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조수철 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.1
본 연구는 絶對의 어원적 의미에 대하여 살펴보고, 이에 입각하여 다음과 같은 문제들을 연구하였다. 첫째, 絶對의 어원적 의미가 동양의 고전 특히 노자의 도덕경과 장자에서 어떻게 기술되고 있는가? 둘째, 절대의 의미가 일상생활에서 어떻게 적용될 수 있는가? 셋째, 절대의 의미가 정신의학에서 어떻게 적용될 수 있는가? 넷째, 성찰에 있어서 절대의 어원적 의미가 어떻게 이용될 수 있는가? "絶對"라는 단어의 어원적 의미는 "서로 마주 보고 있는 상황(對)을 끊는다(絶)"이다. 따라서 이러한 어원적 의미에 입각한다면, 모든 대극적인 상황이 하나로 통일이 됨을 의미한다. 도덕경에서 기술되고 있는 得一思想이나 장자의 萬物齊同思想은 絶對의 어원적 의미와 정확하게 일치되는 개념이라고 할 수 있다. 이를 정신의학의 이론이나 치료적인 측면에 적용한다면, 생물학적 접근 또는 심리적인 접근, 이 둘이 분리되는 것이 아니라 하나로 통괄이 되어야 한다. 또한 사고, 감정 그리고 행동의 이 대극적인 상황을 하나로 통괄시켜주는 과정이 즉 정신치료나 정신분석의 과정이라고 할 수 있다. 더 나아가, 이러한 개념을 임상적인 상황과 연결을 시켜, "나와 남"의 대극적 상황의 차별상을 없애고 하나로 통괄하여 모든 인간이 "타인에 대한 사랑", "타인의 존재의 중요성에 대한 인식", "타인의 고통을 자신의 고통으로 받아들이는 자세"등, 인간 심성의 긍정적인 측면이 실천될 수 있도록 노력을 기울여야 한다. This study is to elucidate the etymological meaning of the absoluteness(絶對, Cherl Dae), and based on this etymology, the author investigated the following issues ; 1) How was the etymology of absoluteness described in oriental classics such as Tao Te Ching and Chang Ja? 2) How can the etymology of absoluteness be applied in everyday life? 3) How can the etymology of absoluteness be applied in psychiatry? 4) What will be the way of introspection using the original concept of absoluteness? The etymological meaning of Cherl Dae(絶對) is to cut off(絶) the contrast(對), thus the seemingly contrast concepts become one concept based on this concept of Cherl Dae. In Tao Te Ching, we can find the "Thought of Getting One(得一思想)" which is the exactly same concept as Cherl Dae. In Chang Ja, we can find "Thought of 'there is no discrimination in everything'(萬物齊同思想)". This also means that there is no contrasting concept in everything, and in this sense, this "Thought in Chang Ja" is the exactly same concept as Cherl Dae. In psychiatry we usually have dichotomous thinking such as psychological versus biological approach. But it is impossible to divide human psyche into two independent structures. Based on the concept of Cherl Dae, these two concepts should be integrated into one concept, and thinking, emotion and behavior also should be integrated into one wholeness. Finally we can apply this concept in the practical clinical settings. If psychiatrists could cease the discrimination between them and patients, they will be able to take care of the psychiatric patients as if they themselves were the patients.
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조수철 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.4
The major goals of this study are as fololws; 1) to examine the reliability of the Spielberger's Test Anxiety Inventory(TAI). 2) to find out the factor structures for the TAI among Korean high school students. 3) to compare the mean score of the test anxiety among Korean students with that of foreign students. The results show that; 1) Test-retest reliability(0.82) and split-half reliability(0.87) show satisfactory results and it proves to be an internally consistent instrument(0.91). 2) Factor analysis revealed three factors and this suggests that there may be multiple dimensions of the test anxiety in Korean high school students. 3) Korean students showed much higher mean value of test anxiety compared to that of the three other foreign students. The author suggests concurrent use of State-Trait Anxiety Inventory of Spielberger, Sarason's Test Anxiety Scale, or Liebert's Worry and Emotionality Questionaire will be able to validate this inventory.
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조수철 대한신경정신의학회 2018 신경정신의학 Vol.57 No.1
Objectives This study was conducted to examine the characteristics of spirituality in Korean traditional culture and to apply these to the basic concepts of psychiatry. Methods The author interpreted books concerning traditional culture, including God-concept, death-concept, world-view of afterlife, Shamanistic thinking, traditional religion, as well as traditional culture in general, such as play, music, art, dance, literature, pottery, architecture, naming method, authentic recordings (Shillock), and Hangul. Results The common characteristic of spirituality reflected in the reviewed materials was ‘Gegensatzvereinigung’ which means the unification of opposing concepts. The unity of the Western and Eastern cultures, the old and the new, death and life, the rich and the poor, and the concrete and the abstract are examples of ‘Gegensatzvereinigung.’ Conclusion The ultimate goal of psychiatric treatment is to maintain the harmonious interaction among thinking, affect and behavior. Furthermore, the most harmonious interaction is to unify into one. Thus, the spirituality of traditional culture can be applied to psychiatric treatment.
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조수철,이소영,유한익,송동호,안동현,신동원,Sun Young Yum,Richard Walton,Luis Mendez 대한신경정신의학회 2011 PSYCHIATRY INVESTIGATION Vol.8 No.2
Objective This multicenter, randomized, open-label, parallel trial aimed to provide a detailed dose-response profile for atomoxetine in Korean pediatric outpatients with attention-deficit/hyperactivity disorder (ADHD). Methods Male and female outpatients aged 6-18 years with ADHD meeting symptom severity criteria of 1.5 standard deviations above age and gender norms on the ADHD Rating Scale-IV-Parent: Investigator-Administered and Scored (ADHDRS-IV-Parent: Inv), and a Clinical Global Impression-ADHD-Severity score ≥4 were randomized to atomoxetine (mg/kg/day) 0.2 fixed, 0.5 fixed or 0.5 (7 days), 0.8 (7days) then 1.2 for 28 days. The primary efficacy measure was change in ADHDRS-IV-Parent: Inv total score after 6 weeks of atomoxetine treatment. Results Of 153 randomized patients, 83.7% were male and mean age was 9.8 (SD±2.4) years. The completion rate was 86.9%. A graded dose response was apparent with mean change in ADHDRS-IV-Parent: Inv total scores of -9.6, -12.3 and -14.5 with atomoxetine 0.2, 0.5and 1.2 mg/kg/day, respectively (p=0.024 - F-test). Moreover, a greater reduction in ADHD symptoms, as assessed by mean change from baseline to endpoint CGI-S and mean CGI-ADHD-Improvement at endpoint, was also observed with increasing atomoxetine dose. More patients receiving atomoxetine 1.2 mg/kg/day reported ≥1 treatment-emergent adverse event/s (58.3%) compared with 0.5 (40.7%; p=0.11)or 0.2 mg/kg/day (29.4%; p=0.005). These were generally mild to moderate. Conclusion Atomoxetine was found to be safe and well tolerated at all doses administered in Korean pediatric ADHD patients, and 1.2mg/kg/day was an efficacious dose in this population.
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