학술논문
히스테리 신경증과 과거 16년간의 증상양상의 변화에 관한 연구
이용수 10
- 영문명
- HYSTERICAL NEUROSIS AND THE CHANGES IN ITS SYMPTOM PATTERN FOR LAST 16 YEARS
- 발행기관
- 대한신경정신의학회
- 저자명
- 민성길 서신영
- 간행물 정보
- 『신경정신의학』제18권 제1호, 75~81쪽, 전체 7쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1979.01.30
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국문 초록
영문 초록
A clinical study, reviewing the chart of 159 inpatients suffering from hysterical neurosis in
Yonsei Medical Center during two periods, 1959 to 1962 and 1976 to 1978, was conducted to
study the characteristic clinical feature of hysteria and the change in its prevalence and in the
pattern of conversion symptoms for last 16 years
between the two periods. The results revealed;
1. The frequency of the hysterical neurosis was not changed between two periods. E ighty
three of them were females, but numbers of males were increasing. Most patients were in
their 20s and 30s and the ir average age of onset was becoming younger (table I ) .
2. Generalized convulsion was the most frequent chief complaint. Others were paralysis, paresthesia,
headache, dyspnea, pain and G-I troubles. The dissociation smyptoms were rare.
No significant change was noted in the pattern of the chief complaints for the past 16 years
(Table 2).
3. In average, a patient complained 4 to 5 conversion symptoms. The females complained
more than the males did. The average number of symptoms was increasing. Pain was the
most frequently complained symptom, and also the symptoms of autonomic nervous system,
especially gastrointestinal symptoms, were increasing. So it can be reasonably stated that
the classical form of hysterical symptom is declining. The males complained more of
paralysis and dizziness, while the females complained more of pain, fainting, globus
hystericus, aphonia and itching sensation of sex organs.
4. In many patients, other neurotic symptoms such as anxiety, depression, hypochondria or
fear were combined, but la belle indifference.
was rather URCommon. Regarding to In premcrbid personality, hysterical personality was
most common and also found were obsessivecompulsive
and schizoid ones. The most common precipitating factor was considered
to be sexual problems and also included were the conflicts with motherin-law and other life
stresses. Conflicts with mother in law, financial failure, and; failure in college mtrance
examination were seemingly increasing in number as a precipitating stress in the recent
years, w hich was to reflect the recent changes, in social valuse system.
5. It was noted that there was some symbolic correlations between the particular somatic
symptoms and the co-existing psychological symptoms, premorbid personality and the
precipitating factors, suggesting some dynamic processes invplved in patient’s selecting of
conversion symptom.
목차
서 론
연구대상 및 방법
연구 결과
고 찰
결 론
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