• Title/Summary/Keyword: violent

검색결과 498건 처리시간 0.024초

정신질환자의 타해(他害)사고와 의료과오책임 (Psychotherapist's Liability for Failure to Protect Third Person)

  • 손흥수
    • 의료법학
    • /
    • 제11권1호
    • /
    • pp.331-393
    • /
    • 2010
  • Psychiatrists who treat violent or potentially violent patients may be sue for failure to control aggressive outpatients and for the discharge of violent inpatients. Psychiatrists may be sued for failing to protect society from the violent acts of their patients if it was reasonable for the psychiatrists to have known or should have known about the patient's violent tendencies and if the psychiatrists could have done something that could have safeguarded in public. The courts of a number of jurisdictions have imposed a duty to protect the potential victims of a third party on persons or institutions with a special relationship to that party. In the landmark case of Tarasoff v Regents of University of California, the California Supreme Court held that the special relationship between a psychotherapist and a patient imposes on the therapist a duty to act reasonably to protect the foreseeable victims of the patient. Under Tarasoff, when a therapist has determined, or under applicable professional standards should determine, that a patient poses a serious threat of violence to another, he incurs an obligation to use reasonable care to protect the intended victim against such danger. In addition to a Tarasoff type of action based on a duty to warn or protect foreseeable victims of psychiatric outpatients, courts have also imposed liability on mental health care providers based on their custody of patients known to have violent propensities. The legal duty in such a case has been stated to be that where the course of treatment of a mental patient involves an exercise of "control" over him by a physician who knows or should know that the patient is likely to cause bodily harm to others, an independent duty arises from that relationship and falls on the physician to exercise that control with such reasonable care as to prevent harm to others at the hands of the patient. After going through a period of transition, from McIntosh, Thompson and Brady case, finally, the narrow rule of requiring a specific or foreseeable threat of violence against a specific or identifiable victim is the standard threshold or trigger element in the majority of states. Judgements on these kinds of cases are not enough yet in Korea, so that it may be too early to try find principles in these cases, however it is hardly wrong to read the same reasons of Tarasoff in the judgements of Korea district courts. To specific, whether a psychiatric institute was liable for violent behavior toward others depends upon the patients conditions, circumstances and the extent of the danger the patients poses to others; in short, the foreseeability of a specific or identifiable victim. In this context if a patient exhibit strong violent behavior toward others, constant observation should be required. Negligence has been found not exist, however, when a patient abruptly and unexpectedly attack others or unidentifiable victim. And the standard of conduct that is required to meet the obligation of "due care" is based on what the "reasonable practitioner" would do in like circumstances. The standard is not one of excellence or superior practice; it only requires that the physician exercise that degree of skill and care that would be expected of the average qualified practitioner practicing under like circumstances. All these principles have been established in cases of the U.S.A and Japan. In this article you can find the reasons which you can use for psychotherapist's liability for failure to protect third person in Korea as practitioner.

  • PDF

국내 유해화학물질 폭력사건 예방을 위한 개선방안 연구 (A Study on the Improvement Plan to Prevent Violent Incidents by Domestic Hazardous Chemical Substance)

  • 이덕재;송창근
    • 한국가스학회지
    • /
    • 제21권4호
    • /
    • pp.62-69
    • /
    • 2017
  • 화학사고는 화학물질관리법으로 체계적으로 관리되고 있다. 하지만 유해화학물질 폭력사건은 용어 정의, 사례에 대한 연구 등이 전반적으로 부족한 실정이다. 이에 본 연구에서는 현 법령의 문제점을 고찰하고 국내 외 사례를 통해서 개선사항을 도출하여 유해화학물질 폭력사건 예방을 위한 법적, 제도상의 개선방향을 제시하는데 연구의 중점을 두었다. 제안한 개선방향은 1) 법령의 개정을 통한 예방 강화로 (1) 주관 부처의 선정 등; 2) 온 오프라인 상거래에 대한 규제 강화에서는 (1) 개인 구매량 설정 등; 3) 환경부 중심의 예방, 관리 체계의 강화로 (1) 화학물질평가위원회를 통한 지속적인 제도의 개선 등 3가지 방향에 대해서 제시하였다.

유체 충격 하중 예측을 위한 MPS법의 개량 (IMPROVEMENT OF MPS METHOD IN SIMULATING VIOLENT FREE-SURFACE MOTION AND PREDICTING IMPACT-LOADS)

  • 황성철;이병혁;박종천
    • 한국전산유체공학회지
    • /
    • 제15권1호
    • /
    • pp.71-80
    • /
    • 2010
  • The violent free-surface motions and the corresponding impact loads are numerically simulated by using the Moving Particle Semi-implicit (MPS) method, which was originally proposed by Koshizuka and Oka (1996) for incompressible flows. In the original MPS method, there were several shortcoming including non-optimal source term, gradient and collision models, and search of free-surface particles, which led to less-accurate fluid motions and non-physical pressure fluctuations. In the present study, how those defects can be remedied is illustrated by step-by-step improvements in respective processes of the revised MPS method. The improvement of each step is explained and numerically demonstrated. The numerical results are also compared with the experimental results of Martin and Moyce (1952) for dam-breaking problem. The current numerical results for violent free-surface motions and impact pressures are in good agreement with their experimental data.

Modification of Severe Violent and Aggressive Behavior among Psychiatric Inpatients through the Use of a Short-Term Token Economy

  • Park, Jae Soon;Lee, Kyunghee
    • 대한간호학회지
    • /
    • 제42권7호
    • /
    • pp.1062-1069
    • /
    • 2012
  • Purpose: Meager research has been carried out to determine the effectiveness of the token economy among patients behaving violently in mental hospitals. The purpose of this study was to examine the effectiveness of the Short-Term Token Economy (STTE) on violent behavior among chronic psychiatric in-patients. Methods: A nonequivalent control group design method was utilized. Participants in an experimental group (n=22) and control group (n=22) took part in this study from January to April, 2008. Observation on aggressive behavior among male in-patients in one hospital as a baseline was made during the week before the behavior modification program and measurement of aggressive behavior was done using the Overt Aggression Scale (OAS), which includes verbal attacks, property damage and physical attacks. Results: The aggressive behavior scores of the experimental group decreased, those of the control group, scores showed an increase after the eight-week behavior modification program utilizing STTE. Conclusion: The results of the study indicate that STTE is effective in reducing the incidence of aggressive behavior among male in-patients in psychiatric hospitals. The outcome of this study should be helpful in reducing the use of coercive measures or psychoactive medication in controlling the violent behavior among in-patients in hospitals.

119구급대원의 폭력경험과 탄력성이 소진에 미치는 영향 (Association of Violent Experience and Resilience with Burnout in Emergency Medical Technicians)

  • 장태운;이명경
    • 한국직업건강간호학회지
    • /
    • 제26권4호
    • /
    • pp.227-235
    • /
    • 2017
  • Purpose: This descriptive correlational study investigated the effects of violent experience and resilience on burnout in emergency medical technicians (EMTs). Methods: The participants were 160 EMTs working in fire stations (safety center and local center) located in U, B, and D city. The collected data were analyzed by descriptive statistics, independent t-test, ANOVA, $Scheff{\acute{e}}$ test post-hoc analysis, Pearson correlation coefficients, and multiple regression analysis using IBM SPSS Statistics 20.0. Results: The number of EMTs getting into ambulances was significantly associated with violent experience, resilience, and burnout. Position of EMTs was significantly associated with both resilience and burnout. In the multiple regression analysis, the subscales of durability and optimism in resilience were significantly associated with burnout after controlling for confounding variables. Conclusion: This study indicated that improving durability and optimism in resilience was important to cope with experience of violence and to prevent burnout in EMTs.

움직임 변화 특성기반의 실시간 폭력영상 검출 (Real-time Violence Video Detection based on Movement Change Characteristics)

  • 김광수;김웅태;곽수영
    • 방송공학회논문지
    • /
    • 제22권2호
    • /
    • pp.234-239
    • /
    • 2017
  • 본 논문에서는 비디오 영상내 사물의 움직임의 방향과 크기의 변화를 이용한 새로운 서술자를 정의하고 이를 기반으로 하여 실시간으로 폭력 영상을 검출하는 방법을 제안한다. 새로 정의된 서술자는 폭력 행위의 움직임의 크기 및 방향 변화량이 일반적인 움직임에 비해 매우 크다는 관찰에 착안한 것이다. 일정한 프레임 동안의 서술자 값으로 이루어진 서술자 특징 벡터를 얻었고, 이것은 SVM(Support Vector Machine)으로 학습된 분류기를 통하여 폭력행위와 비폭력행위를 구별하는 데에 사용되었다. 제안하는 방법의 성능을 검증하기 위해 ViF(Violent Flow) 알고리즘과 세 종류의 데이터셋을 이용하여 비교 실험을 수행하였고, 모든 경우에서 더 우수한 성능을 보임을 확인하였다.

교육용 문제 풀기 게임 설계 및 구현 (Design and Implementation of Educational problem solving game)

  • 서정만
    • 한국컴퓨터정보학회논문지
    • /
    • 제15권2호
    • /
    • pp.83-89
    • /
    • 2010
  • 본 논문에서는 게임이 아동들이나 청소년들에게 폭력성을 배제하고 교육적인 내용의 게임을 만들려면 게임의 구성과 설계가 중요하다. 그러므로 본 논문에서는 아동이나 청소년들에게 교육적인 내용의 게임을 설계하여 두뇌 발달을 시키고, 게임의 즐거움을 줄 수 있도록 하였다. 특히 아동들을 위해 화면에서 토끼 같은 캐릭터를 추가하여 게임의 폭력성 보다는 친근한 이미지의 동물들의 캐릭터를 살려 설계하였다. 전체 화면에 대한 객체 설계와 구현된 게임에 대한 화면에 대한 내용도 살펴보았으며, 구현된 게임의 장점을 나열하였고, 향후 발전방향에 대하여 논하였다.

시계열 자료 분석을 통한 4대 사회안전지표 변화 추이 (Transition of Four Major Social Safety Indexes by Time Series Data Analysis)

  • Song, Chang Geun;Jang, Hyun-ju;Lee, Kum-Jin
    • 한국재난정보학회 논문집
    • /
    • 제11권4호
    • /
    • pp.634-638
    • /
    • 2015
  • 해마다 반복적으로 인적 물적 피해를 유발하여 사회 안전에 큰 영향을 미치는 산업재해, 교통사고, 화재, 범죄 등의 항목을 4대 사회안전지표로 선정하여 2003년 이후 시계열에 따른 변화 추이를 분석하였다. 2003년을 기준으로 산업재해가 27.8% 감소하여 가장 두드러지게 개선된 것으로 확인되었으며, 교통사고와 범죄자표는 12% 정도 저감된 것으로 나타났다. 그러나 화재의 경우 2006년 이후 국가화재분류체계가 바뀌면서 경미한 생활 화재도 발생건수에 포함되도록 변경되어 기준년도 대비 40% 화재안전지수가 증가한 것으로 나타났다.

댐 붕괴에 의한 토양 교란 시뮬레이션 (Simulation of Mobile-bed disturbance due to Large scale Wave)

  • 김경성
    • 한국항해항만학회:학술대회논문집
    • /
    • 한국항해항만학회 2018년도 추계학술대회
    • /
    • pp.210-211
    • /
    • 2018
  • 일반적인 댐 붕괴 시뮬레이션은 개수로 등 범람원을 대상으로 시뮬레이션 및 해석이 이루어졌다. 그러나 지속적인 이상기온 등으로 인하여 해안가 및 해양에서도 쓰나미 혹은 해일과 같은 규모가 큰 파가 발생하고 이에 따른 피해가 발생하고 있다. 규모가 크며 격렬한 파는 일반적인 전산유체역학 방식으로 해석이 가능은 하지만 자유표면의 대-변형 및 쇄파 등에 의한 비선형성의 시뮬레이션은 격자라는 한계에 의해 제한적으로 사용되어졌다. 이에 라그란지안 접근법을 이용한 입자법을 도입하여 댐 붕괴와 같은 격렬한 자유표면의 변동을 포함한 문제를 재현하였으며, 이러현 격렬한 파동에 의한 바닦면의 교란을 시뮬레이션 하였다.

  • PDF

요양보호사의 폭력경험과 대처방법이 직무스트레스에 미치는 영향 (The Effects of Violent Experiences and Coping on Job Stress of Caregivers in Long-Term Care Facilities)

  • 김옥선;오진환;이기령
    • 가정∙방문간호학회지
    • /
    • 제24권2호
    • /
    • pp.169-180
    • /
    • 2017
  • Purpose: This study was conducted to investigate factors that affect job stress among caregivers in long-term care facilities. Methods: Data were collected from 125 caregivers through a structured questionnaire targeting general characteristics, violent experiences, coping, and job stress from February 2 to March 10, 2015. Data were analyzed by t-test, ANOVA, and multiple regression using SPSS 21.0. Results: The rate of violence experienced by caregivers was 99.2% for verbal abuse, 99.2% for physical violence, 95.2% for physical threatening, and 62.3% for sexual abuse. The mean score for coping and job stress was above average. Job stress significantly differed by marital status, education level, facility size, and policy on workplace violence. The significant predictors of job stress included policy on workplace violence, violent experiences, and education level. The regression model explained 28.0% of the variance in job stress. Conclusion: To improve job stress of caregivers, it is necessary to establish policies for violence within the organization and to develop and apply various programs that allow caregivers to work safe from violence both physically and psychologically.