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精神治療에서 일어나는 難關의 克服( I ) - 治癒因子의 糾明을 위한 豫備研究 -
白智玲,林曉德 대한신경정신의학회 1994 신경정신의학 Vol.33 No.1
As a preliminary study to investigate the major curative factors in psychotherapy, the authors collected andw reviewed 35cases of consultation-interviews using a oneway mirror during monthly case seminars from October, 1987 to December, 1990 in the department of Psychiatry, Kyungpook National University. In these case seminars the residents, who were faced with therapeutic difHculties, consulted with Rhee D.Chonorary president of Korean Academy of Psychotherapists) about their cases. Out of the above 35 cases, 6 of them which were compatible with this purpose were selected. Then the authors studied the differences between resident’s and consultation interviewers therapeutic activities by case by case analysis. Through investigation, the authors suggested that several elements of the therapist’s activities were essential to the successful process of psychotherapy. These elements were as follows 1) From the beginning of psychotherapy, accurate and prompt understanding of the patients nuclear emotion by the therapist and proper establishment of therapeutic focus in consideration of the patient s present inner and external realities. 2) The therapists ability and genuine endeavor in inceseant understanding of patient’s inner psychic life and conveying his understanding to the patient on proper timing. 3) The therapists ability to perceive the patient’s emotional state at any moment and at any behavior without theoretical preoccupation and his own prejudice. 4) Empathic understanding and positive emotional attitude toward the patient (mature personality of the therapist)
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김시열,강병조,백지령 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.2
This study was conducted to analyse effects of lithium on human endocrine system, with 8 patients(male : 5 persons, female : 3 persons and average age : 33) who were admitted to the Department of Psychiatry, Kyungpook National University Hospital while being suitable for the bipolar disorder's criteria of DSM-Ⅲ-R and RDC. Then, no medicine was administrated to these 8 patients two months prior to administration of lithium. This study was carried out by testing and comparing the function of human endocrine systems (test of growth hormone, thyroid hormone, cortisol, prolactin by radioimmunoassay) before administrating lithium and at 60 days after its administration. The results of human endocrine system showed that there were statistically significant decrease in thyroxine(p〈0,05) and increase in TSH(p〈0,005) while triidothyronine, growth hormone, cortisol and prolactin showed no remarkable change.
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Methylphenidate 투약에 따른 주의력결핍 광잉운동장애 아동의 정량화 뇌파의 변화
이병대,정성훈,이만기,장수민,백지령,임효덕 대한생물치료정신의학회 2002 생물치료정신의학 Vol.8 No.2
Objectives: Quantified Electroencephalography(QEEG) has been widely used to examine the electrophysiological disturbance in Attention Deficit Hyperactivity Disorder(ADHD), particularly with respect to increased slow wave activity and reduced fast wave activity. On the basis of these aspects, this study was designed to evaluate the effects of Methylphenidate(MPH) on QEEG in ADHD children by comparison of QEEG before and 1 hour after administration of MPH. Methods: The subjects that entered this study were 15 children (14 boys and 1 girls) who were diagnosed as ADHD by DSM-IV at department of psychiatry of Kyunpook National University Hospital and Baek's psychiatry clinic. We examined the Quantified Electroencephalography(QEEG) activity 1 hour after administration of MPH and compared these results with those of QEEG activity before administration of MPH. Results: 1) In central(T4) and posterior(Cp1, Cp2, P3, Po1, Po2, O1, Oz, O2) area, they showed statistically significant decreased absolute delta1(δ1) activity(P<0.05) 1 hour after administration of MPH, compared to the results before administration of MPH. 2) In central(C4) area, they showed statistically significant decreased absolute delta2(δ2) activity(P<0.05) 1 hour after administration of MPH, compared to the results before administration of MPH. 3) In anterior(F3) area, they showed statistically significant decreased absolute beta(β)2 activity 1 hour after administration of MPH, compared to the results before administration of MPH. Conclusion: The results in this study predict partly the hypothesis that Methylphenidate can manifest its effect on their symptoms by reversing increased slow wave activity and reduced fast wave activity in ADHD children. 저자들은 ADHD 환아들이 보이는 증가된 서파 활동(주로 전두엽 영역의 쉐타파)과 감소된 후두엽 영역의 베타파 활동이 각각 피질의 지연된 성숙(delayed maturation)과 각성 감소(hypoarousal)를 반영한다는 사실을 기초로 해서, MPH가 ADHD 아동에 미치는 신경생리학적 영향을 알아보기 위해서 2001년 1월 3일부터 2001년 7월 28일까지 경북대학교 병원 정신과 외래와 백 정신과의원을 방문한 환아중 ADHD로 진단받은 남아 14명과 여아1명등 15명의 환아들을 연구대상으로 하여 MPH를 주기 전과 MPH 투약 1시간후의 정량화 뇌파 소견을 비교하여 다음과 같은 결과를 얻었다.
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