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반건호,이연정,한주희,Bahn, Geon Ho,Lee, Yeon Jung,Han, Juhee 대한생물정신의학회 2014 생물정신의학 Vol.21 No.4
Along with language, socialization is a unique feature of the human being. There is a continuous debate regarding whether the development of socialization is innate, and conducted by the environment in the growing process, or the result of the interaction of both aspects. If socialization is the result of the interaction with the environment or is an acquired developmental process, the following question rises. "Is there a 'critical period' for the development of socialization?" Although there are a huge number of studies seeking for treatment and solutions for developmental delay or deficits of socialization, it is very complicated question to answer. Historical figures such as 'Hugh Blair' of Borgue in England, and 'the wild boy of Aveyron' in France, seem to have innate socialization deficits. Nowadays patients with non-verbal learning disorder, social communication disorder, or autism spectrum disorder seem to have genetic defects. On the other hand, Harry Harlow's monkey experiments, hikikomori of Japan, Romanian orphans and patients with reactive attachment disorder seem to display social deficits due to environmental factors. However, it is not easy to clearly draw a line between innate or acquired factors. Therefore, rather than subdividing the diseases for etiological and pathophysiological approach to heterogenous groups with the common denominator of social deficit, and for the research of pathophysiology and treatment development, the authors suggest a comprehensive concept of "social dysfunction spectrum."
주의력결핍 과잉행동장애 치료의 역사적 재조명 : 약물치료적 접근
반건호,홍민하,이연정,한주희,오수현,Bahn, Geon Ho,Hong, Min Ha,Lee, Yeon Jung,Han, Ju Hee,Oh, Soo Hyun 대한생물정신의학회 2014 생물정신의학 Vol.21 No.2
Besides from medical data, the patients who were previously called as attention disorder, mental instability, moral imbeciles, or moral defectives, can also be identified by exploring literatures and historical figures. In the past, as we can notice from the titles, they were recognized as a 'moral defect group'. And rather than treating them, separation from the society was the main solution. After the endemic encephalitis from 1917 to late 1920s, however, many survivors suffered from behavioral problems similar to those of the previous 'moral defect group' and studies on the relationship between brain damage and behavior problems were started henceforth. After being known as the 'minimal brain dysfunction', it was developed into the current attention-deficit/hyperactivity disorder. While the disease concept changed and developed over time, after numerous trials and errors, treatment medication starting from central nervous system stimulants such as amphetamine and methylphenidate is used for treatment in children and adult patients with ADHD, and most recently non-stimulants such as atomoxetine has become the one of the first line treatment options. Although we went through a thorough verification process of the safety and efficacy of the medication by contemplating the historical development process, we believe that adjustment is needed for remaining concerns on medication abuse and slight differences in disease paradigm and therapeutic philosophy depending on cultures.
The Clinical Characteristics of Late-Adolescent Onset Schizophrenia in Psychiatric Inpatients
Geon-Ho Bahn(반건호),Ah-Rang Cho(조아랑),Hyun-Chul Baik(백현철),Ki-Tae Kim(김기태),Doh-Joon Yoon(윤도준) 대한생물치료정신의학회 2001 생물치료정신의학 Vol.7 No.1
목적 : 후기 청소년기에 발병한 정신분열증 입원환자의 임상경과 및 특성을 찾아보고자 한다. 방법 : 1988년부터 1999년까지 경희대학부속병원 신경정신과에 입원한 후기청소년기 발병 정신분열증 환자 148명의 환자병록지를 검토하였다. 진단은 DSM-Ⅲ-R에 준하였다. 결과 : 1) 성별 : 남 : 여= 91명 : 57명(61.5% : 38.5%). 2) 사회경제 상태 : Ⅱ-6명(4.1%), Ⅲ-69명(46.6%), Ⅳ-64명(43.2%), Ⅴ-3명(2%). 3) 형제자매수 : 아버지 형제자매 4.8±2.0명, 어머니 형제자매 5.2±2.0명, 환자 형제자매 2.5±1.4명. 4) 병전성격 : 내향적 68.7%, 외향적 17.0%, 고지식 7.5%, 신경질적/참을성 없음 4.8%, 완벽추구 2.0%. 5) 발병양상 : 급성 48.6% 만성/지연형 51.4%. 6) 입원시 나이 : 218.0±21.6개월. 7) 발병시 나이 : 201.9±24.07개윌. 8) 주증상 : 망상 82.4%, 음성증상 70.9%, 환각 66.9%, 공격성/난폭함 43.2%. 9) 퇴원시 호전 정도 : 약간 호전 42.9%, 상당히 호전 36.1%, 변화 없음 21.1%. 10) 약물용량(chlorpromazine등가량) : 715.4±477.8㎎/日. 11) 치료방법 : chlorpromazine 86명, haloperidol 85명, thioridazine 23명, risperidone 13명, perphenazine 10명, pimozide 7명, clozapine 1명, ECT 3명. 12) 전체지능/언어성지능/동작성지능 : 90.76±16.73/94.12±16.75/87.34±17.29. 13) │VIQ-PIQ│≥15=44명/전체 91명(48%). 14) 환각증세는 지능저하에 영향을 미침(p<0.05). 결론 : 대상환자의 절반가량이 급성발병이었다. 공격성향과 난폭함이 주증상중의 하나였다. 지능검사상 VIQ와 PIQ의 차이가 유의미한 것은 이들 환자에서 뇌기능장애를 시사하는 소견이 될 수 있다. 정신병리 중 환각이 있는 군이 없는 군에 비해 유일하게 지능저하를 보였다.
소아정신의학 역사 속의 진단기준 발전과 현상학적 기술정신의학
반건호(Geon Ho Bahn),이연정(Yeon Jung Lee),한주희(Ju Hee Han) 대한소아청소년정신의학회 2015 소아청소년정신의학 Vol.26 No.1
Phenomenology has been developed by philosophers like Kant and Husserl since the late 18th century. Jaspers, a German psychiatrist, adopted it into psychopathology studies and accumulated data by closely observing and recording the patients’ symptoms and signs. Among descriptions done even before the psychopathology or diagnostic criteria of disorders in the field of child psychiatry was established, we can find exact and valuable descriptions matching the autism spectrum disorder or attention deficit/hyperactivity disorder. The diagnostic criteria of modern childhood psychiatric disorders were established based on these grounds. Phenomenological/descriptive methods in various psychiatric fields lead to medical study methods for social phenomenon such as oiettolie, hikikomori, and internet game addiction. Since Romanian orphans were adopted to the western world, descriptive studies along with neurobiological studies on the influence of stimulus deprivation on emotional and physical development are being conducted. While phenomenology, which was adopted by Jaspers to verify psychopathology, was developed mainly by observation and description, recent studies are explaining such descriptive phenomena even at the synapse level due to advances in neurobiology. Although phenomenological/descriptive psychiatry, describing precise and detailed experiences of patients, is less applied nowadays among modern study methods, we must remember that such descriptions may lead to biological studies and provide evidence to improve the accuracy of choosing and applying treatment methods.
반건호(Geon Ho Bahn),홍민하(Minha Hong),이연정(Yeon Jung Lee),곽영숙(Young Sook Kwack),정유숙(Yoo-Sook Joung),이소영(Soyoung Irene Lee),김봉석(Bongseog Kim),손석한(Seok Han Sohn),정운선(Un-Sun Chung),양재원(Jaewon Yang),방수영(Soo-Yo 대한소아청소년정신의학회 2013 소아청소년정신의학 Vol.24 No.1
Most preschool children in Korea attend kindergarten (KG) or a child care center (CCC). CCCs, which focus on caring for the child, belong to the ministry of health and welfare. On the other hand, KGs are responsible for education, and belong to the ministry of education, science and technology. In order to resolve the decline in population due to low birthrates, the government is expanding the free child care and education policies. CCCs and KGs are combined together to form the ‘NURI curriculum’ and supporting funds have been increased in both governmental departments. In addition, economic support is provided for homeschooling households. Because this is a nationwide policy and applies to every single household, thorough preparation regarding the effect and side effects must be made. This policy is currently being implemented, and as child and adolescent psychiatrists, great consideration should be given to the influence on the population. Therefore, the Korean Academy of Child and Adolescent Psychiatry intends to investigate the effects and problems of the nationwide policy by analyzing the current condition of Korea’s free child care and education and foreign policies. In the current paper, we reviewed the developmental process of Korea’s free child care and education policy, as well as suggested future directions.
반건호(Geon Ho Bahn),김봉석(Bongseog Kim),황준원(Jun-Won Hwang),유희정(Hee-Jeong Yoo),민정원(Jung-Won Min),곽영숙(Young-Sook Kwack),홍민하(Min-Ha Hong) 대한소아청소년정신의학회 2013 소아청소년정신의학 Vol.24 No.2
This study was conducted to evaluate the psychological changes and influences of child actors depending on their role. First, we met the film producer of Dogani and discussed about the filming condition. Second, we visited filming locations during the filming of Neighborhood, when shooting of parts involving the female child actor was taking place and evaluated the emotional states of the child actor before and after she played her role. Third, we interviewed various people of the movie industry, which included adult actors, directors, a professor of films and broadcasting who was a former child actor and a scriptwriter. In case of the film Dogani, the production crew provided enough care and protection and we concluded that child actors had no psychological sequelae. After interviewing the child actor and visiting filming locations, we confirmed that the child actor was not influenced by playing certain roles. In addition, after interviewing various people related to filming, we thought that child actors might not have psychological sequelae related to the character played. To the best of our knowledge, this is the first study about influences of the playing character for child actors. We concluded that playing certain roles would not have negative effects on child actors.