other assessment scale for measuring the interpersonal problems of psychopathy in criminal schizophrenia.

거짓 탐지와 뇌과학 : 기능적 자기공명영상을 활용한 거짓 탐지 (Detecting Deception Using Neuroscience : A Review on Lie Detection Using Functional Magnetic Resonance Imaging)

  • 최예라;김상준;도혜인;신경식;김지은
    • 생물정신의학
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    • 제22권3호
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    • pp.109-112
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    • 2015
  • Since the early 2000s, there has been a continued interest in lie detection using functional magnetic resonance imaging (fMRI) in neuroscience and forensic sciences, as well as in newly emerging fields including neuroethics and neurolaw. Related fMRI studies have revealed converging evidence that brain regions including the prefrontal cortex, anterior cingulate cortex, parietal cortex, and anterior insula are associated with deceptive behavior. However, fMRI-based lie detection has thus far not been generally accepted as evidence in court, as methodological shortcomings, generalizability issues, and ethical and legal concerns are yet to be resolved. In the present review, we aim to illustrate these achievements and limitations of fMRI-based lie detection.

신설대학병원에서 1년간의 정신과 자문 (Psychiatric Consultation at a Newly Opened University Hospital)

  • 독고향;배재남;강민회
    • 정신신체의학
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    • 제6권1호
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    • pp.46-58
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    • 1998
  • Objectives : This study was performed to evaluate the status of psychiatric consultation at a newly opened university hospital, to explore problems related to psychiatric consultation and to contribute for future consultation to be more systematic and more efficient. Methods: The subjects of this study were 284 patients hospitalized at Inha University Hospital between September 1, 1996 and August 31, 1997, who were referred for psychiatric consultation during hospitalization. This study was evaluated demographical characteristics of referred patients, resons for referral, recommendations by psychiatric consultant, clinical diagnoses, psychiatric diagnoses, relationship between referral time and hospitalization following the day of consultation and consultation referral types based upon psychiatrists' reports and patients' medical charts. Results : Most common patients referred to consultation were females aged 20s who visited at the department of internal medicine and related to the risk of suicidal attempts. Mood disorder was the most frequent psychiatric diagnosis, and the most common recommendations were to use psychopharmacological treatment along with outpatient visits. The 30% of subjects were referred to consultation within a day after hospitalization. In the case of consultation referral timing within two days and after three days, there was significant difference between early consultation and shorter hospitalization following the day of consultation. Most frequent type of consultation(29.6%) was categorized as IIIa type(physical complication type as a "Mending" request type). Conclusion : In review of consultation referral timing and consultation referral type of the subjects, who were referred for psychiatric consultation for one year at a newly opened University Hospital, referrals were found to be made within two days after their admission to hospital(50.7%), which was observed to be early request. We found that there was significant association between early consultation and shorter hospitalization following the day of consultation. The physical complication type(29.6%) which belongs to "Mending" request type was found to be the most frequent consultation referral type. This result indicates that more systematic psychiatric consultation is needed for the future.

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경로당 융복합프로그램이 농촌 노인의 우울, 수면의 질, 삶의 질에 미치는 효과 (Effects of a Senior center Convergence Program on Depression, Quality of Sleep, and Quality of Life among Rural Elderly)

  • 김명숙;전강숙;강문희;오은진
    • 한국융합학회논문지
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    • 제11권10호
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    • pp.115-123
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    • 2020
  • 본 연구는 노인의 신체건강 및 정신건강을 위한 경로당 융복합프로그램이 농촌 노인의 우울, 수면의 질, 삶의 질에 미치는 효과를 파악하기 위함이다. 연구 대상자는 O군 소재 4개 경로당을 이용하는 65세 이상 노인 48명(실험군 29명, 대조군 19명)이며, 자료수집 기간은 2019년 7월부터 8월까지였다. 실험군은 주 1회 60분씩 총 6회기의 경로당 융복합프로그램에 참여하였고, 대조군은 사전조사와 사후조사 후 각각 1회 30분씩 총 2회의 정신건강교육을 제공하였다. 수집된 자료는 SPSS 26.0을 사용하여 서술통계, χ2-test, t-test로 분석하였다. 연구결과, 실험군은 경로당 융복합 프로그램 참여 후 대조군에 비해 우울(t=-2.40, p=.020)과 수면의 질(t=2.19, p=.033)에서 유의하게 향상되었고, 삶의 질(.t=0.47, p=.635)은 유의한 차이가 없었다. 이를 통해 경로당 융복합프로그램이 농촌 노인의 중재 프로그램으로 긍정적임을 확인하였다. 따라서 농촌 노인의 수면의 질 향상과 우울 감소를 위해 본 프로그램은 유용하게 활용될 것으로 사료된다.

한국의 교도소도서관 현황분석과 개선방안 (Analysis of the Current Situation and Improvement Method of Correctional Facility Libraries in Korea)

  • 권세희;윤혜영
    • 정보관리연구
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    • 제40권3호
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    • pp.125-150
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    • 2009
  • 이 연구의 목적은 인권의 사각지대에 있는 교정시설 내에 구금된 수용자들을 대상으로 정보를 제공하는 교도소도서관의 현황을 분석하여 그 문제점을 도출하고 개선방안을 제시하는 것이다. 교도소도서관 현황을 파악하기 위하여 시설 및 설비와 인적 자원, 보유도서현황과 대출현황 그리고 예산현황 등에 이르기까지 종합적으로 통계자료를 토대로 정리 분석하였다. 문화체육관광부의 국가도서관 통계시스템사이트(2008년 기준: 2007년 $1{\sim}12$월 조사)와 2008년 발간한 '도서관발전종합계획(2009-2013)', 교도소에 정보공개청구를 통하여 얻은 '관용도서 비치 및 활용현황' 문서 34건을 이용하여 교도소도서관의 시설, 인적 자원, 장서, 서비스, 예산 등의 실태를 조사하였다. 이러한 현황 조사내용을 토대로 하여 한국교도소도서관의 문제점을 추출해 보고 이에 대한 발전방향을 모색하였다.

"삼국사기(三國史記)"에 기록된 의약내용(醫藥內容) 분석 (Study on Medical Records In ${\ulcorner}$the Historical Records of the Three Kingdoms${\lrcorner}$)

  • 신순식;최환수
    • 제3의학
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    • 제2권1호
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    • pp.35-54
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    • 1997
  • We tried to observe the features of ancient medical practice by analysing the records related to medicine in the book, ${\ulcorner}$the Historical Records of the Three Kingdom${\lrcorner}$ of which content includes the features of medicine in mythology, plague, delivery of twins, drugs, medical system, shamanism, constitutional medicine, psychiatry, forensic medicine, deformity, a spa, medical phrase, health and welfare work, religion, death. physiological anatomy, Taoist medicine, acupuncture, the occult af of transformation and etc. Our initial concern was about where to draw line as of medical field and we defined medicine in more broad meaning. The book ${\ulcorner}$the Historical Records of the Three Kingdoms${\lrcorner}$ describes the world of mythology by way of medicine which is not clearly a conventional one. There appears records of birth of multiple offsprings 7 times in which cases are of triplets or more. Delivering multiple offsprings were rare phenomenon though such fertility was highly admired. This shows one aspect of ancient country having more population meant more power of the nation. Of those medical records conveyed in that book includes stories of childbirth such as giving birth to a son after praying, giving birth to Kim Yoo-shin after 20 months after mother's dream of conception, and a song longing for getting a laudable child. Plagues were prevalent throughout winter to spring season and one can observe various symptoms of plagues in the record. Of these epidemic diseases, cold type might have been more common than the heat one. Appearance of epidemic diseases frequently coincided with that of natural disasters that this suggests a linkage between plague and underlying doctrine on five elements' motion and six kinds of natural factors. There exists only a few names of diseases such as epidemic disease, wind disease, and syndrome characterized by dyspnea. Otherwise there appeared only afflictions that were not specified therefore it remains cluless to keep track of certain diseases of prevalence. Since this ${\ulcorner}$Historical Records of the Three Kingdoms'${\lrcorner}$ wasn't any sort of medical book, words and terms used were not technical kind and most were the ones used generally among lay people. Therefore any mechanisms of the diseases were hardly mentioned. Some of medicinal substances such as Calculus Bovis, Radix Ginseng, Gaboderma Luciderm, magnetitum were also in use in those days. 53 kinds of dietary supplies appears in the records and some of these might have been used as medicinal purpose. Records concerning dicipline of one's body includes activities such as hunting, archery, horseback riding etc. In Shilla dynasty there were positions such as professor of medicine, Naekongbong(內供奉), Kongbong's doctor(供奉醫師), Kongbong's diviner(供奉卜師). As an educational facility, medical school was built at the first year of King Hyoso's reign and it's curricula included various subjects as ${\ulcorner}$Shin Nong's Herbal classic${\lrcorner}$, ${\ulcorner}$Kabeul classic of acupuncture and moxbustion${\lrcorner}$, ${\ulcorner}$The Plain Questions of the Yellow Emperor's Classic of Internal Medicine${\lrcorner}$, ${\ulcorner}$Classic of Acupuncturer${\lrcorner}$, ${\ulcorner}$The Pulse Classic${\lrcorner}$, ${\ulcorner}$Classic of Channels and Acupuncture Points${\lrcorner}$ and ${\ulcorner}$Difficult Classic${\lrcorner}$. There were 2 medical professors who were in charge of education. To establish pharmacopoeia, 2 Shaji(舍知), 6 Sha(史), 2 Jongshaji(從舍知) were appointed. In Baekje dynasty, Department of Herb was maintained. Doing praying for the sake of health, doing phrenology also can be extended to medical arena. Those who survived over 100 years of age appear 3 times in the record, while 98 appears once. The earliest psychiatrist Nokjin differentiated symptoms to apply either therapies using acupuncture and drug or psychotherapy. There appears a case of rape, a case of burying alive with the dead, 8 cases of suicide that can characterize a prototype of forensic medicine. Deformity-related records include phrases as follow: 'there seems protrudent bone behind the head', 'a body which has two heads, two trunks, four arms.', 'a body equipped with two heads' In those times spa can be said to be used as a place for he리ing, convalescence, and relaxation seeing the records describing a person pretended illness and went to spa to enjoy with his friends. Priest doctors and millitary surgeons were in charge of the medical sevice in the period of the Three Kingdoms by the record written by Mookhoja(墨胡子) and Hoonkyeom(訓謙). Poor diet and regimen makes people more vulnerable to diseases. So there existed charity services for those poor people who couldn't live with one's own capacity such as single parents, orphans, the aged people no one to take care and those who are ill. The cause of affliction was frequently coined with human relation. There appeared the phenomenon of releasing prisoners and allowing people to become priests at the time of king's suffering. Besides, as a healing procedure, sutra-chanting was peformed. There appears 10 cases of death related records which varies from death by drowning, or by freezing, death from animals, death from war, death from wightloss and killing oneself at the moment of spouse's death and etc. There also exist certain records which suggest the knowledge of physiology and anatomy in those times. Since the taoist books such as ${\ulcorner}$Book of the Way and Its Power(老子道德經)${\lrcorner}$ were introduced in the period of Three Kingdoms, it can be considered that medicine was also influenced by taoism. Records of higher level of acupuncture, records which links the medicine and occult art of transformation existed. Although limited, we could figure out the medical state of ancient society.

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