학술논문
한국 농촌지역의 신경증 환자에 관한 예비조사
이용수 4
- 영문명
- PRELIMINARY SURVEY ON THE NEUROTIC CASES IN A KOREAN RURAL COMMUNITY
- 발행기관
- 대한신경정신의학회
- 저자명
- 李正浩 金光曰
- 간행물 정보
- 『신경정신의학』제14권 제1호, 15~24쪽, 전체 10쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1975.01.30
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국문 초록
영문 초록
Facing the fact that many papers have been out reporting that the mentally ill in Korea express their
psychological conflicts through physical symptoms, resulting in many obstacles in psychiatric practice
in Korea, the authors tried to evaluate the degree and modes of the physical expression in rural neurotic
cases and to correlate the mode of expression with the relevant sociocultural background.
Fifty three neurotic cases were collected from 579 out-patients in a County general hospital in U l-Jin、
Kyung-Book during six months from April 1, to September 30. 1974.
Mean age was 34. S7±10. 92 years with the range from 16 to 63 years of age. Those in 30s were the
most frequent age group. The group of specified neurosis accounted for 51% of all the subjects.
Forty nine% of all the subjects were unspecified’ neurosis manifested by vague somatic symptoms
without definable anatomico-physiological basis or even in case of the presence of psychological symptoms,
not by purely identifiable but very ambiguous, unfamiliar psychological symptoms. All the symptoms
complained by the subjects were 180 in number.
The symptoms could be devided into two large categories; somatic complaints in 79.5%, and psychological
complaints in only 20.5% Mean number of complaints presented by each patient was 3.4-
Somatic complaints were noticed significantly more often in female subjects than in males at the level
of P<0.01. while psychological ones were found significantly more in male subjects than in females
also at the level of P<0.01. Intrafamilial interpersonal relationship was the precipitating factor in
51%, and those with unidentifiable factors occupied 37.7%.
In the authors,discussion, the finding that soma tic complaints exceeded the psychological ones was
attributed firstly to the traditional social attitude inhibiting verbal expression of one’s emotion, while
accepting it s somatic expression, and secondly to the traditional projective tendency in concept of di’
sease. Moreover, the startling abundance of unspecified neurosis was attributed to the peculiar concept
of Han-bang that facilitated projection of all emotional conflicts unto the soma with it’s vague anat-
omico-physiological knowledge, as well as foregoing traditional cultural climate in Korea.
In their finding, intrafamilial interpersonal relationship was the most frequent precipitating factor
and the next was cases with no apparent precipitating fators. In this regard, too tight social and emotional
ties must play an important role. Values of the individual has been sought, not in himself,
but in units of family or community, not in himself, but in we On the other hand, traditional extended family
system which is still prevalent in Korean rural society has it’s role. Social authoritarianism derived
from the large family system forces individuals to obey to authoritative figures i. e ., to fathers, to
husbands, ancestors and for the sake of family reputation and. dignity. Then the individuals must
sacrifice, and repress their own needs, even the need to speak out their own emotional conflicts.
Lastly, restriction of social activities should be accounted for. Majority of them are engaged in farming
profession, hence all the family spend most of the time, mixing only with themselves, under the
pressure of traditional authoritarianism. Any other personal relationship is inhibited. Then it seems
quite natural to result in the phenomena cited above;
intrafamilial relationships accounted for more than half of all precipitating factors and more than one
third could not verbalize their inner conflicts directly.
목차
머 릿 말
연구대상 및 방법
조사지역 개요
조 사 결 과
고 안
맺 는 말
REFERENCES
키워드
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