The psychiatric interview is not a random or arbitrary meeting between doctor and patient. It is a systematic attempt to understand the relationship of psychopathology to emotional conflicts in patient, and interviewing is an in rather than a science, a skill that can be acquired but probably not taught. The faculty of the Seoul National University Hospital, Department of Psychiatry, have been providing 12 sessions of seminar on Psychiatric Interview and Psychopathology every year for the first year residents for the past 15 years. The authors presented three cases materials with their understandings of psychopathology and psychodynamics, each of which the authors had performed live interviews for 50 minutes in front of the residents. Those are a young male with conversion disorder whose chief complaints was motor aphasia, a young college girl with paranoid schizophrenia whose chief complaints were persecutory and erotic delusions with auditory hallucination, and a climacteric female in delusional disorder who had a delusion of infidelity. The most frequent questions the residents raised after the presentations were on the significances of the first interview, danger of making the diagnoses with short interviews, and methodology of questionings and not-questionings. In reply the authors discussed the importance of understandings of psychopathology and psychodynamics, the flexibility of the techniques of interviewing, and priority-related matters in which the understanding of psychodynamics proceed to the diagnoses.
Han, Seo Young;Kwak, Su Jin;Choi, Bo Gyeong;Jeon, Hyeong Ju;Lee, Myung Kyung
The Journal of Korean Academic Society of Nursing Education
/
v.26
no.4
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pp.337-347
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2020
Purpose: The purpose of this study was to figure out the association of nursing activity participation and clinical practice stress with career maturity during clinical practice among nursing college students. Methods: Participants of the study were 201 nursing college students located in nationwide regions. Data collection was performed between July 18 and August 8, 2019. Data analyses were performed through an independent t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis using SPSS WIN 25.0. Results: The results of this study were as follows. We ran multiple regression analyses to see which critical factors influenced career maturity. The general characteristics significantly associated with career maturity were preference for clinical nursing, admission to nursing college due to belief, time off, and being satisfied with clinical practice. Regarding clinical practice stress, clinic environment, interpersonal relationship conflict, inappropriate role model and conflict with patients were significantly associated with career maturity. Conclusion: This study suggested that, to improve nursing students' career maturity, nursing colleges and training fields should collaboratively make an efforts to reduce students' stress by building educational clinic environments including managing conflicts in interpersonal relationships among patients, caregivers, and medical and non-medical personnel, and improving inappropriate role models in nursing.
Purpose: This study was performed to identify the factors of the job stress and to analysis affecting job satisfaction in clinical nurses, using the Job Stress Model by the National Institute for Occupational Safety and Health (NIOSH). Method: Data collection was done from July 21 to July 30, 2003. The study was involved in 203 nurses who work at the hospital. It was examined the self-recording questionnaire about general characteristics, work-related factors, non-work factors, instrument revised by NIOSH Job Stress questionnaire translated by the Korea Occupational Safety & Health Research Institute(1999). Instrument about shift work was the tool developed by Kim and Gu(1984). Result: Job satisfaction of subjects at an average level with $1.96{\pm}0.37$ score on the basis of 3 points. According to general characteristics, job satisfaction was high in those with older age and married group. According to work related general factors, job satisfaction was high with working career, an officer to higher grade. According to work characteristics factors, job satisfaction was low with much role conflict at work and much workload and much interpersonal conflict. As for the relationship between job satisfaction and non-work factor, job satisfaction was did not show statistically significant differences. As a result of Stepwise multiple regression analysis, job satisfaction was influenced by shift work, conflicts of between group and grade of office. Conclusion: Therefore, it suggests that the nurses need stress management related shift work for improvement of job satisfaction.
This study focused on investigating factors of partnership formation for transactional enterprises on supply chain to form a transactional relationship centering around textile industry in Daegu and Gyeongbuk. The study also investigated the effect of the factors of partnership formation for mutual cooperation among textile manufacturers in Daegu and Gyeongbuk on partnership outcomes, and finally provided basic information that help enterprises form efficient partnership relationships with related manufacturers. The sample of the study was manufacturers of yarn, dyeing, weaving, process and fabrics in Daegu and Gyeongbuk that are registered on Korea Federation of Textile Industries. The total of 81 responses were used for data analyses, and factor analyses, regression analyses, and ANOVA were utilized appling SPSS 14.0 Package. The results of the research were as follows: First, among partnership formation factors mutual confidence was highly related to presentation of exclusive technological information, efforts to keep relationships between enterprises, presentation of information, and transactions between reliable enterprises that were formed despite of any losses. Second, it was also important that enterprises exchange and communicate their business goals with partners by having common goals. Third, it was also important that problems and damages were informed to and were shared with transaction companies. If conflicts between enterprises occurred, they can be smoothly solved based on the partnership formation. Fourth, enterprises form partnerships with transaction companies by considering their operation abilities. Fifth, transactions with enterprises which are mutually reliable and have superior technology and information contributed a lot to economic outcome. Lastly, the study revealed that among partnership formation factors mutual confidence to transaction companies influenced outcome of mutual confidence profit creation, outcome of technology & information efficiency were closely related to the ability to solve generated problem, and an important factor of the outcome of technology & information profit creation was communication.
Ryu, Young Mi;Yu, Mi;Oh, Seieun;Lee, Haeyoung;Kim, Haejin
Journal of Korean Academy of Nursing
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v.48
no.5
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pp.601-621
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2018
Purpose: This study aimed to synthesize the caring experiences of Korean family members of patients with dementia through a qualitative meta-synthesis method. Methods: By searching through nine Korean and English databases, we compared 37 qualitative studies on caring experiences of family members of patients with dementia. The selected studies were synthesized through meta-synthesis, proposed by Sandelowski and Barroso (2007). Results: The meta-synthesis elicited four themes: tough life due to care for patients, changes in relationships, adaptation to caregiver's roles, and new perspectives of life through personal growth. Caregivers were shocked when a sudden diagnosis of dementia was made prior to any preparation on their part. They were tied to their patients all the time and their mind and body got exhausted. Their relationship with patients began to change and they looked at them differently. They experienced conflicts with the other non-caring family members and were alienated from them. They were also socially isolated. However, by building their own care strategies and utilizing social resources, they gradually adapted to their caregiver roles. Finally, they experienced personal growth and acquired a new perspective toward life by accepting their roles and finding meaning in their lives. Shifting the caregiver's centricity from themselves to the patient was the process of becoming human beings who actively constructed their realities while giving meaning to their painful lives and interacting with the environment. Conclusion: The results of the study can be useful for nurses in understanding the experiences of caregivers of the patients with dementia and in providing them with practical interventions.
Journal of Korean Association for Spatial Structures
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v.9
no.4
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pp.89-96
/
2009
Apartment is the most favorite residential type which already occupies more than 50 percent of total number of housing unite in Korea. The interior space design shows various changes of trends within old and legal standard in terms of basic dimension. The most important function of housing means that Provides comfortable living spaces for a family and enjoying relaxation of stress form social activities. This residential space effects direct or indirect to each family members self-satisfaction and relationship. The basic factor for space design brings dimension which is enable space efficiency together with behavioral route, size of electronics and furnitures. Apartment dwelling type was introduced from out of countries. From the very beginning that inharmonious conflicts found and adjusted for several decades. But, the changes of body conditions of new generation has not considered as a dwelling space design yet. This research may call for attention of changing human scale standards for housing in various field of study.
The purpose of the present study is to understand the change in the relation between mother-in-law and daughter-in-law according to the social change in comparison with the survey effects in 1974 (ko Jung-Ja) and 1985 to find out the cause of conflict in both side of power structure and affection structure, indicating behavior, the influences on the relationships among family, possible meditators. this thesis was made by an experimental research. Data were collected from 146 mothers-in-law and 141 daughters-in-law in Pusan. The collected data were analysed by statistical methods such is as follows, 1. cause of conflict In power structure the cause of conflict is, in the case of mother-in-law opinion opposion and shaughty attitude by daughter in-low and, in the case of daughter-in-law, domestic dominance. It is thought that there is a difference of viw\ew between mother-in-law and daughter-in-law about the possesion of economic dominance and many conflicts rises because of economic dominance. but the study in 1985 than 1974 suggests the possibility of conflict meditator because mother-in-law and daughter-in-law do homework dependently in the practice of power. In affection structure, the chief dissatisfaction toward daughter-in-law showes the change in time. In 1974, there was no affection and respect. In 1985, the rate of doing without consultation was high. Also, the lack of communication of mother-in-law and daughter-in-law is the cause of conflict. 2. Indicating behavior the rate of thinking alone if high in both sides. But in the survey of 1985, the covert verbal aggressive action with which mother-in-law appeals to her daughter and daughter-in-law to husband is rising. 3. Influence on the relationship among family by the conflict between mother-in-law and daughter-in-law. the conflict between mother-in-law and daughter-in-law play negative effects on the intimacy and relation between husband and wife. 4. Conflict mediation behavior As compremiser, it is suggested that in the case of daughter-in-law the position and role of husband is important and, in the case of mother-in-law respects mother-in-law, daughter-in-law and gives her the role.
Author reviewed psychodynamics and psychoanalytic treatment of obesity. A variety of psychodynamics and unconscious conflicts have been described in obese patients : eating as a defense against depression, eating as a substitute for maternal love, obese body as a larger penis, and eating as a self-soothing. There was a gross neglect of certain normal parenting roles in obese family. The parenatal superego structure was not as perfectionistic. As with children and other patients with preoedipal pathology, in obese patients the analyst in addition to being transference object is a new and different object who promote healthy maturation. Because of obese parients, in there projective identification, can provoke intense countertransference, the analyst have to consider it. On the other hand, many analysts' countertransferences to superobese patients is that huge person recalls one's own childhood relationship with adults and bring forth a feeling of helplessness.
The ultimate aim of this work is to explore the antecedents that affect the loneliness felt by users who actively communicate through smartphones apps. To do this, three characteristics including individual, relational, and communication characteristics that can affect loneliness and the effects of these characteristics on loneliness are empirically analyzed. The research results are as follows. First, we found that conflict resolution ability had a significant effect on interpersonal conflict and loneliness. Second, social stress was found to have a significant effect on interpersonal conflict, communication fatigue, and loneliness. Third, lack of communication was found to have a significant effect on conflict resolution ability and loneliness. Finally, we found that communication fatigue had a significant effect on loneliness. These results are interpreted that in order to reduce the loneliness, it is necessary to continuously improve the ability to wisely resolve conflicts that may arise in the relationship between oneself and others. In addition, it is necessary to reduce the fear or burden of building relationships with others.
Purpose - This study is designed to provide new insights on trade claim management by typifying trade claims from a relational perspective, which defines trade as an organic combination that exchanges relationships based on a mutual goal instead of conflicts between obligations and rights of the contracting parties. Design/methodology - This is a phenomenological study that aims to typify trade claims based on a relational perspective and extract implications for trade claim management. The research procedures of this study are as follows. First, international commercial dispute cases applying the CISG are collected. Second, the cases collected are quantified through content analysis. The variables for quantification are developed based on a relationship perspective. Third, cluster analysis is conducted on coded data to typify cases. And finally, this study compares the characteristics of each type using analysis of variance and suggests implications for the strategic management of trade claims from a relational perspective. Findings - Results show that trade claims are divided into four clusters, depending on whether flexibility is accepted or not and which party violates mutuality. There is also a difference between the claimant and the cause of the claim, according to the cluster. Based on the results, this study suggests that the buyer and the seller should employ different strategies depending on the type of trade claim and presents proposals for strategic claim management. Originality/value - Firstly, this study extends the theoretical discussion on trade claims by applying relational contract theory. Prior studies on trade claims have been primarily based on traditional contract theory. The second is to analyze trade claims quantitatively. Prior case studies on trade claims have mainly relied on qualitative research. Finally, the study contributes to international commercial practice by typifying trade claims and presenting options for strategic management.
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