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한의학 정신요법을 이용한 소아 전환장애 환자 1례 - 至言高論療法, 지지적 정신치료와 행동치료 -

A Case Report about Treatment of Childhood Conversion Disorder with Psychotherapy of Oriental Medicine -The Giungoroen(至言高論), Supportive Psychotherapy and Behavioral Therapy-

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Objectives : This case report presents a 7-year-old female patient diagnosed with conversion disorder improved by application of oriental medical psychotherapy, the Giungoroen. Her chief complaint was dysesthesia of anal. Methods : Through interview and several psychological testing such as HTP test, DAF test, JTCI 7-11, we assessed her psychological state and seek for the psychological reason induced her physical symptom, dysesthesia of anal. After assessment we concluded her main psychological problem was loss of love relationship with her parents. So we decided to use supportive psychological therapy and behavioral therapy-like changing upbringing attitudes of her parents, for example- with Herbal medicine treatment. Results : After 2-month of therapeutic period, chief physical symptom of patient-dysesthesia of anal-was reduced to 20% compared with first visit day. Conclusions : The Giungoroen corresponds to supportive psychotherapy and behavioral therapy. And this oriental medical psychotherapy is fairly effective on the treatment of conversion disorder in childhood.

Abstract

Objectives : This case report presents a 7-year-old female patient diagnosed with conversion disorder improved by application of oriental medical psychotherapy, the Giungoroen. Her chief complaint was dysesthesia of anal. Methods : Through interview and several psychological testing such as HTP test, DAF test, JTCI 7-11, we assessed her psychological state and seek for the psychological reason induced her physical symptom, dysesthesia of anal. After assessment we concluded her main psychological problem was loss of love relationship with her parents. So we decided to use supportive psychological therapy and behavioral therapy-like changing upbringing attitudes of her parents, for example- with Herbal medicine treatment. Results : After 2-month of therapeutic period, chief physical symptom of patient-dysesthesia of anal-was reduced to 20% compared with first visit day. Conclusions : The Giungoroen corresponds to supportive psychotherapy and behavioral therapy. And this oriental medical psychotherapy is fairly effective on the treatment of conversion disorder in childhood.

참고문헌 (10)

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  3. 오덕원, "전환장애의 치료와 관리", 한국전문물리치료학회지, 4(2), pp.78~ (1997)
  4. 김근우, "至言高論에 의한 韓醫學的精神治療에 對한 硏究(醫案을 중심으로)", 동의신경정신과 학회지, 12(1), pp.29~45 (2001)
  5. 이승기, "인지치료와 한방정신요법", 동의신경정신과 학회지, 11(2), pp.169~175 (2000)
  6. 미국정신의학회, "정신장애의 진단 및 통계편람.제4판", pp.588~595 (1995), 하나의학사
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  8. 전국한의과대학 신경정신과 교과서편찬위원회, "한의신경정신과학.1판", pp.189~196 (2007), 집문당
  9. 신민섭, "그림을 통한 아동의 진단과 이해-HTP와 KDF를 중심으로-.2판", pp.49~167 (2009), 학지사
  10. 민병배, "기질 및 성격검사 매뉴얼", pp.6~33 (2007), (주)마음사랑

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