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정영조 인제대학교 1992 仁濟醫學 Vol.13 No.2
약 5주간에 걸쳐 정신질환자 12명을 대상으로 즉흥적 음악요법과 부분적인 Guided Imagery and Music(GIM)을 실시하였다. 집단음악요법이 정신질환자의 증상호전과 예후 판정에 어느 정도 도움을 줄 것인가에 흥미를 갖고 본 연구를 시도하였다. 그 결과 정신질환자들이 음악요법에서 얻은 음악적 활동의 호전은 정신병적 호전과 거의 병행하여 나간다는 사실을 확인하였다. I have had a trial of the group music therapy in 12 psychiatric patients who admitted in Seoul Paik Hospital since Feb 1992. I observe the on going process of patient's status in group MT, and so can summarize the findings. Resistance which the patients feel about the therapist can be relieves gradually with the supportive and encouraged acceptance through the music process. Also improvisational music play offers the organization and the coordination which remove defensive resistance, and contributes to relieve the symptom. I find that patients can judge the one's self behavior and then change it through the music process. The use of music as a tool of group therapy offers to the members being in the process of group therapy, the experiences of 'here and now' which helps patients learning a technical interpersonal relationship. Conclusively, First, the music therapy is effective as adjunctive method of the psychotherapy. Second, the music therapy would make be easy to observe the thought, behavior and feelings of patients for a psychiatrist or a music therapist. Third, the music therapy would be of benefit for assessing the prognosis of the social adaptation and symptomatological improvement of the patients. Forth, the music therapy would be benefit for establishing the rapport of the doctor·patient relationship. Fifth, the music therapy would of benefit for converting the nonverbal communication such as the depressive mood, social withdrawal and mutistic behavior of the patients to verbal communication. Sixth, the music therapy and dancing therapy would be helpful for the chronified patient who would be required the long term admission for treatment to refresh themselves. Finally, although I have had a few cases, the music therapy may be helpful for the patients who were relatively improved in acute negative symptom such as, negativism, autistic behavior, social withdrawal by antipsychotic medications.
다문화 가족 한국인 남편의 결혼생활 커미트먼트와 가족관계 지속의사의 관계
정영조,박지선,윤정수,김정숙,나카즈마 카즈오 사단법인 한국민족연구원 2013 민족연구 Vol.0 No.55
The purpose of this research is to find out the relationship between the marriage commitment of a multi-cultural family's Korean husband to his married life and the intention to continue his family relations so that we may obtain basic data necessary to give social support to multi-cultural families. The research subjects were 885 Korean husbands of marriage immigrant women who were using multi-cultural family support centers located in A and B provinces. The investigated items consisted of the basic personal information of Korean husband and immigrant wife, each Korean husband's marriage commitment to his married life and the intention to continue his family relations. For statistical analysis, the data of 407 subjects who had given answers to all the items out of the total collected data of the 495 subjects was used. The analysis result shows that, in case of Korean husbands' intention to continue their family relations, affective commitment and behavioral commitment that are subordinate concepts of attitudinal commitment had a statistically significant relation. It was also confirmed that affective commitment had influence on . Korean husbands' intention to cotinue their family relations was explained by 46.3%, while were explained by 47.2%. This result academically practically implies that it is necessary to strengthen and develop programs related to improving married life commitment and of the husband and the wife of a multi-cultural family through the functions of multi-cultural family support centers.
정영조,김진규 인제대학교 1992 仁濟醫學 Vol.13 No.4
본 연구는 1987년 1월 1일 부터 1989년 12월 31일까지 서울백병원 응급실을 통해 신경정신과에 입원한 환자 170례를 대상으로 병력지를 분석정리하여 응급실 및 외래를 통한 입원환자의 재입원 환자수의 비교, 평균재원일수의 비교, 진단별 분류, 응급실 내원 동기, 퇴원시 치료 반응 등을 분석, 연구하였다. The authors investigated the clinical characteristics of 170 neuropsychiatric patients admitted to Seoul Paik Hospital via the E.R. from January 1, 1987 to Decemenber 31, 1989. The results were as follows : 1.The proportion of patients admitted via the E.R. was 23.7% of total neuropsychiatric admissions. 2.The readmission proportin of patients admitted via the E.R. was 32.4% which was higher than the readmission proportion of 24.7% of patients admitted 1 via the O.P.D 3.The average duration of hospitalization of neuropsychiatric patients admitted via the E.R. was 39.4 days which was shorter than the average duration of 48.6 days for patients admitted via the O.P.D. 4.53% of the emergency admission patients were in their twenties or thirties in age. Male to female ratio was 1.02:1. 5.25.9% of the emergency admission patients is were diagnosed as shizophrenia, which was the most frequent diagnosis in all patients. 6.40% of the energency admission patients were discharged within 2 weeks. 7.Presenting porblems, in the order of frequency, were paralysis or numbness of extremities and somatic symptoms, hallucination of paranoid idea, anxiety or panic state. Neurotic symptoms are prominant over psychotic symptoms in chief complaints. 8.17.4% of the emergency admission patients were discharged A.M.A. without satisfactory improvement of symptoms.