학술논문
Gilles de la Tourette 氏 病의 一例
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- 영문명
- A CASE OF GILLES DE LA TOURETTE ’S DISEASE ”
- 발행기관
- 대한신경정신의학회
- 저자명
- 徐光潤 朴魯澤
- 간행물 정보
- 『신경정신의학』제8권 제1호, 73~77쪽, 전체 5쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1969.03.01
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국문 초록
영문 초록
A clinical syndrome consisting of multiple tics was
first mentioned by Itard in 1825 and subsequently
recorded in greater detail by Gilles de la Tourette.
He defined it as a “nervous affliction characterized
by motor incoordination accompanied by echolalia and
coprolalia.” It has since become known by his name.
In this paper, a case of Gilles de la Tourette’s disease
that was observed in a Korean boy, aged 14 was presented.
The characteristic features of this case were as follows:
1) His illness began at the age of 9. Characteristic
symptoms consisting of multiple tics of the face,
shoulder and extremities accompanied with vocal
tic were observed, and also the episodes of echolalia
and coprolalia could be revealed by anamnestic history.
2) The family and developmental history revealed that
the parental role was characterized by domineering,
rejecting and castrating one, and the sibling
relationship was also competitive and rival. In this
family situation, the boy developed neurotic personality
structures with obsessive feature during his early part of life.
3) In treatment, psychotherapy and the use of prop
itan, a butyrophenone derivative brought to considerable effect.
4) From the genetic and dynamic view point, it was
supposed that the overwhelming anxiety originated
from frequently coerced separations from both
of his parents since his early childhood, the castrating
fear which was reinforced by his mother in
later childhood and the mothering hostility and
guilt fostered by these experiences were the most
important factors. In his symptomatic dealing with
these anxiety, hostility and guilt, it was also supp-osed to be that this boy deloped hysterical and ob-
sessive-compulsive defenses simultaneously.
목차
서 언
증 례
고안 및 총괄
결 어
References
키워드
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