精神病患者의 妄想에 關한 硏究 = Studies on delusions in Korean psychotic patients

다국어 초록 (Multilingual Abstract)

Studies of delusions have previously been reported by various authors and were valued as basic contributions to the fields of clinical psychiatry -and of psychopathology.
The attempt in this study is to show the frequency of the appearence of delusions and their relationships with, age, occupation, educational level, religion and marital status, and themes of delusion in each clinical types of psychoses in Korea, a country with acutely changing culture toward industrialization.
The themes of delusion were divided into 9 themes, including delusions of persecution, reference, grandeur, infidelity or jealousy, religion, erotic, influence, diffusion, and depression.
The subjects in the study were 1,466 cases of various pschotic patients who were diagnosed at the Department of Neuropsychiatry, Woo Sok Hospital from Jan. 1968 to Dec. 1972.
The results were as follows;
1. Six hundred sixty seven cases revealed more than one kind of delusions out of the total 1,466 psychotic patients, and the frequency of delusions according t o the clinical types revealed that the schizophrenic patients had the highest rate of 69.0% (452 cases).
2. As to the themes of delusion it was revealed that the delusion of persecusion was the highest rate of 37.0% and the delusion of reference (14. 1%), grandeur (10.6%), illness (7.8%), infidelity (7.5%), guilt (4.9%), and religion (3.9%) were the higher rate in this order.
3. As to the mean age of delusional psychotics, the schizophrenics were youngest (male 29.4 and female 29.6), and the psychoses associated with organic brain syndrome were oldest (male 44.4 and female 33.6).
According to the themes of delusion, erotic and diffuse ones were revealed at younger age, and poverty, religion. illness, and infedility were revealed at older age.
4. As to the occupational distribution, the jobless cases including students and house-wives occupied the highest rate.
5. The educational distribution generally revealed that the male patients showed much higher educational level than female patients. According to the themes of delusion, the patients with the delusions of depression and reigion had lower educational levels, the patients with the delusions of poverty, guilt, infuluence and grandeur had higher educational levels.
6. As to the relgious distribution, the non-religious cases occupied higher rate than the religious cases.
7. As to the marital status, the married cases occupied 55.9% of all of the delusional psychotics. According to the themes of delusion, the delusion of infedility, religion and depression were more frequently observed in the married cases, and the delusions of grandeur, erotic and reference were most strikingly observed in the unmarried females.
8. The distributions of the objects and contents of delusion were as following, in the delusion of persecution the unfamiliar (vague) person was the highest rate of 30.8% and the family member (22.3%) and the neighbour (17.0%) were higher rate, then followed the criminal investigator, poison, and political agent, in the delusions of reference the vague person was the highest rate of 62.8'%, and in the delusions of grandeur 42.3% of them identified with currently acting political persons, then omnipotent one, erotomanic one, financial power and unusual inventor.
9. From all of these results, the author might will suggest that the themes and contents of delusions are influenced by their social, cultural and other environmental factors and the change of times.

목차 (Table of Contents)

• Ⅰ. 緖論
• Ⅱ. 調査對象 및 方法
• 1. 調査對象
• 2. 調査方法
• Ⅲ. 調査結果
• 1. 臨床型別 忘想의 發現頻度
• 2. 忘想患者의 年齡과 臨床型
• 3. 臨床型別 忘想主題
• 4. 精神分裂症 각 臨床型別 忘想主題
• 5. 年齡과 忘想主題
• 6. 職業과 忘想主題
• 7. 敎育程度와 忘想主題
• 8. 宗敎와 忘想主題
• 9. 結婚狀態와 忘想主題
• 10. 忘想主題別 對象과 主題에 關한 分類
• Ⅳ. 考按
• Ⅴ. 結論
• 參考文獻