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논문검색은 역시 페이퍼서치

정신병리학검색

The Korean Journal of Psychopathology


  • - 주제 : 의약학분야 > 정신과학
  • - 성격 : 학술지
  • - 간기: 연간
  • - 국내 등재 : -
  • - 해외 등재 : -
  • - ISSN : 1225-5300
  • - 간행물명 변경 사항 :
논문제목
수록 범위 : 19권 1호 (2010)

종설 : 수면의 정신역동: 정신분석 관점에서 고찰한 수면의 의의

최인광 ( In Kwang Choi )
4,000
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초록보기
Sleep is a natural state of bodily rest and an indispensable part during the lifetime. Sleep is important for restoration, energy preservation, brain development and memory processing. Sleep can be understood differently in psychoanalysis. It depends on how the psychoanalyst explores the psychodynamics of sleep. The significances of sleep from a psychoanalytic perspective are as follows: 1) the acquisition of affection and interest from motherhood in the period of pre-oedipal stage; 2) the reflection of desire to relieve the stress by throwing external difficulties into the unconscious and changing it to the reemergence of Oedipus complex; 3) the process that eros leads a life against the force of thanatos. Dreams help sleep achieve its own purposes by playing the role of a field of conflict resolution and functioning as a source of energy for eros. The comprehension of sleep from a psychoanalytic viewpoint breaks new ground because it promotes the psychiatrist to feel empathy for people who complain of sleep disturbances.

원저 : 정신분열병 환자에서의 병식과 사회적 단서 인식능력간의 관계 연구

문수진 ( Su Jin Moon ) , 박정수 ( Jeong Soo Park ) , 이원혜 ( Won Hye Lee ) , 김종우 ( Jong Woo Kim ) , 백종우 ( Jong Woo Paik ) , 송지영 ( Ji Young Song )
4,000
초록보기
Objective: In the patients with schizophrenic disorder, lack of insight might have a direct effect on the prognosis and which lead to an overall decline in his social cue perception. And, the social cognition abilities in the schizophrenic patient, especially the perception of emotions, are proposed as important variant factors in his/her handicap in social function. However, there is currently a lack of studies that directly explore the relationship between insight and social cue perception, and no relationships between the two have been established. This study seeks to focus on the relationship between the schizophrenic patient`s abilities in the perception of emotion and his/her insight. Methods: In this study, a total of 29 subjects, all of whom were patients that had been diagnosed with schizophrenia, were evaluated with the Korean version of the SUMD-K(The Scale to Assessment Unawareness of Mental Disorder: Korean Version), a method recognized in its validity and reliability to measure the subjects` insight. To measure the social cue perception of the subjects, the study utilized an evaluation method called the Korean-Social Cue Recognition Test-Revised(K-SCRT-R), which uses 8 stages: positive-middle arousal, positive-high arousal, negative-middle arousal, and negative-high arousal to assess the subjects. Results: There seemed to be no correlation between the SUMD-K score and age, years of education, IQ, and the negative symptom score in PANSS. However, the SUMD-K score had a moderate positive correlation with the positive symptom score in PANSS(r=.419, p<.05), and a significant negative correlation with the GAF score(r=-.568, p<.01). The score in negative-high arousal, a part of K-SCRT-R, had a significant negative correlation with the negative symptom score of PANSS(r=-.518, p<.01). Particularly, the SUMD-K score showed a significant negative correlation with the negative-high arousal stage(r=-.501, p<.01). Conclusion: Although for schizophrenic patients, the more severe the positive symptoms are, the more they suffer from lack of insight, there was no direct correlation between the positive symptom and the social cue perception ability. However, out of the social cue perception abilities, the decrease in perception ability in the negative high-arousal stage had a high correlation to the lack of insight, and the negative symptoms also had a high correlation with the perception ability in the negative-high arousal stage. Therefore, even though the severity of positive symptoms is related directly to the lack of insight, it did not show a direct relation to the decline in social cue perception ability. Rather, considering that the severity of the negative symptom, which has no direct relation to the lack of insight, has a strong relation to the decline in social cue perception abilities in the negative-high arousal stage, the schizophrenic patient`s social cue perception ability, especially his ability in the negative-high arousal stage, is likely to be due to the structural changes in the brain that result in negative symptoms and decline of insight.

원저 : 대학생에서 해리 경험에 따른 통제 소재와 대처 방식과의 차이

박상준 ( Sang Jun Park ) , 이정식 ( Jung Sik Lee )
4,000
초록보기
Objectives: There were some studies that had explored connection among dissociation, coping strategies, and locus of control in non-clinical population. This study examined the relationship among dissociation, locus of control, and ways of coping style using general linear model(GLM) in college aged students. Methods: 286 Korean undergraduates had completed Dissociation Experience Scale-Korean version, Internal-External control Scale, and The Ways of Coping Checklist. We divided the students into two groups(DES≥20, N=81; DES<20, N=205) to evaluate differences in these variables. Pearson correlation test and regression analysis was performed to evaluate relationship among the variables. We used GLM to investigate the differences in dissociation, locus of control, and ways of coping style. We also divided the students into other two groups(DES-T≥20, N=28; DES-T=0, N=31) to evaluate the link to pathological dissociation and used the same methods as DES. Results: There were statistically significant correlations among dissociation, external locus of control, and passive coping strategies(emotional focused and wishful thinking). In regression analysis, passive coping strategies influence dissociation. In high DES group, scores of external locus of control and passive coping strategies was higher than low DES group. In addition we found the similar relationship in groups divided by DES-T. Conclusion: A significant relationship among dissociation, external locus of control, and passive coping strategies was found in college aged students. These results suggested high dissociators tended to use external locus of control and passive coping strategies in non-clinical population. Further studies with sufficient subjects are needed to clarify the link to DES-T.

원저 : 대학생에서 몰입과 NEO-PI-R로 측정한 성격 특성과의 관계

윤석민 ( Seok Min Yoon ) , 이준엽 ( Jun Yup Lee ) , 안은숙 ( Eun Soog An ) , 이정식 ( Jung Sik Lee )
4,000
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초록보기
Objectives: Absorption is the mental state of operation in which a person in an activity is fully immersed in a feeling of energized focus, full involvement, and success in the process of the activity. For now, there are many studies to research in specific conditions and group of occupations. Through many studies, absorption has important meanings in general and clinical fields. It is worth to know persons who are doing well at absorption have what kind of personality. So, the present investigation sought to explore the relationship between absorption and personality dimensions. Methods: The relationship between absorption and personality dimension was investigated in a sample of 210 undergraduate students. Absorption was measured by the TAS(Tellegen Absorption Scale), personality characters was measured by the NEO-PI-R(NEO Personality Inventory Revised). We devided the students into two groups according to TAS[TAS≥16(N=95), TAS<16(N=115)]to evaluate differences in personality domains of NEO-PI-R. Chi-square test and t-test was used for differences in personality domains of NEO-PI-R and demographic variables according to variable. Pearson correlation test was used for relationship among the NEO-PI-R, TAS. We also used stepwise regression analysis to evaluate accountability of personality domains for absorption. Results: High TAS group had higher score of Neuroticism(t=3.319, p=.002), Extraversion(t=2.063, p=.040) and Openness(t=4.054, p=.000) domain than low TAS group. TAS was correlated with score of Neuroticism(r=.136, p<.05), Extraversion(r=.215, p<.01), Openness(r=.332, p<.01) in the total samples. In the stepwise regression analysis, TAS was explained partly by Openness and Neuroticism Conclusion: As hypothesized, The Neuroticism, Extraversion and Openness domain accounted for the great portion of variance in the absorption. Future study, It is necessary to explore in psychiatric patients for clinical application.

원저 : 간편형 단서 회상 검사의 신뢰도와 타당도에 관한 연구

박은희 ( Eun Hee Park ) , 윤종철 ( Jong Chul Youn ) , 이소애 ( So Ae Lee )
4,000
초록보기
Objectives: We developed two parallel short cued recall tests(each SCRT A and SCRT B) and then carried out a reliability and validation study within a dementia-clinic setting using the tests. Our study aimed to assess its usefulness as a screening tool for memory problems related to dementia, especially the Dementia of Alzheimer`s Type. Methods: All of the subjects were community-dwelling Korean elderly aged 65 and older. The subjects consisted of 337 who were 109 normal controls, 116 patients with mild cognitive impairment, and 112 dementia patients. A psychiatrist with expert in dementia research made the diagnosis of dementia by doing clinical interviews and reviewing neuropsycholgical testing data of the subjects. Severity of dementia was staged using the extended version of Korean Clinical Dementia Rating(CDR) scale. All of the normal elderly were CDR 0 and all of the dementia patients were CDR 1 or 2. A translated Beck depression Inventory was administered to rule out pseudodementia due to depression. Equivalentform reliability coefficients and Test-retest reliability coefficients were calculated. To determine the construct validity of the SCRT, the participants received not only the SCRT but also the standardized Korean-version of Neuropsychological Assessment Battery CERAD(CERAD-K-N). To compare performances on the SCRT among three groups, Multivariate Analysis of Variance(MANOVA) was used. To measure the diagnostic accuracy of the K-MIS for dementia, the receiver operator characteristic(ROC) analysis was used. Results: Three groups did not show significant differences in demographic variables. Significant correlations were found between two alternative forms and between test-retest scores of SCRT. The SCRT scores were significantly correlated with memory measures of the CERAD-K-N(r= .540-.609, p<.01). According to MANOVA results, the performances on the SCRT were significantly differentiated among three groups(Walks Lamda=.134, F(4,316)=510.55, p<.001). The area under the ROC curve(AUC) of each SCRT A and B was .871 and .934, indicating the overall diagnostic accuracy of the SCRT is fairly high. The optimal cut off score for detecting dementia on the SCRT was 5/6. Conclusion: Our results indicate that the SCRT is a very brief and valid memory screening instrument for evaluating memory deficits of dementia patients while showing high sensitivity and specificity.
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