학술논문
홧병(火病)의 개념에 대한 연구
이용수 187
- 영문명
- A Study of the Concept of Hwabyung
- 발행기관
- 대한신경정신의학회
- 저자명
- 민성길
- 간행물 정보
- 『신경정신의학』제28권 제4호, 604~616쪽, 전체 13쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1989.07.31
4,360원
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국문 초록
영문 초록
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 pushingup
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
목차
서 론
연구대상 및 방법
연 구 결 과
고 찰
결 론
References
키워드
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