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        품행장애 청소년을 위한 외래집단정신치료 치료요인

        이후경,김선재,차정화,봉수연,안현주 대한신경정신의학회 2000 신경정신의학 Vol.39 No.2

        연구목적: 집단정신치료는 또래집단을 중요시하는 품행장애 청소년의 치료로서 매우 효과적인 것으로 알려져 있으나 한국에서는 아직 활성화되지 못하고 있다. 이에 따라 저자들은 품행장애 청소년에게 효과적으로 적용될 수 있는 폐쇄형, 동질적인, 시간제한(10회), 외래집단정신치료를 주 1회 실시하였다. 본 연구의 목적은 ①품행장애 청소년을 대상으로 집단정신치료를 시행하여 효과성을 평가하고, ②치료요인을 조사하여, ③ 집단정신치료를 품행장애 청소년에게 효과적이면서 효율적으로 적용될 수 있는 치료방법으로 정착시키는 데 있다. 대상 및방법: 본 연구는 1998년 10월붜 12월까지, 1999년 4월부터 6월까지 두차례에 걸쳐 실시하였다. 대상군은 품행장애 범주에 해당하는 H고교 2학년 여학생 총 18명(4명 도중 탈락), 대조군은 같은 범주에 해당하는 H고교 2학년 여학생 중 치료에 참여하지 않은 총 18명(4명 도중 탈락)이었다. 평가도구로는 프로그램 실시 전후에 자기보고식 비행척도, 공격성척도, 충동성척도을 시행하였고, 매 회기가 끝난 직후 Yalom의 13가지 치료요인척도, 집단치료 만족도 설문지를 시행하였으며, 종결모임시 총평가 설문지를 시행하였다. 결과: 치료요인의 변화를 집단발단단계에 따라 전후반기로 나누어 비교하였을 때, 전반기(1∼5회)에 상위를 차지한 치료요인은 순서대로 실존적인자, 보편성, 카타르시스, 리더와의 동일시, 구성원과의 동일시이었으며, 후반기(6∼10회)에 상위를 차지한 치료요인은 카타르시스, 실존적인자, 리더와의 동일시, 구성원과의 동일시, 구성원의 조언이었다. 전반기에 비해 후반기에 상대적으로 카타르시스, 구성원의 조언이 상승하였고 보편성은 하락하였다. 이타주의와 일차가족집단의 교정적 반복발달은 전후반기 모두 최하위를 기록하였다. 집단치료 만족도 설문에서 전반기는 45.7%, 후반기에는 83.3%가 도움받는 것으로 나타났고, 총평가 설문에서 85.7%가 기회가 있다면 다음에도 참여하고 싶다고 보고하였다. 결론: 시간제한 외래집단정신치료가 품행장애 청소년 에게 적용할 때 매우 효과적이면서도 만족도가 높은 것으로 나타났다. 청소년을 대상으로 외래집단정신치료를 시행하는 것은 구성상의 어려움, 동기부족, 기금부족 등, 여러 제반 문제가 있으나 확대 시행되어야 할 것으로 생각된다. Objectives: Group psychotherapy is known to be an dffective treatment program for adolescents who attach importance to peer relationship, but it is not activated in Korea. Therefore, researchers performed weekly the closed, homogeneous, time-limited(10 sessions), outpatient group psychotherapy for adolescents with conduct disorder. Objectives of this study were as follows ; first, we practiced the group psychotherapy for adolescents with conduct disorder and evaluated its effectiveness ; second, we examined the therapeutic factors which were used by participants ; third, we intended to settlee down the group psychotherapy for adolescents with CD as an effective and efficient treatment modality. Methods: This study was performed two times from October to December in 1998 and from April to June in 1999. It was sponsored by Youth Counselling Center in H city. The case group were composed of 15 female students who were second grade in H high school, and 4 students were dropped out. The control group were composed of 18 female students who were same grade in H high school and 3 students were dropped out. Before and after this program, self-report delinquency scale, aggression scale and impulsivity scale were asked to them. And just after each session, Yalom 13 therapeutic factors scale and satisfaction questionnaire for group psychotherapy were asked to them. And at last meeting, total assessment questionnaire was asked to them. Results: We compared the change of therapeutic factors between the former half sessions (1-5) and the later half session(6-10), and the results were as follows ; in the former half, the upper ranks of therapeutic factors were existential factor, universality, catharsis, identi- fication with leader, and identification with members in order. And in the later half, the upper ranks of therapeutic factors were catharsis, existential factor, identification with leader, identi - fication with members, and guidance of members in order. The rank of catharsis and guidance of members went upward and the rank of universality went downward when we compared the ranks in the former half to those in the later half. Altruism and family enactment were the lowest ranked in both half. The satisfaction questionnair for group psychotherapy showed to be helped by participants at the rate of 45.7% in former half, 83.3% in later half. The total assessment questionnaire showed the willingness of re-participation at the rate of 85.7% if future opportunity of group psychotherapy is given for them. Conclusions: The time-limited group psychotherapy for adolescents diagnosed by conduct disorder was very effectively practiced and the participants reported high level of the satisfaction. The outpatient group psychotherapy for adolescents would be expanded and practiced though there are several accompanied problems including the difficulty of structuring, the deficit of motivation, and financial problem.

      • 안와종양의 임상경험

        이경하,정화선 영남대학교 의과대학 1996 Yeungnam University Journal of Medicine Vol.13 No.1

        영남대학교 의과대학 부속병원 안과에서 1984년 3월부터 1994년 8월까지 병리조직검사로 확인된 안와종양 95례를 대상으로 임상적 고찰을 실시하였다. 안와종양의 발생빈도는 성별로는 남자가 46명(48.4%), 여성이 49명(51.6%)으로서 유의한 차이를 보이지 않았으며, 연령분포는 양성종양의 경우 전 연령층에 걸쳐 고루 분포하였고, 악성종양의 경우 10세 미만과 50-60대에 특히 많은 발생을 보였다. 광학 현미경으로살펴본 병리조직학적 검사상 양성 대 악성의 비율은 82%:18%로서 다른 연구에서 보다 양성종양의 비율이 높았다. 종류별로는 피부지방종(20례, 21%), 유피낭(11례,11.6), 점액류(8례,8.4%), 지방종(7례,7.4%), 다형성 선종(5례,5.3%)순이었다. 양성종양은 성인의 경우 점액류, 유피낭 다형성 선종, 해면 혈관종 순의 발생빈도를 보였고, 소아의 경우 피부지방종, 유피낭, 지방종, 망막모세포종 순의 발생빈도를 보였다. 악성종양은 망막모세포종 3례, 악성 흑색종 2례, 피지선암 2례, 상악동암2례 등이었다. 악성종양중 사망한 경우는 17례 중 8례(47.0%)로서 모두 이차성 혹은 전이성 안와종양이었다. The authors reviewed 95 cases(46 men and 49 women) of the orbital tumors diagnosed histopathologically at the Department of Ophthalmology, Yeungnam University Hospital from March 1984 through August 1994. Seventy-five cases of benign tumors were found evenly in all decades, but twenty cases of malignant tumors were noticed more frequently in 1st, 6th, and 7th decades. The frequency of benign orbital tumors was in this order; dermolipoma(21%, 20 cases), dermoid cyst(11.6%, 11 cases), mucocele(8.4%, 8 cases), lipoma(7.4%, 7 cases) and pleomorphic adenoma(5.3%, 5 cases). Of malignant orbital tumors, the frequency was in this order; retinoblastoma(3 cases), malignant melanoma(2 cases), sebaceous carcinoma(2 cases), and maxillary sinus carcinoma(2 cases). Malignant orbital tumors of 8 expired patients were revealed as secondary or metastatic tumors.

      • X-線 廻折方法에 依한 Silicon의 構造 硏究

        李善鏞,金永銓,尹和重,徐日煥 충남대학교 자연과학연구소 1982 忠南科學硏究誌 Vol.9 No.1

        The crystal structure of silicon has been determined by X-ray powder diffraction study (Cu Kα radiation). The unit cell is cubic (diamond-type), F(2/d)3, with a=5.42 A˚, V=159.22 A˚^3, z=8, D_c=2.34gr/㎤. The structure was solved by graphical method using eleven powder diffraction data. The experimental and theoretical integrated intensities of the reflecting planes are in good agreement with each other. The silicon atoms have tetrahedral arrangement to form covalent bonds with four other atoms. The nearest interatomic distance is 2.34Å.

      • 의료인과 비의료인의 정신질환에 대한 태도 비교연구

        이강오,최선화 朝鮮大學校 附設 醫學硏究所 1987 The Medical Journal of Chosun University Vol.12 No.1

        The purpose of this study was to find out the medical personnel and the non-medical personnel attitudes toward mental illness. Data collection was done from the 1st to the 30th of August, 1986 by means of a questionnaire. Subjects in this study were 210 medical personnel and 210 non-medical personnel in Chunnam and it's neighboring districts. The instrument used for mensuring attitudes was a questionnaire developed by Star and it's made up to 9 items. Data were analized by computer using S.P.S.S (statistical package for the social science). Frequencies and percentages were used to examine the general characteristics of the subjects. Chi-Square test was used to test the characteristics and attitudes toward mental illness between groups. The finding of this study were as follows : 1) Items for the recognition and attitudes toward mental illness. a. More positive attitudes toward mental illness found in the medical personnel and were showed statistically significant differences. (p <. 05) b. Attitude about neurosis were not showed statistically significant differences in medical and non-medical personnel. c. Prejudice about mentally ill patients. (1) Medical personnel's responses were more negative when the member of a family admitted to the hospital and showed statistically significant differences. (p < .05) (2) Medical personnel and non-medical personnel were positive when the member of a family had a mental illness and were not showed statistically significant differences. d. More positive attitudes about the prognosis of mental illness were found in the non-medical personnel and were showed statisticallysignificant differences. (P < .05) 2) Items for a mental hospital. a. More negative opinions about cure for the mentally ill patients were found in the medical personnel and were showed statistically significant differences. (P < .05) b. More positive attitudes about home based treatment were found in the medical personnl but were not showed statistically significant differences. c. More positive attitudes about the function of mental hospital were found in the medical personnel and were showed statistically significant differences. (p < .05) d. More positive attitudes about the open ware were found in the medical personnel and were showed statistically significant differences. (p < .05)

      • KCI등재

        아르튀르 아다모프(Arthur Adamov) 희곡에서의 오브제에 관한 연구

        이선화 한국연극학회 2001 한국연극학 Vol.0 No.17

        La valeur de ce travail consiste a`apporter un e´clairage nouveau sur la singularite´ de l'esthe´tique the´a^trale d'Adamov au carrefour d'Artaud et de Brecht par le biais de l'Objet. Il s'agit d'examiner comment se re´alise la the´se de la pratique the´a^trale d'Adamov, a` savoir, la connexion de dramaturgie du Mio dit 《je》et de dramaturgie de la Socie´te´ dite 《ils》. L'objet d'Adamov inscrit sur la sce`ne, se´paration, solitude, conflit et opposition des personnages, manifeste inconscient, complexe, sentiment de culpabilite´ et de´sir, en visualisant les couches psychiques enfouies dans le monde inte´rieur obscur. Pourtant, cet objet ne demeure pas que dans le monde personel, c'est-a`-dire qu'il ne se contente pas de ro&le de la 'Parole'. Il devient la 'Langue', voix sociale, qui parle de la convention sociale. Ainsi, il se dirige vers le monde qui l'a cre´e´, appe`le le monde sur la sce`ne, le de´crit. En montrant les maladies et l'absurdite´ inhe´rentes dans la socie´te´ moderne, il e´claire le rapport entre l'individuel et la socie´te´, la vision du monde de l'auteur, et offre au spectateur la distance objective pour l'observation et la pense´e. Le dernier but d'Adamov consiste a` parler de la socie´te´ en parlant de la personne, a` de´crie l'histoire en de´crivant la socie´te´, ce faisant, voire a` faire entendre la voix ide`ologique. En d'autres termes, il s'agit d'unir la dimension personnelle et la dimension collective. Cette intention se re`alise par l'objet-restes qui lie deux domaines contradictoires : il de´ce`le la ne´vrose collective qu'est le racisme a`travers la ne´vrose personnelle de l'objet particulier, en mettant la re´alite´ objective en avant dans l'atmosphe`re onirique. Enfin, l'objet d'Adamov, signe simple et re´el, construit la sce`ne remplie des symboles poe´tiques tels que l'hie´roglphe et l'ide´ogramme. En conclusion, l'objet, transmet le message autant que la parole, construit la vaste constellation de la signification, insinue la tendance ide´ologique de l'auteur, et prend part a` l'e´laboration de la structure et du forme de la pie`ce. Poe´tique et educatrice, individuelle et collective, onirique et re´elle, subjective et objective a` la fois, voila` voila` c'est la the´a^tralite´ propre d'Arthur Adamov.

      • Brine Shrimp Bioassay를 이용한 해양생물의 세포독성검색

        손병화,조용진,이대령,노연숙,이선미,최홍대 동의대학교 기초과학연구소 1994 基礎科學硏究論文集 Vol.4 No.1

        As a part of chemical study on the bioactive metabolites from marine organisms, we have investigated cytotoxicity using brine shrimp bioassay for each solvent fractions of the marine algae(12 species), marine sponges(3 species), coelenterates(2 species), echinoderms(4 species), marine molluscs(17 species), and ascidians(2 species), respectively. As the results, chloroform extract of Stichopus japonicus (LC_50 : 274 ㎍/ml), ethyl acetate extract of Anthocidaris crassispina(LC_50 : 121 ㎍/ml), n-butanol extract of Undaria pinnatifida (LC_50 : 178 ㎍/ml), and water extract of Thais clavigera (LC_50 : 61 ㎍/ml), displayed the most significant cytotoxic activity against brine shrimp. Among the marine organisms tested, echinoderms and marine molluscs were thought to be the most active Phylums on screening of new bioactive compounds.

      • KCI등재후보

        장애아통합보육에 대한 교사인식 연구

        문선화,이선애 한국영유아보육학회 2003 한국영유아보육학 Vol.0 No.33

        The purpose of this study was to investigate the factors that affect of integrated day care services including the efficiencies, problems and preparations to be providing this programs to both regular and exceptional children. The factors are classified with personnel related this service and day care facilities. The 112 persons out of 170 were responded for this research and their background was the day care teachers, special educators, PT/OT, and social workers who are directly or indirectly working with either regular or exceptional children at the regular day care centers, the center for the handicapped children only and the center for the integrated facilities. The results of this research findings are as follows: First, children whether they are disabilities or not helping each other. The number of children per a teacher and in a classroom were overcrowded, but guidelines or restrictions and regulations to the facilities are not adequately established. Second, the respondents' licenses vary from different resources and purposes, so it would be provided sometimes insufficient services in need of both regular and handicapped children. Third, integrated day care centers showed rather a high tendency of sufficient services than other day care programs. Fourth, teacher's age, kind of licenses and type of day care centers are influential factors affecting providing services to the children, but factors had feeble influence on the efficiencies and preparations of integrated day care.

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