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        • 韓國 神話 및 傳說속의 Oedipus Complex

          徐光潤,李丙允 고려대학교 의과대학 1973 고려대 의대 잡지 Vol.10 No.1

          A Psychoanalytic study of the themes of supernatural births among Korean myths and legends was attempted. The themes were divided into three groups according to their characteristic features and total sixteen examples were analyzed by the method of classical psychoanalysis. The results were revealed as follows: 1. In the theme of the births missing fertilizing role of the father and in the theme of the births by the mystical dreams of impregnation, the possibility of the son's hostile rivalry and conflict with the father stemming from the Oedipal situation were eliminated by denying the father's fertilizing power in the process of his impregnation and ascribing this power to those objects, e.g. supernatural creations and impersonal ones which symbolizing primal father or phallus. 2. In the theme of the births without impregnating roles of both the father and mother, the possibility of the son's hostile hatred against the father and the incestuous attachment to the mother in the Oedipal situation were eliminated by denying the roles of the mother as well as of the father in the process of his impregnation. 3. Essentially the themes of the supernatural births among Korean myths and legends have shown the psychologic motivations to solve the Oedipus Complex even though some differences were noted in their characteristic features. 4. In these themes, the ambivalent attitudes toward the father and the fantastic satisfactions of the incestuous desires were also observed with their basic motivations to solve the Oedipus Complex. 5. Compared with those of the European countries, the symbolic expressions revealed in these themes had no specific differences.

        • 脊椎結核에 對한 臨床的 觀察

          徐光倫 인제대학교 1980 仁濟醫學 Vol.1 No.1

          저자는 과거 20년에 약 320예의 척추결핵환자를 치험한 바 있으며 이를 통해 얻은 약간의 경험을 여기 논술하였다. 저자는 이병의 완전한 치유를 확보하고 변형 및 신경증상의 유발등 후유증의 발현을 막기 위해 조기진단 및 치료를 강조하면서 아울러 감별진단상의 문제점 저자가 개발한 Costotransversetomy)의 변법의 장단점 요추결핵에 있어서의 이단계수술의 권장 치료실패의 원인 후만증의 문제 척추 각 부위에 있어서의 특이성과 치료상의 고려점등 칙추결핵 치료상의 여러 문제점을 고찰 논술하였다. Author treated about 320 cases of spinal tuberculosis personally in the past 20years (1960-1979) and following is the short summary of the observations made through these experiences. 1.Only direct surgical approach to the spinal lesion establishes definite diagnosis. In differential dagnosis, osteomyelitis of the spine should be considered first. The incidence of the osteomyelitis was about 8% of that of tuberculous spine. 2.Author's modified costo-transversectomy approach offers very useful route for the thoracic and some thoraco-lumber lesion, particularly in children, older age and debiliated adults. It provides enough room for thorough de´bridement and fusion while giving the least stress to the patient because of its extrapleural approach. It offers also good access to spinal cord and also make it possible to combine with the posterior fusion in one setting if desired. 3.In the lumber region, when bilateral psoas abscess is present, bilateral approach in two stages is a thorough way of de´bridement and fusion particularly in adults in order to ensure the complete cure of the lesion. 4.In extensive lesion, anterior curetting with graft supplemented with posterior fusion offers best stability of spine to prevent further progression of the kyphosis. 5.The selection of the sensitive antibiotics and its regular administration is essential and indispensable pre-requisite for the successful outcome of the treatment. 6.Early eradication of the lesion and stabilization preferably through combined anterior and posterior route of the best chance of cure and the least residual deformity and disability.

        • 한국아동골격성숙상에 關한 硏究

          徐光倫 고려대학교 의과대학 1965 고려대 의대 잡지 Vol.2 No.1

          The assessment of skeletal maturation by means of the Todd, Greulich & Pyles inspectional method, among others, has established its place in the evaluation of the growth and development of children in health and disease. Furthermore, this method has found its practical application in predicting adult heights and leg lengths which has proved to be a valuable aid in the field of orthopedic surgery. Few reports are available so far in this country on the skeletal maturation of Korean children except that of Han(1962) which is mainly concerned with the time of appearance of the ossification centers in the hands and feet, and that of Park (1962) which dealt with the subject of skeletal maturation and development of Korean children in a rather extensive but somewhat obscure way. The present study investigates skeletal maturation of Korean children through roentgenograms from age 7 to full maturity in the hands, and from age 13 to maturity in the knees. The assessment of bone and skeletal age was made by employing Greulich & Pyles Hand Atlas and Pyle & Hoerrs Knee Atlas, respectively, as standards of reference. The briefly summarized findings are as follows: 1. The ages of onset aEd order of the ossification in the hands showed a wide range of variation. The order of appearance of ossification centers in the carpal bcne of the male children was not necessarily the same as that of Standard Children. 2. Completion of ossification in the hands commenced from the carpal bones and ended with the closure of the distal radial epiphysis at the age of 18 years 5 months in the male and 17 years 3 months in the female. Using the Harvard Matnrity Series for comparison, the time of completion of ossification was delayed on the average by 4 months in the male, and 14 months in the female. 3. The fusion time of the distal femoral and the proximal tibia1 epiphysis was 17.5 years in the male and 16 years in the female, while fibula closed after 17 years 11 months in the male and 16.5 years in the femal. 4. Bone ages of 30 ossification centers in the hands showed a wide range of variations at each age level in both sexes. The average bone age of each ossification center showed a variable amount of retardation compared to Standard Children. The average of the difference in the bone ages through whole age levels showed maximum value in the lunate of the male, and the distal ulnar epiphysis, lunate and scaphoid of the female. 5. Skeletal ages of the hand showed a variable amount of retardation compared to Standard Children at each age level in both sexes. The average of the difference through all age levels was 11 months in the male and 13 months in the female, reaching its peak of difference at age 11 in both sexes. The period of maximum difference was inferred as due to the different timing of the maturation spurt, comparable to the prepubertal growth spurt, as its principal cause. Menarcheal age in this female group was 14 years 8 months. It was postulated that the mechanism, which causes retardation in the menarcheal age of Korean girls, was also responsible for the difference in maturation rate and pattern at least, in the prepubertal period in femaie groups. 6. It was realized that a different skeletal age norm is needed among different races, which show a The standard of the skeletal maturation of Korean children from age 7 to maturity was presented, and 7. Ccmparison with Chinese and Japanese children showed less dissimilarities in the rate and pattern of maturation than in comparison with Standard Children. 8. Bone and skeletal age of knees showed less retardation in the male groups, and comparable delay with hands in the female groups. Skeletal age of hands and knees did not necessarily correspond and this feature was more conspicuous in the male groups. quite different rate and pattern of skeletal maturation. its course of selection was described. 9. Hands were considered as more reliable and convenient in assessing skeletal maturity. 10. Korean girls are generally less precocious than boys in their respective skeletal maturation rates when compared with American children. 11. Skeletal maturation has a close relationship with body maturation and growth. 12. Bayleys Prediction Table for Adult Heights and Anderson & Greens Prediction Chart for Leg Lengths may be applied to Korean children with some qualification.

        • KCI등재
        • Capgras 증후군에 대한 임상적 고찰

          서광윤 고려대학교 의과대학 1979 고려대 의대 잡지 Vol.16 No.2

          Six cases of the Capgras syndrome, a rare psychopathological manifestation, were encountered past 5 year period at the neuropsychiatric department of the Korea University Hospital. All of these cases mere studied clinically and analytically. The results were as follows ; 1. Four of all patients were female and two were male. 2. The ages of all patients were in the twenties. 3. For all patients, the main misidentified objects in their delusional system were the father or the mother, or both and the secondary objects were the siblings and other relatives. 4. All patients mere psychotic, and the nosological setting in which the syndrome developed was manic-depressive psychosis in four cases and schizophrenia in two cases. 5. None of the patients had any clinical symptoms and signs suggesting organic brain disorders. 6. Three of all patients developed the syndrome years after the onset of basic illness and the syndrome developed simultaneously with the basic illness in another three cases. 7. The outcome of the syndrome in these subjects seemed to be dependent upon the therapeutic success with the psychosis of with the syndrome was only an aspect. 8. The illusion of Fregoli associated with the Capgras syndrome was seen in one case. 9. The psychodynamic factors as the main role in the syndrome-formation of the subjects seemed to be ambivalent conflicts and unresolved Oedipal complex to the principal misidentified person.

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