• Title/Summary/Keyword: psychosomatic

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History of Psychosomatic Medicine Revisited (정신신체의학 역사의 재조명)

  • Jeong, Do-Un
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.3-13
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    • 1993
  • Since the onset of modern psychosomatic medicine decades ago. it has made significant at contribution to general medicine in terms of understanding the patient as a whole person suffering from an illness rather than as a disease per se. However, initial expectation of delineating specific psychogenesis and developing specific treatment modality has not been fulfilled. Consequently, it has raised substantial concern about the continuing utility of psychosomatic medicine in modem medicine. The author attempted to review critically the evolution of psychosomatic medicine from the perspective of the present and to make projections into the near future. It is concluded that psychosomatic medicine in the future will continue to contribute to development of modem medicine not only as the scientific principle but also as the practical methodology, working as creative interface among disciplines and fusing ideas from rapidly developing molecular biology and neuroscience with psychosomatic concepts. Finally, suggestions for further developing psychosomatic medicine in Korea are made.

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The Psychosomatic Disorders Pertaining to Dental Practice with Revised Working Type Classification

  • Shamim, Thorakkal
    • The Korean Journal of Pain
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    • v.27 no.1
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    • pp.16-22
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    • 2014
  • Psychosomatic disorders are defined as disorders characterized by physiological changes that originate partially from emotional factors. This article aims to discuss the psychosomatic disorders of the oral cavity with a revised working type classification. The author has added one more subset to the existing classification, i.e., disorders caused by altered perception of dentofacial form and function, which include body dysmorphic disorder. The author has also inserted delusional halitosis under the miscellaneous disorders classification of psychosomatic disorders and revised the already existing classification proposed for the psychosomatic disorders pertaining to dental practice. After the inclusion of the subset (disorders caused by altered perception of dentofacial form and function), the terminology "psychosomatic disorders of the oral cavity" is modified to "psychosomatic disorders pertaining to dental practice".

Psychosomatic Medicine in Korean Medical Practice : Past, Present and Future (한국 임상진료에서 정신신체 의학의 과거와 현재 그리고 미래)

  • Seo, Jeong-Seok
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.18-21
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    • 2012
  • It has passed 20 years since the first conference of the Korean Psychosomatic Society(KPMS) had been held. Therefore, it seems that it is the appropriate time to evaluate the current status and to look back the history of the Korean psychosomatic medicine in three aspects, clinical treatment, education, and research, and to make a plan for the future. Of the three areas, the clinical practice of Korean psychosomatic medicine will be discussed. As the past, I reviewed the historical background and development of KPMS, and the proposals presented at the first conference of KPMS in 1992. As the present, I presented the short stories about the psychosomatic clinic in Japan, Germany, and USA, to compare it with the present status of Korean one. And finally I made careful proposals for the future of the Korean psychosomatic medicine.

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Anger and Psychosomatic Symptoms in Multi-cultural Families: The Mediating Effect of Parental Attachment (다문화가정 아동의 분노와 정신신체증상: 부모 애착의 매개효과)

  • Moon, So-Hyun;An, Hyo-Ja
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.1
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    • pp.37-47
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    • 2013
  • Objectives: A descriptive correlational study was designed to examine the relationship of anger to psychosomatic symptoms. In addition, this study investigated the mediating effect of parental attachment in relation to anger and other variable. Methods: Data were collected from 112 subjects in grade 4 or 6, and descriptive statistics, Pearson correlation coefficient, and hierachical multiple regression were used with SPSS/PC 18.0 program to analyze the data. Results: There was a significantly positive effects between state-trait anger and psychosomatic symptoms. Father attachment negatively correlated state-trait anger and psychosomatic symptoms. Also, mother attachment negatively correlated state anger and psychosomatic symptoms. However, maternal attachment was not significantly associated with trait anger. Parental attachment had a significant mediating effect in relation to state-trait anger and psychosomatic symptoms. Conclusions: For the effective management of multi-cultural children's psychosomatic symptoms, programs including parental attachment increasing strategies should be established. These programs can increase parental attachment security which is mediator role between anger and psychosomatic symptoms.

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The Past, Present and Future of Korean Research in Psychosmatic Medicine (한국 정신신체의학연구의 과거와 현재 그리고 미래)

  • Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.9-13
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    • 2012
  • Psychosomatic medicine is a part of medicine which is to find the effect of psychological, behavioral, and medical factors on the human body and disease. In the early $20^{th}$ century, the idea of psychogenesis had been developed and resulted in the concept of psychosomatic disease which was believed to be caused by psychological factors. However a multifactorial model of illness developed and it allowed illness to be viewed as a result of biopsychosocial interactions. The following have been highlighted by consultation-liaison psychiatry. Psychosomatic medicine has addressed stress and psychiatric factors which affect the etiology, course, and treatment of medical disorders. Moreover it contributes the growth of other related disciplines such as psychoneuroendocrinology, psychoimmunology, behavioral medicine, health psychology and quality of life research. Nowadays, psychosomatic field becomes enlarged because medical and surgical departments have been developed rapidly, and research methods and tools have brought forth rapid progress and advance in medical science. Therefore the author reviews the past and present psychosomatic researches and suggests the future of psychosomatic research in Korea.

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Past, Present, and Future of Psychosomatic Medicine in the Field of Korean Medical Education (한국 의학 교육에서 정신신체의학의 과거와 현재 그리고 미래)

  • Kim, Eui-Joong
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.14-17
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    • 2012
  • There were several documents that might reflect the great concern on the education of psychosomatic medicine in medical school from the 1960s. But the hour of class and proportion of psychosomatic medicine have been quite small among the total lecture time of psychiatry. Notwithstanding the importance of biopsychosocial perspective in practice and research there have been no agreement on the goal and content of teaching psychosomatic medicine in the medical school curriculum. Consultation-liaison psychiatric activity in the hospital were currently under-developed and educational content and process were not systematic. We should have established the goal of psychosomatic education in the medical school that includes making doctor who could not only cure disease but also care the ill patients. And we should develop the curriculum that covers essential area of psychosomatic medicine and checking system to monitor the process of education. With the continuance of psychosomatic perspectives from medical school education to clinical subspecialty we can make progress in this field.

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Drug Treatment in Psychosomatic Disease (정신 신체의학에서 최신 치료 약물)

  • Song, Ji-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.2
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    • pp.133-142
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    • 2001
  • For treating various conditions of the psychosomatic disease, not only psychotropic drugs but also drugs used in internal medicine or other than psychiatric fields would be applied. So psychiatrists who are interested in psychosomatic medicine should make expanded knowledges of those medicine. And modalities of drug treatment should be modified according to the characteristics of illness behavior and disease concept which the patient have. Some drugs used in complementary medicine could be applied to the psychosomatic illness. For example, herbs and/or aromas which have some effects without serious adverse reactions could be used carefully to the patient. And the mode of action and efficacies of them should be evaluated by doctors.

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Inferiority, Depression and Psychosomatic Symptoms in Female Adolescents: The Mediating Effect of Perceived Entrapment (청소년 여학생의 열등감, 우울 및 정신신체 증상의 관계 - 지각된 속박감(perceived entrapment)의 매개효과 -)

  • Cheon, Suk-Hee;Cha, Bo-Kyoung
    • Child Health Nursing Research
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    • v.14 no.4
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    • pp.343-351
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    • 2008
  • Purpose: This descriptive correlation study was designed to examine the relationship of inferiority to depression and psychosomatic symptoms in female adolescents. In addition, this study investigated the mediating effect of perceived entrapment in relation to inferiority and other variables. Method: Data were collected from 526 female high school students. Self-report questionnaires, which were constructed to include demographic factors, inferiority, perceived entrapment, depression and psychosomatic symptoms, were used for data collection. Results: Students with high inferiority showed significantly higher perceived entrapment, depression and psychosomatic symptoms. here were significant positive correlations among the variables. Perceived entrapment had a significant mediating effect in relation to inferiority, depression and psychosomatic symptoms. Conclusion: Further study is necessary to develop effective nursing interventions for managing inferiority and perceived entrapment in this population.

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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.

Communication with Psychosomatic Patient: With a Clinical Vignette "When Words Are Unspeakable: A Bridge Beyond the Silence" (증례 '금지된 언어와 침묵을 넘어서'를 통해 본 정신신체화 환자와의 소통)

  • Jahng, Eun Jin
    • Psychoanalysis
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    • v.29 no.4
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    • pp.72-82
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    • 2018
  • What should a therapist do if the patient has lost the ability to speak in sessions? How should the therapist understand and approach this 'deadly silence'? Psychosomatic patients have poor ability to mentalize their experience, so they create a 'shunt' from emotional experience to body bypassing symbolic sphere. This makes psychosomatic patients vulnerable to expressing their emotions in words. With the case vignette 'When words are unspeakable: a bridge beyond the silence' written by Wirth in a book "From soma to symbol" we observe how psychosomatic pathology arises, from inappropriate mirroring and poor containment; and how this escalates into a vicious cycle of sin and punishment in the patient's conscience. This conscience scenario imprisons a talented and creative mind in a dark, silent place, wherein symbols and words are forbidden. This seemingly impossible task of providing silent patients with a 'talking cure' finds breakthrough with containment, and transformative thinking using therapists' reveries.