Jung 학파에서 보는 여성심리

유정희 大韓神經精神醫學會 1992 신경정신의학 Vol.31 No.1

In this paper, the effect of mother complex on woman's psychology and the animus in woman's unconscious is reviewed from the viewpoint of Jungian psychology, Woman's psychology is founded on the principles of eros that could be expressed in modern terms as psychic relatedness. whereas the ruling principles ascribed to man is logos that means objective interest and logical thinking. In the daughter, the mother complex leads either to a hypertrophy of her feminine side or to its atrophy. The more a woman is unconscious of her own mother complex, the more destructive effects it exerts. Another important archetype of female psychology is animus, the masculine trait in all women's unconscious. A woman possessed by the animus is always in danger of losing her femininity, her adapted feminine persona, and of having difficult sexual problems. But if a woman tries to be conscious of her own animus problems in the process of individuation, the animus could be her helpful spiritual leader. Just as a man brings forth his work as a complete creation out of his inner feminine nature, so the inner masculine side of a woman brings forth creative seeds which have the power to fertilize the feminine side of the man.

정신분열병 환자에서 Risperidone에 의해 유발된 조증 2례

정두훈,윤도준,유희정,송지영 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.2

저자들은 정 신분열병 환자에서 risperidone에 의해 유발된 조증, 경조증 각 1례를 경험하였기에 국내에서는 최초로. 문헌고찰과 함께 보고한다. 증례 1은 22세의 여자 긴장형 정신분열병 환자로 3년전 발병 당시 약물치료후 유지요법 없이 지내다가 4∼5개월 전부터 사회적 위축, 식사량 저하. 말수가 줄어드는 등의 음성증상이 심해져 외래에서 risperidone 2mg을 일 주일간 처방하였다. 환자는 약물순응도가 낮아서 모두 6회에 걸쳐 억지로 투약하여 이 기간에 총 6∼8mg복용후 2∼3일 만에 조증이 발생되었다. 입원후 risperidone을 중단하고 lithium과 고용량의 정형 항정신병약물(chlorpromazine 1200mg 또는 haloperidol 20mg)을 10일간 투여하여 일부 조증이 호전되었다. 증례 2는 29세 남자로 3년 전부터 피해망상, 독극망상을 보이는 망상형 정신분열 병으로 항정신병약물을 처음 투여한 환자였다. 38일간 2mg 사용 시에는 양성증상 및 음성증상의 호전을 보이다가 3mg으로 증량된 후 일 주일만에 뚜렷한 경조증을 보였다. Risperidone을 중단하고 chlorpromazine 300mg을 투여하자 5일 만에 경조증이 완전히 회복되었다. 두 예 모두 risperidone 단독투여에 의한 것이었고, 기분안정제 병합투여, 약물남용 정신질환의 병력이나 가족력, 동반 신체질환은 없었다. Risperidone의 세로토닌(5-HT₂) 차단효과는 도파민(D₂) 차단작용과 함께 정신분열 병에서 음성증상과 정동중상을 호전시킬 뿐 아니라 항우울효과를 나타내며. 일부 환자에서 조증 및 경조증을 유발시키는 것으로 보인다. 기분장애와 분열정동장애에서도 risperidone에 의해 조증이 유발 또는 기존 조증중상이 악화되었다는 증례보고가 있고. 강박장애 등 다른 정신질환으로도 적응증이 확대되고 있으므로, 임상의들은 드물지만 이런 정신과적 부작용의 발생 가능성에 대해 알아야 하겠고. 특히 기분장애나 분열정동장애에서 사용할 경우 기분안정제의 병합투여와 최소 치료용량으로 서서히 증량할 것을 권하는 바이다. 또한 조증유발의 위험인자가 있는 경우는 기분안정효과가 있는 clozapine의 사용이 권장된다. We report the first two cases of manic and hypomanic episodes respectively induced by risperidone treatment done to schizophrenics in Korea. One case was a 22-year-old woman with catatonic schizophrenia. Since 3 years ago, she had shown psychotic symptoms, but with was poor treatment compliance. She had mainly negative symptoms such as social withdrawal, decreased food intake, mutism, and symptoms had been worsened since last 4-5 months. Prior to closed ward admission, she was prescribed 2mg/d of risperidone for a week at OPD. Two days artier taking medicine totally 6-8mg, she revealed manic features. After hospitalization, risperidone was discontinued and then, lithium 900mg/d and high dosage of conventional antipsychotics(chlorpromazine 1200mg/d or haloperidol 20mg/d) were prescribed . About on the l0th day of hospitalization, there was limited improvement of her manic symptoms. The other case was a 29-year-old man with a 3-year history of paranoid schizophrenia. He was never exposed to antipsychotics before. His main symptoms were delusions of being poisoned and of persecution. His positive and also negative symptoms were alleviated by 38 days of risperidone 2mg/d trial. However, one week after dosage increment to 3mg/d, hypomanic symptoms appeared. Risperidone medication was discontinued and was replaced by chlorpromazine 300mg/d. The hypomanic episode was resolved over 5 days. In both of the two cases, manic episodes occurred by monotherapy of risperidone without mood stabilizer, and there were no history of substance abuse and other psychiatric disorders, family history of psychiatric disorders, and comorbid physical illnesses. It is hypothesized that the potent blockade effect on serotonin(5-HT₂) receptor of risperidone causes antidepressant effect as well as therapeutic effect for negative and affective symptoms in schizophrenia. Risperidone would induce manic or hypomanic features in schizophrenic patin of preexisting manic symptoms by risperidone treatment in mood disorder and schizoaffective disorder. Risperidone is being used more widely, even for obsessive-compulsive disorder and other psychiatric disorders. It is necessary for clinicians to recognize manic switch, one of psychiatric side effects by risperidon trial. It is recommended that the combination of mood stabilizer wish risperidone or usage of talc minimum effective dose of risperidone may bewefal especially in the patients with mood disorders or schizoaffective disorders. Clozapine which has mood-stabilizing properties is also beneficial in risk groups of risperidone-induced mania.

IMF에 관련된 경제적 스트레스가 정신 건강에 미치는 영향

유희정,황성훈,홍진표,김헌수,이철,한오수 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.1

본 연구는 IMF에 관련된 경제적 스트레스가 정신 건강에 미치는 영향과 그 과정을 밝히기 위해 설계되었다. 스트레스 과정에 관여하는 요인으로 사회적 지지와 문제 해결 양식, 그리고 무망감을 도입했으며, 이들에 의해 스트레스의 영향이 매개되는지를 검증하였다. 경제적 스트레스의 수준에 따라 표집된 221명의 일반인들을 대상으로 우울, 불안, 신체화, 적대감, 사회적 지지, 그리고 문제 해결 양식 등을 측정하였다. 가정한 대로 실직으로 대표되는 경제적 스트레스는 정신 건강에 부정적 영향을 미치는 것으로 나타났다. 그 구체적인 양상을 살펴보면 다음과 같다. 먼저, 사회적 지지는, 높은 스트레스 조건에서 증상의 발현을 억제하는 완충 효과가 있음이 입증되었다. 두번째로, 남성이 여성에 비해 경제적 스트레스의 부정적 영향에 더 취약한 것으로 나타났다. 세번째, 경제적 스트레스는 문제 해결 양식의 다양한 구성요소중 문제 해결에 대한 무기력감에만 영향을 미치는 것으로 나타났다. 네번째, 무망감은 경제적 스트레스와 정신 건강간의 관계를 매개하는 변인임이 인과모형 검증을 통해 확인되었다. 끝으로, 이러한 결과가 스트레스 개입 프로그램 개발을 위한 이론적 기초를 제공한다는 의의가 있음을 논의 했고, 본 연구의 몇 가지 한계점을 지적하였다. This study was designed to investigate the influence of the so-called IMF-related economic stress upon the mental health and to analyze the process of the influence. As the possible variables moderating the stress process, social resource, problem solving style, and hopelessness were included. 221 male and female subjects were recruited according to the intensity of economic stress and classified into four groups(employees of solid companies, employees of the companies at risk, short-term unemployed and long-term unemployed). Relevant measures including economic stress scale, selected SCL-90R subscales(somatization, depression, hostility, anxiety), social support scale, problem-solving scale, and job hopelessness scale were administered. As assumed, it was proved that economic stress had adverse effects on the mental health. In addition to this basic causal relationship, moderating effects of several variables were found as follows: First, social support had the buffering effect upon the economic stress. That is, strong social support played the role suppressing the development of psychiatric symptoms under high stress. Second, men were more vulnerable to the adverse effects of economic stresses than women. Third, economic stresses had influence on the helplessness concerning the problem solving. However other problem solving strategies such as creative style, approach style, avoidance style, etc were proven to have no relationship with the economic stress. Fourth, in the analysis of unemployed group, it was found that hopelessness mediates the relationship between economic stress and mental health. In conclusion, the clinical implications of such findings in economic stress process were discussed and several limitations and the suggestions for future researches were also addressed.

장내의 탄수화물과 지방 흡수 억제를 통한 체지방 및 비만 개선 효과에 관한 연구

정은희,윤승원,이홍석,윤유식,유경미,황인경 한국조리과학회 2003 한국식품조리과학회지 Vol.19 No.1

In a previous study, a dietary supplement was developed in our lab using natural herbal extracts against digest enzyme activity in GI tract for weight control. This natural herbal extracts could regulate absorption of glucose and lipid by the inhibition of digest enzyme activity. In this study, we screened the natural herbs that inhibit glucoamylase activity and developed an water extract of cinnamon. The cinnamon extract delayed and decreased the increment of carbohydrate degradation through the inhibition of glucoamylase activity in vitro. Fifty volunteers were subjected to the intake of the herbal extracts by taking twice a day for 60 days. As a result, the treated subjects lost 3kg of body weight and 3.5kg of body fat mass after the treatment. Furthermore, the body mass index and waist size were significantly decreased during the experimental period. Above results suggested that the administration of the dietary additives composed of cinnamon and natural herbal extract improves the obesity by the decrement of body weight and body fat mass.

대체의학 선택에 영향을 미치는 일반인들의 심리사회적 특성

유희정,노은여,이철,한오수 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.4

본 연구의 목적은 대체의학을 선택하는 사람들의 심리사회적 변인을 다차원상에서 분석해 봄으로써 이 요인들이 어떤 방식으로 선택 과정에 영향을 미치는가를 살펴보고, 대체의학을 선호하는 사람들의 특성을 탐색해 보는 것이다. 서울시에 거주하는 일반인 200명(남 92명, 여 108명)을 대상으로 인구 통계학적 특성, 대체의학에 대한 인지도, 정통의학 기법과 대체의학 기법의 특성, 경험한 대체의학 기법의 종류, 성격변인, 대처방식, 건강에 대한 통제감, 사회적 지지를 측정하였다. 본 연구결과, 연구대상 중 약 80%는 한약을 포함한 대체의학적 치료법을 경험해본 것으로 드러났다. 또한, 대체의학적 기법을 선호하는 사람들일수록 대체의학에 대한 인지도가 높고, 연령수준이 높으며, 적극적-행동적 대처방식을 지니고 있고, 건강에 대한 내적 통제감을 지닌 것으로 드러났다. 대체의학에 대한 관심이 급격히 증가하고, 정통의학 기법과는 달리 대체의학적 치료법의 선택에는 심리적인 요인의 영향이 크다는 점을 감안할 때 앞으로 이 분야에 대한 연구가 보다 폭넓게 진행되어야 하겠다. This study examined the characteristics of people who have preference for complementary medicine and also the psychosocial factors that are related to the selection of complementary medicine. Two-hundred subjects recruited from the community were included in this study. Demographic variables, medical service characteristics, health locus of control, social support, coping style, and personality characteristics such as self-esteem, neuroticism, and hypochon-driasis were measured. It turned out that nearly 80% of the subjects had already experienced at least one alternative therapy in the past. However, past experience was not significant in predicting future complementary medicine usage. People who were older in age, had more information about complementary medicine, used active-behavioural coping styles, and had internal locus of control were more likely to use complementary medicine in the future. Recommendations for furthur research is indicated.

連續線型 k-within-m-out-n :F 시스템을 應用한 緊急斷電 狀況下에서의 信賴度分析

유왕진,강희정 건국대학교 산업기술연구원 1998 건국기술연구논문지 Vol.23 No.-

본 논문은 외적요인이 독립적이고, 지수분포를 따르는 도착시간을 갖는 긴급단전 상황하에서 연속선형 k-within-m-out-of-n:F 시스템을 응용하여 신뢰도분석을 하였다. 기본적인 가정으로, 해당 시스템의 모든 요소는 수리불가능하며, 고장간 평균 동작시간은 분석적으로 구한다고 하였다. 이러한 가정을 전제로 평균고장시간과 시스템의 유효도를 고려하였고, 추가로 수리가능 한 부품을 가진 시스템에 대해서도 제안하였다. 수치 예를 통하여, 본 논문에서 유도한 공식들이 시스템의 신뢰도를 쉽게 구할 수 있음도 보여주었다. This research will deals with the model of a consecutive k-within-m-out-of-n : F system subject to common-mode forced outages, where the interarrival times of external events are independent and exponentially distributed. First, assume that the components of system are not repairable. Then, the mean operating time between failures is analytically derived. The mean failure time and availability of system are then considered. Furthermore, system with repairable components is also presented. Finally, numerical example shows that the system reliability can be easily found by using the derived formula.

열에 대한 초등학생의 개념 변화 분석

유병길,윤희정 부산교육대학교 과학교육연구소 2000 科學敎育硏究 Vol.25 No.-

Many students are willing not to change their concept of science. They have much difficulty in learning science. So, there are many researches that learning science frequently requires the process of conceptual change. In approaches that focus on conceptual change, cognitive conflict strategies play a key role. It underlies Piaget's genetic epistemology in which disequilibration demands an strategies between assimilation and accommodation until equilibrium is restored. Disequilibration is very important in learning science. This study is intended to interpret the conceptual change of heat in learning science.

인슐린종에 음폐된 신경정신과적 증상 평가

유희정,이성동,김헌수,민병근,박인호 울산대학교 의과대학 1994 울산의대학술지 Vol.3 No.1

The authors experienced a patient with insulinoma presented with neuropsychiatric symptoms. It was demonstrated that Whipple's triad is highly suggestive of the presence of an insulinoma. Therefore physicians and/or psychiatrists, who refer patients with insulinoma to third institution, always have a alertness to neuropsychiatric symptoms of insulinoma and Whipple's triad. This case also illustrated the persistence and cooperation between psychiatric and medical teams including the involvement of a neurologist, endocrinologist, and surgeon for diagnosis and treatment planning of patient with insulinoma.

사상체질별 스트레스인지와 대처방법

유정희,이향련,이의주 성인간호학회 2003 성인간호학회지 Vol.15 No.2

This study was founded to identify perception and ways of coping with stress according to classification of Sasangin(4 constitutions). Method: The subjects were 258 regular students who majored in oriental medicine in Jechon and Seoul. Data was collected by 3 types of questionnaires for 3 months: Perceived stress. ways of coping Questionnaires of Sasang Constitution classification9QSCCⅡ). Data analysis was conducted by SPSS vwesion 10. Result: 1) Difference of perceived stress in Sasangin: Perceived stress by the Sasangin indicated that Soenmin perceived more stress that Soyangin and Taeumin(P=.013). 2) Different method in coping with stress of Sasangin: It was found that Soeumin didn’t make use of emotional coping way according to the analysis(P=.040). 3) Relationship between way of coping for stress an perceived stress in Sasangin: It was shown that as Soeumin Perceived stress so higher than Sasangin and Taeumin,they tended to use the solving problem-method therefore I was shown to have a negative correlation(P=.044). Conclusion: In conclusion. it was found that there were difference of Sasangin in perceived stress and ways to cope with it. The dose relationship between the perception and coping method of stress was found.

抗癌治療로 인한 副作用 減少에 미치는 緊張弛緩訓練 및 誘導된 想像의 效果

柳希姃,金尙姬,金昌潤,李哲,韓五洙 서울醫大 1997 精神醫學 Vol.22 No.1