사암침법의 정신과적 활용에 대한 질적 사례연구-한 의료기관에 대한 현장연구-
A Qualitative Case Study Research of Application of Saam Five Element Acupuncture in Psychiatry-the Field Study of a Clinic-
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Objectives: To investigate validity and effectiveness of Saam five element acupuncture treatment in psychological problems. Methods: We selected a Korean medicine doctor known to apply Saam five element acupuncture treatment to the psychiatry field. An investigator visited the doctor’s clinic to observe the cases and interview patients. Duration of each interview was 30 minutes to one hour. A semi-structured ques-tionnaire was used for in-depth interviews. All interviews were recorded and converted into texts. Converted texts were then summarized and analyzed qualitatively.Results and Discussion: Treatment process of Saam five element acupuncture designed for psychiatric use is divided into four stages: qi transformation (氣化), acupuncture treatment, deep breathing, and acupressure. In the first stage, patients are asked to express their feelings and emotions in a physical sense; to imagine their feelings have colors, weight, and physical form, and to describe those characteristics. Next, the doctor evaluates each patient’s qi according to the six qi (六氣), and then de-termines protocol of Saam five element acupuncture treatment. This treatment is focused on suffering of the patient and specific symptoms or emotions. The treatment duration is brief and changes in symptoms are frequently checked during treatment sessions. Without discussing details of stressful events, the doctor enables patients to express physical aspects of their feelings. He also provides them with psychoeducational resources. As a result, patients experienced immediate changes in body sensa-tion, emotions and thinking, decreased response to triggers, and increased self-control after treatment.Conclusions: The Saam five element acupuncture treatment has the potential to be used as a treat-ment for psychiatric disorders. Treatment can be effective in managing psychiatric disorders when ap-plied by primary Korean medicine clinics.
Abstract
Objectives: To investigate validity and effectiveness of Saam five element acupuncture treatment in psychological problems. Methods: We selected a Korean medicine doctor known to apply Saam five element acupuncture treatment to the psychiatry field. An investigator visited the doctor’s clinic to observe the cases and interview patients. Duration of each interview was 30 minutes to one hour. A semi-structured ques-tionnaire was used for in-depth interviews. All interviews were recorded and converted into texts. Converted texts were then summarized and analyzed qualitatively.Results and Discussion: Treatment process of Saam five element acupuncture designed for psychiatric use is divided into four stages: qi transformation (氣化), acupuncture treatment, deep breathing, and acupressure. In the first stage, patients are asked to express their feelings and emotions in a physical sense; to imagine their feelings have colors, weight, and physical form, and to describe those characteristics. Next, the doctor evaluates each patient’s qi according to the six qi (六氣), and then de-termines protocol of Saam five element acupuncture treatment. This treatment is focused on suffering of the patient and specific symptoms or emotions. The treatment duration is brief and changes in symptoms are frequently checked during treatment sessions. Without discussing details of stressful events, the doctor enables patients to express physical aspects of their feelings. He also provides them with psychoeducational resources. As a result, patients experienced immediate changes in body sensa-tion, emotions and thinking, decreased response to triggers, and increased self-control after treatment.Conclusions: The Saam five element acupuncture treatment has the potential to be used as a treat-ment for psychiatric disorders. Treatment can be effective in managing psychiatric disorders when ap-plied by primary Korean medicine clinics.
참고문헌 (19)
- Cho SH, "The Systematic Research of Saam Acupuncture", pp.1~446 (2009), Seongbo Publisher
- Kim DH, "(Do Hae Kyo Kam) Sa-Ahm's acupuncture method", pp.1~250 (2001), Sogang
- Kim HK, "Revolution of Eastern Medicine (Outline)", pp.1~710 (1989), Sinnongbaecho Publisher
- 정유옹, "사암침법의 전통과 독자성에 관한 연구", Korean Journal of Acupuncture, 29(4), pp.537~553 (2012), 경락경혈학회
- Ko MY, "Qualitative case study research", pp.1~264 (2009), Chongmok Publisher
- Lee NI, "Phenomenology and qualitative research (A prospect of applied phenomemology)", pp.1~414 (2014), Hangilsa
- 최우진, "화병에 대한 사암침 심포정격의 치료 효과 : 환자-평가자 눈가림, 무작위배정 대조군 임상시험", 동의신경정신과학회지, 22(2), pp.1~13 (2011), 대한한방신경정신과학회
- 정인철, "화병의 핵심증상에 대한 사암침 심정격 치료의 효과", 동의신경정신과학회지, 19(1), pp.1~18 (2008), 대한한방신경정신과학회
- 김효주, "한방치료와 수면제한요법으로 호전된 불면증 치험례", 동의신경정신과학회지, 18(3), pp.277~287 (2007), 대한한방신경정신과학회
- Judith S. Beck, "Cognitive therapy : basics and beyond", pp.1~468 (2017), Hana Medical Publisher
- 최우진, "한의학의 정신 생리와 병리에 대한 소고 -황제내경의 오신, 칠정을 중심으로-", 동의신경정신과학회지, 29(1), pp.21~34 (2018), 대한한방신경정신과학회[DOI]
- 전용주, "『太極圖說』의 太極과 無極에 대한 새로운 解釋", 유교사상문화연구, (53), pp.49~78 (2013), 한국유교학회[DOI]
- 김정호, "긍정심리학과 한의학", 동의신경정신과학회지, 19(3), pp.1~22 (2008), 대한한방신경정신과학회
- Barlow J, "Self-management approaches for people with chronic conditions: a review", Patient Education and Counseling, 48(2), pp.177~187 (2002)[DOI]
- Bodenheimer T, "Patient Self-management of Chronic Disease in Primary Care", JAMA, 288(19), pp.2469~2475 (2002)[DOI]
- Lorig KR, "Chronic disease self-management program: 2-year health status and health care utilization outcomes", Medical care, 39(11), pp.1217~1223 (2001)[DOI]
- Clark NM, "A model of self-regulation for control of chronic disease", Health Education & Behavior, 41(5), pp.499~508 (2014)[DOI]
- Barlow JH, "A review of self-management interventions for panic disorders, phobias and obsessive-compulsive disorders", Acta Psychiatrica Scandinavica, 111(4), pp.272~285 (2005)[DOI]
- Ciuca AM, "Internet-based treatment for panic disorder: A three-arm randomized controlled trial comparing guided (via real-time video sessions) with unguided self-help treatment and a waitlist control. PAXPD study results", Journal of Anxiety Disorders, 56, pp.43~55 (2018)[DOI]