• 제목/요약/키워드: oriental medical psychotherapy

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

  • 김종환;조희근;신현권
    • 동의신경정신과학회지
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    • 제29권4호
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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.

하코미세라피의 이해와 한의학적 응용 (An Introduction of Hakomi Therapy and Its Application to Korean Medicine)

  • 서주희;강형원
    • 동의신경정신과학회지
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    • 제24권spc1호
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    • pp.101-118
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    • 2013
  • Objectives : Hakomi therapy is a body-centered psychotherapy established by Ron Kurtz in the 80s. Here we introduce the clinical possibilities of application in Korean medicine through Hakomi therapy. Methods : At first, we present the definition, basic principles, terms and outline of Hakomi therapy in reference to "Body-centered psychotherapy The Hakomi Method," published by Ron Kurtz. Then we study the clinical application of Hakomi therapy on Korean medicine. Results : There are many similarities between Hakomi and Korean medicine, such as Mind-Body holism, organicity through homeostasis of living things, non-violent attitude of therapist like Tao, and emphasis on breathing by corresponding with Nature. Also, there are similarities in methods, such as Ohjisangseung, Iijungbyunqi, and Qigong. Hence, Hakomi therapy can be useful in Korean psychotherapy. Conclusions : If we can graft Hakomi therapy onto Korean psychotherapy, it will be efficacious for Korean psychotherapy to be systematized.

배우자 외도로 인한 60대 화병 환자의 M&L 심리치료 프로그램 적용 치험례 (A Case Report on the Application of M&L Psychotherapy to a Hwa-Byung Patient in Her 60s due to Her Spouse's Affair)

  • 조주연;김상범;김다담;강형원
    • 동의신경정신과학회지
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    • 제33권4호
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    • pp.463-471
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    • 2022
  • Objectives: The purpose of this study is to introduce the progress of treatment and improve clinical use after the application of Mindfulness & Loving Beingness psychotherapy, for a patient with Hwa-Byung. Methods: The patient was diagnosed with Hwa-Byung which arose as a result of their spouse's affair. The patient mainly reported chest pains, breathing difficulties, fear, and anxiety as symptoms. To address these, we administered a combination of M&L psychotherapy and Korean therapy including Herbal medicine, acupuncture, and moxibustion. Beck's Depression Inventory(BDI), Beck's Anxiety Inventory(BAI), and Hwa-Byung scale were evaluated before and after the treatment, to assess the clinical effect. Results: Following treatment, the patient's overall clinical symptoms of chest pain, breathing discomfort, fear, and anxiety were significantly reduced. Additionally, their scores on the BDI, BAI, and Hwa-Byung scales decreased. Conclusions: M&L psychotherapy and Korean therapy can be effective in treating Hwa-Byung.

본태성 진전(震顫)을 주(主) 증상(症狀)으로 한 환자(患者) 1례(例) (The clinical study on 1 case of essential tremor patient)

  • 민경직;김석환;정인철;이상룡
    • 혜화의학회지
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    • 제16권2호
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    • pp.281-288
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    • 2007
  • Tremor is a rhythmic, involuntary muscular contraction characterized by oscillations (to-and-fro movements) of a part of the body. Essential tremor is a 6-8 Hz tremor that is of variable amplitude. It is aggravated by posture and movement and relieved by rest and alcohol. Most affected part are the arms, head and vocal apparatus. The purpose of this study is to show a case of tremor patient with essential tremor improved by oriental medical treatment. The patient was 71-year-old woman who featured essential tremor and at the same time complained general body weakness, nausea, and anorexia. She was treated by oriental medicine with acupuncture, herb medication, and Korean psychotherapy; Eejeong-byunki, Jiun-goron. The features of essential tremor was reduced after taking oriental medical therapy. This result suggested that the oriental medical therapy can be effective for treating essential tremor.

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중기증(中氣證) 환자(患者) 1례(例)에 대한 임상적 고찰 (One case of Jungkijeung assuming an aspect of pseudoseizure)

  • 김진형;국윤재;장현호;양현덕;이성익;김태헌;류영수;강형원
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.201-212
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    • 2005
  • We experienced an improved case of Jungkijeung assuming an aspect of pseudo seizure with Oriental medical treatment. For diagnosis of Jungkijeung(中氣證), first of all, we must take one's physicals actively using occidental diagnostic machinery and tools, In result, we can diagnose Jungkijeung(中氣證) in case of normal. In treatment of Jungkijeung(中氣證), it is considered that oriental psychotherapy and oriental medical treatment(herb-med, acupuncture, etc.) are more effective than occidental.

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자살에 대한 한의학적 고찰 - 『동의보감(東醫寶鑑)』을 중심으로 (A Study on The Oriental-medical Understanding of Suicide - Within Donguibogam Book -)

  • 이루다;고인성;이상원;황선혜;박세진;강형원
    • 동의신경정신과학회지
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    • 제26권2호
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    • pp.171-180
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    • 2015
  • Donguibogam's views on human life provide us with insight into suicide prevention by perceiving life as priceless. In addition to the approaches of modern medicine, we can employ 'mentally and physically integrative treatment' and 'prevention-based treatment' from Korean medicine as a therapeutic point of view. We can also employ 'I-Jeong-Byeon-Gi Therapy' and 'Oh-Ji-Sang-Seung Therapy' as therapeutic methods. In this paper, we consider these approaches and clinical adaptations for suicide prevention from the perspectives of Korean medicine.

<명의류안(名醫類案)>에 나타난 감정으로 유발된 질환 및 심리치료 의안(醫案)에 관(關)한 연구(硏究) (A Study on the Disease induced by Emotional Problem and the Psychotherapeutic Medical Records in Mingyi-leian (Classified Medical Records of Famous Doctors))

  • 김성욱;한윤승;김근우;구병수;김주호
    • 동의신경정신과학회지
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    • 제17권1호
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    • pp.17-35
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    • 2006
  • Objects : In the present study, we translated Mingyi-leian into modern Korean, and studied the medical records about the disease induced by emotional problem and the psychotherapy in Mingyi-leian for find the possibility of application that established researches did not studied. Methods : It was 197 cases that related to psychotherapy and emotional problem called Seven Passions(七情). We studied these records by statistical methods. Results : The anger(怒) was the most numerous cause into classified to Seven Passions in 197 cases. In the order of frequency of emotional causes, it was worry(憂), surprise(驚), lust(思), fear(恐), sorrow(悲), joy(喜) that classified into Seven Passions. The most disease induced by emotional problem was internal trauma(內傷), 11 cases. There was very numerous diseases induced by emotional problem except internal trauma. In ratio of the sexes, it was 104 cases in female and 93 cases in male from 197 cases. But the number of all case records about male were more than about female in Mingyi-leian, so female ratio was two times to male ratio. Specially, the percentage of cases about disease due to anger high in female. In ratio of the Seven Passions, the anger was most frequent cause of diseases due to emotional problem in 197 cases, and mostly caused bleeder's diseases. In oral medical treatments, various prescriptions were used. On the whole, the ratio of prescriptions about venting grudges(解鬱) records are mostly application of compatibility and incompatibility with the and warmly strengthening(溫補) were high. Psychotherapeutic medical Five Elements(五行) relation. But it also has psychotherapeutic medical record made by detailed and correct analysis can equal to modern psychotherapy, it is worth refer to clinic. Conclusions : Mingyi-leian and its medical records about the disease induced by emotional problem and the psychotherapeutic records have sufficient meaning to not only modern neuropsychiatric physicians but also physicians of all medical fields to treat disease of this kind.

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꿈의 임상적 응용에 대한 고찰 (Study of dream on clinical application)

  • 구병수
    • 동의신경정신과학회지
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    • 제13권2호
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    • pp.1-10
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    • 2002
  • Dreams are experiences of life that is recognized to have taken place in .the mind while asleep. The phenomenon of dreams is occured by external stimuli such as somatic factor and emotion-arousing pre-sleep stimuli. The contents of dreams reflect the dreamer's unique psychic situation, we can view them from category of Yin and Yang and the Five Elements(陰陽五行). Also dreams are characterized by an objectivity that provides whatever in necessary for psychic balance, regardless of the ego's wishes. Hence dreams are objective sources of psychotherapy. The doctor must not treat patient by the doctor's subject mind. The Orient has taken the idea that human beings have the divine center in the heart, so dreams in the psychotherapy of the oriental medicine are more valuable as representation of inner world. The images of dream are classified as the deficiency and excessiveness of Yin-Ki and Yang-Ki of the internal organs, an property and source of stimulus. Dream applies to diagnose the disease of internal organs and to decide to the method of medical treatment.

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해리성 기억상실과 전환장애를 동반한 환자의 증례 -정신요법을 사용하여- (A Case of Dissociative amnesia with Conversion disorder -By using psychotherapy-)

  • 곽선;이승기;최우진
    • 동의신경정신과학회지
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    • 제14권2호
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    • pp.191-198
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    • 2003
  • Dissociative amnesia is a psychiatric disorder charicterized by a sudden loss of memory, but which has no organic disease or explanation, It usually occurs after severe psychosocial stress or traumatic experience. As for medical treatment, medicine, psychotherapy and hypnosis are used. This case describes a 35-years-old woman who developed amnesia and depression following severe troublesome events. So she suited without expression and appealed against headache, dizziness, chest discomfort and weakness. Psychoanalytic psychotherapy was enforced for three days with hypnosis. She expressed the felling over the incident which she dose not like, and canceled in the past. She became reconciled with the family and left the husband by the heart. Then she recovered memory completely and body condition also improved. Recovery and growth of self were helped using supportive expression in order to prevent a recurrence. The prognosis is good with complete recovery, and there was no relapse.

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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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