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        産後 精神障碍에 對한 臨床的 考察

        徐光潤,吳吉成,朴魯澤 대한신경정신의학회 1969 신경정신의학 Vol.8 No.1

        This study is to investigate the basic clininical phenomena of the 17 female patients with postpartum, mental disorders in Korea, who were treated in the Department of Neuro-Psychiatry, W oo Sok University Medical School Hospital during the period from March 1st, 1963 until September 30th, 1968. The results obtained were as follows: 1) According to the clinical diagnostic categories, these 17 cases were divided into 9 cases of psychoneurosis, 4 cases of psychotic depression, 2 cases of pseudoneurotic schizophrenia and 2 cases of schizophrenia 2) Eight cases occured in primipara, 5 cases in multipara and the others in each postpartum setting. 3) Most of them (I3cases) developed their mental disorders during I week period after delivery. 4) Their clinical symptoms were similar to those of mental disorders which were not associated with parturition. In addition, about half o f . these cases characteristically manifested somatic symptoms such as lumbago and coldness of the extremities. 5) As to their premorbid personality, 7 had hystericl, 5 depressive, 3 schizoid, 1 paranoid and I psychopathic personality make-up. 6) Thrughgoing anamnesis revealed that they had difficulties in their relations with parents and siblings in early childhood and later in their marital life. 7) As to their attitudes toward the babies,about half of them expressed the feelings of over-concern, frank rejection or guilt about their infants.

      • Ilizarov 술식을 이용한 사지 신장술 : 1년 이상 추시가능하였던 2례 보고 Long Term Follow Up

        서광윤,권칠수,김용욱,김형수 인제대학교 1991 仁濟醫學 Vol.12 No.3

        사지 신장술은 오랜기간 동안 정형외과 영역에서 추구하여 오던 것이며, 계속 여러 사람에 의해 시행되어 오던 술식이다. 사지신장술에 사용되어진 체외 고정 기구는 학자에 따라 다양한 방법이 소개되고 있으나 특히 일리자로프(llizarov)체외 고정 기구는 생체 역학적으로 사지신장술 및 골절 치유에 유리하며, 사지의 여러 변형을 교정할수 있는 장점이 있다. 이에 저자들은 본원에서 시행한 사지 신장술 2례를 1년 이상 추시 관찰하여 양호한 결과를 얻었기에 증례가 적고 한정된 경험이지만 보고하고자 한다. The Ilizarov external fixator, though developed over 35 years ago in the Soviet Union, is only now gaining popularity in the world. Its design and versatility allow the physician to treat a wider range of limb diseases than any other external fixation systems. The Ilizarov method of fixation also permits treatment of some orthopedic conditions that were previously considered to be untreatable, such as dwarfism. The device can be used to correct limb length discrepancies, manage open and closed fractures, nonunions, and bony or soft tissue deformities. A review of the first 2 cases performed at the Sang-gye Paik Hospital Inje University revealed all which have been successfully and which are still in progress.

      • 韓國 神話 및 傳說속의 Oedipus Complex

        徐光潤,李丙允 고려대학교 의과대학 1973 고려대 의대 잡지 Vol.10 No.1

        A Psychoanalytic study of the themes of supernatural births among Korean myths and legends was attempted. The themes were divided into three groups according to their characteristic features and total sixteen examples were analyzed by the method of classical psychoanalysis. The results were revealed as follows: 1. In the theme of the births missing fertilizing role of the father and in the theme of the births by the mystical dreams of impregnation, the possibility of the son's hostile rivalry and conflict with the father stemming from the Oedipal situation were eliminated by denying the father's fertilizing power in the process of his impregnation and ascribing this power to those objects, e.g. supernatural creations and impersonal ones which symbolizing primal father or phallus. 2. In the theme of the births without impregnating roles of both the father and mother, the possibility of the son's hostile hatred against the father and the incestuous attachment to the mother in the Oedipal situation were eliminated by denying the roles of the mother as well as of the father in the process of his impregnation. 3. Essentially the themes of the supernatural births among Korean myths and legends have shown the psychologic motivations to solve the Oedipus Complex even though some differences were noted in their characteristic features. 4. In these themes, the ambivalent attitudes toward the father and the fantastic satisfactions of the incestuous desires were also observed with their basic motivations to solve the Oedipus Complex. 5. Compared with those of the European countries, the symbolic expressions revealed in these themes had no specific differences.

      • Anorexia Nervosa에 대한 임상적 연구

        서광윤 고려대학교 의과대학 1980 고려대 의대 잡지 Vol.17 No.2

        This investigation was based on the study of eleven case of anorexia nervosa, who had been hospitalized between 1971 and 1979 at the neuropsychiatric department of the Korea University Hospital. All of the probands were female. The age of onset ranged from 14 to 22 years, with the mean age of 17,6 years. The interval between the time of onset and the first-admission tended to be long (the mean time, 23.3 months). Many were middle or high school students, and all of the probands had relatively high academic achievement. In the socio-economic background, all of the probands came from the middle or upper class. All of the probands were unmarried. In the order of the probands among siblings, eight were in the middle position, and 3 were youngest children. The mothers' age at the time of birth of the probands tended to be high, and many of the probands had more sisters than brothers in their families. In the majority of the case, the emotional relations with the parents were characterized by the ambivalent conflict, overprotection, and excessive dependency. Four of the probands had the problem of sibling rivalry and jealousy, and 2 had grown up in broken home. The age of menarche of the probands was relatively higher than general population, and many of the probands had poor female sex role and negative attitude to opposite sex. Seven of the probands had the evidence of precipitating events such as separation, physical illness or injury, and stressful life situations. In the premorbid personality, emotional immaturity, obsessive and hysterical traits, and hypersensitivity were observed predominantly. Anorectic behaviour or failure to eat as the major symptom would be divided into three different types. The first group comprised probands where loss of appetite and avoidance of eating were associated with gastrointestinal discomforts. In the second group, appetite and hunger sensation remained unchanged, but patients consciously feared eating because of possible weight gain and consciously restricted this activity. The third group comprised those with complete los of appetite and hunger sensation, but there were not associated with the fear of weight gain and intestinal discomforts. Above all, the first group were seen most frequently. All of the probands were lost their body weight in variable degree. The average weight loss was 29.5% of the premorbid weight. Seven of the probands had amenorrhea. Other symptoms encountered frequently were vomiting and constipation. The duration of hospitalization tended to be short, and many of the probands had poor insight and were uninterested to therapy. The results of treatment seemed to be unsatisfied in general.

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