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- 저자 : 고영탁 ( Young Tak Kho ) (검색결과 4 건)
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정선영 ( Seon Yeong Jeong ),김재영 ( Jae Yeong Kim ),조명의 ( Myoung Ui Cho ),고영탁 ( Young Tak Kho ) 대한한방신경정신과학회 2016 동의신경정신과학회지 Vol.27 No.2
Objectives: The aim of this systemic review was to summarize medical records of Korean medicine based psychotherapy and investigate its therapeutic mechanism. Methods: We searched articles on Korean neuropsychiatry in Korean databases. Subsequently, we selected and analyzed medical records on Korean medicine based-psychotherapy that met inclusion criteria. Results: Fifty-five medical records were included. They were classified into the following 5 categories. Five minds mutual restriction therapy in 19 medical records; counseling and persuading therapy in 12 medical records; moving essence and changing Qi therapy in 10 medical records; Kyungjapyungji psychotherapy in 2 medical records; and suggestion psychotherapy in 11 medical records. Conclusions: The results indicated that emotion is mainly used for cure. Buddhism affects Korean medicine based psychotherapy. Korean medicine based psychotherapy corresponds to western psychotherapy such as short-term dynamic psychotherapy (STDP), supportive psychotherapy, cognitive therapy, behavior therapy, and guided imagery.
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정선영 ( Seon Yeong Jeong ),김재영 ( Jae Yeong Kim ),조명의 ( Myoung Ui Cho ),고영탁 ( Young Tak Kho ) 대한한방신경정신과학회 2016 동의신경정신과학회지 Vol.27 No.2
Objectives: The aim of this study was to develop a new Korean psychotherapeutic model in terms of emotion. Methods: We compared the five minds mutual restriction therapy with short-term dynamic psychotherapy (STDP). We summarized 4 similarities and 4 differences of these two models of psychotherapy. Results: 1. Short-term dynamic psychotherapy (STDP) needs active intervention of the therapist, with a restricted therapeutic focus and session. It blends with the present state of oriental neuropsychiatric clinics, and is suitable for Korean medical psychiatrists to apply short-term dynamic psychotherapy (STDP) to their clinical settings. 2. Short-term dynamic psychotherapy (STDP) and five minds mutual restriction therapy are similar, in that they both mainly use the emotions, needing restricted therapeutic focus and sessions, and active intervention of the therapist. 3. Short-term dynamic psychotherapy (STDP) and five minds mutual restriction therapy are different in their methods of arousing therapeutic emotion, the necessity of the patient being unconscious, the standard of patient selection, and the importance of follow up. Conclusions: It is necessary to develop a new Korean psychotherapeutic model, which amalgamates the advantages of both methods of psychotherapy, and considers the present state of clinic. It is necessary that the Korean medical psychiatrists introspect themselves, since they are not merely therapists but also a role model for the patient.
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정선영 ( Seon Yeong Jeong ),김재영 ( Jae Yeong Kim ),고영탁 ( Young Tak Kho ),안건상 ( Keon Sang Ahn ),이차로 ( Cha Ro Lee ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.4
Objectives: Though there are many studies about sleep disorder, no research has been performed on the utilization of oriental medicine as a treatment. Therefore, the oriental medical treatment pattern of Korean patients with sleep disorders was examined herein using the Health Insurance Review and Assessment Service (HIRAS). Methods: The medical records of patients with sleep disorders (G47) or nonorganic sleep disorders (F51) as a main diagnosis were adopted from the HIRAS database from 2011 to 2013. Analysis was performed on the number of patients and cost per patient, with comparison between oriental and western medicine in terms of gender, age, patient care service type, and hospital type. Results: 1) Regarding sleep disorders, the medical visits and insurance charges have been increasing. Western medicine was utilized 8 times more often than oriental medicine during 3 years. 2) There were 2.5 times more women than men. 3) Among all ages, the 50¡59 year group had the highest representation. 4) In comparison of average portions of patient care type over 3 years, outpatients were the majority, while the number of visits of outpatients and hospitalization has been increasing. 5) Comparison of average portion of oriental hospital type over 3 years revealed oriental clinics to be used most. The use of general hospitals was higher in western medicine treatment, while public health centers used oriental medicine more. 6) Regarding average oriental medical cost per patient over 3 years, the total was 88,000 won, with 353,000 won for hospitalization and 85,000 won for outpatients. The outpatient cost has been increasing. 7) In line with 6, oriental medical hospitals cost 126,000 won, local clinics were 85,000 won, and etc. was 95,000 won. Average costs of all types have increased during 3 years, except oriental medical hospitals in 2013. Conclusions: This study provided objective information about the epidemiologic characteristic of oriental medicine used for treatment of sleep disorder. For expansion of oriental medical demand for sleep disorder, this study would be helpful in understanding the recent status.`
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김재영 ( Jae Yeong Kim ),정선영 ( Seon Yeong Jeong ),박삼민 ( Sam Min Park ),황동규 ( Dong Gyu Hwang ),고영탁 ( Young Tak Kho ) 대한한방신경정신과학회 2015 동의신경정신과학회지 Vol.26 No.3
Objectives: We aimed to evaluate the use of Korean medicine in patients with dizziness or vertigo, since such study has not been performed previously. Methods: In the current study, we included 3 diagnoses i.e., Disorders of vestibular function (H81), Vertiginous syndromes in diseases classified elsewhere (H82), and Dizziness and giddiness (R42) from the Health Insurance Review and Assessment Service (HIRAS) database for 4 years. We analyzed the database and compared treatment with Korean vs. Western medicine. Results: 1. Korean medical visits and cost have been increasing for 4 years, except 2011. Western medical visits are 11.9 times higher than Korean medical visits. 2. The number of women who received Korean medicine was 2.6 times higher than that of men. 3. Among all ages, the 70∼79 years group were the most frequent users of Korean medicine. The older age was correlated with more patients`` visits. 4. The comparative number of visits by patient care type for 4 years indicated that outpatients had more visits than hospitalization. Furthermore, outpatient visits have been increasing for 4 years. 5. The comparative number of visits by hospital type for 4 years indicated that visits to the Korean medical clinic were the highest. In primary care, patients used more Korean medicine than Western medicine. In tertiary care, patients used more Western medicine than Korean medicine. 6. Korean medical cost per patient by patient care type for 4 years was a total 89,000 won, hospitalization 449,000 won and outpatient 83,000 won. Costs of all patient care types have been increasing. 7. Korean medical cost per patient by hospital type for 4 years was 156,000 won for Korean medical hospital, 83,000 won for local clinic and 127,000 won for miscellaneous facilities. Costs of all types have been increasing. Conclusions: This study provided objective information about epidemiologic characteristics of Korean medicine in patients with dizziness or vertigo. Furthermore, it provides an understanding of the recent status and forms the basis for further expansion of demand for Korean medicine among patients with dizziness or vertigo.
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