만성 정신분열증 환자의 난폭행위에 대한 임상적 고찰

• 영문명: VIOLENT BEHAVIOUR IN CHRONIC SCHIZOPHRENIA
• 발행기관: 대한신경정신의학회
• 저자명: 윤명자 김용식
• 간행물 정보: 『신경정신의학』제19권 제3호, 181~188쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1980.08.31

영문 초록

Violent behaviors of hospitalized chronic schizophrenics between Jan. 1 and Mar. 15, 1980 in National Mental Hospital were studied. In the total sample of 253 schizophrenics, 143- patients were found who had a previous history of violent behavior at some time during their illness. 113 cases out of the 143 patients were intensively studied for d ata concerning clinical features, psychopathological setting, timing and stage of illness in which the aggression occurred, the people against whom the violent acts were directed. The results were as follows： 1. Violence was a leading symptom responsible for the hospitalization of 82 patients; corresponding to 41% of the total schizophrenics. 2. The firs t violent acts were made during onset in 45 cases (39.8%) and in 92 cases (81.5%), within three years since the first acute episode. 3. Violent acts occurred during the active phases of psychosis, typically at onset and during subsequent exacerbation in 75 cases (66.4%), and in 8 cases (7.1% ), during the quiescent phases in response to rejection by their family. In 30 cases (26.5%) violent acts occurred both during active and quiescent phases. 4. First degree relatives, especially the females were the prime targets of violent acts. Among married patients the spouse was the most frequent victim. 5. 31 patients, i.e. 15.5%, of the total schizophrenics made at least one suicidal attempt during their illness, and two fold more women than men attempted suicide. 6. Most common psychopathological motivation was a setting of delusional misperception, not system atized. Then came sudden explosive attacks in frenzy and auditory hallucination in that order.

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