한국무속의 ‘신병’에 대한 진단분류연구

• 영문명: Nosological Study of Shin-Byong(the Initiation Sickness) in Korean Shamans
• 발행기관: 대한신경정신의학회
• 저자명: 서동혁 유회철 신민섭 이부영
• 간행물 정보: 『신경정신의학』제35권 제6호, 1386~1394쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1996.11.30

영문 초록

To study nosologically the Korean shaman s initiation sickness, Shin-Byong’，the authors investigated 29 shamans with Symptom Check List-90-R(SCL-90-R) and questionnaire without visiting and interviewed 70 shamans using SCL-90-R, questionnaire and The Schedule for Affective Disorder and Schizophrenia-Lifetime(SADS-L). All shamans were located in Seoul. The results were as follows ： 1) Among symptom groups of SCL-90-R, Shin-Byong were associated with higher scores in depression, somatization, psychoticism and hostility group in descending order. 2) With DSM- HI -R classification, 87.2% of Shin-Byong，cases were mood disorders. Another 8.6% of cases were somatization and dissociative disorders and two disorders were related with dissociative phenomenon. Considering the diagnosis of manic episodes in this study, it seems to be a part of dissociative phenomenon, Shin-Byong’ is the syndrome that is mainly composed of depression and disorders which are related with dissociative phenomenon. 3) Shamans have teleologic thinking that Shin-Byong is the phenomenon to receive spirits and diagnose intuitively. They think the main therapeutic method is recieving spirits, In conclusion, Shin-Byong’ isn t a real disease entity but it is a shamanistic disease concept transformed during the shamanistic therapeutic process for depression patients with high dissociative tendency and dissociative disorder

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키워드

Shamanism Shin-Byong Diagnostic classification Depression Dissociation