神經症患者의 恐怖對象

洪寬和 大韓神經精神醫學會 1974 신경정신의학 Vol.13 No.4

It is attempted to clarify the fear objects of the various neurotics. Two hundreds, and sixty one neurotics who had complained of pathological fears were selected in order to assess the nature of fear objects. Patholoical fears were divided into five categories, those are fear of human, of circumstances, of inanimate objects, of illness and death and of others. The mean age of the subjects were 34.9 years old in the male and 35.5 years old in the female. The results of this study were as follows: 1. As to the categories of the fear objects, fears of circumstances and of illness were most frequently expressed. 2. As to the fear objects in each categories, the findings were as follows: 1) Fear of "people" which belongs to the human category was expressed most remarkably by the phobic neurotics. 2) As to the circumstances category, fear of "height" in the anxiety neurotics, fear of "noise" in the depressive neurotics and fear of "closed space" in the phobic neurotics were meaningfully expressed respectively. 3) As to the inanimate objects category, fear of "dirt" in the obsessive compulsive neurotics and fear of "red color" in the phobic neurotics were significantly expressed respectively. 4) Fear of death was significantly highly expressed by the depressive neurotics. 3. On the basis of this descriptive study, further studies about the meanings and dynamic sources of their pathological fears should be attempted in the future.

향정신성 약물에 의한 무과립구증 1예

홍관화 대한신경정신의학회 1993 신경정신의학 Vol.32 No.4

Agranulocytosis has been observed worldwidely, but only a few cases were reported in Korea. Psychotropic agents are not frequent cause of agranulocytosis and usually not harmful to most people. These reaction may result from underlying immunologic mechanisms related to a possible supressive effect on granulopoiesis by psychotropic agent in bone marrow. It sugests that even before exposure to psychotropic agent sensitive patients have a less efficient mechanism for granulopoiesis than nonsensitive patients. The author experienced a case of agranulocytosis with superimposed infection following long term psychotropic agent therapy. The author suggest that in the patient with agranulocytosis, psychotropic agent may be a causative factor or cumulative effect of it’s metabolites, or both. The author recommended, therefore, that long term psychotropic agent therapy should be carried on with caution and performed frequent serial follow up check of peripheral blood

권투 선수에 대한 뇌파학적 고찰

홍관화,이병윤 고려대학교 의과대학 1982 고려대 의대 잡지 Vol.19 No.1

This study was based on the EEG findings and Bender-Gestalt test of 86 cases of professional and amateur boxers and 52 cases of controls. The study was performed from January to August in 1981 and the age of both groups were 17 to 26 years. The results were as follows. 1. The incidence of abnormal EEG of the controls was 5.8%, whereas the boxers was 44.7%. The EEG profiles of both groups are significantly different(p<0.001). 2. As to the wave patterns of abnormal EEG of the boxers, paroxysmal slow waves were most frequently found. 3. As to the incidence of abnormal EEG according to total number of fights, 30.6% were found under 30 bouts, 55.6% under 60 bouts and 65.2% over 60 bouts. 4. As to the incidence of abnormal EEG according to number of KO and downs, 17.6% were found in class of no experiences, 51.0% in class of 1 to 4 and 66.7 in class over 5. There was a significant statistical relationship of number of KO and downs(p<0.001). 5. As to the incidence of disturbed drawing in Bender-Gestalt test, 5.8% were found in the controls, whereas 26.7% in the boxers of normal EEG and 43.9% in the boxers of abnormal EEG. There was a significant relationship between controls and boxers(p<0.001). From all of these results, it was demonstrated that the incidence of abnormal EEG in boxers were greater than controls and most of the patterns of abnormal EEG were paroxysmal slow waves. The greater the number of fights or the experiences of KO and down, the greater the incidence of abnormal EEG are found. So in the case of a KO or a down, and electroencephalogram must be done, and a boxer must have an electroencephalogram regularly.

고시 준비생들의 정신건강에 영향을 미치는 요인 연구

홍관화,한영주 한국상담학회 2013 상담학연구 Vol.14 No.5

The purpose of this study was in exploring the factors affecting the mental health of the prospective examinees preparing for the national examination and providing the baseline data for counseling intervention that may assist them. Factors were selected based on advanced researches and the effects were analyzed. The moderating effects of social support and stress coping strategies and its relationship with stress and mental health of the prospective examinees were identified. Surveys were implemented to 203 prospective examinees preparing for the national examination. Study stress scale, economic stress scale, stress coping strategy scale, social support scale, and mental health diagnosis scale were used and their influences were verified. As the results of this study, test stress was confirmed as the greatest factor affecting the mental health of the prospective examinees. Future uncertainty and lack of leasure time were the two variables with the negative effects. For the relationship between mental health and stress of the prospective examinees preparing for the national examination, social support was represented as having a moderating effect but stress coping strategy not having the moderating effect. On the basis of the results of this study, the need for a multidimensional approach for improving the mental health of the prospective examinees preparing for the national examination was discussed. 본 연구는 고시 준비생들의 정신건강에 영향을 미치는 요인들을 탐색하여 그들에게 도움이 되는 상담 개입을 위한 기초 자료를 제공하고자 하였다. 기존 선행연구들을 토대로 고시 준비생들의 정신건강에 영향을 주는 요인들을 선정하여 각 요인들의 영향력을 탐색하고, 고시 준비생의 스트레스가 정신건강에 미치는 영향에서 사회적 지지와 스트레스 대처전략이 조절역할을 하는지를 검증하였다. 현재 전업으로 고시를 준비하고 있는 고시 준비생 203명을 대상으로 연구를 진행했으며, 이들의 정신건강을 설명하는 변인으로 크게 시험 스트레스, 경제적 스트레스, 사회적지지, 그리고 개인의 대처전략변인을 상정하여 그 영향력을 검증하였다. 연구결과, 고시 준비생의 정신건강에 가장 큰 영향력을 나타내는 요인은 시험 스트레스였으며, 그 중에서도 하위요인인 미래 불확실성과 여가부족이 부정적인 영향을 미치는 것으로 나타났다. 사회적 지지와 스트레스 대처 전략의 조절효과 검증 결과, 사회적 지지는 유의한 조절효과를 갖지만 스트레스 대처 전략은 조절효과를 갖지 못하는 것으로 나타났다. 연구결과를 토대로 고시 준비생들의 정신건강증진을 위한 다차원적 개입전략의 필요를 논의하였다.

정신분열증과 정신지연을 수반한 진행성 근 위축증의 일례 보고

홍관화,박경우,이병윤 大韓神經精神醫學會 1975 신경정신의학 Vol.14 No.2

Family of a case muscular dystrophy with schizophrenia and mental retardation are presented. The family are consisted of three brothers and a sister with their living parent. Two brothers of them show progressive muscular dystrophy with schizophrenia and mental retardation, and the youngest brother shows only the muscular dystrophy. The results of this study were as follows; 1. Progressive muscular dystrophy is considered as one of familial trait. 2. Progressive muscular dystrophy occurs in males. 3. Mental retardation seems to be undully common in the Duchenne type of progressive muscular dystrophy. 4. In the progressive muscular dystrophy, there are no neurological symptoms nor signs of central nervous system and the significant pathological findings are confined to the muscle.