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      • KCI등재

        한국인의 생활사건에 관한 예비적 연구 Ⅰ. 생활사건 척도

        고병학,송옥헌,신윤오 大韓神經精神醫學會 1981 신경정신의학 Vol.20 No.1

        For rating emotional responses to the everyday life events, 61 life events were tested by 528 normal persons by the method of paper and pencil questionairs. Among 528 respondents, 300 persons' (men 150, women 150) were selected randomly and the reports were analysed statistically. The results were as follows; 1. Emotional responses of 61 life events were rated and the events were put in rank order according to the mean value of the emotional responses in negative sense. The most negatively responded life events were death of, spouse (M=17.574) and death of child (M=17.481), and the least responded events were many trivial life events and desirable ones in positive sense, e.g. engagement of offsprings (M=2.188) and promotion (M=1.988) etc. 2. Average number of life events which had occurred during one year (1979) was 3.213 in man, 2.580 in woman, and 3.930 in total. 3. Among the occurred life events, death of a member of the family, reunion of separated spouses, hospital admission due to serious illness, involutional period, trivial legal problems, and moving house in the same city were significant by statistically. 4. By factor analysis, it was found that the factor most highly invested emotionally was related to bereavement (M=15.528) and the least invested emotionally was related to to moving house(M=5.824).

      • 神經安定劑에 對한 態度 및 信賴에 關한 調査硏究

        高炳鶴 충남대학교 의과대학 지역사회의학연구소 1978 충남의대잡지 Vol.5 No.2

        In light of the current rapid growth in the production and prescription of psychotherapeutic sedatives in Korea, this author surveyed the popular attitudes and beliefs about tranquilizers. The control group(192 men and women who had not experienced tranquilizers) and the neurotic patient group(110 people)were surveyed by the prepared paper and pencil method in the city of Dae Jeon, Korea, (population 550, 000)from March 1, 1977 to March 31, 1977. Data from the study show that; 1. Considerable evidence of attitudes acceptable to the drug efficacy was revealed in 70%, but they have doubts about full recovery from their illness by the drugs. In about 80% of that cases those studied believed that the drug is efficient only for temporal symptom relief. 2. The more severe the degree of difficulty in adjustment to the family and working situations, the more they tended to want to take the tranquilizers. But there are no distinguishing causes to he discriminated between the general attitudes and beliefs about the drugs and the real desire for taking tranquilizers. 3. among the unwanted effects of tranquilizers, habituation and toxic harmful effect on soma were worried about the moat (79%) and this concern was about 2 times higher in the control group than in the patient group. 4. They were willing to think that their illness should he treated by their own will and accordingly they tended to accept their weakness of will which led them to take tranquilizers. These attitudes are found more in the lower educated and patients groups. By this data we would like to suggest that they generally do not want to take any tranquillizers if possible. 5. Finally we comented on the necessity of the therapist's psychological understanding the patients and further study about the symbolic meanings of tranquilizers to the patients in view of the traditional Korean perspective on psychiatric practice and social morality.

      • 精神分裂症의 忘想과 精神治療에 關한 現象學的 考察

        高炳鶴 충남대학교 의과대학 지역사회의학연구소 1983 충남의대잡지 Vol.10 No.2

        For the review of phenomenological understanding of schizophrenia, the philosophical and the psychiatric phenomenologies were reviewed in a different chapter and a final analysis conclusion was taken that the essential characteristics of phenomenological understanding of human phenomena(i, e, schizophrenia)is the personality of therapist. Depend upon the therapist's personality, whether it has it's ability to be the transcendental ego for operating of the eidetic and transcendental reductions, or no, the patient's subjective world could be reconstructed or not. But what will be the way of becoming a phenomenologist was not reviewed, because it was thought to be out of scope in this review and leaves some blank for the next opportunity.

      • 憂鬱症의 診斷尺度에 關한 硏究 : Zung의 憂鬱尺度表의 適用을 爲하여 for adjustment of Zung's Self-Rating Depression Seale and Depression Status Inventory

        高炳鶴 충남대학교 의과대학 지역사회의학연구소 1977 충남의대잡지 Vol.4 No.1

        For the purpose of clincal use of the Zung's Self-Rating Depression Scale 103 psychiatric patients were adjusted by the Self-Rating Depression Scale and the Physician's Depression Status Inventory at the same time. Data from this study was presented as follows; The validity of SDS was shown by the high correlation with the DSI in depression (r=0.83, P=<0.001). It's ability to differentiate depressed patients from nondepressed patients was further shown by the fact that; depressed patients was 73, of patient with schizophrenia, anxiety neuroses, and others were 56, 58 and 59 respectively, P=<0.001 in all instances. The mean DSIZ score of depressed patients was 64, of patient with schizophrenia, anxiety neuroses, and others were 45, 45 and 44 respectively, P=<0.001 in all instances. As a result of the above data, we have come to the conclusion that when using DSI and SDS properly it can be a valuable tool in evaluating the depressive patient.

      • 한국인의 생활사건에 관한 예비적 연구 : Ⅰ. 생활사건 척도 1. Scale of Life Events

        고병학 충남대학교 의과대학 지역사회의학연구소 1980 충남의대잡지 Vol.7 No.2

        For scaling emotional responses, quantitatively, of the everyday life events, 61 life events were tested by 528 normal persons, by the method of paper and pencil questionaries. Among 528 respondants, 300 persons' (man : 150, woman : 150)were selected randomly and analysed statistically. The results were as follows: 1. 61 life events were scaled and made rank order according to the mean value of emotional responses in negative sense. The most negatively responded life events were the death of spouse(M=17.574) and that of child(M=17.481), and the least responded events were many trivial life events and desirable ones in positive sense, e.g. engagement of child (M=2.188) and promotion (M=1.988) etc. 2. Average number of life events which had occured during a year was 3.213 in man, 2.280 in woman and 2.930 in total. 3. Among the occured life events, death of a member of family, reunion of separated spouses, hospital admission due to serious illness, involutional period, trivial legal problems and moving house in the same city were significant by statistically. 4. In factor analysis, the life events which were related with bereavement were most highly responded(M=15.528)and the leastly responded were moving house related life events (M=5.824).

      • KCI등재

        一部 韓國人의 實存挫折의 外的 要因에 關한 硏究調査

        鄭敬憙,高炳鶴 大韓神經精神醫學會 1984 신경정신의학 Vol.23 No.3

        著者들은 實存分析理論에 입각한 一部 韓國人의 實存挫折의 外的 要因에 關한 調査를 함으로써 靈因性神經症의 진단기준 및 意味治療(Logotherapy)의 對象선정기준설정의 기초 재료를 얻기 위해 Belfast test를 男女 370名에 施行하고 다음과 같은 結果를 얻었다. 1. 態度價値와 創造價値는 人格內에서 獨立的으로 機能하는 現象이었다. 2. 意味次元 및 疏遠次元 卽 不可抗力 事件·狀況에 對한 意味追求 程度 및 可逆的 事件, 狀況에 對한 創造的 態度를 잠정적으로 標準化했다. 3. 要因別 分析에서 不可逆的 事件·狀況에 處했을 경우 男子보다 女子가, 職業이 없는 群보다 있는 群이, 學業中에 있는 群보다 마친 群이 態度價値에 對하여 더 希望的이었고 또 可逆的 狀況에 處했을 경우 年齡이 낮을수록, 結婚한 群에서, 職業이 없는 群에서, 學業中인群에서 創造的 價値에 對 해 더 絶望的이었다. 4. 意味挫折의 外因으로는 精神機能障碍, 失明, 不治의 疾病, 심한 肢體障碍 및 貧困등의 順으로 社會經濟的要因보다는 身體的 결함이 要因의 問題點이었다. 5. 疏遠次元의 挫折의 外因으로는 富의 不均衡分配, 失職, 社會混亂 및 性犯罪 등 主로 經濟問題와 社會經濟的 差別待遇가 問題點이었다. 6. 意味次元 및 疏遠次元 各各의 外因 項目別 有關性은 貧困, 差別待遇, 富의 不均衡配分, 부패등의 社會現象 項目들이었다. 7. 以上의 結果를 綜合檢討함으로써 一部 韓國人의 價値觀을 富, 健康, 平等으로 잠정적인 定立을 할 수 있었다. This study investigated the external factors of existential frustration in some Koreans, which is the central concept of Existential Analysis of Frank V.E. to get the preliminary data for standardization of the diagnosis of the Noetic Neurosis and indication of the Logotherapy. The authors studied the 370 students and nurses who live in Dae Jeon, with Belfast test. The results are following ; 1. The Meaning and The Alinative Dimension are the independent phenomena in personality. 2. The degree of attitudinal value in face of irreversible events and that of creative value in face of reversible events were standardized. 3. In face of irreversible events, the degree of attitudinal value was influenced by the factors; sex, occupation and level of education. In face of reversible events, marital status, age, occupation and level of education were the influencing factors to the degree of creative value. 4. The external factors of existential frustration in the Meaning dimension were mental handicap, loss of eyesight incurable disease and severe handicapped. 5. The external factors of existential frustration in the Alinative dimension were unequal distribution of wealth, unemployment, social conflict and sexual offences. 6. The correlation of each item between M and A dimensions was statistically significant in poverty, discrimination, unequal distribution of wealth, and corruption. 7. The value system in the some Koreans might be concluded as; Health, Wealth and Equality.

      • 精神分裂症의 生物學的 硏究 : 液體 크로마토그라프와 放財酵素法에 依한 Catecholamines 微量定量 A Rapid Microassay of Catecholamines by High Performance Liquid Chromatography-Radioenzymatic Method

        고병학,송옥헌,임규,황병두,백문기 中央醫學社 1983 中央醫學 Vol.45 No.4

        A direct rapid radioenzymatic assay in combination with high performance liquid chromatography (HPLC) for measuring simultaneously picogram quantities of nore pinephrine, epinephrine and dopamine has been developed, and the relationship of changes in cerebrospinal fluid (CSF) norepinephrine concentration during haloperidol treatment to changes in psychosis rating of twelve schizophrenic patients has been investigated. The three catecholamines in 20?l of CSF are converted to their 0-methylated ana-logues by catechol-0-methyltransferase in the presence of S-adenosyl-L-1{methyl-3H} methionine. After the addition of tetraphenylborate, these derivatives are extracted. with diethylether at pH 8.2 followed by re-extraction with 0.1N HCI and then isol-ated by HPLC using, ?Bondapak C18column and 0.17 M acetic acid-60% methanol- 0.02 M Na2SO4 as solvent. Manual collection of each fraction is started two seconds after in appeared mark. The HPLC fraction of norepinephrine and epinephrine deri-vatives are oxidized to vanillin followed by extracting the vanillin with toluene, and dopamine derivatives fraction is extracted with toluene/isoamylalcohol and then re-extracted with 0.1N HCl. Internal standard curve shows a good linearity from 5 to 30 picogram per samples, and incorporated radioactivity of norepinephrine, epinephrine and dopamine derivatives are 163±11.4, 125±10.5 and 112±3.9cpm per picogram and calculated sensitivities are 0.4, 0.3 and 1 picogram, respectively. 3H-Normetanephrine, 3H-metanephrine and 3H-methoxytytamine are well separated by HPLC, and each retention times are 3.52, 4.08 and 5.62 minutes and yields are 75.6?0.9, 76.1?0.8 and 70.1?0.4%. Separation of the methylated derivatives by HLPC are performed within 8 minutes, and thus enabled us to complete the differential analysis of 15 samples (30 tubes) in a day. CSF norepinephrine concentration in schizophrenic patients show rostral-caudal gradient and haloperidol induced decreases of norepinephrine and the decreases correlated significantly with psychosis rating, From the above rsults, it is suggested that this method is more excellent than any others in sensitivity, accuracy, reproducibility and specificity of the differential assay, and CSF norepinephrine can be used for evaluation of neuroleptics treatment of schizophrenia by this method.

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