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한의학 정신요법을 이용한 소아 전환장애 환자 1례 - 지언고론요법(至言高論療法), 지지적 정신치료와 행동치료 - (A Case Report about Treatment of Childhood Conversion Disorder with Psychotherapy of Oriental Medicine -The Giungoroen(至言高論), Supportive Psychotherapy and Behavioral Therapy-)

  • 서현욱;서진우;황은영;김종우;정선용
    • 동의신경정신과학회지
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    • 제20권4호
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    • pp.185-196
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    • 2009
  • 통제적이고 강압적인 부모의 양육태도로 유발된 내면의 불안 및 갈등이 '항문의 이상 감각'이라는 신체화 증상으로 상징화되어 표출된, 전환장애로 의심되는 7세 여환아(女患兒)에게 한약(韓藥)치료와 더불어 지언고론요법(至言高論療法)을 적용하여 약 2개월간 치료하였다. 지언고론요법(至言高論療法)은 한의학 정신요법 중 하나로 현재 임상에서 행해지고 있는 지지적 정신치료 및 행동치료와 유사하다. 의료진은 이를 본 증례의 환아(患兒)에게 2개월간 적용하여 증상이 80%이상 소실되는 긍정적인 치료 결과를 얻을 수 있었다. 아동의 심리 발달과정에서 부모의 양육태도 등과 같은 중요한 심리 환경적 요인들이 부적절하여 아동의 내면에 갈등이 생기면 심인성의 신체증상이 유발되기도 한다. 이는 전환장애의 심리기제와 매우 흡사하다 할 수 있다. 그러므로 아동의 심인성 신체 증상을 치료하는 장면에서, 우선 성장 환경의 문제점 혹은 환아(患兒)의 성격 기질적 특성을 정확히 파악하고 그에 따라 지언고론요법(至言高論療法)등과 같은 한의학 정신요법을 이용해 적절한 치료적 개입을 한다면 이른 시간 안에 효과적인 치료가 가능할 것이다. 본 증례는 그 좋은 예라 사료된다.

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폭식증 환자의 연극치료 사례 (Case study of dramatherapy for a bulmina nervosa patient)

  • 이효원
    • 한국연극학
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    • 제52호
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    • pp.359-397
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    • 2014
  • This paper describes dramatherapy with a bulmina nervosa patient. She was in her early 20s and has been under the various psychotherapies for cure of deep depression since 2005. We had 24 sessions and 3 persons - the patient, the therapist, and the assist-therapist- participated in dramatherapy. I found there's a big collision between her important roles in the course of initial interview and diagnosis. Those roles are 'a good daughter of mom' and 'an independent adult'. Therefore I defined her bulmina nervosa as 'an symbolic behavior repeats compulsively the failure of separation from her mother.' And I set the general goals, the separation from her mother, the awareness and expression of negative emotions, and the diminuation of overeating and vomiting. To attain these object, we had many different dramatic experiences in dramatherapy. We made a self-portrait, the mask of bulmina nervosa, family sculpture, figure work, the past I and the present I, psychodramatic scene and several stories. In order to objective assessment, I used behavioral observation and 6PSM(6 Pieces Story Making) analysis. First of all the most noticeable change was a rapid decrease in over-eating and vomiting. Before the dramatherapy she had overeaten 30 times per week. At the closure it has fallen off to 1 time per week. Another behavioral changes were shift of outward appearance, not going church, working for living, and having a date with only one. She made 3 stories on 1th session, 13th session, and 23th session. And I comparatively analysed those stories with both qualitative and quantitative method. For qualitative analysis, I classified 5 structures according to the substantial similrarity. On protagonist structure, there's no difference. Three protagonists are dead things. The type of task structure is changed from an escape, a traveling, to metamorphosis. The type of obstruction structure is changed from the protagonist to an outside object. The type of closure structure is changed from an exaggerated happy ending, sad ending to probable happy ending. To quantitify the aspects of transformation, I developed an assesment tool using likert scale. It is composed of 4 sub-categories-reality testing, imagination, ego-strength, optimism problem-solving. In reality testing category, a shift of score was 9-11-15, imagination 2-5-5, ego strength 3-2-2, optimism 6-3-7, and total score 20-21-29. This change of score reflects the growth of problem solving capacity. Viewed in this light, dramatherapy with this girl was successful on the whole. The thing had significant effect on it was psycho-dynamic approach focused on separation from her mother and defence mechanism to avoid negative emotion. And assessment method used in this case will be full of suggestions to researches to come.

사상의학으로 치료한 태음인 아토피 피부염 환자 치험 1례 (A Case report on Sasang constitutional Therapies for Atopic Dermatitis of Teumin Patient)

  • 손덕칭;윤여광;주입산;정대영
    • 대한한방내과학회지
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    • 제24권2_4호
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    • pp.987-994
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    • 2003
  • We observed and treated a 19 year-old female who had atopic dermatitis. Even though she had been treated with western medicine, she still complained of severe itching, erythema, lichenification, scaling, dryness, oozing and insomnia especially on her face and neck. We treated her with Sasang Constitutional Therapies(Kupoong-san, Teumchoui-tang, Kalkunsungki-tang), apcupuncture, herbal irrigation and moisture emulsion. Having been treated for 24 days in hospital admitted, her symptoms were reduced and changed from severe to mild grade in SCORAD(SCORing Atopic Dermatitis)

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어머니의 취업에 대한 아동의 태도에 관한 연구 (Children's Attitudes Toward Their Mothers' Employment)

  • 김미경;이숙현
    • 아동학회지
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    • 제11권2호
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    • pp.98-113
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    • 1990
  • The purpose of this study was to examine how children perceive their mothers' employment. The subjects were 471 elementary school children(4th. 5th. and 6th graders) of working mothers. The instrument used in the present study was a questionnaire consisting of sociodemographic variables and 5 indices. The data were analyzed with multiple regression and stepwise multiple regression. It was found that the child's knowledge about mothers employment, the child's perception of how he/she is affected by having a working mother, the child s perception of mothers feelings about her employment. and the child's perception of mother's interest in him/her predicted the child's attitude toward his/her mother's employment.

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흉막삼출증(胸膜滲出症(Pleural effusion))을 진단받은 소음인 환자 치험 1례 (A Case Report of Soeumin Diagnosed to Pleural Effusion)

  • 하진호;최애련;김성태;구덕모
    • 사상체질의학회지
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    • 제23권1호
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    • pp.125-131
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    • 2011
  • 1. Objectives: This purpose of this case is to report that a soeumin patient diagnosed as pleural effusion was treated with Sibimiguanjung-tang and then her symptoms and result of chest X-ray and R-lab improved 2. Methods: We diagnosed the patient as Soeumin-Taeum-byung(少陰人太陰病). So we treated her with Sibimiguanjung-tang 3. Results: After we treated the patient with Sibimiguanjung-tang, her symptoms and result of chest X-ray and R-lab improved 4. Conclusions: This case study show an efficient result of using Sibimiguanjung-tang in Soeumin diagnosed to pleural effusion.

암 생존자의 생활경험 (Cancer Survivors' Life Experience)

  • 박미성;김금순
    • 종양간호연구
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    • 제8권2호
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    • pp.93-104
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    • 2008
  • Purpose: The purpose of this study was to describe and understand the meaning of cancer survivors' life experience after being discharged from the primary cancer treatment. Methods: Data were collected through a tape-recorded in-depth interview from six participants living in Gyeonggi province from September 2007 to January 2008. The analysis of the data was made through the phenomenological analytic method suggested by Colaizzi. Results: Thirteen themes regarding the survivors' life experience were found. From these thirteen themes, six major theme were emerged. The six major theme included 'keeping his/her mind comfortable', 'going ahead with new hope', 'accepting for his/her existing burden', 'maintaining a good health for a new life', 'improving the strength and relationship among the family member', and 'being faithful to his/her religion'. Conclusions: The results of this study would help oncology nurses to understand the cancer survivors' life and to develop a quality of life improvement program for physical, psychosocial, and spiritual aspects of nursing.

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Myoclonus Induced by the Use of Gabapentin

  • Cho, Keun-Tae;Hong, Seung-Koan
    • Journal of Korean Neurosurgical Society
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    • 제43권5호
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    • pp.237-238
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    • 2008
  • Myoclonus is a rare side effect of gabapentin (GBP) and has been reported in patients with preexisting myoclonus, mental retardation, chronic static encephalopathy, diffuse brain damage, impaired renal function, or end stage renal disease. We report a case of myoclonus in a patient with normal renal function and no previous disorders. A 69-year-old female underwent diskectomy and foraminotomy at the left L4-L5 level. Post-operatively, she complained of paresthesia in her left leg, which was thought to be due to root manipulation during surgery. To relieve the paresthesia, she was given tramadol, an oral opioid agonist, and GBP. One week after GBP was increased to 900 mg per day, myoclonus developed, which severely impaired her normal activity. Her symptoms resolved 2 days after discontinuation of GBP. The coadministration of tramadol and GBP may mutually enhance the myoclonic potential of each drug. The causal relationship between GBP and myoclonus was suggested by cessation of myoclonus after GBP discontinuation despite continued therapy with tramadol.

샤넬의 커스튬 주어리에 관한 연구 (The Study of Chanel in Coutume Jewelry)

  • 유송옥
    • 복식
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    • 제32권
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    • pp.45-56
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    • 1997
  • The purpose of this study was to investigate the relationship between Chanel design and her Costume jewelry in 1920's-1930's through documentary studies. According to the study the result was as follows: 1. Chanel's esthetic in the field of Fashion Design bore the double stamp of "elegance" and 'simplicity' 2. Chanel changed the concept of costume jewelry. Chanel's great innovation was that she let 'fake' jewels always keep the intrinsic value of 'real' ones. 3. The simplicity of her perfectly tailored suit was Paradoxically overwhelmed by a fan-tastic array of jewels. The relationhship be-tween Chanel design and her costume jewelry was not able to be seperated. Chanel was a fashion leader fifty years ago and the name "Chanel" will be at the forefornt of fashon fifty years from now. The image of quality will always remain the same in the futures.

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어머니의 자녀양육에 대한 사회적 관계망과 양육곤란도 지각과의 관계 (Relationships between Maternal support network and perceptions of parenting task difficulty)

  • 이은해;이미리
    • 아동학회지
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    • 제17권2호
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    • pp.61-78
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    • 1996
  • The purpose of this study was to describe maternal social networks and to examine their relationships to maternal perceptions of parenting task difficulty. One hundred and thirty-three mothers of preschool children responded to a questionnaire indicating individuals in their networks, support functions, and perceptions of task difficulty. Mothers reported an average of 6.5 persons in their networks, including primarily with her own mother, the husband, mother-in-law, and sisters. While support was provided mainly by her husband and her own family members, the kinds of support varied depending on the person in networks. It was also found that support functions were different in terms of maternal job status, sex of the child, and the child's previous experience in day care or early childhood education settings. Emotional support from networks was significantly related to parenting task difficulty, especially in daily routine care. Mothers who perceived more emotional support from networks reported parenting to be less difficult.

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오심과 구토를 호소하는 한 여자환자에 대한 단기정신치료 증례보고 (A Case Report on Short-term Psychotherapy of the Woman Patient with Nausea and Vomiting)

  • 이재광
    • 정신신체의학
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    • 제3권2호
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    • pp.222-231
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    • 1995
  • The author reported a case of short-term dynamic psychotherapy in which relatively good therapeutic results were obtained. And I reviewed several therapeutic factors thought to be important in shot-term dynamic psychotherapy from various literatures. In this case, the frequency of session was limited due to her current reality situations. She had suffered from some adjustmental problems and marital conflict before the onset of the illness. The author could grasp the cental theme of her problems early in treatment period and discussed over it including it's influence on current situation and early childhood with th patient. We also discussed about the relationship between the past and current reality so that she could realize her real problem. At the same time, therapeutic effect was enhanced by family therapy and temporary use of medication.

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