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        Gilles de la Tourette氏 病의 一例

        徐光潤,朴魯澤 大韓神經精神醫學會 1969 신경정신의학 Vol.8 No.1

        A clinical syndrome consisting of multiple tics was frist 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 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 supposed to be that this boy deloped hysterical and obsessive-compulsive defenses simultaneously.

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        産後 精神障碍에 對한 臨床的 考察

        徐光潤,吳吉成,朴魯澤 대한신경정신의학회 1969 신경정신의학 Vol.8 No.1

        This study is to investigate the basic clininical phenomena of the 17 female patients with postpartum, mental disorders in Korea, who were treated in the Department of Neuro-Psychiatry, W oo Sok University Medical School Hospital during the period from March 1st, 1963 until September 30th, 1968. The results obtained were as follows: 1) According to the clinical diagnostic categories, these 17 cases were divided into 9 cases of psychoneurosis, 4 cases of psychotic depression, 2 cases of pseudoneurotic schizophrenia and 2 cases of schizophrenia 2) Eight cases occured in primipara, 5 cases in multipara and the others in each postpartum setting. 3) Most of them (I3cases) developed their mental disorders during I week period after delivery. 4) Their clinical symptoms were similar to those of mental disorders which were not associated with parturition. In addition, about half o f . these cases characteristically manifested somatic symptoms such as lumbago and coldness of the extremities. 5) As to their premorbid personality, 7 had hystericl, 5 depressive, 3 schizoid, 1 paranoid and I psychopathic personality make-up. 6) Thrughgoing anamnesis revealed that they had difficulties in their relations with parents and siblings in early childhood and later in their marital life. 7) As to their attitudes toward the babies,about half of them expressed the feelings of over-concern, frank rejection or guilt about their infants.

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