• Title/Summary/Keyword: counseling therapy

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Models of Sexual Response in Humans (인간의 성 반응에 대한 모델)

  • Choi, In Kwang
    • Korean Journal of Biological Psychiatry
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    • v.20 no.3
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    • pp.66-73
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    • 2013
  • Sexual behavior is crucial in life, yet comparatively little is known about the mechanisms in the sexual response in humans. A lot of theories and models have been developed to explain about the process of the sexual response in humans. The first model of sexual function was described by Masters and Johnson, defined the four-phase model (phases of excitation, plateau, orgasm and resolution). Helen Kaplan proposed a slightly different model of human sexual response by adding the conception of the desire phase. Some years later, a new model of circular sexual response pattern was described by Whipple and Brash-McGreer, who acknowledged the cyclic nature of women's sexual response. Basson presented an alternative model of women's normative sexual function, which featured a responsive form of desire in women's sexual response. Bancroft developed a new theoretical model, the Dual Control Model, which postulates sexual response and arousal is ultimately determined by the balance between the sexual activation or excitation system and the sexual inhibition system. The Sexual Tipping Point is a model created by Perelman, suggesting that a sexual response is determined by a balance between excitatory or inhibitory factors that may be psychological, organic, psychosocial, or cultural. A comprehensive understanding of sexual response and function is of paramount importance for the psychiatrist to study sex, offer counseling to the patient on sex, and practice sex therapy. In this literature, models of sexual response would be reviewed to understand the knowledge of the sexual functioning in humans.

A Preliminary Study for Training Child Counselors and Integrating Such Training into the National Qualification System in Korea (아동상담사의 양성과 국가자격검정제도 안을 위한 기초연구)

  • Lee, Hee-Sun;Cho, Song-Yon;Sim, Mi-Kyung
    • Korean Journal of Child Studies
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    • v.31 no.3
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    • pp.139-159
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    • 2010
  • The aim of this study was to explore the current status, and public policy issues related to child counselors, with a special focus on training programs and integrating such training into the national qualification system in Korea. The number of children manifesting various social and emotional developmental problems have increased recently. Thus, there is a clear and growing need for suitably qualified specialists to help them and their parents. Child counselors (CCs) are qualified specialists in child counseling and therapy. However, there are no national qualifications or training systems for CCs in Korea. Therefore, in this study, we proposed a Korean national qualification and training system of CCs by comparing the Korean Youth counselor's qualification, training and in-service training system, and with those of both Germany and the USA. In addition, this study suggested the inclusion of a practicum component and a suitable in-service training system for Korean CCs.

Model Development of an Elderly Health Promotion Center: The Effect of a Social Support Program at a Community Health Center (노인 건강증진센터 모형개발을 위한 연구: 일 지역보건소에 적용한 사회적지지 프로그램의 효과)

  • 박오장;소향숙
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.781-790
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    • 2004
  • Purpose: The purpose of this study was to develop a model of an elderly health promotion center after witnessing the effect of a social support program on dependent variables in older adults at a local community health center. Method: The subjects were 60 female adults over 65 years dwelling in a rural area, and they were divided into experimental and control groups each with 30 people. A social support program was implemented 6 hours a day, 3 times a week, for 4 months in the experimental group. Included was health assessment, health education, counseling, consultation, exercise, physical & occupational therapy, primary care, recreation, lunch & transfer service. Data was collected from May 1stto September 14th, 2002 by questionnaires, and analyzed by $x^2$-test, t-test, Pearson's correlation coefficient and stepwise multiple regression using SAS. Result: The social support program in the elderly was very effective on all dependent variables of physical health (t=4.68, p=.001), health knowledge (t=3.60, p=.001), life satisfaction (t=8.65, p=.001), and health promoting behaviors (t=5.23, p=.001). Conclusion: The Social Support Program at a Community Health Center was effective on health promoting behaviors in the elderly.

Correlation between mental health level, usual lifestyle, and self-report symptoms of temporomandibular joint disorder (일부 성인의 정신건강수준, 평소 생활습관 및 턱관절장애 자각증상과의 관련성)

  • Choi, Hye-Jung;Park, Kyung-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.5
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    • pp.763-770
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    • 2018
  • Objectives: The purpose of this study was to investigate the relationship between mental healthlevel,usual lifestyle, and thelevelofsubjectivesymptoms of some adults. Methods: From 17 September-28 November 2017, 260 adults living in Seoul, Gyeonggi, and Incheon comple tedaquestionnaireconsistingofgeneral characteristics (6 items), mental health level (14 items), usual lifestyle (9 items), and subjective symptoms level (9 items) on a 5-point scale. Results: In the mental health level, there was a significant difference in sex, age, marital status, education level, andexistenceofstress, and there were differences in age, marital status, occupation, and existence of stress in usual lifestyle. There were statistically significant differences in age, marital status, occupation, and existenceofstress in the subjective symptoms of temporomandibular disorders. Conclusions: It is necessary to develop a program that can be applied in parallel with counseling therapy related to mental health during the clinical treatment of temporomandibular disorders.

An Integrative Review of Interventions for Internet/Smartphone Addiction among Adolescents (청소년 대상 인터넷/스마트폰 중독 중재연구에 대한 통합적 문헌고찰)

  • Kang, Kyungim;Hur, Sujin;Jo, Juhyun
    • Perspectives in Nursing Science
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    • v.15 no.2
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    • pp.70-80
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    • 2018
  • Purpose: The aim of this study was to investigate the characteristics of intervention programs for internet/smartphone addiction among adolescents through an integrative literature review. Methods: We searched MEDLINE(PubMed), CINAHL, Embase, DBpia, RISS, and KISS using a combination of "Internet or $phone^*$," "$addicti^*$," "adolescent," and "intervention or program or therapy." The searched studies were reviewed according to the criteria and an integrative literature review was conducted on the 14 selected papers published from January 1, 2013 to November 14, 2017. Results: Through the integrative review and analysis, a total of four attributes of interventions and their effects were derived. First, the number of group-focused interventions was significantly higher than that of individual-focused ones. Second, the interventions addressed various aspects of adolescents' problems while considering the complex nature of addiction problems. Third, there was a bias for region and sexual ratio. Lastly, most studies were actively conducted in community-based counseling or psychology settings. Conclusion: It is necessary to find more effective methods for addressing internet/smartphone addiction among adolescents through multidisciplinary approaches, including the consideration of various cultural and gender characteristics. This study provides a basis for developing future programs addressing addiction problems among adolescents.

Effects of a Primary Healthcare Post Obesity Management Program for Middle-Aged Obese Women Living in Rural Areas (농촌 거주 중년 비만여성을 위한 비만관리 프로그램의 효과)

  • Park, Chun Im;Woo, Jin Ju
    • Journal of Korean Academy of Rural Health Nursing
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    • v.11 no.1
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    • pp.15-22
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    • 2016
  • Purpose: The purpose of this study was to analyze changes in body weight (kg) and body mass index (BMI) in middle-aged women following a 12 week exercise program. Methods: The obesity management program for primary health care posts, which consists of exercise therapy and dietary counseling, was provided for obese women aged 40 to 64 (N=15). General characteristics of the women and differences in body weight and BMI before and after the program were analyzed using SPSS 22.0. Results: The major findings of this study are as follows; Average body weight before the program was 65.7 kg, and it was significantly reduced to 63.9 kg after the program (z = -3.41, p = .001). The average level of BMI decreased considerably from 27.9 kg/m2 to 27.2 kg/m2 (z = -3.41, p = .001). Conclusion: The findings from this study show a significant decrease in body weight and BMI after the program. Continuous study is needed to develop a variety of obesity management programs for middle-aged obese women. When developing programs regional characteristics need to be considered and there is a need to confirm the effectiveness of the programs.

Perioperative Management of the Voice in Thyroid Cancer (갑상선암 수술과 수술 전후 음성관리)

  • Yoon, So Yeon;Hong, Hyun Jun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.31 no.2
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    • pp.49-55
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    • 2020
  • Evaluating the patient's voice before thyroidectomy is useful for the purpose of identifying patients with vocal cord paralysis without symptoms, identifying other patient's voice abnormalities, and whether it is related to voice disorders that may occur after surgery. Also voice evaluation after thyroid surgery is helpful in diagnosis, treatment, and rehabilitation and follow-up of voice disorders that occur without clear nerve damage after thyroidectomy. And it is helpful for rapid recovery through active early rehabilitation treatment for patients who complain of speech impairment without paralysis. In particular, neck exercise can improve the adhesion of the surgical site and increase the range of motion of the neck as well as improve subjective neck discomfort. In addition, hearing, voice and breathing functions should be improved, and voice hygiene education and counseling should be provided. Vocal cord injection is the first treatment option for unilateral vocal cord palsy. By establishing a protocol for voice disorders before and after thyroid surgery and providing appropriate treatment, the quality of life of patients can be improved.

The effects of bibliotherapy program using picture books on self-esteem, social competence, personal growth and family relationships of married immigrant women (그림책활용 독서치료프로그램이 여성결혼이민자의 자아존중감, 사회적 유능감 및 개인적 성장과 가족관계에 미치는 효과)

  • Lee, Minjeong;Lee, Youngsun
    • Journal of Family Relations
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    • v.22 no.3
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    • pp.103-130
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    • 2017
  • Objective: This study explored benefits of a bibliotherapy program using picture books for self-growth supporting married Immigrant Women settle down as a healthy member of the Korean society. Method: This intervention program was implemented on twelve married immigrant women (and another twelve women as a control group), and their self-esteem and social competence before and after the intervention were examined. In addition, the researcher kept observation journals and conducted post-program interviews with the participants after the completion of the program to understand the changes in family relationships. Result: The results of this study are as follows: (1) the self-esteem scores of participants had increased after the intervention program, however, there was not significant differences between control and experimental groups, (2) the experiment group made more progress in improving social competence, and (3) the study confirmed through qualitative analysis that the program made positive contributions to improving the participants' quality of family relationships. Conclusion: Based on these results, implications for further research and practices were discussed.

Development of Digital Contents for ADHD Treatment Specialized for VR-based Children

  • Dae-Won Park;Chun-Ok Jang
    • International Journal of Advanced Culture Technology
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    • v.11 no.3
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    • pp.302-309
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    • 2023
  • This study aimed to develop a VR-based digital therapeutic intervention for the diagnosis and treatment of ADHD. The research combined medical data with virtual reality technology to develop an algorithm for ADHD diagnostic scales and implemented a VR-based digital therapeutic platform using a head-mounted display (HMD). This platform can be used for the diagnosis and treatment of ADHD in children and adolescents. Additionally, we four VR games were developed, including archery timing, Antarctic exploration, grocery shopping, and rhythm-based drumming(RBD), incorporating various psychiatric treatment techniques based on cognitive-behavioral therapy(CBT). To evaluate the usability of this digital therapeutic intervention, a group of experts specialized in counseling psychology participated in the study. The evaluations received highly positive feedback regarding the ability to access the system menu while wearing the HMD, the consistency of terminology used in menus and icons, the usage of actual size for 3D graphic elements, and the support for shortcut key functionality. The assessments also indicated that the games could improve attention, working memory, and impulse control, suggesting potential therapeutic effects for ADHD. This intervention could provide a daily treatment method for families experiencing financial constraints that limit hospital-based therapies, thereby reducing the burden.

A Comparison Between the Performances of Verbal and Nonverbal Fluency Tests in Discriminating Between Mild Cognitive Impairments and Alzheimer's Disease Patients and Their Brain Morphological Correlates

  • Seyul Kwak;Seong A Shin;Hyunwoong Ko;Hairin Kim;Dae Jong Oh;Jung Hae Youn;Jun-Young Lee;Yu Kyeong Kim
    • Dementia and Neurocognitive Disorders
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    • v.21 no.1
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    • pp.17-29
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    • 2022
  • Background and Purpose: Verbal and nonverbal fluency tests are the conventional methods for examining executive function in the elderly population. However, differences in impairments result in fluency tests in patients with mild cognitive impairments (MCIs) and Alzheimer's disease (AD) and in neural correlates underlying the tests still necessitate concrete evidence. Methods: We compared the test performances in 27 normal controls, 28 patients with MCI, and 20 with AD, and investigated morphological changes in association with the test performances using structural magnetic imaging. Results: Patients with AD performed poorly across all the fluency tests, and a receiver operating characteristics curve analysis revealed that only category fluency test discriminated all the 3 groups. Association, category, and design fluency tests involved temporal and frontal regions, while letter fluency involved the cerebellum and caudate. Conclusions: Category fluency is a reliable measure for screening patients with AD and MCI, and this efficacy might be related to morphological correlates that underlie semantic and executive processing.