韓國古典小說 4沈清傳’ 의 精神力動的 研究

柳仁筠,趙斗英 대한신경정신의학회 1992 신경정신의학 Vol.31 No.2

We have examined the classic novel, Sim Chong Chon whose main theme is filial piety, upon the assumption that the collective unconscious finds its way into the folktale and thus we can gain some insight into the collective unconscious of Korean people through studies of folktales such as Sim Chong Chon. While much researche hitherto has explained the extremity o f her filial piety as a product of her natural goodness, this study focused on the family dynamic to determine what make her filial piety so extreme. Sim Chong s father has implicitly demonstrated hostility toward Sim C hong since his wife’s death soon after Sim C hong’s birth. Some part of her motive for filial piety stems from her gulity feelings towards her father because of her reactive hostility to his treatment of her. The fact that Sim Hak-Gyu, the object of filial piety, is described as selfish and exploitative may reflect the unconscious repulsion of Koreans against the Korean culture in which filial piety receives too much emphasis. Also, Sim C hong’s Oedipus Complex is one of the two motives o f her filial piety. By making Sim Chong recognize her dead, but potent mother as a model to follow and the rival to compete with, her Oedipus Complex becomes an important motive for masochistic filial piety with her counter aggression against her father’s anger and hostility toward her.

Prozac의 약물요법

류인균,이지영,이정현 대한의사협회 2008 대한의사협회지 Vol.51 No.3

成長期의 家族環境 및 生物遺傳的 性格-氣質的 特性이 孝의 情緖的, 行動的 特性에 미치는 影響

류인균,홍강의,조두영 대한신경정신의학회 1998 신경정신의학 Vol.37 No.5

연구목적: 본 연구의 목적은 成長期의 家族環境과 先天的인 氣質 및 性格特性이 行動的 孝認識과 情緖的 孝認識의 形成에 미치는 特定한 選擇的 影響을 分析하는 것이다. 방 법: 多段階 群集分析方法으로 선정된 서울지역 男女大學生 132명을 대상으로 Structured Clinical Interview for DSM-III-R과 Personality Disorder Questionnaire-Revised를 사용하여 共存 Axis I 및 Axis II 精 神科 障碍 有無를 검사하였다. 共存 精神科 障碍 및 기타 배제요건을 가진 34명을 제외한 서울지역 대학생 (男子 49명, 女子 49명)과 그 父母가 硏究對象群이 되었다. 이들을 대상으로 孝尺度를 사용하여 孝認識의 다양한 側面을 측정하였고, 家族環境尺度를 사용하여 成長期의 家族環境을 측정하였으며, 氣質 및 性格檢査 道具를 사용하여 先天的인 氣質 및 性格的 傾向을 측정하였다. 결 과: 1) 孝尺度上의 평가에서 大學生 硏究對象群은 父母群과 비교하여, 家族調和, 義務/責任感, 犧牲, 補償, 이 웃간의 調和 및 家門繼承의 孝側面을 덜 중요하게 認識하고 있었다. 家族環境의 多樣한 側面에서는 硏究對象 群과 父母群 사이에 有意한 統計的 차이가 없었다. 2) 成長期 家族環境이 孝認識에 미치는 影響에 관한 연구결과를 요약하면, 成就指向的이고 道德性-倫理性 을 강조하는 小兒-靑少年期 家族環境은 行動的 측면의 孝 認識과 有意한 相關關係가 있었으며, 家族간의 凝 集性 및 表現性이 높은 家族環境은 情緖的 측면의 孝의 認識과 有意한 相關關係가 있었다. 3) 先天的 性格을 代辯하는 生物遺傳的 氣質 및 性格이 孝認識에 미치는 影響에 관한 연구결과를 요약하 면, 낮은 自己中心性은 行動的 孝認識과 유의한 相關關係가 있었으며, 높은 協助性은 情緖的 측면의 孝認識 과 有意한 相關關係가 있었다. 결 론: 本 硏究는 成長期 家族環境과 生物遺傳的 氣質 및 性格이 孝認識 樣相, 즉 行動的 및 情緖的 孝認識의 形 成에 미치는 特定한 影響을 報告한다. Objective:This study aimed to tap the influence of the childhood and adolescent family environment and biogenetic temperament/character on the filial piety profile, i.e., its behavioral and emotional aspects in Korean college students. Methods:Ninety-eight college students(male=49, female=49, the main study group) in the Seoul Metropolitan area were selected using multi-stage(randomized) cluster procedures. Their parents(N= 174) became the ‘generation’ comparison group. The Filial Piety Scale was used to evaluate the perception of filial piety, both in 13 individual items and in two factor-analytically- produced behavioral and emotional aspects of filial piety. The Family Environment Scale was used to evaluate the childhood and adolescent family environment. The Temperament and Character Inventory was used to assess biogenetic temperament and character of the study subjects. Results:Parents of college students scored significantly higher on filial piety items of familial harmony, responsibility/obligation, sacrifice, compensation, neighborhood harmony, and family continuity than their offspring did. There were no significant differences between study subjects and their parents in perceiving their family environment. Childhood environment with high moralethical emphasis and high achievement orientation was significantly correlated with the behavioral aspect of filial piety whereas cohesive and expressive family environment was shown to be linked to the emotional aspect of filial piety. Regarding the biogenetic temperament/character-filial piety relationship, low self-directedness was positively correlated with behavioral aspect of filial piety while high cooperativeness was positively correlated with emotional aspect of filial piety. Conclusions:This study reports distinct patterns of relationship between childhood family enviro-nment and the filial piety profile and between biogenetic temperament/character and the filial piety profile in Korean college students.

인터넷 중독의 정신병리

류인균,하지현,양은주,김영미,장창곡,우종인 정신병리학회 2000 정신병리학회지 Vol.9 No.1

性格의 神經解剖學

류인균 韓國精神病理-診斷分類學會 1999 精神病理學 Vol.8 No.1

한국 성인 고위인지기능 평가를 위한 전산화 도구의 개발과 표준화

류인균,권준수,하규섭 대한신경정신의학회 2002 신경정신의학 Vol.41 No.3

연구목적: 본 연구는 전산화 고위인지기능 평가도구를 개발하고, 신뢰도와 타당도를 검증하며, 표준화 자료를 얻 기 위하여 수행되었다. 방 법: 카드분류검사, 개념형성검사, 단어-색채검사, 손가락 두드리기검사를 전산화하였으며, 27명의 정상인 을 대상으로 하여 검사-재검사 신뢰도를 검증하였다. 타당도를 검증하기 위하여 48명의 정상인을 대 상으로 검사 성적을 기존의 인지기능 검사 성적과 비교하였다. 20세부터 50세까지 고졸이상의 학력을 가진 한국 남녀 성인 150명을 대상으로 표준화 자료를 얻었다. 결 과: 개념형성검사를 제외한 전산화 고위인지기능 검사들의 검사-재검사 성적은 paired t-test 결과 차이 가 없었으며, Pearson 상관계수 0.543-0.905의 높은 상관관계를 보였다. 개념형성검사는 높은 연습 효과를 보였으나, 검사-재검사간 상관관계는 유지하였다. 전산화 고위인지기능 검사들은 동일 영역을 평가하는 기존의 인지기능검사들과도 높은 상관관계를 보였다. 20세부터 50세까지 고졸 이상의 학력을 가진 성인에서는 카드분류검사와 단어-색채 검사는 성별, 학력, 연령에 따른 차이를 보이지 않았다. 개념형성검사는 학력에 따른 차이가 뚜렷하였으며, 손가락 두드리기검사는 성별에 따른 차이가 뚜렷하였 다. 전산화 고위인지기능검사의 표준화 자료와 해석기준을 제시하였다. 결 론: 20세부터 50세까지 고졸 이상의 학력을 가진 한국 성인 남녀에서 신뢰성 있고 타당성 있게 사용할 수 있는 전산화 고위인지기능 평가도구가 개발되었으며, 표준화 자료와 해석기준이 마련되었다. Objectives:This study was conducted to develop the computerized higher function assessment tools for Korea adults. It also aimed at evaluating the reliability and validity of these tests and providing their normative data. Methods:Computerized versions of card sorting test, hypothesis formation test, color-word test, and finger tapping test were developed through several steps of preliminary applications and corrections. The test-retest reliability of each test was evaluated by the paired t-test and Pearson’s correlation coefficient using the data from 27 normal subjects. The validity of each test was evaluated by the Pearsons’s correlation coefficient between the computerized test scores and the pre-existing cognitive function tests using the data from 48 normal subjects. The normative data were obtained from the 150 Korean adults, age 20 to 50, whose educational levels were higher than high school graduate. Results:There were no statistical differences between the means of the test and retest scores except hypothesis formation test, which showed marked practice effect. High correlations were also observed between the tests and the retest scores(r ranged from 0.543 to 0.905). The computerized higher cortical assessment tests scores were highly correlated with the scores of the pre-existing cognitive function tests, such as Standard Progressive Matrices. The scores of the card sorting test and the color-word test were not influenced by age, sex, and education level. However, the scores of the hypothesis formation were greatly influenced by the education level, and the scores of the finger tapping test were greatly influenced by sex. The normative data and guidelines for interpretation were provided. Conclusions:Clinically applicable computerized higher cortical function assessment tools with high reliability and validity were developed. The normative data for the Korean adults aged 20 to 50 were obtained and the guidelines for the interpretation were provided.

자기애적 인격장애

류인균 약업신문사 1997 의약정보 Vol.1997 No.9

만성적 허무함과 불안정한 대인관계를 보이는 21세 여자

柳仁鈞 대한의사협회 1999 대한의사협회지 Vol.42 No.9

비심인성 흉부 불편감을 가진 대상자에서 컴퓨터 기반 인지행동치료의 효과성 : 문헌 검토와 새로운 프로토콜 제안

류인균,김정윤,김지은,Lyoo, In Kyoon,Kim, Jungyoon,Kim, Jieun E. 대한생물정신의학회 2019 생물정신의학 Vol.26 No.1

Since non-cardiac chest discomfort (NCCD) can result in substantial healthcare burden and lower quality of life, interventions such as cognitive behavioral therapy (CBT) have been investigated for the relief of NCCD. In this review, we aimed to summarize the evidence on the efficacy of the CBT for the treatment of NCCD while introducing a newly-developed computerized CBT program for NCCD. Studies applying CBT to individuals with NCCD were searched for from both English and Korean electronic databases. Among 37 studies, 11 randomized controlled trials, 4 case-control studies, 1 case series, and 2 review articles were eligible for this review. Efficacy of conventional CBT for NCCD was shown in a series of studies as most of them reported improved symptom severity of NCCD or NCCD-related anxiety. However, a substantial variability existed among these studies in participants, treatment procedures and durations. High attrition rates were also reported in these studies on conventional CBT. Computerized CBT could be an alternative to the conventional CBT as it can be standardized and more easily accessible, but it was only reported in one previous study. In addition to the literature review, we presented a newly-developed computerized CBT program for NCCD which may overcome some of the limitations of conventional CBT. A computerized CBT could be an alternative treatment of NCCD, however, need further studies on its usefulness.

Prevalence of DSM-III-R Axis II Personality Disorders in College Women with Bulimia Nervosa

류인균,이주남,조맹제,조두영,이부영,Lyoo, In-Kyoon,Lee, Joo-Nam,Cho, Maeng-Je,Cho, Doo-Young,Rhi, Bou-Yong KOREAN ACADEMY OF SLEEP MEDICINE 1999 수면·정신생리 Vol.6 No.1

목 적 : 본(本) 연구(硏究)는 신경성(神經性) 거식증(拒食症)을 가지고 있는 여대생(女大生)의 DSM-III-R상(上)에 근거한 인격장애(人格障碍)의 빈도(頻度)를 정상대조군(正常對照群)과 비교(比較) 조사하는 것을 목적(目的)으로 한다. 방 법 : Structured Clinical Interview for DSM-III-R을 사용(使用)하여 신경성 거식증을 가지며, 동시에 다른 I 축(軸) 정신장애(精神障碍)를 가지고 있지 않은 62명의 식이장애(食餌障碍) 연구대상군을 모집(募集)하였으며, 같은 도구(道具)를 사용하여 어떠한 I 축(軸) 정신장애(精神障碍)를 가지고 있지 않은, 동수(同數)의 연령(年齡), 성별(性別) 대조군을 모집(募集)하였다. 인격장애(人格障碍)의 빈도(頻度)의 조사를 위해서는, 면접도구(面接道具)인 '인격장애(人格障碍) 진단면접검사(診斷面接檢査)'(Revised Diagnostic Interview for Personality Disorders)와 설문검사(設問檢査)인 '인격장애(人格障碍) 설문검사(設問檢査)'(Personality Disorder Questionnaire-Revised)를 동시에 사용하여 진단적(診斷的) 신뢰도(信賴度)를 높였으며, 특히 경계선(境界線) 인격장애(人格障碍)의 진단(診斷)을 위해서는 '경계선(境界線) 인격(人格) 진단면접검사(診斷面接檢査)'(Diagnostic Interview for Borderlines)를 추가(追加)로 사용하였다. 또한 일반적인 인구역학적 변수(變數)의 조사와 함께 신경성 거식증환자에서 흔히 관찰되는 우울증상(憂鬱症狀)의 평가를 위하여 Beck 우울평가도구(憂鬱評價道具)(Beck Depression Inventory)를 사용하여 우울증(憂鬱症)의 정도를 평가하였다. 결 과 : 신경성 거식증군은 정상대조군과 적 : 본(本) 연구(硏究)는 신경성(神經性) 비교(比較)하여 유의(有意)하게 높은 경계선(境界線) 인격장애(人格障碍), Cluster B 인격장애(人格障碍) 및 전체 인격장애(人格障碍)의 빈도(頻度)를 보였다(Fisher's exact test, p=0.044, p=0.020, p=0.024, respectively, by the Revised Diagnostic Interview for Personality Disorders;p=0.034, p=0.015, p=0.007, respectively, by the Personality Disorder Questionnaire-Revised). 결 론 : 본(本) 연구(硏究)는 한국인(韓國人) 여대생(女大生)집단에서의 신경성(神經性) 거식증군(拒食症群)은 정상대조군(正常對照群)과 비교(比較)하여 통계적(統計的)으로 유의하게 높은 인격장애(人格障碍)를, 특히 경계선(境界線) 인격장애(人格障碍)를 가지고 있음을 보고(報告)하고, 이 결과(結果)의 이론적(理論的), 임상적(臨床的) 의의(意義)에 관하여 논의(論議)한다. Objectives: To evaluate the prevalence of the DSM-III-R personality disorders in Korean college women with bulimia nervosa. Methods: Sixty-two subjects with bulimia nervosa, as identified by the Structured Clinical Interview for DSM-III-R, were compared to the age- and gender-matched healthy comparison subjects(n=62) on the prevalence of Axis II disorders, as determined by both the Revised Diagnostic Interview for Personality Disorders(DIPD-R) and by the Personality Disorder Questionnaire-Revised(PDQ-R). Results: Subjects with bulimia nervosa had significantly greater prevalences of borderline personality disorder, Cluster B personality disorders, and any personality disorders compared to healthy comparison subjects(Fisher's exact test, p=0.044, p=0.020, p=0.024, respectively, by the DIPD-R ; p=0.034, p=0.015, p=0.007, respectively, by the PDQ-R). Conclusions: This study reports greater prevalences of specific personality disorders, especially, borderline and Cluster B personality disorders in Korean college females with bulimia nervosa compared to comparison subjects.