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      • KCI등재후보

        일본군 위안부 생존자들의 외상 후 스트레스 장애에 관한 연구

        민성길,이창호,김주영,심은지 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.6

        Objectives : This study was performed to identify posttraumatic stress disorder (PTSD) in survivors of Japanese military sexual slavery duhng World War II. Methods : Twenty six survived victims were evaluated with Korean version of SCID-IV, MMSE, Geriathc Depression Scale and State and Trait Anger Inventory (STAXI) and Rorschach test, and compared with 24 healthy women elders. Results : Results showed that, of 26 victims, 8 victims (30.8%) met critena of PTSD and all 26 had suffered from symptoms of PTSD once in their lives. Their PTSD symptoms were characterized by the effort to avoid thoughts, feelings, or conversations associated with the trauma and recurrent distressing dreams of the events. Survivors with PTSD had more serious depression. Compared with the control group, victims had more difficulties in anger control. They still suffer from various physical sequelae of physical trauma, In Rorschach test, they showed distorted perceptions, difficulty in managing emotional reactions, invading thoughts, impulsivity, and internalized anger and aggression. Conclusion : All victims suffered from symptoms of PTSD one time or another. About one third of them were diagnosed as having PTSD. Their PTSD symptoms were complicated by the mixtures depression, anger and various physical sequelae of physical trauma.

      • KCI등재
      • KCI등재

        일제시대 조선총독부의원과 경성제대의 정신의학자들의 연구

        민성길,이창호,이규박 대한신경정신의학회 2015 신경정신의학 Vol.54 No.2

        Eighty-three of 114 original articles and abstracts of research published by neuropsychiatrists of Chosun Chongdokbu Hospital (the Japanese colonial government hospital in Korea) and Keijo- (Seoul) Imperial University Hospital during the Japanese colonial period (1910−1945) in journals including Shinkeigaku-zassi (Neurologia), Seishin-shinkei-gaku zassi (Psychiatria Et Neurologia Japonica), and The Journal of Chosun (Korea) Medical Association were reviewed. Most articles were on clinical research based on descriptive and biological psychiatry while only 4 articles were on dynamic psychiatry, probably because Japanese pioneers in psychiatry had introduced German psychiatry into Japan during the 1880s. The first paper was written by Dr. Shim Ho-sub. Professor Kubo of Keijo- (Seoul) Imperial University published most articles, followed by Dr. Hikari, Dr. Hattori, and Dr. Sugihara. There were more articles on symptomatic psychosis and morphine addiction, followed by general paralysis, schizophrenia, neurological diseases, narcolepsy, epilepsy, and neurasthenia. The meaningful articles even for today were comparative studies between Japanese and Koreans and articles on opioid use disorder in Korea. Authors reported a markedly lower rate of psychotic inpatients in the population of Koreans compared with Japanese. Japanese researchers argued that, because of simpleness in social life in Korea and less violence or excitement in symptoms, Korean mental patients could be cared for by family or members of the community, or be treated by shamanism rather than bringing them to a public mental hospital, and poverty also prohibited hospital care. Finding of higher ratio of schizophrenia to manic-depressive psychosis among Koreans than Japanese was discussed in relation to delayed cultural development of Korea compared to Japan. In addition, traditional customs prohibiting marriage between relatives in Korea was related to low prevalence of manic-depressive psychosis, local endemic malaria was related to low prevalence of general paresis, and poor general hygiene was related to high prevalence of epilepsy. Unclear (undifferentiated) form of psychotic symptoms including hallucination and delusion was reported in more Koreans than Japanese. Also Korean patients showed a more atypical form in diagnosis. Authors added that they had found no culture-specific mental illness in Korea. However, no Korean psychiatrists were included as author in such comparative studies. Comparative studies on constitution between Koreans and Japanese mental patients and prisoners were also unique. However, no Korean psychiatrists participated in such comparative studies. In studies on morphine addiction in Koreans, Japanese researchers argued that such studies were necessary to prevent introduction of morphine-related criminal phenomena to Japan. Meanwhile, Dr. Kubo had left a notion on adaptation problems of Japanese living in the foreign country, Korea. Nevertheless he reported nothing about psychosocial aspects of mental illness in relation to political, cultural, and economic difficulties Koreans were experiencing under the colonial rule of Japan. These general trends of studies based on German biological and descriptive psychiatry and policies of colonial government to isolate “dangerous” mental patients in hospital appeared to reflect colonial or ethnopsychiatry of those days. These policy and research trends seem to have worsened stigma attached to mental disorders. Japanese tradition of psychiatric research was discontinued by return home of Japanese scholars with the end of WWII and colonial rule.

      • KCI등재

        강박장애의 생물학

        민성길 大韓神經精神醫學會 1990 신경정신의학 Vol.29 No.4

        Biological, phenomenological and pharmacological studies on obsessive-compulsive disorder were reviewed. Obsessive-compulsive disorder has some common manifestations with other psychiatric disorders, particularly depression, which are known to have biological findings as important etiologies. There are many reports on family studies and twin studies which have shown evidence that obsessive-compulsive disorder is a genetic disorder. The effect of psychosurgery, some experiments stimulating the brain, and development of obsessive-compulsive symptoms in brain disorders suggest the anatomical basis of obsessive-compulsive disorder. Many pharmacological studies suggest that serotonin is closely related withobsessive-compulsive disorder. Integrating these findings, it has been suggested that a software package for genetically related ritualistic patterns of behavior is located somewhere in the basal ganglia, connected with the limbic system and frontal lobe. Stress or stimuli, which are perceived as being dangerous, release those ritualistic obsessive-compulsive behavior patterns stored in the intrinsic package circuit. Once the circuit is operating, this obsessive-compulsive behavior can not be controlled by will. The proposed uptake blocking drugs such as clomipramine and fluoxetine may inhibit this process. However, the etiology of obsessive-compulsive disorder could not be this simple. Thus, the integration of these biological theories and psychodynamic explanations will be a very stimulating research subject in the future.

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