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이귀행,박민철,노승호,백영석,이상열,김재현 圓光大學校 醫科學硏究所 1996 圓光醫科學 Vol.12 No.2
Eighteen patients took Moclobemide for 6 weeks, who had been diagnosed as major depression based on DSM-Ⅲ-R and had had more than 16 points on the Hamilton Depression Rating Scale. After medication of Moclobemide, they were evaluated by the Hamilton Depression Rating Scale and in terms of sleep, vigilance, performance, social interactions and drive. The results were as follows ; 1. The average dosage of Moclobemide was 400±89 ㎎. 2. Antidepressant effect were checked on the all items of the Hamilton Depression Rating Scale and prominent on the items of work and activities, insomnia, suicide, somatic symptoms. 3 There were obvious changes of the antidepressive effect by the evaluation of the doctors and patients at 4 weeks after the medication of Moclobemide. 4. In the patients, 61% had positive effects on the sleep. 94% no negative effects on the vigilance. Nobody has negative effects on the social interactions and drive. 5. Side effects or physical disturbances induced by Moclobemide were not found. According to these results, it seemed that Moclobemide had clear antidepressant effects, few negative effects on the life of day time, positive effects on the sleep and somatic symptoms.
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島嶼住民의 精神疾患 槪念에 關한 調査 : 전남 여천군 화정면을 중심으로
이귀행 大韓神經精神醫學會 1982 신경정신의학 Vol.21 No.3
This is a fieldsurvey of the concept of mental ollness Among 325 subjects living in an Island. called Huajeonmyon, in the south coast of Korea. The results are as follows. The concepts of the adolescents and those of the middle adulthood the elderly are quite contrasting; the adolescent's concept indicated organic etiology, supernatural and religious treatment and pessimistic prognosis of the mental illness, while the latter's concept meant psychological etiology, hospital treatment and rather optimistic prognosis. The group that had the mentally ill in their family or relatives favored supernatrual therapy and anticipated recovery but eventual relapse, while the group without experience of having the mentally ill among the family or relatives relied more on the folk medicine and had more pessimistic outlook on the mental illness.
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이귀행 圓光大學校 醫科大學 神經精神科學敎室 1988 圓光精神醫學 Vol.4 No.2
정신박약이라함은 집단전체의 지능검사Stanford-Bitnet 또는 Wechler Intelligence Scale for children를 시행하여 순위를 매기고 맨위부터 구성원의 50%가 포함되기까지의 점수를 그 집단의 평균적인 정신기능 상태로 하여 이점수에서 그 집단의 표준편차의 2배 이상 떨어져 있는 점수를 보이는 사람을 지칭하고 (표준편차: WISE-15, Stanford-Binet-16) 그 정도에 따라 아래와 같이 규정되고 있는데 특히 그 원인론을 중심으로 정신의학적인 논의가 활발한 것은 정신박약의 정도가 약한 집단이다. 이 집단에서는 정신박약을 설명할 수 있는 기질적인 병변을 찾을 수 없는 것이 보통이다. 반면 중등도 이상의 집단에서는 유전적인 인자, 출산 및 그 전후의 여러 요건들이 관계되는 기질적이 병변들이 보고되고 있으며 지능지수가 50이하일 때는 거의가 기질성 뇌질환을 갖고 있음을 보인다.
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SOFT SIGN & PSYCHIATRIC DISORERS
이귀행 圓光大學校 醫科大學 神經精神科學敎室 1991 圓光精神醫學 Vol.7 No.2
soft sign은 분명한 신경학적인 국소병변이 없이 일어나는 운동이나 감각기능 상의 사소한 장애를 말하며 신경학적인 병변으로서의 의미보다는 심리적인 장애를 일으킬 수 있는 중추신경적인 요인으로서 시사하는 바가 더 크다는 점이 논의되고 있다(Shaffer 등 1985). 여러 정신과적 질환에서도 기질론적인 원인들이 활발히 제시되고 있는 만큼 확실한 병소를 지적할 수 없는 미세한 병변이기는 하나 중추신경계통의 병변을 암시하는 soft sign은 여러 정신질환의 발생 및 증상의 발현에 관련이 있는 것으로 생각되어 몇 가지 문헌을 중심으로 이에 대한 소견을 정리하여 보았다.
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망상형 정신분열증 환자의 지적 능력에 대한 고찰 : K-WAIS를 중심으로 based on K-WAIS
이귀행,오기모,한평주 圓光大學校 醫科學硏究所 1997 圓光醫科學 Vol.13 No.1-2
The authors surveyed 42 paranoid types, 38 undifferentiated types of schizophrenia and 47 neurosis by the K-WAIS to evaluate the intelligence state of the paranoid type of schizophrenia. The results were as follows. 1. Information scale made significant difference between the neuroses and the paranoid types of schizophrenic patients (P<0.1). 2. There were significant differences between the neurotic patients and the schizophrenic patients on all the scores of K-WAIS except information scale(P<0.05). 3. No differences were found between the paranoid and the undifferentiated types of the schizophrenic patients on the intelligence. 4. The paranoid types of schizophrenic patients showed significant difference between the verbal and the performance scale(P<0.1) According to above results, there was the difference of intelligent ability between the schizophrenic patients and the neuroses patients but not between the paranoid types and the undifferentiated types of schizophrenic patients.
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이귀행,노승호,박남진 圓光大學校 醫科學硏究所 1989 圓光醫科學 Vol.5 No.1-2
A clinical survey was performed on the cases of cosultations to psychiatry from March, 1988 to January, 1990 at Won Kwang University Hospital. The results were as follows : 1. The consultations were requested from Internal Medicine (43.1%), Neurosurgery (12. 5%), General Surgery (7.8%), Orthopedic Surgery (7.2%), Urology (5.4%), Pediatrics (4.8%), Chest Surgery (3.6%), Dermatology (3.6%), Otorhinolaryngology (3.0%), Plastic Surgery (3.0%), Emergency Room (3.0%), Ophthalmology (1.2%), Oral Surgery (1.2%) and Intensive Care Unit (0.6%). The numbers between parentheses represent the component ratios of the consultations. 2. Memory disturbance (8.6%), Behaviour disturbance (7.8%), Consciousness disturbance (7.6%), Sensory disturbance (7.6%) and Sleep disturbance (7.0%) had higher frequences than others in the consulted symptoms from the referral departments. 3. Memory disturbance (12.3), Behaviour disturbance (9.4%), Sleep disturbance (8.5%), Sensory disturbance (7.4%) and Headache (6.4%) had higher frequences than others in the consulted symptoms checked by psychiatrist. 4. Organic mental disorder (23.8%), Somatoform disorder (18.4%), Epilepsy (9.4%), Mood disorder (5.8%) and Brief reactive psychosis (5.8%) had relatively higher frequences than others in the psychiatric diagnosis of the consulted cases. 5. The cases of Organic mental disorder showed delayed consultations. 6. The psychiatric answers were composed of Psychiatric recommendation (34.1%), Referal to psychiatry (25.1%), Drug prescription (18.0%), Reevaluation for physical condition (12.0%), Observation (10.2%) and Psychitric follow-up (0.6%).
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이귀행 대한생물치료정신의학회 2004 생물치료정신의학 Vol.10 No.1
자살에 대한 심리학적인 측면의 가설은 다양하게 제시되고 있으며 중심적인 정설이라고 할만한 것은 아직 없는 것으로 보인다. 인간의 행동의 한 결과로 볼 수 있는 자살은 그런 결정을 내리게 되는 과정에 복잡하게 분화된 인간 정신과 개인의 다양성이 간여하게 되므로 어떤 정해진 과정이나 원인은 찾아내기가 어려울 것으로 생각된다. 이제까지 제시된 의견은 대체적으로 내적인 공격심, 발달 초기의 원만하지 못한 대상 혹은 대인관계, 현 상황에서의 좌절이나 절망 같은 부정적인 감정이나 적응이 어려운 여건, 현재 대인관계에서의 소망이나 의사전달, 사회적인 혼란이나 소외감이 자살의 발생과 관련이 있다는 점을 지적하였다. 또 자살에는 재탄생, 헤어진 사람과의 재결합, 복수 등의 한상적인 소망이 동반될 수도 있다고 하였다. From the psychological aspects, many theories of suicide were reviewed There was no single comprehensive theory that could explain diverse suicides The theories said some factors were related to suicides such as aggression disturbance of object relations in early life negative feeling and adjustmental problem at current situation alienatisn from the society Suicides might accompany several fantasies that included reunion rebirth. abandonment, omnipotent mastery, retroflexed murder self-punishment
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