緊張性 頭痛에 關한 臨床的 硏究

宋南玉,李內允 우석대학교 의과대학 1968 우석의대잡지 Vol.5 No.1

Clinical studies on tension headache which is one of the utmost importances, not only in the practice of psychiatry but also in general practice, were carried out through clinical observation and with the analysis of Rorschach test results. This analysis was performed according to the recently developed scoring system of Robert R. Holt and Joan Havel which is based on the content analysis of the responses. The headache group was comprised from 78 cases of anxiety neuroses and 24 cases of neurotic depressions whose chief complaint was dominantly headache, and the control group, which was named as non-headache group, comprised from 36 cases of anxiety neuroses and 25 cases of neurotic depressions whose chief complaint was other than headache. The results of this study are as follows. 1. Female group shows higher incidence of headache(71.62% of all anxiety neurotics and 50.00% of all neurotic depressives) than male group(62.50% of all anxiety neurotics and 47.06% of all neurotic depressives). 2. Of the age distribution in the neurotic depressives the female are younger than the male. 3. The order of incidence of location of headache is whole(48.04%), occipital(22.55%), frontal(8.82%), temporal(6.86%), and others(11.76%). 4. The content analysis of the Rorschach responses reveals that the productions of aggressive drives are more dominant in the group of headache(9.95% in anxiety neurotics and 9.32% in neurotic depressives) than of non-headache(8.58 % in anxiety neurotics and 6.32 % in neurotic depressives) and the productions of libidinal drives conversly are more dominant in the non-headache group(6.22% in anxiety neurotics and 4.74% in neurotic depressives) than in the headache group(5.04 % in anxiety neurotics and 2.73 % in neurotic depressives). 5. More detailed analysis of the productions of aggressive drives reveals that sadistic slant and castration fear are more dominant in the group of headache(sadistic slant. 2.28% in anxiety neurotics and 1.82% in neurotic depressives. castration fear, 4.24% in anxiety neurotics and 4.78% in neurotic depressives) than of non-headache(sadistic slant... 2.24% in anxiety neurotics and 0.45% in neurotic depressives. castration fear, 3.11 % in anxiety neurotics and 2.94 % in neurotic depressives). 6. Detailed analysis of the productions of libidinal drives reveals that oral and exhibitionistic-voyeuristic drives are more dominant in the non-headache group(oral, 2.98% in anxiety neurotics and 1.58% in neurotic depressives. exhibitionistic-voyeuristic. 0.62% in anxiety neurotics and 0.23% in neurotic depressives) than in the headache group(oral, 1.61% in anxiety neurotics and 1.14% in neurotic depressives. exhibitioraistic-voyeuristic, 0.13% in anxiety neurotics and 0.00% in neurotic depressives). 7. Concerning the types of experience balance introversive types are more dominant than extratensive types in the group of headache(introversive types, 57.69% of anxiety neurotics and 70.83% of neurotic depressives and extratensive types, 299.49% of anxiety neurotics and 20.82 % of neurotic depressives) comparing with that of non-headache group(introversive types, 52.78% of anxiety neurotics and 32.00% of neurotic depressives and extratensive types, 27.78% of anxiety neurotics and 44.00% of neurotic depressives). 8. In the headache group, especially in the anxiety neurotics, it is revealed that the more introversive they are the more productions of aggressive drives. 9. From these results it is suggested that the unresolved aggressive drives play the most dominant role in producing neurotic tension headache.

偏執性 精神分裂症의 亞型別 妄想 및 幻覺에 關한 內容分析

李丙允,李大熙,宋南玉 大韓神經精神醫學會 1974 신경정신의학 Vol.13 No.3

The studies were made on the 114 cases of the paranoid schizophrenics who were diagnosed at Department of Neuropsychiatry, Woo Sok Hospital, from Jan. 1972 to March 1974. The subtypes of the paranoid schizophrenia were divided into the phonemic, the hypochondriacal, the incoherent, the fantastic, the confabulatory, and the expansive, according to the classification of paraphrenia of Oppenheimer. The attempt was to show their relationships with age. occupation and educational level, and the nature of subjects, sources, directions of the hallucinatory themes, and of contents, persecutors, targets of the persecutory delusions. The results were as follows; 1. In the distribution of clinical subtypes, phonemic paraphrenia occupied 50.88%, hypochondriacal 23.68%, expansive 9.65%, incoherent 8.77%, fantastic 5.26%, and confabulatory 1.75%. 2. The mean age of the paraphrenics was 29.24 years old and they were usually in their late 20s or 30s. 3. As to the occupational distribution, the student occupied the highest rate. And the educational level was much higher, generally. 4. In the phonemic paraphrenics, it was revealed that all of them experienced auditory hallucination. About 43% of the subject of hallucinations were the ones of vague person and 62.07% of their sources were voice from unknown place. Depressive persecutory delusions which were associated with one of their families and of their fellows were the most prevalent ones. Vague feeling of persecution and delusion of one's mind being read also much prevalent ones and in these cases the persecutors were represented by the vague person, friends, parents and political agents. 5. In the hypochondriacal paraphrenics, it was revealed that 14.8% of the experienced auditory hallucinations and the themes of their auditory hallucinations were almost composed from bodily annihilation or disfigurement. Most of their persecutory delusions were also hypochondriacal content and associated with depressive tendency. In these cases the persecutors were vague person, parents or spouse. 6. In the incoherent or fantastic paraphrenics, the most of the delusion were the vague magical or grotesque ones. In the confabulatory, the persecutory delusion was associated with the expansive ideation. 7. In the expansive paraphrenics, it was revealed that 36.36% of the experienced auditory hallucinations. The most of the persecutory delusion were the political or grandious contents and associated with expansive ideation. In these cases their persecutory delusions were usually comprised from occupational damage and their persecutors were police or other intelligent agents and political figures. 9. On the bases of this pilot study the family dynamics, socio-cultural backgrounds and personality developmental patterns are to be intestigated in order to clarify the factors influencing the determination of subtypes and their prognosis.

小兒癎疾 患者의 臨床的 考察

徐光潤,韓善浩,李憲在,宋南玉 大韓神經精神醫學會 1973 신경정신의학 Vol.12 No.2

This study was attempted to reveal the clinical pictures of epilepsies in childhood. Three hundred fifty five cases who were given the diagnosis of childhood epilesy at the Neuro-psychiatry Department of Woo Sok Hospital, Korea University, Medical College, from Jan. 1965 to Dec. 1972. were investigated. In this study those epileptics, who had the evidences of brain injury, tumor, cerebral and systemic diseases which were supposed to influence the cerebral functions, were excluded. The results were as follows; 1. In the distributions of clinical types. grand mal epilepsy occupied 52.68%, focal motor seizure 18.87%, psychic and psychomotor seizure 6.76%, petit mal epilepsy 4.23%, mixed form 3.94%, centrencephalic and focal seizure 3.94%, unclassified seizure 3.38%, myoclonic seizure 2.25%, autonomic seizure 1.69%, infantile spasms 1.41%, focal sensory seizure 0.85%. In the all age groups, grand mal epilepsy occupied about 50%. 2. It was found that 32.96% of total patients experienced auras. As to the nature of auras, headache 9.30% of total patients, dizziness 3.10%, and abdominal discomfort was 2.54% respectively. 3. As to the precipitating factors, the most frequent one was sleep. Sleep which was supposed to be related to nocturnal seizure occupied 12.39% of total patients, hypoglycemia 4.23%, fatigue 2.82%, hyperventilation 2.25%. 4. The presumed etiological factors which were considered to be associated with the convulsive seizure revealed in 16.34% of total patients. Among these factors past infectious disease occupied 7.32% and the highest one of all. 5. As to the frequency of seizure, the patients who had frequency of "less than once a day but more than twice a month" occupied 33.80% of total patients. 6. In all of the cases, the proportion of abnormal E.E.G. was 70.42%. In the proportion of abnormal E.E.G. according to age groups, in the age group between 5 and 9 years old, abnormal E.E.G. occupied 80.25%, and that it was the highest proportion of abnormal E.E.G. comparing with other age groups. 7. In the proportion of wave pattern of wave pattern of abnormal E.E.G., paroxysmal slow wave occupied 58.00%.

假神經症樣精神分裂症의 臨床的特徵과 그 力動學

宋南玉,郭東曰 대한신경정신의학회 1964 신경정신의학 Vol.3 No.2

Three cases of pseudoneurotie schizophrenia who were diagnosed and treated in our out-patient clinic were presented. In their clinical pictures and psychodynamics we found, as following characteristics. 1) Those multiple and bizarre hypochondriacal complaints of pseudoneurotie schizophrenics were considered as attempts of regaining lost objects as in the cases of persec ntory delusions in paranoiacs. In the persecutory delusions of paranoiacs the super-ego was considered to be reprojected toward the outer-world but in the hypochondriacal symptoms of pseudoneurotie schizophrenics the super-ego was considered to be projec ted toward the alienated their own body organ. 2) Those hypochondriacal symptoms in pseudoneurotie schizophrenics were finally encapsulated form other personality functioning as in the cases of paranoid delusion in paranoia. 3) From the clinical and dynamic characteristics as mentioned above we might well suggest that those hypochondriasis in pseudoneurotie schizophrenics were considered as the somatic equivalent of paranoid reaction or somatcHype paranoid reaction.

緊張性 頭痛에 關한 臨床的 硏究

宋南玉 우석대학교 의과대학 1968 우석의대잡지 Vol.5 No.1

韓國人의 알콜 精神病 및 習慣性 飮酒에 關한 臨床的 硏究 : 豫備 調査

宋南玉,申東均,洪聖均,李吉弘 최신의학사 1971 最新醫學 Vol.14 No.11

In this preliminary study, it was revealed that there were significantly clinical differences between the hospitalized alcoholic psychosis and alcoholism in their premorbid status, premorbid personality, family status and illness history, adjustment in life situation, drinking patterns and its period, and precipita?ting factors. There were 30 cases of alcoholic psychosis and 56 cases of alcoholism in this study. The results were as following: 1. In general distribution of age, the total patients were distributed to the age range from 25. to 49_ and the mean age was 40. 7. Out of them, the alcoholic psychotics were distributed to the 5th decade, and their mean age was 43.5. The nonpsychotic alcoholics were distributed to the 4th decade, and their mean age was 39.2. 2..It was revealed that the alcoholic psychotics had the following characteristic pictures more domin? antly observed comparing with the nonpsychotic alcoholics. 1. Drinking was their only interest. 2. Their socio-economical level was relatively lower. 3. Their parents had unstable marital status. 4. Their siblings had the relatively higher frequency of the alcoholism, neurosis or psychosis. 5. Their siblings had relatively higher frequency of alcoholism. 6. They showed poor adjustment in their family life. 7. Their drinking period was relatively longer. 8. The degree of drinking was heavy. 9. They have had more frequent legal problems. 10. The problems with their spouses were more frequently found factors of their alcohol dependency. 3. It was revealed that the nonpsychotic alcoholics had the following characteristic pictures more dominantly observed comparing with the alcoholic psychotics. 1. Their interests were multiple. 2. Their educational level was relatively higher. 3. Passive-aggressive personality and obsessive-compulsive personality were more characteristic premorbid personality. 4. They showed good adjustment in their family life. 5. Their drinking period was relatively shorter. 6. The degree of drinking was moderate. 7. Occupational problems were frequently found as precipitating factors of drinking.

慢性病患者의 主訴別통계에 의한 韓國民族性의 精神分析學的考察

宋南玉 大韓神經精神醫學會 1963 신경정신의학 Vol.2 No.1

1. 1961년 8월 1일부터 8월 10일까지의 본대학 강화도 무의촌 진료시 환자중 526명(남 175, 여 351)과 1962년 8월 1일부터 8월 10일까지의 본대학 논산무의촌 진료시의 환자중 488명(남 129, 여 359)에 대하여 조사하였다. 2. 연령별에 있어 16세~20세까지에서는 남자가 여자보다 많은 수를 보였으며 강화도에 있어서는 전반적인 연령층에서 여성이 많은 수를 차지하였으며 26세 이상 40세까지의 남녀의 비율에 있어서는 두곳이 다 동등한 비율을 보였다. 40세 이후에 있어서는 여성이 많은 수를 나타냈다. 3. 주소별에 있어서는 상복부의 동통과 소화불량의 호소가 전체호소의 약 30% 이상을 점령하였고 두통은 여성환자에서 많은 수를 보여주었으며 사지동통이나 신경통으로 호소되고 있는 근골격반응이 남성환자보다 여성환자가 많은 수를 차지함을 보여주었으며 하복통이 여성보다 남자가 많은 율이 나타났음은 이해하기 곤란하다. 요통은 여성환자가 약간 많은 수를 차지하였고 기타 호흡기계통의 기능장애가 심장기능장애보다 약간 우세하였다. 그럼으로써 심리학적 요인에 의하여 발생한 것이라고 볼 수 있는 한국 농어촌의 만성환자들의 주소에 있어서 위의 기능장애의 호소가 가장 으뜸을 차지하고 있는 사실은 한국의 민족성의 특징인 oral receptive and aggressive personality와 밀접한 관계가 있는 것으로 사료된다.

慢性病患者의 主訴別統針에 의한 韓國民族性의 精神分析學的 考察

宋南玉 대한신경정신의학회 1963 신경정신의학 Vol.2 No.1

교정공무원의 직업소명의식 생성과 발달에 대한 내러티브 탐구: 퇴직 여성 교정공무원 사례 연구

송남옥 한국교정학회 2022 矯正硏究 Vol.32 No.1

This study examined female correctional officers’process of generating a sense of vocation and contents, analyzing this topic in term of an individual’s time, space called correctional facilities, and interaction. The study approached with the three-dimensional space narrative inquiry methodology proposed by Clandinin and Connelly(2000). In summary, the research results show that the beginning and of the creation and development of a sense of vocation can be faith and affection for humans as a correctional officer. Based on the research results, the researcher discussed correctional officers’ sense of vocation and made specific proposals at the level of correctional policy to strengthen them. 본 연구는 여성 교정공무원의 소명의식의 생성과정과 내용을 살펴보았고, 이를 한개인의 시간, 교정시설이라는 공간, 상호작용이라는 측면에서 분석했다. 연구는 Clandinin 과 Connelly(2000)가 제시한 3차원 측면 내러티브 탐구방법으로 접근했다. 연구결과는 요약하면 교정공무원으로서의 직업소명의식의 생성과 발달의 개념으로서 그 시작과 끝은 인간에 대한 믿음과 애정이라고 할 수 있다. 연구자는 연구결과에근거하여 교정공무원의 소명의식에 대한 논의를 했고, 이를 강화할 수 있는 교정 정책적 차원에서의 구체적 제안을 했다.

思春期週期性精神病에 關한 臨床的考察

宋南玉,閔秉根,李丙允. 大韓神經精神醫學會 1962 신경정신의학 Vol.1 No.1

Writers observed psychotic syndromes in adolescents whose symptoms are relatively brief and cyclic or periodical in nature. The term periodic psychosis in preadolescence or adolescence is used in the report by Kleist and Sukhareva. Although the term itself has no objection, many listed different views, on its etiological or pathognomonic areas. This report presents 3 adolescents whose symptoms are brief and unique on the one hand, they are also periodical on the other. 2 girls reported here showed acute psychotic pictures which were similarly brief and the periodicity was overlapped to their menstrual cycles. Another case is a boy of 17 whose symptoms were quite similar to the above. Clinical pictures shown by the three are those of catatonic schizophrenia in our impression.