천자서평 1 : 약물남용 - 민성길 / 중앙문화사 / 1998 -

민성길 한국상담선교연구원 2000 상담과 선교 Vol.8 No.4

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일본군 위안부 생존자들의 외상 후 스트레스 장애에 관한 연구

민성길,이창호,김주영,심은지 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.6

Objectives : This study was performed to identify posttraumatic stress disorder (PTSD) in survivors of Japanese military sexual slavery duhng World War II. Methods : Twenty six survived victims were evaluated with Korean version of SCID-IV, MMSE, Geriathc Depression Scale and State and Trait Anger Inventory (STAXI) and Rorschach test, and compared with 24 healthy women elders. Results : Results showed that, of 26 victims, 8 victims (30.8%) met critena of PTSD and all 26 had suffered from symptoms of PTSD once in their lives. Their PTSD symptoms were characterized by the effort to avoid thoughts, feelings, or conversations associated with the trauma and recurrent distressing dreams of the events. Survivors with PTSD had more serious depression. Compared with the control group, victims had more difficulties in anger control. They still suffer from various physical sequelae of physical trauma, In Rorschach test, they showed distorted perceptions, difficulty in managing emotional reactions, invading thoughts, impulsivity, and internalized anger and aggression. Conclusion : All victims suffered from symptoms of PTSD one time or another. About one third of them were diagnosed as having PTSD. Their PTSD symptoms were complicated by the mixtures depression, anger and various physical sequelae of physical trauma.

화병척도와 연구용 화병진단기준 개발

민성길,서신영,조윤경,허지은,송기준 大韓神經精神醫學會 2009 신경정신의학 Vol.48 No.2

Objectives The aim of this study was to identify the characteristic symptoms for diagnosis of Hwabyung (HB), a culture-related anger syndrome in Korea; to construct a rating scale for HB and test its validity and reliability; and propose diagnostic criteria for HB. Methods Subjects were male and female Korean patients, who were diagnosed following Structured Clinical Interview (SCID) as having depressive disorders, anxiety disorders and somatoform disorders and who reported as having self-labeled HB. A HB Scale was constructed with 22 of the most common symptoms of HB as identified by previous studies. The HB scale's inter-rated reliability was tested with 60 subjects. Its validity was tested by comparison between a HB only group(n=47) and depressive disorder only group (n=44). Logistic regression analysis was conducted to make a predictive model of HB. Based on these results diagnostic criteria for HB was proposed. Results Inter-rated reliability in each of all the items and the total score of the HB Scale were statistically significant. The HB scale differentiated HB from depressive disorder with statistical significance. In logistic regression analysis, the ability of the HB model to predict symptoms of heat sensation, ukwool/boon (feeling of unfairness), and subjective anger was high with sensitivity of 80.0%, specificity of 88.4% accuracy of 84.1% and area under ROC of 0.92. Based on these results and information from previous research, diagnostic criteria of HB were formulated. Conclusion The HB Scale was found to be reliable and valid. Consequently, diagnostic criteria of HB were proposed, to include subject anger, "kwool/boon" (Feeling of unfairness), expressed anger, heat sensation, hostility, "haan", pushing-up in the chest, epigastric mass, respiratory stuffiness, palpitation, dry mouth, sighing, racing thoughts, and lamentation.

공황장애

민성길,정영기 최신의학사 1988 最新醫學 Vol.31 No.8

중년기의 건강

민성길 연세대학교 신과대학·연합신학대학원 2003 연세 목회전문화 세미나 Vol.5 No.-

헤르만 헤세의 우울증, 경건주의, 그리고 정신분석

민성길 대한신경정신의학회 2018 신경정신의학 Vol.57 No.1

Hermann Hesse s personal life (1877–1962) is characterized by traumatization caused by suppressive pietistic discipline of his parents during his youth, and depression in his middle age accompanied by psychoanalysis treatment. At the age of 15, he was admitted to mental institutions due to defiant behavior. With this traumatic experience, his psychosexual development seemed inhibited during his adolescence. At age 39, depression developed precipitated by the death of his father. Hesse had received Jungian psychoanalysis from Dr. Lang and Dr. Jung over a 10-year period. However, psychoanalysis could not prevent the recurrence of depression. His appreciation of psychoanalysis became critical. Meanwhile, Hesse announced that he had been a Protestant Christian. In his 50s, he began to create new novels which, beyond polarity based on Jungian psychoanalysis, described the journey toward a greater harmonious and spiritual oneness. Pietism was at one time the reason of his pain, but became life-long support for Hesse s spiritual maturity. He was diagnosed with type II bipolar disorder. The main dynamic factors are thought to be ambivalence, feelings of guilt regarding his aggression toward his parents, and sexual conflict. His coping mechanisms seemed to include pietistic self-control, avoidance, scholarship and creation of literature. By writing the autobiographical Bildungsromans, Hesse tried not only to master his own personal problems but to enlighten readers. However, it seemed that he could not overcome the feelings of guilt associated with leaving his father

한(恨)의 정신병리학(精神病理學)

민성길 한국라깡과현대정신분석학회 1998 코리안이마고 Vol.2 No.-

Symptoms to Use for Diagnostic Criteria of Hwa-Byung, an Anger Syndrome

민성길,서신영,송기준 대한신경정신의학회 2009 PSYCHIATRY INVESTIGATION Vol.6 No.1

Objective: The aim of this study was to identify the characteristic symptoms which can be used for the diagnosis of hwa-byung, a culture-related anger syndrome in Korea. Methods: The symptoms of the Hwa-byung Scale were correlated with the Korean versions of the Hamilton Depression Rating Scale (K-HDRS) and the State and Trait Anger Inventory (K-STAXI) in 89 patients, who were diagnosed as having major depressive disorder, dysthymic disorder, anxiety disorders, somatoform disorders, or adjustment disorder according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSMIV) criteria and who had self-labeled hwa-byung. Also, the symptoms of the Hwa-byung Scale were correlated with each other. Results: The symptoms of the Hwa-byung Scale which were significantly correlated with the state anger of the K-STAXI but not with the depressive mood (item 1 of K-HDRS) included feelings of unfairness, subjective anger, external anger, heat sensation, pushing-up in the chest, dry mouth, and sighing. The symptoms which were significantly correlated with state anger and depressed mood included respiratory stuffiness, “haan” and hate. The symptoms which were not significantly correlated with depressed mood and state anger included going-out, epigastric mass, palpitation, headache/pain, frightening easily, many thoughts, and much pleading. These symptoms also showed higher correlation with each other in the correlation matrix. Conclusion: Our findings suggest that hwa-byung is different from depressive syndrome in terms of its symptom profile, and suggest what symptoms should be included in the diagnostic criteria of hwa-byung, an anger disorder. Objective: The aim of this study was to identify the characteristic symptoms which can be used for the diagnosis of hwa-byung, a culture-related anger syndrome in Korea. Methods: The symptoms of the Hwa-byung Scale were correlated with the Korean versions of the Hamilton Depression Rating Scale (K-HDRS) and the State and Trait Anger Inventory (K-STAXI) in 89 patients, who were diagnosed as having major depressive disorder, dysthymic disorder, anxiety disorders, somatoform disorders, or adjustment disorder according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSMIV) criteria and who had self-labeled hwa-byung. Also, the symptoms of the Hwa-byung Scale were correlated with each other. Results: The symptoms of the Hwa-byung Scale which were significantly correlated with the state anger of the K-STAXI but not with the depressive mood (item 1 of K-HDRS) included feelings of unfairness, subjective anger, external anger, heat sensation, pushing-up in the chest, dry mouth, and sighing. The symptoms which were significantly correlated with state anger and depressed mood included respiratory stuffiness, “haan” and hate. The symptoms which were not significantly correlated with depressed mood and state anger included going-out, epigastric mass, palpitation, headache/pain, frightening easily, many thoughts, and much pleading. These symptoms also showed higher correlation with each other in the correlation matrix. Conclusion: Our findings suggest that hwa-byung is different from depressive syndrome in terms of its symptom profile, and suggest what symptoms should be included in the diagnostic criteria of hwa-byung, an anger disorder.

홧병(火病)의 개념에 대한 연구

민성길 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.4

Hwabyung(fire disease) is the term which has long been used by lay people in Korea for a clinical disease. This study was conducted in an attempt to define the concept of hwabyung through semistructured interviews with 100 patients complaining of hwabyung who presented at the Department of Psychiatry, Yonsei University Hospital in Seoul. The majority of patients with hwabyung were married women in middle or past middle age and of lower social, economic and educational classes. Any etiologically related factors in family history and past history were not apparent. Hwabyung was found to be a chronic disease with a duration of about 10 years. Many of the patients had received treatment from a number of specialists, herb doctors and even a faith healer and shaman. This was indicative of the fact that they were reluctant to be seen as psychiatric patients but were aware that their illness was of psychogenic origin, suggesting that Korean lay people are already familiar with concept of psychogenic or neurotic disorders. The etiologically related life experiences reported by patients included chronic marital conflict with husband and in-laws, financial loss, poverty, a difficult life, other unfair social suffering and personality characteristics of themselves. These life experiences caused complex emotional reactions characterized by annoyance, mortification, anger and hate. These emotional complexes had been incompletely suppressed as they were of real external origin in the patients' conscious level. Hwabyung seems to develop as these life experiences, characteristic emotional reactions and related adjustment problems are repeated and accumulate over a long period of time. Hwabyung or hwa seems to be named for a combined state of those incompletely suppressed dynamic emotional reactions and their somatized physical states. These seem to symbolize the nature of fire, from which the term of Hwabyung is derived, and the partial suppression of it. Accordingly, in addition to general neurotic symptoms such as anxiety, depressive syndrome, insomnia, indigestion, headache and other physical pains, the symptoms of hwabyung are also characterized by somatic symptoms such as chest oppression, sighs, heat or hot sensations, dry mouth, something pushing-up in chest, palpitation, epigastric mass, talkativeness, loss of mind, and an impulsive wish to quickly get out of the house. Diagnostically, depressive, anxiety and somatization disorders were most frequently observed. Many patients had two or more diagnoses. The prognosis seemed to be chronic and poor. The possible relationship between the psychopathology of hwabyung and so called hahn, which is known to be the unique traditional affective expression of Koreans, and the possibility that hwabyung can be a culture-bound syndrome in korea was discussed.

화병은 한(恨)의 병적 증상

민성길 사회발전연구소 1996 한국인 Vol.15 No.7