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      • KCI등재
      • KCI등재

        항울제 및 항정신병 약물로 유발된 섬망상태 1례

        정향균,김영철,이시형 大韓神經精神醫學會 1988 신경정신의학 Vol.27 No.2

        The authors reported a case of tricyclic and antipsychotic agent induced delirium. The patient was a 64 years old man who had been treated by drugs with anticholinergic properties (amitriptyline-thioridazine combination) and showed the characteristic symptoms of delirium such as confused mentality, disorientation, auditory and visual hallucination, the change of diurnal cycle, attention disturbance and hyperactivity. Discontinued the administration of amitriptyline and thioridazine and substituted haloperidol and lorazepam, delirious symptoms were improved within 5 day.

      • KCI등재

        뒤렌마트의 『법』에 나타난 폭력의 문제

        정향균 ( Jeong Hang Kyun ) 한국뷔히너학회 2016 뷔히너와 현대문학 Vol.0 No.47

        Im Roman Justiz setzt sich Friedrich Durrenmatt kritisch mit der schweizerischen Gesellschaft auseinander. Er enthullt das mythische Idealbild der Schweiz als fiktive Konstruktion, indem er sich vor allem auf das Versagen der juristischen Instanzen fokussiert. Der Anwalt Spat will den Kantonsrat Isaak Kohler eigenhandig bestrafen, der trotz seines Mordes an Winter letztlich freigesprochen wird. Jedoch erweist sich die Selbstjustiz des Anwaltes Spat als problematisch, vor allem weil er den Auftrag Kohlers zur erneuten Untersuchung des Mordfalls aus finanziellen Grunden annimmt und damit zu Kohlers Freilassung beitragt. Der Anspruch von Spat auf die Wiederherstellung der Gerechtigkeit steht im Widerspruch zu seinem moralischen Verfall. Also wird er als Gerechtigkeitsfanatiker verhohnt. Als Gegner von Spat tritt der Kantonsrat Kohler auf. Seine einzige Passion ist das Billardspiel. Dieses Billardspiel gewinnt eine symbolische Bedeutung, als Kohler sich selbst als Queue und seine Gegner wie Steiermann, Winter und Benno als Spielballe betrachtet. Wenn er Kugeln mit dem Queue anstoßt und im Loch versenkt, bedeutet dies die Vernichtung seiner Gegner. Billard ist fur Kohler bloß ein Spiel, das jenseits von Gut und Bose liegt, und insofern rechtfertigt er sogar seine Morde aus dieser spielerischen bzw. asthetischen Perspektive als unproblematisch. Als Kohler den armen Anwalt Spat damit beauftragt, seinen Mordfall erneut zu untersuchen und dabei von der Annahme auszugehen, dass er kein Morder sei, ersetzt die von ihm erfundene Fiktion (Unschuldsannahme) die Wirklichkeit (Kohlers Schuld). D.h. der wirkliche Morder Kohler wird fur unschuldig erklart und freigelassen, wahrend sein unschuldiger Gegner Benno, als Morder abgestempelt, am Ende Selbstmord begeht. Diese Fiktionalisierung der Wirklichkeit bzw. die Asthetisierung der moralischen Frage lasst das gewalttatige Verbrechen in der moralisch verwahrlosten Gesellschaft ungestraft. Wenn sich Friedrich Durrenmatt im dritten Teil als Herausgeber der Mordgeschichte ausgibt und dadurch die Grenze zwischen Fiktion und Wirklichkeit durchlassig macht, kann der Leser den Eindruck gewinnen, er verhalte sich genau so wie Kohler. Jedoch weist Durrenmatt schon vor dem Beginn des Romans auf dessen Fiktivitat hin und macht die Ersetzung der Wirklichkeit durch die Fiktion unmoglich. Auf der anderen Seite bemuht er sich auch nicht darum, die Wirklichkeit im Roman wiederzugeben. Die Wiedergabe der Wirklichkeit wird in Frage gestellt, als Spat zwar zum Beweis von Kohlers Schuld und zur Rechtfertigung seiner Selbstjustiz auf der dokumentarischen Schreibweise besteht, aber sein Erzahlen immer wieder von fiktiven Elementen durchdrungen wird. Daher erhebt Durrenmatt keinen Anspruch auf die Authentizitat seiner Geschichte. Vielmehr will er den beschrankten Realitatsbegriff sprengen, indem er das Mogliche in die Wirklichkeit eindringen lasst, ohne jedoch die Wirklichkeit durch die Fiktion zu ersetzen. Im Unterschied zu Kohlers gewalttatigem Billardspiel dient das asthetische Spiel von Durrenmatt zur kritischen Erkenntnis der latenten und expliziten Gewalt in der schweizerischen Gesellschaft, indem es die kriminelle Realitat erst im Roman schafft, die vor diesem Schaffensakt im Allgenmeinen nicht wahrgenommen wurde und deshalb eigentlich auch nicht existierte.

      • KCI등재

        사회공포증에 관한 임상적 고찰(2) : 시선공포에 관하여 Focused on the Symptoms Related to Eye Sight

        이시형,정향균,이성희 大韓神經精神醫學會 1988 신경정신의학 Vol.27 No.5

        This is a clinical report on 106 cases of social phobics who have been suffering particulary from the Fear of Eye-sight. During the period between May 1982 to Aug. 1987, total of 432 social phobics including 106 cases of the Fear of Eye-sight were seen at Koryo General Hospital, Seoul Korea. Some of the important findings are as follows : 1. Nearly on fourth(24.5%) of social phobics are found to be suffering from the Fear of Eye-sight(106 out of 432). 2. The Fear of Eye-Sight could be subclassified into the following four categories according to the nature or target of Eye-Sight. 1) the fear of eye-to-eye contact 64cases(60.4%) 2) the fear of side-glancing - 5cases(4.7%) 3) the fear of eye-sight to specific part(of body) - 23cases(11.3%) 4) the fear of being stared at by others - 25cases(23.6%) 3. According to the nature of cognitive involvement, the fear of eye-to-eye contact could be subclassified ; 1) a simple type - no congitive involvement(33cases : 51.6%) 2) a type of harming others(11cases : 17.2%) 3) a type of being harmed by others(13cases : 20.3%) 4) a combined type - harming others and being harmed by others(7cases : 10.9%) 4. The fear of being stared at by others are relatively simple with no congitive involvement, and usually accompanied by the secondary social phobic symptoms such as tensing up, trembling, blushing, unnatural expression, and difficulty in eye-to-eye contact and writing. 5. The fear of eye-to-eye contact started at earlier age, 18.3 average, than other social phobic symptoms. 6. The average age of OPD visit was 26.7, which is similar to other social phobic symptoms. 7. 73.4% of the fear of eye-to-eye contact was delusional type which is almost twice the ratio of the type in the whole social phobic symptoms. 8. As for the fear of eye-to-eye contact, group psychotherapy was shown to be more effective than in other social phobic symptoms despite the fact that the former had a higher ratio of delusional type. 9. The Fear of Eye-Sight was considered to be a representative symptom of the social phobia in the Orient due in large to the Confucian culture.

      • SCOPUSKCI등재

        농촌지역 노인들의 우울 및 인지기능장애에 관한 연구

        이정애,정향균,Rhee, Jung-Ae,Jung, Hyang-Gyun 대한예방의학회 1993 Journal of Preventive Medicine and Public Health Vol.26 No.3

        For the purpose of promotion of mental health in the rural elderly, the author surveyed 558 elderlies aged 60 years or more, and assessed the prevalence rates of depression and cognitive impairment by using self-rating depression scale of Zung (SDS) and the Korean version of mini-mental state examination (MMSEK). Also the association between depression or cognitive function and socio-environmental factors were investigated. The major findings were as follows ; 1. The prevalence rates of severe depression and cognitive impairment were 20.9% and 14.9% in all the elderly of both sexes, respectively. 2. The rates of depression and cognitive impairment increased with increasing age in both sex groups. The mean scores of SDS increased and the mean scores of MMSEK decreased significantly among them (p<0.01). 3. Those being female, widows or widowers, and those having low levels of physical activity, showed significantly high the mean scores of depression and had significantly low the mean scores of cognitive impairment (p<0.01). 4. The depression scores relating to decreased libido, confusion, psychomotor retardation, hopelessness and indecisiveness were relatively high in both sexes. 5. All the items of mini-mental state examination were significantly correlated with depression. 6. In stepwise multiple regression analysis on depression, MMSEK, level of physical activity, chronic disease, marital status and family income were selected as highly correlated variables, and the $R^2$-value for these variables was 33.7%. 7. In stepwise multiple regression analysis on cognitive function, level of physical activity, age, depression, sex and marital status were selected as highly correlated variables, and the $R^2$-value for these variables was 62.6%. The depression and cognitive impairment of the elderly were positively correlated with nearly all sociodemographic variables.

      • KCI등재
      • KCI등재

        일반성인에서의 생활 스트레스가 정신증상 및 신체에 미치는 영향

        김영철,정향균,이시형 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.2

        In this study the authors tried to find out the amount of life stress and it's effects on psychiatric symptoms and physical condition in physically healthy subjects who checked their physical health at Koryo General Hosptial from June 1 to Oct. 31 1987. 1) The amount of life stress was net significantly correlated with their socioeconomic characteristics. 2) Psychiatric symptoms such as somatization, obsession-compulsion, depression, anxiety, hostility and psychoticism, were more severe in the female group than the male group(P<0.01). 3) The subjects in their the 50s, the less educated and the service workers suffered more from psychiatric difficulties than the groups of the other age, the higher educated and the other occupations. 4) The psychiatric symptoms except paranoia were higher in the group with the income of less than 500,000 won a month(P<0.01) and the psychiatric symptoms such as somatization, obsession-compulsion, depression(P<0.01), interpersonal sensitivity, anxiety and phobic anxiety(P<0.05) were also higher in the group who were unsatisfied with their economic status. 5) Higher the life stress became, the psychiatric symptoms such as somatization, obsession-compulsion, interpersonal sensitivity and depression, and the serum level of triglyceride and T4 were also increased(P<0.05). 6) From the above finding that the amount of life change unit and the psychiatric symptoms were higher in the 5th decade and there were positive relationship among life stress, psychiatric symptoms, serum trigliceride and T4, the authors speculate that this age group might be particularly vulnerable to suffer from atherosclerosis or coronary heart disease than the other age groups.

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