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백영석,최상철 圓光大學校 醫科大學 神經精神科學敎室 1999 圓光精神醫學 Vol.15 No.2
남성 성기자해는 매우 드물다. 저자들은 부엌칼로 자신의 성기를 자른 29세 미혼 남자 정신분열병 환자에 대한 사례를 기술하였다. 환자는 9년 전에 농약을 먹고 자살을 기도한 기왕력이 있다. 저자들은 환자의 자해행동은 오랫동안 해온 자위행위에 대한 죄책감을 속죄하기 위한 불완전한 자살 기도로 이해하였고 매춘부와의 성경험에서 반복된 조루증으로 인하여 생긴 무가치감 때문에 행하여 졌을 것으로 결론을 내렸다. 환자는 그런 일이 있은 후에 곧 안정되었고 성기 상실에 대하여 후회하지 않았다. 합병증 없이 성기는 복원되었고, 기능적으로나 구조적으로 거의 회복되었다. 환자의 자해행동이 정신병적, 상태와 우울증 상태에서 일어났음에 틀림없다는 것을 시사한다. 환자의 핵심 감정은 허전한 느낌이고 일생을 통하여 감정적으로 부모 박탈을 경험하였을 것이고 부모에 대한 거대한 적대감을 갖고 있다고 생각한다. 앞으로 저자들은 자위행위에 대한 죄책감을 덜어주고 정신역동적 지지 정신치료와 정신약물치료, 적절한 성교육과 성치료, 가족치료 등을 환자에게 제공하여야 할 것이다. Male genital self-mutilation is very uncommon. We describe a 29-year-old single man with schizophrenia who cut off his penis with a kitchen knife and nine year ago attempted suicide with agricultural chemical. We concluded this act of self-muntilation may be understood as an attempted partial suicide to atone for guilt feeling about longstanding masturbation and be done owing to the feeling of worthiessness as a result of repeated premature ejaculations in sexual relationship with prostitutes. After the act the patient relived soon and did not regret the loss of his penis. Successful reunion was possible and there are no complications, and his penins was almost recovered functionally and structurally. We suggest that the act of self-mufilation must have been done in both psychotic and depressed state. We think his nuclear emotion is the feeling of emptiness, and so he has experienced emotionally parental deprivation through life and got the huge hostility to his parents. And give him psychodynamically oriented supported supportive psychotherapy, psychopharmacotherapy, apprepriate sex education and sex therapy, family therapy, and so on
백영석 圓光大學校 醫科大學 神經精神科學敎室 1994 圓光精神醫學 Vol.10 No.1
저자는 아버지와의 갈등 속에서 방황하는 한 남자 대학생을 단기치료로 성공적으로 치료하였기에 보고하는 바이다. 11번의 개인 면담과 1번의 가족 면담을 시행하였으며 치료 중에 이 사례에 대하여 4번의 정신치료 개인지도를 받았다. 저자는 치유인자로서 공감이 가장 중요하다는 것을 깨달았다. The author has tried brief therapy for one wandering male college student with the father-son conflicts. The patient made good therapeutic progress and outcome as a result. Eleven psychotherapeutic interviews and one family interview were made and four psychotherapy individual supervisions were done by Dongshick Rhee during the treatment. The author found that empathy is the most important curative factor.
Haloperidol Decanoate 유지치료와 주체외로증상
백영석,박강규,김광일 대한신경정신의학회 1989 신경정신의학 Vol.28 No.4
For the purpose of evaluating clinical problems of extrapyramidal side effect(EPS) from haloperidol decanoate, fifty three chronic schizophrenic inpatients were switched abruptly from oral maintenance therapy to haloperidol decanoate and the EPSs were evaluated by the DiMascio Scale for 12 weeks. Haloperidol decanoate was injected every 4 weeks, with dosages of 15 times of oral haloperidol dosages. In the cases of oral antipaychotic medication other than haloperidol, the dosages of oral haloperidol were calculated by Suy’s Conversion Table. Overall incidence of EPS including very mild cases was 68 percent ; parkinsonism, 66 percent •• akathisia, 57 percent: and dystonia, 32 percent. Ninety percent of EPSs appeared within 2 weeks after the first haloperidol decanoate injection. Severity of EPS was mild ; only 4 cases were dropped out because of their EPS. Antiparkinsonian drug was necessary for the management in 60 percent of the sample. All the cases except one could be controlled by the antiparkinsonian drug. After 10 weeks medication, the antiparkinsonian drug was abruptly withdrawn. The EPS reappeared in 83 percent within 2 weeks. The date of first appearance of EPS was 9.0 (± 11.1) days after the first injection. The EPSs were more prevalent in the cases of shorter duration of previous oral antipsychotic medication and in the cases with history of EPS by previous oral medication. Consquently, this study suggests that EPS due to haloperiodol decanoate is not so serious in incidence and severity in comparison with oral antipsychotics. Early abrupt withdrawal of antiparkinsonian drug seems to be undesirable. Careful observation should be done in the cases with EPS history by previous oral antipsychotics and in the fresh cases.