憂戀症의 社會精神醫學的 硏究 一特히 憂變症 發病前 狀況을 中心으로 一

高珍富 대한신경정신의학회 1978 신경정신의학 Vol.17 No.3

1. In this clinical study, it was intended to reveal the socin-environmental events occurring prior to the onset of severs depressions in 12Mendogenous” depressives and 26 “nonendogenous” depressies who were hospitalized in the Department of Neuropsychiatry, Chosun University Hospital from April 1974 to August 1976. Among the 38 depressed patients, 11 cases were males and 27 were females. 2. Twenty stressful socio-environmental events were empirically selected according to the frequency of occurrence in the recorded material. Of these 20,14 events that occurred more frequently were then subjected to a more intensive analysis. The more frequent socio-environmental events were defined as follows: 1. Financial affairs 2. Change in family relationship 3. Failure of children to meet parent’s expectation 4. Beieg forced to encounter negative reality 5. Failure inj ob performance and increased resgonsijbility 6. Threat to sexual identity 7. Damage to social status 8. Change in marital relationship 9. Death of important person 10. Moving residence 11. Unemployment and transfer of job 12. Physical illeness 13. Iatrogenic factor 14. Parturition 3. More than 90% of them reported one or more socioenvironmental events; most of them reported multiple stressful events prior to the onset. The male patients tended to report predominantly social factors in contrast to the female patients who reported familial and social events. Frequently reported social events were financial affairs,,failure of children to meet parent’s expectations, fail urein job performahce, increased job resporsibility encountering negative social realities and damage to the social status. Relatively infrequent were moving residence, house problems, unemployment and transfer of job. Frequent familial affairs were conflict among extended family members and threat to sexual identity. Disease, death or parting of the family members were infrequently associated with the onset. 4. Patients with repeated history of depression presented similar stressful events prior to each onset. The author noted in each patient a consistent interaction between external events and internal psychological reactions to these events which seemed to be determined by a core conflict and underlying psychopathology.

正常健康人에서 Haloperidol의 Prolactin 反應에 對한 Benztropine Mesylate의 效果

高珍富 大韓神經精神醫學會 1983 신경정신의학 Vol.22 No.2

The Author measured plasma prolactin level with the method of RIA upon 14normal male volunteers to study the effect of benztropine on the prolactin response to haloperidol. With the interval of 7 days, plasma prolactin levels were measured on 15,30,45,60,90, and without benztropine, and the results were compared with baseline plasma prolactin level already measured. The results were as below; 1. The mean baseline plasma prolactin level in normal volunteers was 10.75±3.28ng/ml with individual variance. 2. The peak plasma level (21.75ng/ml) appeared on 60 minutes after administration of haloperidol (0.5mg) 3. With administration of both haloperidol (0.5mg) and benztropine(0.5mg), the mean plasma prolactin level was increasing steadily. 4. Comparing these two groups, increment of the plasma prolactin level was higher during the earlier phase in the group of haloperidol alone, and this relationship was reversed between 60 and 90 minutes after administration. 5. The plasma level in the group of haloperidol alone on 15 minutes was significantly higher (p<0.02), and significantly lower (p<0.02) on 120 minutes than that in the group of combined administration. With these results, clinical implication was discussed briefly.

憂鬱症의 社會精神醫學的 硏究 : 特히 憂鬱症 發病前 狀況을 中心으로 Especially the Situations as the Precipitating Factor

高珍富 大韓神經精神醫學會 1978 신경정신의학 Vol.17 No.3

1. In this clinical study, it was intended to reveal the socio-environmental events occurring prior to the onset of severs depressions in 12"endogenous" depressives and 26 "nonendogenous" depressies who were hospitalized in the Department of Neuropsychiatry, Chosun University Hospital from April 1974 to August 1976. Among the 38 depressed patients, 11 cases were males and 27 were females. 2. Twenty stressful socio-environmental events were empirically selected according to the frequency of occurrence in the recorded material. Of these 20,14 events that occurred more frequently were then subjected to a more intensive analysis. The more frequent socio-environmental events were defined as follows: 1. Financial affairs 2. Change in family relationship 3. Failure of child ren to meet parent's expectation 4. Beieg forced to encounter negative reality 5. Failure in job performance and increased resgonsijbility 6. There to sexual identity 7. Damage to social status 8. Change in marital relationship 9. Death of important person 10. Moving residence 11. Unemployment and transfer of job 12. Physical illeness 13. Iatrogenic factor 14. Parturition 3. More than 90% of them reported one or more socioenvironmental events; most of them reported multiple stressful events prior to the onset. The male patients tended to report predominantly social factors in contrast to the female patients who reported familial and social events. Frequently reported social events were financial affairs, failure of children to meet parent's expectations, failure in job performance, increased job resporsibility encountering negative social realities and damage to the social status. Relatively infrequent were moving residence, house problems, unemployment and transfer of job. Frequent familial affairs were conflict among extended family members and threat to sexual identity. Disease, death or parting of the family members were infrequently associated with the onset. 4. Patients with repeated history of depression presented similar stressful events prior to each onset. The author noted in each patient a consistent interaction between external events and internal psychological reactions to these events which seemed to be determined by a core conflict and underlying psychopathology.

알콜精神病患者에 對한 臨床的 硏究 — 幻覺內容을 中心으로—

嚴龍變,高診富,尹昌範 대한신경정신의학회 1976 신경정신의학 Vol.15 No.2

The author studied mainly the hallucinated phenomena of the 15 alcoholic psychotics who were hospitalized in Dept, of Neuro-Psychiatry, of Medical college, Chosun University, from October of 1972 to October of 1975. The following conclusions were obtained from the studies. 1) In general distribution of age, the average of the alcoholic psychotics was 40.5 years, with a range from 35 to 43 years. The range of age is significant, the alcoholic psychotics being a much more homogenous group. The rate of males to females among the alcoholic psychotics was 15 to 0. 2) This report will concern data from a group of 9 patients (60%) who were diagnosed as Delirium tremens and from 4 patients who were diagnosed as having Alcoholic Hallucinosis (25%) without schizophrenia and from 2 Patients (13%) of Korsakoff’s psychosis who is less than others. 3) Alcoholic psychosis is the special disease of men in Korean society but not less and it is the most part in the lower class of the educational, socio-cultural level and the lower income class. 4) Their average of drinking capacity of a day is the 2 bottles (which is filled with 2 HOB) of SOJU (spirits) and 2-3 DOI of MAKOULU, howerever they used not to get some eatables. 5) I found the light tremulousness (80%), insomnia (93%), night-mare or vivid dreams (53%), itching (47%), retching (33%), sweating (13%), seizure (27%) and blurred vision (20%) to be part of the alcoholic withdrawal syndrome. 6) The most frequent incidence was in the formed visual hallucinations (80%), followed by the formed auditory hallucinations (60%) and haptic hallucinations (58%). 7) In the contents of visual hallucinations, the bug, flea and snake are the most part but few seen the case of a rat. The contents of visual hallucinations in western people is the snake and rat which is the most part, such a difference between western and oriental people should be taken into account of the comparative cultural aspects. 8) Alcholic psychotics gave more responses regards as persecutory and every day affairs. 9) Alcoholic psychotics perceived the phenomena externally to any extent. 10) Alcoholic psychotics frequently thought that the hallucination was real at the time of it’s appearance but later in the recovery period expressed recgnition of it’s unreality and alcoholic psychotics behaved negatively or ambivalently in majority of cases.

알콜精神病患者에 對한 臨床的 硏究 : 幻覺內容을 中心으로

尹昌範,高診富,嚴龍燮 大韓神經精神醫學會 1976 신경정신의학 Vol.15 No.2

The author studied mainly the hallucinated phenomena of the 15 alcoholic psychotics who were hospitalized in Dept. of Neuro-Psychiatry, of Medical college, Chosun University, from October of 1972 to October of 1975. The following conclusions were obtained from the studies. 1) In general distribution of age, the average of the alcoholic psychotics was 40.5 years, with a range from 35 to 43 years. The range of age is significant, the alcoholic psychotics being a much more homogenous group. The rate of males to females among the alcoholic psychotics was 15 to 0. 2) This report will concern data from a group of 9 patients (60%) who were diagnosed as Delirium tremens and from 4 patients who were diagnosed as having Alcoholic Hallucinosis (25%) without schizophrenia and from 2 Patients (13%) of Korsakoff's psychosis who is less than others. 3) Alcoholic psychosis is the special disease of men in Korean society but not less and it is the most part in the lower class of the educational, socio-cultural level and the lower income class. 4) Their average of drinking capacity of a day is the 2 bottles (which is filled with 2 HOB) of SOJU (spirits) and 2-3 DOI of MAKOULLI, howerever they used not to get some eatables. 5) I found the light tremulousness (80%), insomnia (93%), night-mare or vivid dreams (53%), itching (47%), retching (33%), sweating (13%), seizure (27%) and blurred vision (20%) to be part of the alcoholic withdrawal syndrome. 6) The most frequent incidence was in the formed visual hallucinations (80%), followed by the formed auditory hallucinations (60%) and haptic hallucinations (58%). 7) In the contents of visual hallucinations, the bug, flea and snake are the most part but few seen the case of a rat. The contents of visual hallucinations in western people is the snake and rat which is the most part, such a difference between western and oriental people should be taken into account of the comparative cultural aspects. 8) Alcholic psychotics gave more responses regards as persecutory and every day affairs. 9) Alcoholic psychotics perceived the phenomena externally to any extent. 10) Alcoholic psychotics frequently thought that the hallucination was real at the time of it's appearance but later in the recovery period expressed recgnition of it's unreality and alcoholic psychotics behaved negatively or ambivalently in majority of cases.

過呼吸症候群 一例

朴錫浩,李廷南,高珍富,朴相學,金哲宇 조선대학교 1981 The Medical Journal of Chosun University Vol.6 No.-

The authors report a case of hyperventilation syndrome shown in a male patient of 17 years. In relation to emotional stresses, he has suffered from overbreathing followed by tingling sensation and tetany of both upper and lower extremities and precordial pain. The patient was remitted completely after 30 days of treatment in neuropsychiatric department since admission. So clinical and psychodynamic aspects were discussed, and several literatures were reviewed. (The authers wish to thank prof. Yong Sub Ohm, M.D.)

韓國의 精神分裂症患者와 손잡이(Handedness)에 대한 硏究

朴錫浩,楊秉換,高珍富 서울대학교 의과대학 정신과학교실 1982 精神醫學報 Vol.6 No.8