청년기심리 (靑年期心理)

조두영,Cho, Doo-Young 한국정신신체의학회 1997 정신신체의학 Vol.5 No.2

One faces four major developmental tasks to achieve in young adulthood, ages between 20 and 40 : intimacy, vocation, marriage and child-rearing. Intimacy is the capacity to commit oneself to concrete affiliations and partnerships and to develop the ethical strength to abide by such commitments, even though they call for significant sacrifices and compromises. Through vocation and marriage young adults become united to networks of persons, find tasks that demand involvement, and gain roles into which they fit and are fitted and which help define their identities. An occupation represents much more than a set of skills and functions : it means a way of life. The extent of vocational choice increases with educational level, and the unconscious factors are frequency the decisive element. The vocational choice stare with fantasy choices in childhood, passes through tentative choices in adolescence, realistic choices in college days, and crystallized choices in post-college days, and finally ends up to the choice of specification. Along with the hazards and the need for realignment of personality functioning, the marriage brings with it new opportunities for self-fulfillment and completion. Motives other than a romantic love gain more importance in the decision to marry and in the choice of a partner. The impulsions to marry are sexual gratification, the desire to propagate, narcissistic gratification, and a need of interdependence. Many factors such as oedipal wishes, sexuality and sexual attractions, socio-economic classes, and geography involve in selection of marriage partner. There are also various motivations to marry a romantic love, the desire for a home of one's own, sexual attractions, the wish for security and a shelter, and the wish for children. The hostile marriage, the marriage on the rebound, the marriage rooted in rescue fantasies, and sado-masochistic marriage are the examples of pathological marriages. A successful marriage will usually both Lead to and require a marked reorganization of the personality structure of each partner that will influence the lurker personality development of each. Many marital problems are largely dependent upon the personality characteristics of one partner which might well create difficulties no manor who was the spouse.

어버이살이

조두영,Cho, Doo-Young 한국정신신체의학회 1997 정신신체의학 Vol.5 No.1

In becoming parents, the marital partners enter into a new developmental phase. The conception of the child is an act of mutual creativity during which the boundaries between the self and another were temporarily obliterated more completely than at any time since infancy. The infant is a physical fusion of the parents, and their personalities unite within the child. for many women, creativity as a mother becomes a central matter that provides meaning and balance to their lives. The husband usually has strong desires for an offspring and can be transformed by it. The child can profoundly affect one or both parents, and the influences are reciprocal-a child's needs or specific difficulties uncover a parent's inadequacy. following the child's development, each transition into a new developmental phase requires an adaptation by the parents, and one or another of these required adaptations may disturb a parent's equilibirium. And the personality changes, emotional difficulties, and regressions of a spouse that occur in response to some phase of parenthood can upset the marriage. Not only do children identify with parents, but parents also identify with their children. The parents take pleasure in child's joy and suffer with the child's pain more than in almost any other relationship. certain respects e parents lives again in the child. Through the process of identification the child can also provide one of the two parents with the opportunity to experience intimately the way in which a person of the opposite gender grows up. Parenthood also provides the opportunity to be loved, admired, and needed simply because one is a parent and, as such, a central and necessary object in the young child's life. The many potentialities for emotional satisfactions from parenthood manage to outweigh the tribulations and sacrifices that are required. The child also exerts an indirect effect through changing the parent's position in the society, for new sets of relationships are established as the parents are drawn to other couples with children of the same age, and for a new impetus toward economic and social mobility often possesses the parents. frequently the couple's relatedness to their own parents improves and grows firmer once again. Parenthood, the satisfactions it provides and the demands it makes, varies as life progresses : and changes with the parent's interests, needs, and age as well as with the children's maturation. There are phases in the child's life that the parents are reluctant to have pass, whereas they tolerate others largely through knowing that they will soon be over. The changing lives of the children provide many satisfactions that offset the tribulations, uncertainties, and regrets. The parents change. The young father, who was just starting on his carrier whom the first child was born, settles into a life pattern. He becomes secure with increasing achievement and interacts differently with the youngest child and provides a different model for him than for the oldest. The mother may have less time for a second or third child than for her first, but she may also be more assured in her handling of them. The birth of a baby when the parents art in their late thirties will find them Less capable of physical exertion with the child and less tolerant of annoyances, but they are less apt to be annoyed. Eventually the children min and leave home, but the couple do not cease to be parents.

첫 면접(面接)과 환자심리역동(患者心理力動)의 이해(理解) -전공의(專攻醫) 교육(敎育) 경험(經驗)-

조두영,이부영,김중술,김용식,조맹제,유인균,Cho, Doo-Young,Rhi, Bou-Yong,Kim, Zoung-Soul,Kim, Yong-Sik,Cho, Maeng-Jae,Lyoo, In-Kyoon 한국정신신체의학회 1997 정신신체의학 Vol.5 No.1

The psychiatric interview is not a random or arbitrary meeting between doctor and patient. It is a systematic attempt to understand the relationship of psychopathology to emotional conflicts in patient, and interviewing is an in rather than a science, a skill that can be acquired but probably not taught. The faculty of the Seoul National University Hospital, Department of Psychiatry, have been providing 12 sessions of seminar on Psychiatric Interview and Psychopathology every year for the first year residents for the past 15 years. The authors presented three cases materials with their understandings of psychopathology and psychodynamics, each of which the authors had performed live interviews for 50 minutes in front of the residents. Those are a young male with conversion disorder whose chief complaints was motor aphasia, a young college girl with paranoid schizophrenia whose chief complaints were persecutory and erotic delusions with auditory hallucination, and a climacteric female in delusional disorder who had a delusion of infidelity. The most frequent questions the residents raised after the presentations were on the significances of the first interview, danger of making the diagnoses with short interviews, and methodology of questionings and not-questionings. In reply the authors discussed the importance of understandings of psychopathology and psychodynamics, the flexibility of the techniques of interviewing, and priority-related matters in which the understanding of psychodynamics proceed to the diagnoses.

성(性)생활과 성기능장애

조두영,Cho, Doo-Young 한국정신신체의학회 1999 정신신체의학 Vol.7 No.1

Children above age of two are able to have sexual excitement, and they actively seek the pleasure actively or passively through touch and masturbation. In late $60_s$ and early $70_s$, Masters, obstetrician, and Johnson, social worker, illustrated four phases of human sexual responses, namely excitement, plateau, orgasmic and resolution phases in both sexes, and multiple orgasms in the female. Their treatment principles of sexual dysfunctions were largely based on behavioral model, introducing the concepts of sensate focus, dual therapy and sex education. Following Masters and Johnson, Kaplan, psychiatrist and psychoanalyst, in the early and mid-$70_s$ introduced new sex therapy which was based on the combination of analytically-oriented psychotherapy and behavior therapy, and classified sexual dysfunctions into three categories such as desire excitement and orgasmic phase disorders. Since $1980_s$ other medical fields joined the stream, putting the concentrated effort on the treatment of the impotence in the male. They have developed penile prosthesis, local injection therapy, and the administration of oral medications. Nowadays Sildenafil(Viagra) seems the best choice for the treatment of the impotence in the male. 2세이상의 어린이는 성적 흥분을 느낄 수 있기에 만지거나 자위행위 등의 성적인 즐거움을 찾기 시작 한다. 60년대 후반부터 70년대 초반사이 산부인과 의사 Masters와 사회사업가 Johnson은 인간의 성반응 단계를 흥분기, 고원기, 오르가슴기, 반응소실기의 4단계로 나눠 설명하였고, 여성에게는 무반응기가 없어 여러번의 오르가슴이 가능함을 밝혔다. 그들의 성치료원칙은 행동치료에 입각하여 감각초점법과 부부치료, 성교육등으로 구성되어있다. Masters와 Johnson이후 정신과 의사이자 정신분석가인 Kaplan이 1970년대 초반에 정신분석적 정신치료와 행동치료를 결합한 '새로운 성치료'를 제안했다. 그리고, 성기능 장애를 3가지 카테고리로 재분류했다. 1980년대 이후는 남성의 발기부전의 치료를 중심으로 의학적 치료방법론이 대세를 이루고 있는데, 음경 보속물, 국소주사치료, 경구약제등이 발달하였다. 최근 Sildenafil(Viagra)이 등장해 남성 발기부전 치료의 최선의 선택으로 받아들여지고 있다.

중년심리(中年心理)

조두영,Cho, Doo-Young 한국정신신체의학회 1997 정신신체의학 Vol.5 No.1

The meddle years start when persons achieve maturity and end when they realize they are old, and we commonly call ages between thirty-live and sixty five the middle years. Thinking of life as a play, the middle years lead up to and away from the climax of the plot. In the early part of middle age, the man is the main support of his family, and is out to establish himself in his career. He is in a race toward success, and may acquire a sponsor who picks him out as a protege. In the middle part of middle age, the man is ready to come into his own and may break with his sponsor. Most persons are now at the height of their potential, know their areas of competence, and have the satisfaction of feeling in control in them. They need no longer prove themselves from day to day, for they are credited with past accomplishments. Some are caught in "promotion or success depression", and some continue to change jobs creating difficulties is readjustment. The more satisfactory changes usually occur within a career rather than through shifiting careers. In e later part of the middle age the man worries about his physical health, and experiences depression in facing the retirement. Woman frequently change the course of their lives some time between the ages of thirty-five and forty, and may resume their education or careers. Tee quarters of women are passing through "involutional melancholia".

맥락막신생혈관을 동반한 삼출성 나이관련황반변성 환자에서 광역학치료 후 10년간의 경과관찰

조두영,배소현,한재룡,김하경,남우호.Doo Young Cho. MD. So Hyun Bae. MD. Jae Ryong Han. MD. Ha Kyoung Kim. MD. PhD. Woo Ho Nam. MD 대한안과학회 2012 대한안과학회지 Vol.53 No.1

Purpose: To analyze the long-term results of photodynamic therapy (PDT) for exudative age-related macular degeneration (AMD). Methods: The clinical data of patients treated with photodynamic therapy for exudative age-related macular degeneration between April 2000 and December 2000 were analyzed. Patients were followed-up for at least 10 years after PDT. Results: Twenty-nine eyes of 29 patients were enrolled. Mean visual acuity on the logarithm of the minimum angle of resolution (log MAR) scale was 0.78 ± 0.34 at baseline, 1.01 ± 0.42 at 60 months, and 1.02 ± 0.41 at 120 months. Predominantly classic, minimally classic, and occult without classic choroidal neovascularization was noted in 51.7%, 17.2%, and 31.1% of patients, respectively. Visual acuity was improved by 1 or more lines in 27.6% of patients and was unchanged in 20.7% of patients, while 51.7% of patients had lost 1 or more lines of visual acuity by 120 months. Baseline visual acuity and age were associated with the final visual prognosis (p < 0.05). Four patients developed neovascular AMD in the contralateral eye. Conclusions: PDT is safe and effective for neovascular AMD. However, AMD can recur at any time and thus patients should be followed-up for a long period of time. J Korean Ophthalmol Soc 2012;53(1):59-67

청소년심리(靑少年心理)

조두영,Cho, Doo-Young 한국정신신체의학회 1998 정신신체의학 Vol.6 No.2

A dolescence can be defined as the period between pubescence and physical maturity, and the passage through adolescence(age of 12-19) forms a critical period. Major developmental tasks of adolescence are construction of an emancipated identity, realistic ambitions, and reasonable ideals, and the further development of sexual and social identities. In early adolescence one struggles to adjust psychologically to the spurt in growth and tensions filled with sexual and aggressive impulses. There are reshuffling of peer groups due to differing rates of maturation, early adolescence crushes, sublimation of sexuality, and the resurgence of oedipal feelings. One reaches so-called period of formal operations in cognitive development. In mid-adolescence one struggles to overcome family attachments and controls, and it is a time marked by revolt and conformity. One has to overcome sexual repression while caught in reactivation of oedipal attachment. Peer groups gains in importance, and the peer group changes into a youth group that carries the youth culture. Late adolescence is a period of achieving an ego identity and capacities for intimacy. One has to prevent premature closure : Identity foreclosure limits both opportunity and the ability to guide one's own life. Gradually adolescent begins to have a loss self-centered and narcissistic orientation to one's sexual and affectional needs, and becomes involved in love relationship.

난치성 간질환자의 간질초점 위치와 정신증상과의 관련성

한우상,김종훈,이상건,조두영,권준수,하규섭,Han, Wou-Sang,Kim, Jong-Hoon,Lee, Sang-Kun,Cho, Doo-Young,Kwon, Jun-Soo,Ha, Kyoo-Seob 한국정신신체의학회 1996 정신신체의학 Vol.4 No.1

The prevalence rate of psychiatric symptoms of the refractory epileptic patients was evaluated according to the location of the epileptic focus. The subjects were 91 patients admitted to Epilepsy Monitoring Unit of Seoul National University Hospital. The psychiatric symptoms were assessed by Korean version of Symptom Checklist-90-R(SCL-90-R). The locus of epileptic focus was assessed by clinical features, 2-hour interictal EEG, long-term video-EEG monitoring, brain MRI, interictal and ictal brain SPECT, and interictal brain PET The subjects were divided into three groups according to the epileptic focus, non-temporal(N=29), left temporal (N=26), and right temporal(N=32). There were no statistical differences in demographic and seizure-related variables among groups. The number of patients with $T-score {\geq} 65$ at any subscale of the SCL-90-R were compared by $X^2-test$ among groups. The mean T-scores of each subscale of the SCL-90-R were compared by oneway-ANOVA among groups. The prevalence rate of psychiatric symptoms of the refractory epileptic patients was 38.5%. There was no statistical difference in the prevalence rate of psychiatric symptoms among groups. However, the patients with non-temporal or right temporal epileptic foci showed statistically significant higher mean T-scores of interpersonal sensitivity, depression, hostility, and phobic subscales than the patients with left temporal epileptic foci. These results suggest that the epileptic focus plays an important role in the production of interictal psychiatric symptoms of the refractory epileptics.

수학 교과에서 G러닝이 학습자의 정의적 영역에 미치는 영향

위정현(Wi, Jong-Hyun),조두영(Cho, Doo-Young) 한국게임학회 2010 한국게임학회 논문지 Vol.10 No.6

본 논문의 목적은 G러닝의 교육적 효과에 대한 분석이다. 교육에 있어서 화두인 구성주의 학습의 효과적인 학습 도구로써 온라인 게임 기반의 G러닝이 사용되기 시작하고 있다. 이에 본 연구는 온라인 게임 기반의 G러닝 'SKY 수학'을 개발하여 학업 성취도에 긍정적 영향을 미치고 있는 G러닝의 정의적 C영역에 대하여 알아보았다. G러닝을 통한 교육을 통하여 학생들의 태도, 자신감이 상승하였다. 이러한 발견을 바탕으로 G러닝이 효과적인 학습 도구로 활용 될 수 있음을 논의하였다. The purpose of this paper is to analyze a positive educational effect of G learning(online game based learning). G learning has become an effective learning tool for constructivism based learning. Therefore, the paper developed G learning 'SKY math' and applied it to the elementary students. Through the analysis, the fact has been found that students' attitude and confidence for Math changed positively.

국내 인터넷 중독의 현황

하지현(Jee Hyun Ha),조두영(Doo Young Cho),이훈진(Hoon Jin Lee),양은주(Eun Joo Yang),우종인(Jong Inn Woo),류인균(In Kyoon Lyoo) 한국정신병리진단분류학회 2000 精神病理學 Vol.9 No.1

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