• Title/Summary/Keyword: Medical psychotherapy

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A Case Report on Psychosomatic Disorder Cause by Maladjustment of Interpersonal Relationship (대인관계 부적응으로 유발된 심신증 환자 치험 1례)

  • Kim, Nam-Yeol;Yoo, Jong-Ho;Kim, Geun-Woo;Bae, Jae-Ik
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.4
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    • pp.215-228
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    • 2012
  • Objectives : This study aims to research the effect of oriental psychotherapy and treatments for reduction of Psychosomatic disorder symptoms caused by maladjustment of interpersonal relationship. Methods : We treat a patient with Oriental medical treatment (acupuncture, moxibustion, cupping and aroma therapy, oriental psychotherapy and Herb-medication) and follow up the changes of stress index for 3 times per 8 days. Results & Conclusions : After oriental psychotherapy and treatments, clinical symptoms of the patient were improved and the patient overcoming psychosomatic disorder can go back to the workplace. It is suggested that oriental psychotherapy and treatments are effective on psychosomatic disorder.

A Case Report on the Use of M&L Psychotherapy for Chronic Pain Patients through a Traditional Korean Psychiatric Therapeutic Approach (한의정신치료적 접근을 통한 만성통증 환자의 M&L 심리치료 활용 1례 보고)

  • Hyun-A Sim;Jin-Hyun Kim;Jae, kyoung Lee;Soo-Duk Kim;Young-Tak Koh
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.3
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    • pp.279-289
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    • 2024
  • Objectives: To report effects of M&L psychotherapy combined with Korean medical treatments on a patient with chronic low back pain. Methods: We treated a patient with chronic low back pain using M&L psychotherapy alongside a combination of Korean medical treatments, which included acupuncture, pharmacopuncture, cupping, and herbal medicine. The patient was diagnosed based on the ICD-11 diagnostic criteria for chronic primary pain. To evaluate the patient's progress, we used the Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), Visual Analogue Scale (VAS), Beck's Depression Inventory (BDI), and Beck's Anxiety Inventory (BAI). Results: After three weeks of inpatient treatment and two months of outpatient treatment, the patient showed significant improvement in both pain and psychological symptoms. The NRS score decreased from 7 to 2. The BDI score decreased from 54 to 11 and the BAI score decreased from 33 to 9. Conclusions: This study demonstrates that M&L psychotherapy combined with Korean medical treatments can significantly reduce chronic low back pain and improve psychological symptoms such as depression and anxiety. The patient's notable improvements in NRS, BDI, and BAI scores suggest that an integrated treatment approach addressing both physical and mental health aspects is effective for managing chronic pain. These findings support potential benefits of holistic and multidisciplinary strategies for treating patients with chronic pain.

The Effects of M&L Trauma Psychotherapy on Impact of Events, Affection, and Quality of Life among Female Vicims of Family Violence (가정폭력 피해여성들의 사건충격과 정서 그리고 삶의 질에 대한 M&L 트라우마 심리치료 프로그램의 효과에 대한 임상연구)

  • Sue, Joo-Hee;Kim, Jung-suk;Ko, Kyung-sook;Oh, Jung-lan;Ko, In-sung;Kang, Hyung-won
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.2
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    • pp.79-88
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    • 2015
  • Objectives: The purpose of this study is to investigate the effects of the M&L Trauma Psychotherapy Program on: Impact of Event Scale - Revised (IES-R-K); Euro QOL-5 Dimension (EQ5D); Five-facet Mindfulness Questionnaire (FFMQ); and psychological tests. Methods: Eight middle-aged women subjected to domestic violence participated in the two-day M&L Trauma Psychotherapy Program. The Program was executed 5 times 2 days for about 3 hours. We evaluated IES-R-K, EQ5D, FFMQ, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), State-Trait Anger Expression inventory (STAXI) and SUDS before the Program and for four weeks afterwards, to analyze the effects of the M&L Trauma Psychotherapy Program. Results: The scores of IES-R-K, BDI, STAI-S, STAI-T, Hwa ST and Hwa CT decreased significantly (p<0.05). EQ5D scores increased significantly (p<0.05) and overall physical condition scale (VAS) increased. In the FFMQ scores, all five facet scores increased slightly. Scores of SUDS decreased significantly right after the program, and remained decreased four weeks later, rather than before the Program (p<0.05). Conclusions: The results suggested that the M&L Trauma Psychotherapy Program improved post-traumatic stress, quality of life and mindfulness skills, and had positive responses to psychological problems - depression, anxiety, anger and distress.

A Clinical Report of a Psychosomatic patient who has treated by Giungoroen-therapy based on Song Psychotherapy (노래 심리 치료를 활용한 지언고론요법(至言高論療法)을 적용하여 호전된 심신증(心身證)환자 1예(例) 보고)

  • Kim, Soo-Hyun;Kim, Bo-Eun;Chung, Dae-Kyoo;Choi, Jung-Kyu
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.2
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    • pp.49-59
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    • 2011
  • Objectives : This study was performed to report the effect of Giungoroen-therapy based on song psychotherapy in the treatment resistant patient with psychosomatic disease. Methods : A 43 year-old female patient suffered from headache, facial numbness, right upper and lower limb's numbness, ptosis, chest discomfort, dysarthria without identifiable physical cause. We diagnosed her as psychosomatic disease, and tried to apply Giungoroen-therapy with Korean traditional medical treatment. But she was resistant to Giungoroen-therapy. So we applied Giungoroen-therapy based on song psychotherapy. Results : After the Giungoroen-therapy based on song psychotherapy, the patient revealed her unrecognized hidden issues and got some insights about herself. Then the symptoms, such as headache, facial numbness, right upper and lower limb's numbness, ptosis, chest discomfort and dysarthria were reduced considerably. Conclusions : These results suggest that Giungoroen-therapy based on song psychotherapy can be effective on improvement of resistant psychosomatic disease.

Application of Complex Korean Medicine Therapy and M&L Psychotherapy to Patient with Panic Disorder: A Case Report (공황장애 환자에 대한 복합한의진료 및 M&L 심리치료 적용 경과: 증례보고)

  • Kim, Jong Hwan;Jo, Hee Geun;Shin, Hyun Kwon
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.4
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    • pp.305-314
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    • 2018
  • Objectives: The objective of this study was to report the clinical effectiveness of the complex Korean medicine therapy and M&L (Mindfulness & Loving presence) psychotherapy on the patient with panic disorder. Methods: The subject for this study was the patient diagnosed with panic disorder who complained about intermittent panic attack and accompanying insomnia. During the treatment period, the patient received complex Korean therapy and M&L psychotherapy. The clinical effects were evaluated through Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (HDRS), State-Trait Anxiety Inventory (STAI), Panic Disorder Severity Scale (PDSS), and Pittsburgh Sleep Quality Index (PSQI). Results: After the complex Korean medicine therapy and M&L psychotherapy, the overall symptoms of depression, anxiety, panic disorder and insomnia of the patient were lessened in a relatively short period. No specificities or adverse effects were reported during the treatment period. Conclusions: This study established that the complex Korean medicine therapy and M&L psychotherapy was effective in treating patients with panic disorder.

Communication at the End of Life

  • Onishi, Hideki
    • Journal of Hospice and Palliative Care
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    • v.24 no.3
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    • pp.135-143
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    • 2021
  • End-of-life patients experience physical, mental, social, and existential distress. While medical personnel provide medication and care to alleviate patients' distress, listening to and interacting with patients remains essential for understanding their psychological condition. The most important tool, though difficult to implement in practice, is end-of-life discussion (EOLD). EOLD has been shown to have positive effects on end-of-life treatment choices, achievement of patients' life goals, improvements in the quality of life of patients and their families, and the prevention of depression and complicated grief among bereaved family members. EOLD is not often undertaken in clinical practice, however, due to hesitancy among medical personnel and patients for various reasons. In order to conduct an EOLD, the patient's judgment, psychiatric illnesses such as delirium and depression, and psychological issues such as the side effects of psychotropic drugs, denial, and collusion must be evaluated. Open and honest conversation, treatment goal setting, the doctor's familiarity with the patient's background, and attentiveness when providing information are important elements for any dialogue. Meaning-centered psychotherapy was developed to alleviate the existential distress of cancer patients, and its application may promote EOLD. The future development of meaning-centered psychotherapy in practice and in research is expected to further promote EOLD.

One case of combination therapy of acupuncture, herbal medication, counseling and autogenic training on convulsion of conversion disorder (한방정신요법 및 자율훈련법을 사용한 경련을 주증상으로 하는 전환장애 1례)

  • Seo, Deok-Won;Ahn, Hyo-Jin;Ryu, Ho-Sun;Lee, Su-Bin;Ko, In-Sung;Park, Se-Jin
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.4
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    • pp.143-155
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    • 2011
  • Objectives : The purpose of this study is to suggest that psychotherapy must be considered when treating conversion disorder patient with convulsion. Methods : We treated the patient with counseling and autogenic training in psychotherapies, not only traditional methods. Results : In this study, we found difference between when counselling and autogenic training is combined and when they are not practiced. Conclusions : Counseling and autogenic training is good treatment at patient with convulsion of conversion disorder.

Clinical study on a case of somatoform disorder with chronic pelycalgia and hemiparesis (만성골반통과 편마비를 동반한 신체형 장애 환자 1례(例)의 임상보고)

  • Choi, Woo-Jin;Jung, Min-Yung;Lee, Seung-Gi;Kang, Hee-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.2
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    • pp.203-210
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    • 2004
  • Objectives: The purpose of this study was to investigate the clinical application of oriental medical therapy(OMT) and psychotherapy to a somatoform disorder patient with chronic pelycalgia and hemiparesis. Methods: We treated the patient with psychotherapy such as relaxation therapy and suggestion. OMT that we used is represented by retention enema therapy. The recovery of the pelycalgia was evaluated by Visual Analogue Scale(VAS). Results: Following the treatment the patient's pelycalgia and hemiparesis was improved. The sum of VAS score was rapidly decreased(from 113 to 28). Conclusion: OMT and psychotherapy have positive effects on the patient with chronic pelycalgia and hemiparesis.

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A Case Report for PTSD Patients Based on Mindfulness & I-Jeong-Byeon-Gi Therapy (마음챙김 명상과 이정변기요법을 이용한 PTSD 환자 치험례)

  • Park, Jong-Min;Lee, Go-Eun;Sue, Joo-Hee;Bae, Dal-Bit;Choi, Sung-Youl;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.1
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    • pp.73-84
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    • 2014
  • The purpose of this study was to introduce a PTSD patient who experienced significant effects of mindfulness meditation and Ii-Gyeung-Byun-Qi therapy. Our psychotherapy was executed five times a week for the 14-year-old male patient who attended middle school and was diagnosed by DSM-IV Diagnostic Criteria for PTSD, and then the MMPI-A was evaluated to determine the effects after 3 months. The results showed normal profiles of MMPI-A validity scales and Clinical Scales profile after his treatment, positive changes in content scales, and significant decreases of PSYC (psychoticism) and NEGE (negative emotionality) in PSY-5 scales. This study made through a case report on the treated psychotherapy for PTSD by the applications of modern psychological techniques in the Korean psychotherapy. We expected that this case report will have a role in development of standardized psychotherapy programs for PTSD.

PLAY PSYCHOTHERAPY (놀이정신치료)

  • Kwack, Young-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.2
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    • pp.161-178
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    • 2000
  • The author reviewed history and development of variable approaches of play psychotherapy. To understand basic concepts and practical factors of play, the functions of play behavior and it's clinical application were summarized. As major therapeutic approaches, both theoretical concepts and practical techniques of psychoanalytic approach and those of nondirective approach were presented. For clinician it is important to know developmental theories which can be applied to various therapeutic technics and to apply these theories to play therapy situations. So, to know the developmental approach in play psychotherapy, play as a developmental process, its' therapeutic application, play in the perspective of cognitive development and the therapeutic process of play psychotherapy were reviewed. With the knowledge of developmental concept therapists can increase their abilities to prescribe an appropriate type of play therapy.

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