우울증의 비약물학적 치료

박용천 대한의사협회 2011 대한의사협회지 Vol.54 No.4

In treatment of depression, non-pharmacological treatment is as important as pharmacological treatment. However, in clinical practice in Korea, non-pharmacological treatment is not provided sufficiently and patients are not satisfied with psychiatric interviews. Accordingly, patients ask for more information from clinicians. Clinicians should be aware of the characteristics of depression in Korean patients, because the manifestations of symptoms are influenced by cultural factors. In particular, depressed patients complain about somatic symptoms more frequently than they complain about depressed mood itself. In order to establish a therapeutic relationship with depressed patients, clinicians should be aware of these characteristics of depressed patients and clinicians should also address the needs of their patients. The author introduces evidence-based self-care methods for Korean patients with depression. St. John’s wort, acupuncture, air ionization, light therapy, massage bibliotherapy, exercise, meditation, relaxation, and yoga can be helpful for overcoming depression. Among them, the Clinical Research Center for Depression, an organization supported by the Ministry of Health and Welfare, has recommended several nonpharmacological treatments for depression. First of all, exercise, such as walking more than 30min. everyday, is strongly recommended. Other recommendations include bibliotherapy, interpersonal psychotherapy, cognitive behavioral therapy, and short-term psychodynamic supportive psychotherapy. For the nationwide management of depression, social bias against the treatment of depression should be reduced and non-pharmacological treatment for depression should be encouraged.

서언 : 정신과 의사와 정신치료

박용천 대한신경정신의학회 2010 신경정신의학 Vol.49 No.-

Psychiatrists are expected to be willing to perform psychotherapy. However, psychiatrists maybe reluctant due to challenges involved in many situations. External factors such as policies related to the national health insurance system can be an obstacle to performing psychotherapy given that, the policy only tends to lower the cost of treatment. The other internal obstacle is the lack of self-confidence in the ability of therapists for performing psychotherapy. The reason for low self-confidence may stem from goals which were set excessively high and further from disappointment in their capabilities. Korean psychiatrists should feel confident in their professional ability with respect to psychotherapy because most of them not only have passed many exams successfully,but have also trained sufficiently. Psychiatrists should recall the motivation that they had when embarking on their career as a first year resident, when they were eager to learn about the human mind. The identity of psychiatry should bepsychotherapy itself. The study of psychotherapy was furthered by the findings of Eric Kandel, the Nobel laureate, who found thatneuronal development was affected by learning. With improved results from psychotherapy, as indicated by fMRI, a new mode of psychotherapy could be developed and should be applied not only to new those issues which cannot be treated successfully with biological treatments, but also in patients who may not want biological treatments. The contents of this volume have been introduced here. In making this supplement, the editors of the Korean Neuropsychiatric Association should receive many thanks for providing effective guidelines for many young psychiatrists who are eager to learn psychotherapy.

임신 전 부부의 스트레스 및 정신건강

박용천 한국모자보건학회 2009 한국모자보건학회 학술대회 연제집 Vol.2009 No.2

COVID-19, 한국에서의 심리적 영향: 예비 연구

박용천,박기호,김나은,이주희,조수린,장지희,정다운,장은진,최기홍 한국임상심리학회 2020 Korean Journal of Clinical Psychology Vol.39 No.4

To investigate the impact on mental health of the prolonged COVID-19 outbreak, the current study investigated peritraumatic distress, preventive behaviors, and psychological distress (depression, anxiety symptoms, and suicidal risk) among 1,000 Koreans in May 2020 in comparison with the levels of psychological distress reported among 257 Koreans during the periods before COVID-19 in South Korea and with those reported in other countries during the COVID-19 pandemic. Our results indicated that 27.3%, 34.2%, and 28.8% of the participants reported at least mild peritraumatic distress and depressive and anxiety symptoms, respectively. Of the participants, 23.6% were classified in the suicidal risk-positive group. Female participants and those in their 20s showed greater psychological distress than males or other age groups, respectively. Additionally, compared to the results reported from other countries, our results showed overall consistency in levels of psychological distress but relatively low anxiety symptoms and high depressive symptoms. Finally, our analysis indicates that psychological distress was exacerbated by job loss or decline in household incomes due to COVID-19.

정신병에 대한 지역사회 지도자들의 태도조사

김광일,박용천 大韓神經精神醫學會 1983 신경정신의학 Vol.22 No.2

By applying Q methodology, the authors attempted to identify community leaders' attitude toward mental illness for the purpose of understanding available informations in the. planning of mental health delivery system. Fifty community leaders such as herb doctor, school nurse, shaman, village leader, high school teacher, pharmacist, pastor and general physician were the subjects of this survey. They were instructed to arrange the 50 statements in preference rank order. The statements were derived from the many previous opinion and attitude surveys toward mental illness in Korea. Cause of mental illness, attitude toward psychotic person, treatment device and world view were the main contents of the statements. The results were statistically treated by Q factor analysis and 3 factors could be extracted. To identify the character of each factor, factor scores were calculated. The characteristic features of each factor regard the cause of mental illness as psychological-environmental stress and deny the supernatural origin. Accordingly psychotherapy and faith healing were strongly accepted and primitive devices of treatment were rejected. Rational understanding, tolerance and acceptance were their characteristic attitude. Thus factor A could be named an "Psychological humanism". Three herb doctors, three pharmacists, three village leaders, two pastors, one school nurse and one high school teacher belong to this factor A. Factor b: The subjects in this factor understand mental illness with primitive concepts. They think that mental illness is incurable and psychotic persons are the object of fear, so they should be isolated into mental hospital or institution. Meanwhile they have pessimistic and hostile world view. This factor could be named as "Hostile rejection". Three shamans belong to this factor. Factor C: The subjects of this factor regard mental illness as psychological and environmental nature. They have optimistic view in treatment of mental illness. Their attitude is characterized by full acceptance and familiarity but by inappropriate understanding and traditional concepts of illness. Primitive devices of treatment such as shamanistic ritual and herbal medicine are highly recommended as effective methods in the treatment of mental illness. This factor could be named as "Traditional humanism". Two pharmacists, one village leader and one shaman belong to this factor. Meanwhile, only 20 of 50 subjects (40%) belong to one characteristic factor and 30 persons (60%) belong to two or three factors simultaneously or do not belong to any factor. This finding suggests that considerable population of community leaders are confused and complicated in their attitude toward mental illness. With the above findings, community leaders' attitude toward mental illness can not be understood as an unique or general pattern. Possible various attitudes should be identified and recognized for better understanding of community-hospital interaction. Three characteristic attitudes derived from this study could be interpreted in terms of acculturation. The attitude of traditional humanism (Factor C) can be understood as common traditional attitude toward mental illness in Korea. This attitude has been changed into the attitude of hostile rejection (Factor B) by influence of modernization and the attitude of hostile rejection has again been changed into the attitude of psychological humanism(Factor A) by public education for desirable knowledge and attitude. Different attitudes derived from each acculturational step could be regarded to mingle with each other in the same period. On the other, herb doctor, pharmacist and village leader manifest the attitude of psychological humanism predominantly, school nurse, pastor and high school teacher have both attitudes of psychological humanism and hostile rejection. Shaman reveals the attitude of hostile rejection and general physician's attitude seems to be extremly confused and complicated because they belong to all the three factors. In conclusion, educational program for desirable understanding human behavior is strongly. recommended to the community leaders and even in the ecurriculum of the regular educational systm.

한국에서 정신치료 수련의 경험

박용천 대한신경정신의학회 2010 신경정신의학 Vol.49 No.-

In training for psychoanalytic psychotherapy, the same principle used in the psychoanalysis training system, the so called tripartite system (personal analysis, didactic instruction, and control analysis)is recommended. People are usually very reluctant to receive personal analysis and the opportunity to experience it is thus, quite limited. The author presented his own personal experience regarding psychotherapy training in Korea. He received psychotherapy from Dr. Dong-Shick Rhee and was trained at the Korean Academy of Psychotherapists. Individual supervision was conducted by Dr. Dong-Shick Rhee and group supervision by Drsa. Dong-Soon Kim and Hong-Se Moon. The author compared the supervision experience in the Psychoanalytic Psychotherapy Program at the Cleveland Psychoanalysis Center, in Cleveland, Ohio, U.S.A. The supervisor was the late Dr. Edward Schiff. The process of psychotherapy with Dr. Dong-Shick Rhee could be compared to psychoanalytic psychotherapy, but supportive features were more frequently used than analytic features. Purification of mind and handling of nuclear feelings were experienced. These were based upon Tao. The principles of Tao Psychotherapy were published in the book, “An Introduction to Taopsychotherapy” written by Dr. Dong-Shick Rhee. The author experienced religious enlightenment through his psychotherapy. Reading and discussing psychotherapy articles were guided by Dr. Dong-Shick Rhee. It was not only about accumulating the knowledge but rather learning how to study and how to read correctly. The author reflected the process of his own psychotherapy came to a point on the road less travelled.

한국 임상심리학자의 인지행동치료 전문성: 연구 역량

박용천,송하림,이종선,최기홍 한국임상심리학회 2018 Korean Journal of Clinical Psychology Vol.37 No.S

Cognitive behavioral therapy (CBT) is the treatment option with strong empirical evidence for use with various mental illnesses. As in many other countries, such as the U.S. and the U.K, it has recently been announced that CBT will be covered bythe National Health Insurance Benefit in Korea, allowing many people with mental illness to receive CBT at a minimum cost. However, the expertise of CBT providers has not been understood and highlighted in the policy. The current study aimed toinvestigate the research competence of clinical psychologists as the most well-trained CBT providers by quantitatively analyzingthe number of primary authors (1st or corresponding authors) of peer-reviewed research articles about CBT outcome trialspublished in Korea. Among a total of 112 outcome studies and 50 Randomized Controlled Trial (RCT) studies finally selected,the highest portion of the primary authors of CBT outcome trials in Korea were clinical psychologist (54.5%), followedby psychiatrists (8.9%) and counseling psychologists (2.7%). The results were also maintained for CBT RCT (e.g., clinicalpsychologists [58.0%]). The results demonstrate the research competence of Korean clinical psychologists and their leadingrole in CBT outcome trials. Future directions for mental health policy on CBT are discussed.

정신분열증에서 혈청 면역글로불린 농도의 변동과 관련되는 요인

朴容千,楊秉煥,金光日 漢陽大學校 精神健康硏究 1988 精神健康硏究 Vol.7 No.-

임신 전 부부의 스트레스 및 정신건강

박용천,박선철,박문일 대한의사협회 2011 대한의사협회지 Vol.54 No.8

The ultimate goal of the ‘baby plan’ is a healthy pregnancy and successful child rearing. Focusing on baby planning, this article covers issues concerning a successful and healthy pregnancy with a psychiatric point of view-the stress and mental health before the pregnancy. According to recent findings, stress influences a women’s infertility rate 10 to 15 percent, and a major psychological reason is found to be depression rather than anxiety disorder. The infertility of men is also influenced by stress, based on the research findings that the density and quality of sperm worsens after disasters. Excessive stress before and during pregnancy could result in pre-term labor, small for gestational age infants, or reduced infant weight. In order to prevent these preconception distresses, psychiatric care and treatment are needed. In this regard, Eastern traditional wisdom could be helpful in the view of psychotherapy, since it has been traditionally approved and welcomed for more than a thousand years. One of the insights is that a sound relationship between a husband and wife is a foundation of a good family, and this has already been determined from the moment when the two met for the first time. In conclusion,preconception stress could negatively influence fertility and could have a negative effect on a pregnancy. Thus stress should be alieviated for a healthy pregnancy and successful child rearing by psychotherapeutic intervention.

An Organic Planarization Layer Fabricated via Vapor Phase Deposition

박용천,임성갑 한국고분자학회 2022 한국고분자학회 학술대회 연구논문 초록집 Vol.47 No.1