하코미세라피의 이해와 한의학적 응용

서주희,강형원,Sue, Joo-Hee,Kang, Hyung-Won 대한한방신경정신과학회 2013 동의신경정신과학회지 Vol.24 No.suppl1

Objectives : Hakomi therapy is a body-centered psychotherapy established by Ron Kurtz in the 80s. Here we introduce the clinical possibilities of application in Korean medicine through Hakomi therapy. Methods : At first, we present the definition, basic principles, terms and outline of Hakomi therapy in reference to "Body-centered psychotherapy The Hakomi Method," published by Ron Kurtz. Then we study the clinical application of Hakomi therapy on Korean medicine. Results : There are many similarities between Hakomi and Korean medicine, such as Mind-Body holism, organicity through homeostasis of living things, non-violent attitude of therapist like Tao, and emphasis on breathing by corresponding with Nature. Also, there are similarities in methods, such as Ohjisangseung, Iijungbyunqi, and Qigong. Hence, Hakomi therapy can be useful in Korean psychotherapy. Conclusions : If we can graft Hakomi therapy onto Korean psychotherapy, it will be efficacious for Korean psychotherapy to be systematized.

한방정신요법의 연구현황

서주희,유춘길,조아람,이고은,유영수,강형원,Sue, Joo-Hee,Ryu, Chun-Gil,Cho, A-Ram,Lee, Go-Eun,Lyu, Yeoung-Su,Kang, Hyung-Won 대한한방신경정신과학회 2013 동의신경정신과학회지 Vol.24 No.suppl1

Objectives : We attempt to find out the present situation of a study regarding psychotherapy in Korean medicine through research journals in the JON (The Journal of Oriental Neuropsychiatry). Methods : We searched and read every JON from 1990 to 2012 and selected articles relating to Psychotherapy. We then analyzed the data and divided them into 3 categories: literature study, case studies and clinical trials. Results : 1) We found 16 literature articles, in which 6 compared Korean psychotherapy with that of the Western, 4 reinterpreted it focusing on traditional cases in Korean psychotherapy, 3 articles were on Qigong, 1 article was on Buddhism and another on Tao, and 1 article was with regards to dreams. 2) There were a total of 26 case reports about Korean psychotherapy. Among them, JiUnGoRoen had the most at 12; somatoform disorder was the most target disease in 9. 3) There were a total of 13 clinical trials on Korean psychotherapy. There were 4 trials on meditation, 6 on Qigong, each 1 of each for EFT, suggestion and autogenic relaxation. Conclusions : In spite of many resources in Korean psychotherapy, it was limited because it was not able to systematize clinically. Hence, we need to hand down and systematize Korean psychotherapy further.

알아차림 효과에 영향을 주는 변인들에 관한 연구: MMPI-2를 중심으로

서주희 ( Joo Hee Sue ) 한국명상상담학회 2014 명상심리상담 Vol.12 No.-

Purpose: The present study was aimed to analyze the influences of the demographic characteristics and personality on the effect of mindfulness and the relations between those factors and mindfulness in young healthy individuals. Methods: The study was conducted among 84 university students and provided the informed consent. The students practiced total ten sessions of Mindfulness meditation, in which each session takes about 7 minutes. The demographic characteristics and personality inventory were analyzed with regard to their influences on the effect of mindfulness. Results: 1. There were no significant difference according to sex and age, whereas significant differences were found depending on the marital status and blood types. 2. The effect of mindfulness did not correlate with the clinical scales of the MMPI-2. However, with the restructured clinical scales, there was negative correlations between Observe and demoralization, antisocial behavior, ideas of persecution and dysfunctional negative emotions. In aspect of Personality Psychopathology Five (PSY-5) scales, there were negative correlations between Observe and negative emotionality/neuroticism, Nonjudge and aggressiveness respectively. 3. Compared to the pre-treatment assessment, Act-aware, Describe, Nonjudge and total mean data showed a marked increase in the effect. In general, 60 individuals (64.5%) showed an increased effect of mindfulness post-test. Conclusion: The present study demonstrates that the different kinds of personality may have different influences on the effect of mindfulness. It can be postulated that the effects of mindfulness meditation can vary depending on the types of the factors above even among the patients with the same diagnoses.

가정폭력 피해여성들의 사건충격과 정서 그리고 삶의 질에 대한 M&L 트라우마 심리치료 프로그램의 효과에 대한 임상연구

서주희 ( Joo Hee Sue ),김정숙 ( Jung Suk Kim ),고경숙 ( Kyung Sook Ko ),오정란 ( Jung Lan Oh ),고인성 ( In Sung Ko ),강형원 ( Hyung Won Kang ) 대한한방신경정신과학회 2015 동의신경정신과학회지 Vol.26 No.2

Objectives: The purpose of this study is to investigate the effects of the M&L Trauma Psychotherapy Program on: Impact of Event Scale - Revised (IES-R-K); Euro QOL-5 Dimension (EQ5D); Five-facet Mindfulness Questionnaire (FFMQ); and psychological tests. Methods: Eight middle-aged women subjected to domestic violence participated in the two-day M&L Trauma Psychotherapy Program. The Program was executed 5 times 2 days for about 3 hours. We evaluated IES-R-K, EQ5D, FFMQ, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), State-Trait Anger Expression inventory (STAXI) and SUDS before the Program and for four weeks afterwards, to analyze the effects of the M&L Trauma Psychotherapy Program. Results: The scores of IES-R-K, BDI, STAI-S, STAI-T, Hwa ST and Hwa CT decreased significantly (p<0.05). EQ5D scores increased significantly (p<0.05) and overall physical condition scale (VAS) increased. In the FFMQ scores, all five facet scores increased slightly. Scores of SUDS decreased significantly right after the program, and remained decreased four weeks later, rather than before the Program (p<0.05). Conclusions: The results suggested that the M&L Trauma Psychotherapy Program improved post-traumatic stress, quality of life and mindfulness skills, and had positive responses to psychological problems - depression, anxiety, anger and distress.

북한이탈주민의 심신증상에 대한 M&L 심리치료와 한의치료 치험2례 보고

이희정 ( Hee-jung Lee ),강다현 ( Da-hyun Kang ),임명아 ( Myong-a Lim ),김두리 ( Doo-ri Kim ),서주희 ( Joo-hee Sue ) 대한한방신경정신과학회 2016 동의신경정신과학회지 Vol.27 No.3

Objectives: This study was undertaken by the department of Korean neuropsychiatry, to evaluate the effects of M&L psychotherapy and Korean Medical Treatments on hospitalized North Korean defectors. Methods: We treated two patients with indigenous Korean medical therapies (acupuncture and herb-medicine) and M&L psychotherapy. Beck``s Depression Inventory (BDI), Insomnia Severity Index (ISI), Geriatric Depression Scale (GDS), Mini-mental state examination Korean Version (MMSE-K), and Visual Analogue Scale (VAS) were used to evaluate the patients. Results: Following observations were made after treatments. Case 1: the patient had significant improvement in Beck``s Depression Inventory (BDI), Insomnia Severity Index (ISI), and Visual Analogue Scale (VAS). Case 2: similar improvements were observed. Here, the patient had undergone Geriatric Depression Scale (GDS), Mini-mental state examination Korean Version (MMSE-K), and Visual Analogue Scale (VAS). In addition, noticeable improvement was observed in other accompanying symptoms. Conclusions: These results suggest that M&L Psychotherapy and Korean medical treatments might be effective for treating the psychiatric and physical symptoms of hospitalized North Korean Defectors.

외상 후 스트레스 장애에 대한 한방정신요법 기반 심리치료 개발 및 예비적 임상시험

김진형 ( Jin Hyung Kim ),서주희 ( Joo Hee Sue ),이고은 ( Go Eun Lee ),김남권 ( Nam Kwen Kim ),최성열 ( Sung Youl Choi ),유영수 ( Yeoung Su Lyu ),강형원 ( Hyung Won Kang ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.26 No.1

Post traumatic stress disorder (PTSD) is an anxiety disorder that usually occurs after suffering from a psychological trauma that can not threatening events, which is one of the individual`s subjective pain and their families and the larger society due to the chronic disease burden results. Treatment with a medication, as well as cognitive behavioral therapy (CBT), exposure therapy, prolonged exposure therapy (PE), eye-movement desensitizing, and reprocessing (EMDR) are preferentially performed, including psychotherapy. Korean medical psychotherapy consists of a wide range of manual therapy, but it does not have systematically screening limits. This study was developed by Korean medical psychotherapy program for PTSD, and it was carried out as a preliminary clinical trial for validity. The Korean medical psychotherapy program for PTSD consists of four stages as follows: building chapter of safety, flow and send, accept, and integration. Based on this preliminary clinical study of PTSD, seven patients were treated for 2 hours per week for 5 weeks. We report the meaningful results gained by observing the changes in IES-RK points, questionnaire on five-faceted mindfulness, quality of life, anxiety, depression, insomnia, hwabyung scale, HRV, and EEG, before and after the Korean medical psychotherapy program.

M&L 자기성장 명상프로그램의 효과에 대한 연구

이유진 ( Yu Jin Lee ),김정숙 ( Jung Suk Kim ),고경숙 ( Kyung Suk Ko ),서주희 ( Joo Hee Sue ),오정란 ( Jeong Ran Oh ),김미영 ( Mi Yeong Kim ),강형원 ( Hyung Won Kang ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.3

Objectives: The purpose of this study is to investigate the effects of M&L Self-Growth Meditation Program with Euro QOL-5 Dimension (EQ5D), Five Facet Mindfulness Questionnaire (FFMQ) and psychological test. Methods: 6 middle-age women have participated in the eight weeks of the M&L Self-Growth Meditation Program, and the program was executed once a week for about two hours. We evaluated EQ5D, FFMQ, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), and State-Trait Anger Expression Inventory (STAXI) before and after the program in order to analyze the effects of M&L Self-Growth Meditation Program. Results: 1) EQ5D scores increased significantly (p<0.05), and overall physical condition scale( VAS) increased. 2) In the FFQM scores, value of Nonreactivity increased significantly (p<0.05), and total score increased. 3) Scores of BDI and STAI-S decreased significantly (p<0.05), and STAI-T, STAXI-S, STAXI-T, STAXI-O, STAXI-Su, and STAXI-R decreased. Conclusions: The results suggested that M&L Self-Growth Meditation Program improves the quality of life and mindfulness skill and has a positive responses to psychological problems-depression, anxiety, and anger.

마음챙김 명상과 이정변기요법을 이용한 PTSD 환자 치험례

박종민 ( Jong Min Park ),이고은 ( Go Eun Lee ),서주희 ( Joo Hee Sue ),배달빛 ( Dal Bit Bae ),최성열 ( Sung Youl Choi ),강형원 ( Hyung Won Kang ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.1

The purpose of this study was to introduce a PTSD patient who experienced significant effects of mindfulness meditation and Ii-Gyeung-Byun-Qi therapy. Our psychotherapy was executed five times a week for the 14-year-old male patient who attended middle school and was diagnosed by DSM-IV Diagnostic Criteria for PTSD, and then the MMPI-A was evaluated to determine the effects after 3 months. The results showed normal profiles of MMPI-A validity scales and Clinical Scales profile after his treatment, positive changes in content scales, and significant decreases of PSYC (psychoticism) and NEGE (negative emotionality) in PSY-5 scales. This study made through a case report on the treated psychotherapy for PTSD by the applications of modern psychological techniques in the Korean psychotherapy. We expected that this case report will have a role in development of standardized psychotherapy programs for PTSD.

뇌과학에 기반한 연령별 학습법과 연령별 한의학적 학습방법론 비교고찰

조아람 ( A Ram Cho ),박소임 ( So Im Park ),강다현 ( Da Hyun Kang ),서주희 ( Joo Hee Sue ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.4

Objectives: The purpose of this study was to research learning based on brain science and the learning methodology of Korean Medicine according to disparity of age. Through this, the study aimed to provide a guideline to related Korean Medicine treatments as well as the common nurturing/educational institutions. Methods: All journals and dissertations on brain science based learning methods studied in Korea to date that could be found in the National Assembly Library and the RISS were implemented in the analysis. The terminology used for search was as follows: 1st search, ``Brain``; 2nd search, ``Learning``, ``Education``; 3rd search, ‘Baby, ‘Infant``, ``Child``. For the learning methodology of Korean Medicine according to disparity of age, the related contents were extracted from Donguibogam and Liuyi, Sasang constitutional medicine. Results: A total of 30 studies, were collected as data. In the baby stage, the development and myelination of brain neurons are accelerated by experience and learning, highly influenced by social, cognitive and emotional movement. In infancy, the frontal lobe actively develops, so education for development of the prefrontal cortex is suggested. The brain of the infant at this stage can be developed by arts and physical education. In the child stage, the parietal and temporal lobe develop actively. Thus, programs to stimulate brain activity including brain respiration would be helpful in enhancing learning ability, concentration, etc. As evidence for learning and nurturing methodology according to disparity of age from Korean Medicine prospective, the following are listed: Location and time for sexual intercourse before pregnancy, stabilization during pregnancy, baby nurturing methods for nurturing from Donguibogam. Also Liuyi and Sasanag constitutional medicine can be the learning methodology according to disparity of age. And there are acupuncture points on each head section according to age in Donguibogam. Conclusions: Studies on ``brain-science based learning`` are continuously being conducted. Based on these studies, diverse new brain-science based learning will be developed in the future. There is also a need to develop the learning methodology of Korean Medicine according to disparity of age in a more systematic and diverse way.

북한이탈주민들의 병증발생시기 인식에 대한 질적 연구

조아람 ( A Ram Cho ),유춘길 ( Chun Gil Ryu ),박소임 ( So Im Park ),성우용 ( Woo Yong Seong ),서주희 ( Joo Hee Sue ) 대한한방신경정신과학회 2013 동의신경정신과학회지 Vol.24 No.4

Objectives: The purpose of this study is to understand the cognition of the initiation of diseases of North Korean refugees in South Korea. Methods: 9 North Korean refugees hospitalized in Oriental Neuropsychiatry of National Medical Center participated in the interview. The statements were analyzed by using the phenomenological research methodology and Giorgi`s analytical method, in particular, was applied. Results: A total of 4 categories and 15 sub categories were derived from the participants` descriptions. North Korean refugees who thought their diseases have begun while living in North Korea coming to South Korea, have fire disease because of the strict social system, limitations imposed on their actions, and the violence of their husbands. And who thought during escaping from North Korea, have anxiety about being killed, found and transferred to North Korea. They also suffered from a sense of guilt towards their family who were left behind as well as from depression. Consequently, they thought their skeletal diseases have begun during this period. Who thought during their period in Korea, their diseases like fire disease and depression have been worsen because of unfamiliar circumstances and doctors who said their problems had been caused by psychiatric disorder. Nevertheless, they did their jobs, felt happy and had a will to be cured thingking possibilities of overcoming diseases. Conclusions: These results suggest that various factors during different periods in the life of North Korean refugees could have an effect on their present diseases.