정신의학과 영성 : 정신치료(심리상담치료)와 영성지도의 통합

이만홍(Man Hong Lee) 한국기독교상담심리학회 2005 한국기독교상담학회지 Vol.9 No.-

The author raised the issues on the limitations of dynamic and other schools of psychotherapy in it s application to current pas-toral and christian counseling practice, and suggested that the traditionally-inherited spiritual direction of the christian com-munity can be a strong complimentary, or in some point, rather fundamental component to the psychotherapeutic approach for the both psychologically disturbed and healthy christians. Although many authors insist that psychotherapeutic approach and spiritual direction cannot be, and should not be applied to the same person at the same time because each one has it s own contradictory purpose and attitude; the one focuses on the investigation of in-depth person world and the other focuses on the opening and paying attention to God. But because of the very same reason, the author refutes that both approaches should be integrated and ap-plied to the same person sometimes at the same time and some-times at the other times, even by the same therapist(counselor)-director to comprehend the psychologically and spiritually created being as a whole and to help the one heal and mature.

현대사회에 있어서의 우울증의 영적 의미

이만홍(Man Hong Lee) 한국기독교상담심리학회 2005 한국기독교상담학회지 Vol.10 No.-

The author tried to approach to the issue why the depression is prevailing or even increasing in morden society in spite of recent tremendous advances in neurphysiology and psychopharmacology. The depression has been survived and persisted in human history and it can be understood from the viewpoint of evolutionary theories and psychoanalysis. Depression should also be approached not only as a medical illness psychobiologically but also as a normal response to the birth process, basic separation from mother ontogenically and from God, the origin of existence philogenically. So existential or spiritual understanding of the meaning of depression in one s life course is necessary to transform it into the chance to revitalize deeper-existing faith.

기독상담과 정신치료

이만홍(Man Hong Lee) 밴쿠버기독교세계관대학원 1995 통합연구 Vol.8 No.2

We are living in the world of psychospiritual dualism whether we prefer or not, because there has been a deep separation and no talk each other between religion and science, especially spiritual cure and psychological counselling for the last several hundred years. However, the Bible tells us man should be viewed as a whole psychospiritual being, not as a separated parts, and the cure work of human problems and ailments should be performed from the integrated viewpoint including psychobiological treatment and spiritual growth at the same time. Recently many christian counselors and theologists actively tried to integrate the psychological and psychiatric knowledge to their christian belief system. The author discussed the practical meaning of integration, redebated about the negative debate of spiritual reductionists such as Bobgan and Adams against the integrationists. The author agreed with integrationists` position that all truth including counseling psychology and psychotherapy is God`s truth, but, of course, there is hierarchy of truths, in which biblical revelation is the utmost one. The author also presented the limitations of integration work, warning several possible dangers of the work, and tried to illustrate an integrated explanation of christian cure from the theory of dynamic psychotherapy and the traditional christian concept of spiritual growth.

좌측 정중 전두엽과 양측 기저절 경색 후 과잉성욕 증상과 강박 증상을 보인 환자 1례

김세주,김영신,최낙경,이병철,이만홍,Kim, Se Joo,Kim, Young Shin,Choi, Nak Kyung,Lee, Byung-Chul,Lee, Man Hong 대한생물정신의학회 2001 생물정신의학 Vol.8 No.2

60세 남자 환자로 좌측 정중 전두엽과 양측 기저절 경색 후 발생한 과잉성욕 증상과 강박 증상을 주소로 내원하였다. 환자는 뇌졸중 후에 발생한 운동 기능 장애는 시간이 경과하면서 호전되어 발병 1개월 이내에 거의 정상화된 반면 과잉성욕 증상과 강박 증상은 호전되지 않았다. 환자에게 과잉성욕 증상과 강박 증상을 목표로 fluvoxamine과 perphenazine을 처방하였으며 치료 시작 후 2개월이 경과하면서 환자의 과잉성욕 증상과 강박 증상은 서서히 사라졌다. 이 증례는 기저절-시상전두엽 회로가 성적 행동과 강박 증상의 조절에 있어 중요한 역할을 하고 있음을 시사한다고 할 수 있다. 과잉성욕 증상은 임상에서 간과하기 쉽고 또한 일반적으로 성적 활동에 대한 변화는 환자들 스스로 보고하지 않는 경향이 많다. 따라서 뇌졸중 환자, 특히 정중 전두엽이나 기저절 병변을 동반한 환자들의 경우에는 비록 그 병변이 측두엽 침범이 없거나 Kluver-Bucy syndrome의 전형적인 증상을 보이지 않는다 할 지라도 성욕등 성적 활동에 대한 체계적인 조사가 필요할 것으로 생각된다. 또한 과잉성욕 증상과 강박 증상을 함께 가지고 있는 경우 선택적인 세로토닌 재흡수 억제제의 사용이 두 증상 모두를 효과적으로 치료하는 데에 도움이 될 수 있을 것이다. Hyposexuality after stroke has been frequently observed, but hypersexuality as a sequela of stroke has not been commonly documented. We report a patient who exhibited hypersexuality and obsessive-compulsive behaviors after stroke in the region of the left mesial frontal cortex and both basal ganglia. At 2 months after stroke, he visited psychiatric unit due to these symptoms. His motor function was almost full recovered. He was treated with fluvoxamine and perphenazine. With two-month medication, his hypersexuality and obsessive-compulsive behavior disappeared. This case may indicate that basal ganglia-thalamocortical circuit plays an important role in the mediation of sexual behavior and obsessive-compulsive behavior. Since changes in sexual activity may not be spontaneously reported, a systemic inquiry into patient's sexual functioning after infarction in frontal lobe or basal ganglia is warranted.

한국의 주정 사용 장애의 개념에 대한 문화 지학적 연구 (1) : 주요 정보 제공자 면담 조사 방법을 통한 연구

남궁기(Kee NamKoong),이만홍(Man Hong Lee),이호영(Ho Young Lee),현용호(Yong Ho Hyun),조은영(Eun Young Cho) 한국정신병리진단분류학회 1995 精神病理學 Vol.4 No.1

N/A N/A

정신분열병 환자에서 해리 성향이 급성기 증상의 정도와 약물 치료 효과에 미치는 영향

정기립 ( Ki Rip Jung ),전우택 ( Woo Taek Jeon ),이만홍 ( Man Hong Lee ),최성환 ( Seong Hwan Choi ),문인원 ( In Won Moon ),오병훈 ( Byoung Hoon Oh ),홍지수 ( Ji Su Hong ) 한국정신병리진단분류학회 2004 精神病理學 Vol.13 No.1

한국인 우울증 환자의 대인관계 문제 영역에 대한 연구

현용호(Yong Ho Hyun),남윤영(Yoon Young Nam),김세현(Se Hyun Kim),서신영(Shin Young Se),육기환(Ki Hwan Yook),이만홍(Man Hong Lee) 한국정신병리진단분류학회 2001 精神病理學 Vol.10 No.1

N/A N/A

의과대학생의 도덕발달에 관한 연구

이길홍,문인원,이만홍 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.5

The purpose of this study is to assess the moral developmental stages among the diffrent grade groups of medical college students and non medical college students using the DIT teat. In order to achieve these set goals, DIT Questionnaires were applied to a total of 451 college students including 362 men and 125 women. Among these, 224 were medical students and 227 were non medical students. The results were as follows ; 1) The mean PM score of sophomore medical students(37.45) in DIT which measure principal morality was significantly higher(p<0.05) than that of freshmen premedical students(28.22) but there was no significant difference of PM score between freshman and senior students groups of non medical college students. 2) In the principal morality developmental stages of the medical college students, the PM scores did not show significant difference according to the variables such as sexs, district and birth order, while PM scores by the grade difference showed more signicant difference in the students without any religion than those with a religion.

축약형 월경전기평가서 표준화 연구 및 인터넷상에서 적용 가능성

이만홍,김지웅,이정현,김덕만 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.1

연구의 목적 : 연구의 목적은 축약형 월경 전기 평가서(Shortened Premenstrual Assessment Form: SPAF)의 신뢰도 및 타당도를 알아보고, 인터넷상에서의 적용 가능성을 알아보기 위하여 시행되었다. 방 법 : 월경전 불쾌장애 환자 28명과 월경 전 불쾌장애에 해당하지 않는 가임 연령의 여자 연구 대상자 27명을 대상으로 세브란스 여성 정신 건강 특수 클리닉 홈페이지를 통하여 축약형 월경전기평가를 시행하게끔 하였다. 월경전 불쾌장애의 진단은 2개월간의 전향적인 평가를 통해 내려졌다. 결 과 : 축약형 월경전기 평가서는 정동요인, 통증 요인, 수분 저류 요인으로 구성되어 있으며, 검사-재검사 신뢰도는 0.80으로 우수하였다. 내적 일치도(Cronbach alpha) 또한 0.91로 우수하였으며, 월경전기평가서 점수와 축약형 월경전기 평가서의 상관계수는 0.92로 나타났다. 월경 전 불쾌장애 환자군과 월경전 불쾌장애에 해당하지 않는 연구 대상군 사이의 축약형 월경정기평가서 점수도 유의한 차이가 있었고(t=5.57, p<0.001), 판별 분석상에서 축약형 월경전기 평가서 점수가 두 집단을 잘 판별할 수 있는 것으로 나타났다(eigenvalue : 0.60, canonical correlation coefficiency : 0.61, Wilk's lamnda : 0.63). 두 집단을 구분하는 최적 절단점은 27점으로 추정되었고, 이때의 민감도(75%)와 특이도 76.9%)는 비교적 우수한 것으로 나타났다. 결 론 : 이상의 결과들을 종합할 때, 축약형 월경전기 평가서는 신뢰도 및 타당도가 우수한 월경전기증상 평가 도구로서 인터넷상에서도 유용하게 사용될 수 있는 도구임이 시사된다. Objectives : The purposes of this study are to investigate the reliability and validity of shortened premenstrual assessment form and the applicability to internet interface. Method : The total of 55 subjects were included in this study. Among them, 28 subjects had premenstrual dysphoric disorder, and the other 27 subjects did not. All subjects performed the shortened premenstrual assessment form through internet interface in the homepage of Severance Woman Clinic. The diagnosis of premenstrual dysphoric disorder was determined by prospective assessment for 2 months. Results : The shortened premenstrual assessment form consists of 3 factors : affect, pain and water retention. The test-retest reliability of this scale was 0.80, and internal consistency(Cronbach alpha) was 0.91. The correlation coeffeciecy between scores of the premenstrual assessment form and the shortened premenstrual assessment form was 0.92. The difference of the scores of the shortened premenstrual assessment form between the group of premenstrual dysphoric disorder and the group of non-premenstrual dysphoric disorder was significant(t=5.57, p<0.001). Discriminant analysis also revealed that the shortened premenstrual assessment form was useful to differentiate between premenstrual dysphoric disorder and non-premenstrual dysphoric disorder(eigenvalue : 0.60, canonical correlation coefficiency : 0.61, Wilk's lambda : 0.63). The cut-off point to differentiate between two groups was 27, and sensitivity(75.0%) and specificity(76.9%) of this scale for premenstrual dysphoric disorder was acceptable. Conclusion : In summary, the shortened premenstrual assessment form appeared to be reliable and valid for the assesment of premenstrual dysphoric disorder. And the results of this study also suggest that the shortened premenstrual assessment form is a useful tool for internet interface application.

한국인이 생각하는 나르시시즘(Narcissism)의 개념에 대한 예비연구

이만홍,육기환 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.3

Objects : In order to define different concepts of narcissism in Korean, this study was designed to compare the concept of narcissism by Korean laymen with that of DSM-Ⅲ-R. Methods : 1) Initially, 2 laymen & 4 psychiatric personnel were interviewed and made to describe in free association on narcissism. With these results and the DSM-Ⅲ-R diagnostic criteria of narcissistic personality disorder, we developed a semistructured interview. 2) Using this semistructured interview, authors interviewed 28 key informants(14 laymen, 14 psychiatric residents) an asked them to describe their own understanding of prototypical person of narcissism. Psychiatric residents were comparative subjects to laymen. Results : Laymen thought positively that narcissism was one part of personality, made them achieve self-confidence and a new vitality in life, and consequently made them more enthusiastic in one's work. Narcissism was thught to result in possible difficulties of interpersonal relationships espeually by psychiatric residents. There was a gender difference which concentrated on the differences-men thought level of education, job, success, fame and money more important whereas women took as important factors such as appearance, relationships with one's spouse or lover and his social standing. Men overtly require acceptance by others whereas women self-absorption and intellectual achievement. When one is denied, men directly show aggressive response whereas women show this indirectly and later. Laymen saw narcissism as normal, while some saw it as a personality disorder or mental disorder. Reasons contribute to narcissism were developmental factor and socioenvironmental factor. Conclusions : Concepts and psychopathology of narcissism did not seem little difference between opinions of laymen and DSM-Ⅲ-R. Laymen took narcissism more positively than psychiatric residents. It was taken as part of personality, required for normal development and professional capabilities are above average and have achievement and self-confidence. Narcissism did not require treatment or when necessary it would become better. Results suggested that narcissism has sex difference more or less.