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신재정(Jae-Jeong Shin),채숙희(Sukhi Chai) 한국중독정신의학회 2011 중독정신의학 Vol.15 No.1
Most patients entering treatment do not have the volition to change their addiction problems. Substance abusers often have characteristics of denial, rationalization, projection, defensive-ness, manipulation, and resistance. Furthermore, because these responses can block successful treatment, clinicians and interventions often focus on them. The clinician’s task is to elicit and enhance motivation. Addiction stems from an addictive personality. Alcoholics must learn how to spot the resistance to change associated with addictive thinking and how to use this evidence to achieve abstinence and ongoing stable recovery. A strategy of aggressive confrontation is likely to evoke strong resistance and outright denial. Researchers recommend using empathy, not authority and power. The clinician’s style influences the alcoholic’s motivation. Research suggests that the more clinicians use adversarial, confrontational techniques with alcoholics, the less likely such clients are to change.
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정신건강복지센터 및 중독관리센터 이용 회원의 사망원인 분석
박우영(Woo-Young Park),홍지은(Ji-Eun Hong),왕수연(Soo-Yeon Wang),신재정(Jae-Jeong Shin),이주연(Ju-Yeon Lee),김선영(Seon-Young Kim),김재민(Jae-Min Kim),신일선(JIL-Seon Shin),윤진상(Jin-Sang Yoon),김성완(Sung-Wan Kim) 대한생물치료정신의학회 2019 생물치료정신의학 Vol.25 No.1
Objectives:Serious mental illnesses and substance use disorder have a high level of early mortality. This study aimed to identify the causes of their deaths among patients who had been under the care of community mental health and welfare centers and addiction management centers. Methods:We collected information on deceased individuals, whose mortality was attributable to various causes of death, from 10 Community Mental Health Centers and Addiction Centers in Gwangju Metropolitan City. The primary variables collected included psychiatric diagnosis, cause of death, smoking habits, admission history, and several socio-demographic factors. Results:A total of 214 deaths among service users were studies. In Community Mental Health Centers, 109 deaths were identified, with causes that may be itemized as follows : 27 suicides(24.8%), 56 physical illnesses(51.4%), 14 accidents(12.8%), and 12 unknown causes(11.0%). Among the physical illnesses reported, cardiovascular illness and cancer were the most common causes of death. A history of frequent admission was common among those that had died by suicide(88.9%), compared with that observed among general service users(62.0%). In Addiction Centers, 105 deaths were identified, with causes that may be itemized as follows : 7 suicides(6.7%), 71 physical illnesses(68.3%), 7 accidents(6.7%), and 20 unknown causes(19.0%). Among the physical illnesses reported, sudden death, hepatic disorder, cancer, and cardiovascular disorder were the most common causes of death. Conclusion:Case managers should give due consideration to and carefully manage the physical health of individuals accessing mental health services via community mental health centers and addiction centers.
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정신분열증 환자의 인지적 결함 : 기억 및 기억 기원의 변별 과정을 중심으로 Memory and Discrimination of The Memory Sources
박상학,신재정,이민규 大韓神經精神醫學會 1991 신경정신의학 Vol.30 No.5
The authors investigated the relation between the disturbance of thought and perception and information processing. particulary memory and discrimination of memory sources. in the schizophrenic patients by using experimental procedures. The author tested 20 schizophrenic patients and 20 normal control subjects who were matched according to age. sex and education. All subjects were given 3 types of material set. The first. experimenter presentation set. were made up of 10 opposite word pairs. The second & third set were 10 cards each. A usual word with a cue letter of an opposite word. They were instructed to imagine only with the second set. and to write the opposite word along the cue letter with the third set. After the response sheets had been collected. they were asked to recall all responses in any order. Next. a new test sheet was given for the recognition & the discrimination of the memory sources. The result of the research were as follow: 1) Free recall; A significant decrease of recall ability was found in the schizophrenic group(3.15 words) as compared with the control group(6.68). 2) Recognition(hit rate); There was no significant difference of recognition ability between the SPR group(23.15) and the control group(23.6). 3) Schizophrenic group had poorer signal sensitivity(d'). 4) SPR group had more difficulty in discriminatng what they had imagined from what they had written. SPR group and control group were not different in discriminating what they had seen. 5) Error bias of the discrimination; Schizophrenic group showed markedly poor performance on the discrimination task. They mistook what they had seen as what they had written. what they had imagined as what they had written, and what they had written as what they had seen.
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