공포장애

李時炯 대한의사협회 1996 대한의사협회지 Vol.39 No.8

Peer-Group Therapy의 시도

李時炯 大韓神經精神醫學會 1974 신경정신의학 Vol.13 No.2

본 논문에서 언급한 approach가 반드시 성공적이란 보장은 물론 없다. 저자의 경험은 많은 예는 못되지만 성공한 경우보다 실패예가 더 많았다. 그 요인으 체계적인 분석을 해볼 단계는 아니지만 중요한 것은 본 approch에 잘 반응 할 수 있는 case선택이라고 본다. 위선 peer-group 소속 구성원이 될 수 있는 정도의 Ego의 기능 및 grout loyalty는 발달이 되 있고 그 문제가 청소년의 적응문제에 국한되어 있을때 대체로 이 방법이 효과가 있었던 것 같았다. 이 방법은 중고등학교counseling level 에서는 시도해볼만한 것으로 생각되어 case report 를 중심으로 저자의 경험과 토론을 첨가하여 보고한다.

Role of AlN Piezoelectric Crystal Orientation in Solidly Mounted Film Bulk Acoustic Wave Resonator

이시형,강성철,한상철,주병권,윤기현,이전국 한국세라믹학회 2003 한국세라믹학회지 Vol.40 No.4

현대가정의 정신병리

이시형 한국아동학회 1994 한국아동학회 학술발표논문집 Vol.1994 No.12

펄스 레이저 증착법에 의한 sapphire ( 0001 ) 기판위에 에피 성장된 LiNbO3 박막의 증착 ( Pulsed Laser Deposition of Epitaxial LiNbO3 Films on Sapphire ( 0001 ) Substrates )

이시형,노태원,이재형 대한전자공학회 1994 대한전자공학회 학술대회 Vol.1994 No.1

靑年基 頭部 體感症(Cenesthopathies)의 臨床的 考察

李時炯 大韓神經精神醫學會 1986 신경정신의학 Vol.25 No.4

1983년 7월부터 3년간 고려병원 신경정신과에서 체감증으로 진단된 환자는 모든 17예였다. 이중 30세 이전에 발병한 환자이면서 증상호소 부위가 두부에 국한된 6예에 대한 임상고찰을 요약하면: 1) 6예 모두 남자였고 발병 연령은 18세에서 29로 평균 22.5세였다. 2) 특이할만한 가족력은 없었으며 장남이 4명이었다. 3) 병전성격은 강박적·소심·열등감등이 인지되었으며 자신에 대한 부전감이 많은 편이었다. 4) 체감은 기이하고 기묘하였으며 내용은 띠 그물, 액체, 골, 힘줄 등이었고 공간이 생긴 예도 있었다. 5) 부위는 두부이며 경계가 선명하며 항상 일정한 부위에 지속적으로 호소한다. 6) 일정한 부위를 이동하며 이에 따라 긴장 및 이완상태가 번갈아 온다. 7) 통증보다는 괴로운 내용이며 긴장상태가 되면 사고장애감 및 이인감이 오며 이완상태에서 다시 정신이 올바로 된다. 8) 발병상황은 높은 목표를 향해 과중한 정신적 부담감을 안고 있거나 혹은 실패했을 경우이다. 9) 심기증이나 정신분열과 확실히 감별된다. 10) 치료는 대체로 만족스럽지 못한 편이다. pimozide 투여에 다소 반응이 있는 것 같았으며 역동적 정신치료가 다소 도움이 되었다. 11) 증상은 악화; 호전의 만성경과였으며 이병기간이 평균 6년 이상이었으나 사회생산은 장애가 다소 있긴 하지만 그런대로 유지되고 있는 편이다. 12) 진단적 위치는 논란이 많으나 저자의 관찰 경험으로서는 독립된 증후군, 또는 단일 질환으로 봐야하는게 타당할 것으로 생각된다. The term, cenesthopathies, was first introduced by Dupre E. and Camus P. in 1907 as one of the distinctive syndrome, that consist of; 1) strange body sensation, cenesthasie, 2) undefined, foreign body like sensation, 3) troubled with suffering rather than actual pain, 4) fixed location with clear demarcation and persistency, 5) differs from hyochondriasis, 6) may be constitutional factor as an etiology. The author has experienced 17 cases of cenesthopathies in the past three years at Seoul Koryo General Hospital. Clinical findings of six cases, whose onset was before the agd of 30's and the symptom site is limited to the head, will be discussed. summary: 1) All six cases were male with average age of onset 22.5(18 to 29) and four of them were the first borns. 2) No significant family history is noted. 3) As of the premorbid personality traits of being obsessive, timed and insecure are noted. 4) The way they descrive the body sensation is very strange and odd indeed. Their description is something like net, liquid, ligament, brain, band and also like a vaccum or empty space in two cases. Despite of their efforts to describe as accurately as possible, they are unable to define clearly. 5) The location is always fixed and well demarcated, no matter how long they suffer from it. 6) As the sensation moves along the fixed passage, there is a state of tension and relaxation alternating. This brings the mental changes as follows; tension, by "covered by net" or "filled with liquid", leads to mental block, then the felling of depersonalization follows. Subsequently, relaxation period ensues with clearing off the covered net or emptying the filled liquid, then the mental work become possible. 7) They are more troubled by suffering and bewidderment rather than actual pain. 8) the precipitating event is identified in all of the cases. All of them were under the heavy strain to achieve higher goal, eg, college entrance examination. 9) It differs from hypochondriasis and schizophrenia and the patients show no other no other signs of mental illness. 10) Therapeutic results are rather unsatisfactory; open trial of pimozide seems mildly effective in lessening the intensity of symptomatic complains, and dynamic psychotherapy is also definitely recommended. 11) Though the symptom waxes and wanes and the course is chronic in nature, their social productivity has been fairly well preserved, despite of agony and difficulty they encounter. 12) As to diagnosis, no agreement has yet been reached, however, author's impression is that it is discrete syndromes, if not an independent disease entity.

한미양국에서의 "STUDY GROUP" 에 대한 정신과 수련생들의 반응의 차이

이시형 大韓神經精神醫學會 1970 신경정신의학 Vol.9 No.1

The author, as a leader and a member of study group, has observed some differences of individual reaction to the“Study Group”between two cultures, ie, America & Korea. In Korean Group :- 1) Expectancy to the Group: Members were more eager to “learn”-& became more regressive dependent state. 2) Leadership: Higher dependency was solved constructively, rather than acting out. More submissive & overestimate leader's power. 3) Easy Transference to Leader: Possibly due to the same cultural background with leader. 4) Seniority Concept: According to graduating year, this concept is the most characteristic, and the group interaction became like a “stair way”. 5) Membership Development: Mutual dependency was developed in the earlier period. 6) Functional Pattern: Repressive-adjustive pattern rather than expressive. 7) Group Resistance & Defense: Pairing occurred quite often, However, it was not used as a defense per se, but being polite. 8) Confidentiality: No discussion at all. Discussion was made to clarify these differences according to the author's view point.

情緖障碍 學生에 대한 疫學的 硏究

李時炯 경북대학교 학생생활연구소 1975 學生指導硏究 Vol.8 No.1

慶北大學生中 精神科的 診療를 받은 學生에 대한 疫學的 調査를 하므로써 보다 綜合的이고 효율적인 學生情神건강증진을 위한 對策을 마련하는데 그 기초자료를 收集함이 本 硏究의 目的이다. 對象은 1974學年度의 1年間 慶北大學病院 精神科 外來와 醫大相談室에 精神科的 問題로 診療한 學生이였다. 모두 56名의 學生이 受診을 하였으며 醫大生이 그 비율에서도 압도적으로 높았고, 發病하여 初診時까지의 기간이 相當히 지연되었으며, 神經症 學生들은 거의 診療를 받고 있지 않는 상태였다. 早期發見과 효율적인 치료를 위한 대책강구에 대해 제언을 하였다. The epidemiological study was conducted on a group of students who had consulted for their emotional problem at the psychiatric facilities of Kyungpook National University during the academic year of 1974. 1) Total number of students who were seen at the university psychiatric facilities were 56, 49 male and 7 female, which was 1.1% of total students in the university. 2) 2.7% of medical students were consulted, and 1.6% of Law school and 1.2% of Liberal Art and Science School were in next order. 3) From the time of onset to the clinic visit was quite delayed, i.e. for the more than 60% of total cases, it took more than six months to come. 4) Roughly half of the total cases had barely accepted a proposal for the psychiatric treatment, and few had satisfactorily followed through. With the above findings, some suggestions were made as follows, as to improve the students' mental health: 1) The new definition of so called "Problem Student" should be implemented to put more emphasis on the emotional aspect of the student's problem. 2) For the earlier case finding and efficient treatment, more intimate cooperative effort should be made among the members of faculty, student and parent. 3) Above all, the prompt action should be taken to establish a more comprehensive student mental health clinic should he set up.

집단 정신치료에서 신환자의 동화과정에 대한 관찰

권영탁,이시형 大韓神經精神醫學會 1983 신경정신의학 Vol.22 No.3

1982년 7월부터 서울대학교 병원 61병동에서 입·퇴원 환자들로 이루어진 혼합집단을 정신 치료하던 중 네 번째 session에서 두 명의 입원환자들이 처음으로 참가하였다. 신환자들이 참가하게 되면 여러가지 집단의 저항이 나타날 수도 있겠는데 오히려 첫 시간에 동화 과정이 잘 이루어져서 이를 분석하고 그 요인을 살펴본 바 다음과 같은 점들을 들 수 있다. 1. 구환자들은 구성원 탈락에 따라 집단을 유지시켜야 한다는 불안으로 신환자들을 따뜻하게 환영했다. 2. 구환자들 입장에선 신환자들을 도와주고 하는 충고가 곧 자기 치료적이란 점도 작용했을 것이다. 3. 대부분의 구성원들이 입원을 통해서 어느 정도 서로를 알고 있었다. 4. 구환자들도 전원 입원한 병력이 있어서 신환자들이 보기에 병원 동창회같은 분위기를 느꼈다. 5. 구성원 모두가 본 병원이라는 기구에 긍정적인 감정이 있었다. 6. 전 환자들의 주치의가 본 치료자여서 환자들의 소속감이 증대되었다. 이런 혼합집단 형태의 집단 정신치료를 임상에서 도입해 볼 만한 것이 아닌가 한다. From July 1982, the author has conducted a group psychotherapy at the department of Neuropsychiatry in Seoul National University Hospital. It was a mixed group that consisted of in and out patients. In the fourth session, two new in-patients were introduced into the group to fill the vacancies. The successful assimiolatin of new patients into the group during this session was so impressive that the dynamics of this event was discussed as follows: 1. Old members were anxious because two members dropped out of the group so that the old ones had to welcome the new ones to preserve the group. 2. Helping new patients was an 「ego-booster」 for the old patient. 3. Most of the members knew one another prior to the group through concomitant admission. 4. New patients viewed the group as an alumnimeeting as the old ones had been also ex-patients in this group. 5. All of the members had a positive transference to this institution, thus group feeling was easily promoted. 6. All of the members were also under the individual psychotherapy by the author, thus their loyalty toward the therapist played a considerable role on group feeling. The author concluded that a mixed group of in and out patients was worth trying in clinical practice.

사회정신병리의 제문제와 밝은 사회

이시형 연세대학교 신과대학·연합신학대학원 1991 연세대학교 연신원 목회자 하기 신학세미나 강의집 Vol.- No.11