임신 및 산후 우울증

김율리,Kim, Youl-Ri 한국정신신체의학회 2007 정신신체의학 Vol.15 No.1

The pregnancy and postpartum period appear to be a time of heightened vulnerability for the development of major depression in some women. Postpartum depression affects 10% of women within a few weeks immediately postpartum. Postpartum depression is associated with disturbances in the mother-infant relationship, which in turn have an adverse impact on the course of child cognitive and emotional development. Depression during pregnancy is also common, although it has been relatively neglected. Psychopathological symptoms during pregnancy have physiological consequences for the fetus. Understanding the aetiology of perinatal depression requires integrating of multiple psychosocial and biological risk factors. The treatment of depressed pregnant women requires skilled decision making by psychiatrists. Risk-benefit analysis is appropriate method for intervention fur depression in pregnancy. Effective treatments for depression in pregnancy include psychotherapy, antidepressant medication and electroconvulsive therapy. In treatment of postpartum depression, the biological, psychological, and social interventions are included. Prescribing antidepressants(such as fluoxetine), estrogen in severe and chronic cases, and counselling can be effective for improving maternal mood and aspects of infant outcome. Ongoing research is directed to further elucidating neurohormonal and psychosocial contributions to depression during pregnancy or postpartum. Screening for risk factors and symptoms for depression need to be incorporated into antenatal and pediatric clinics.

섭식장애 및 비만의 중독적 측면

김율리,조소현,문정준 대한신경정신의학회 2012 신경정신의학 Vol.51 No.1

The aim of this literature review was to evaluate the hedonic aspect of eating-related disorders. Addiction research has implications for the study of eating disorders and obesity and therefore, we collated and summarized recent clinical and neuroscience findings in regard to the “wanting” or “liking” aspect of eating disorders and obesity. The addictive personality is prone to substance dependence and these personality types are also known to be susceptible to binge eating. The biological framework underpinning the hedonic aspect of abnormal eating behavior has two components: 1) the incentive component of “wanting” or, in its extreme, craving feeling involving the dopaminergic system, and 2) the pleasure or “liking” network involving the opioid and cannabinoid systems. The hedonic system is not merely related to food, but is part of a global organizational unit governing behavioral choices. In general, patients with anorexia nervosa (restricting) were less sensitive to reward, whereas patients with bulimia nervosa (binge/purge) were more sensitive to reward. People with obesity tended to be more sensitive to food as a reward, a function which involves the dopamine system. While recognizing the addictive aspect of abnormal eating behaviors, we have provided treatment recommendations with respect to these disorders and obesity. 섭식장애 및 비만의 중독적 특징을 충분히 이해함으로써,일시적으로 표면적인 문제 섭식행동을 교정하는 것뿐 아니라 중독행동 이면의 신경 생물학적 충동(urge)을 다루기 위해 전 생애에 걸친 꾸준한 노력과 습관의 형성이 필요하다. 특히 임상 장면에서 강박적인 폭식 및 과식자들은 음식 섭취를 통해 좋은 맛, 혈당 상승을 통한 에너지 증가, 기분 개선등의 보상을 얻으며 음식을 삶의 유일한 즐거움의 원천으로보고하는 경우가 많은데, 이는 섭식장애 환자들의 문제 섭식의 이면 기제를 이해하는데 도움이 된다. 폭식 및 과식 문제의 치료에서 환자가 음식이 주는 이러한 보상 효과를 명확히지각하고 기쁨과 보상의 원천으로서 음식의 대안을 찾는 과정은, 일시적인 변화가 아닌 장기적으로 지속되는 변화를 이루는데 필수조건이라 할 수 있다.3) 약물 중독자에게 많이 사용하는 단서 노출 반응 방지(cue exposure with response prevention)도 주목할 만한 치료법이다.77,78) 이 치료에서는음식과 관련된 자동적 행동 습관을 해제하기 위해 조건화된자극과 행동 간의 연결 반응을 방지하게 된다. 이러한 치료는 소규모지만 외국의 다양한 연구들에서 대식증 및 약물남용자들의 치료에서 효과가 확인된 바 있으므로, 향후 국내의 섭식장애 및 비만 환자의 치료에 있어 적용해 보는 것도의미 있을 것으로 생각된다.

다니구치 마사하루의 생명관 - 세이초 노이에의 중절반대운동을 중심으로 -

김율리 한국일본사상사학회 2025 일본사상 Vol.- No.49

본 논문에서는 1960년대부터 1980년대 초반까지 일본에서 인공임신중절 반대운동을 전개한 신종교 단체 세이초노이에와 그 창시자인 다니구치마사하루의 생명관에 대해 고찰한다. 1945년 패전을 맞이한 일본에서는 경제 재건을 위해 인구를 억제해야한다는 주장이 제기되었고, 이에 따라 1948년 우생보호법이 제정되며 인공임신중절이 사실상 자유로워졌다. 그러나 1960년대 들어 중절을 규제해야한다는 주장이 시작했는데, 이 시기의 일본 사회에서 중절 반대 운동을 주도한 단체가 신종교 세이초노이에이다. 세이초노이에의 창시자 다니구치 마사하루는 신비체험을 통해 인간은 신의 자녀이며, 생명 탄생은 신의 의지라는 진리를 깨달았다고 주장했다. 그는 생명을 살리고 기르려는 신의 의지를 거스르는 중절을 그릇된 행위로 간주하고, 종교교리를 설파하며 죽은 태아를 기리는 종교의례를 시행했다. 이러한 주장과 종교 행위는 중절이 인간 생명인 태아를 죽이는 행위라는 인식을 확산시키는데 기여하였다. 한편 극우주의자로서의 면모도 가진 다니구치는 국가를 하나의 생명체로 이해했다. 1960년대 고도성장기에 접어들면서 일본 사회는 노동력 부족과 인구 고령화로 인한 국가 활력 쇠퇴에 대한 우려가 커졌다. 국가를 하나의 생명체로 이해한 다니구치의 주장은 이러한 우려와 합치되며 힘을 얻게 되었다. 그는 중절을합법화한 우생보호법의 폐지를 위한 정치조직을 결성하며 1960년대부터 1980년대 초반까지 일본의 중절 논쟁에서 핵심적인 역할을 하였다. This paper examines the anti-abortion movement in Japan from the 1960s to the early 1980s, with a particular focus on Seicho-No-Ie, one of the Japanese new religions, and its founder, Taniguchi Masaharu, especially in relation to his views on the sanctity of life. After Japan’s defeat in 1945, population control was widely advocated as essential for economic reconstruction. In response, the Eugenic Protection Law was enacted in 1948, effectively legalizing abortion. However, by the 1960s, calls for stricter abortion regulations began to emerge. Among the most prominent actors in this emerging anti-abortion movement was Seicho-No-Ie, which played a pivotal role in shaping Japan’s anti-abortion discourse. Taniguchi Masaharu, the founder of Seicho-No-Ie, claimed to have attained spiritual insight through mystical experiences. He believed that human beings are children of god and that the birth of life represents divine will. Taniguchi condemned abortion as a morally wrong act that defies god’s intention to preserve and nurture life. He disseminated this religious doctrine while also conducting rituals to commemorate aborted fetuses. These teachings and practices contributed significantly to promoting the belief that abortion constitutes the taking of human life. Furthermore, Taniguchi espoused an ultranationalist ideology, perceiving the nation as a living organism. In the postwar period of rapid economic growth, societal concerns about labor shortages and the aging population intensified. Taniguchi’s organicist conception of the state aligned with these anxieties and gained influence. He established a political organization advocating for the repeal of the Eugenic Protection Law and played a central role in Japan’s abortion debates from the 1960s through the early 1980s.

일본의 ‘안락사 사건’과 안락사에 대한 논의

김율리 서울대학교 일본연구소 2023 일본비평 Vol.- No.29

This paper analyzes the “euthanasia trials” that have attracted attention in Japanese society from the postwar period to the present, categorizing them into three types and examining the characteristics of each. It then investigates the current debate over euthanasia in Japan. In the first type of euthanasia trial, euthanasia is performed by a family member at the request of a patient experiencing excruciating pain. In the second type, it is performed by a doctor at a hospital without the patient’s request. In the last type, the patient themselves searches for methods of euthanasia through the internet and social media. The change in the types of euthanasia trials is partly due to changes in the society and the medical environment, but it can also be attributed to an increased discussion of what constitutes “good death” and the emphasis on patient’s right to self-determination. By 2030, it is expected that 30% of Japan’s population will be the aged. Examining the direction in which the debate on “how to die” and “good death” will progress in Japanese society would provide a clue for solving problems faced by South Korea, which is experiencing more accelerated population aging than Japan.

섭식장애의 신체적 이상과 치료

김율리 대한의사협회 2018 대한의사협회지 Vol.61 No.3

As the physical abnormalities seen in eating disorders seem to be largely secondary to these patients' disturbed eating habits and their compromised nutritional state, most physical abnormalities associated with eating disorders are reversed by restoring healthy eating habits and sound nutrition. However, some medical consequences of eating disorders are irreversible or have later repercussions on health, especially those affecting the skeleton, the reproductive system, and the brain. Early medical intervention and psychiatric treatment are particularly important for those with or at risk of severe emaciation. Eating disorders are common among adolescent girls and young women and are associated with potentially serious medical complications, yet they often go undetected and untreated. All patients with eating disorders should be evaluated and treated for medical complications of the disease at the same time that psychotherapy and nutritional counseling are undertaken.

신경정신의학의 지향점에 관하여 : 독창성과 과학적 신뢰성

김율리 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.5

Objectives : How dose the Journal of Korean Neuropsychiatric Association reconcile both the essential companion in clinical practice and the leading academic journal of general psychiatry? Methods : I have been involving 2 projects of the British Journal of Psychiatry (BJP), the leading international journal of general psychiatry. The first is a compaiison between papers that are seen by referees who are willing for their names to be closed to the authors of previous papers and those who do not wish their names to be closed. The second involves the rejection rates and long-term outcome of papers submitted from low and middle income countries (LAMI) Results : Many referees of BJP were supportive of disclosure but not so much when it comes to the bad news. LAMI are contributing well to the psychiatric literature, though conclusions from the results can only be tentative in view of the relative small numbers. Conclusion : The BJP showed me that good journalism in an academic publication is not oxymoron. The criterion of the originality and the scientific reliability should remain uncompromised at any time and these should remain the clearest guides. I also would like our journal to be more excellence in clinical communication.

의사조력자살을 둘러싼 윤리적 쟁점 - ‘조력존엄사’ 개정안을 중심으로 -

김율리 한국의료윤리학회 2022 한국의료윤리학회지 Vol.25 No.4

Discussions are currently underway in South Korean society about the possibility of legalizing physician-assisted suicide. There is an opinion that the legalization of physician-assisted suicide would guarantee patients’ right to a self-determined death and enable patients to die with dignity. Others contend that it would be premature at best to legalize physician-assisted suicide in South Korea since (a) there is no social consensus on the issue within Korean society, (b) the country lacks a well-established system of hospice and palliative care, and (c) the country has a relatively high suicide rate. This article analyzes several cases from countries that have already legalized physi-cian-assisted suicide in an attempt to identify the likely social and ethical implications of legalizing physician-assisted suicide in South Korea.

노년기 부부의 사회활동 참여수준이 부부관계 만족도에 미치는 영향에 대한 우울감의 매개효과: APIMeM 모형을 활용하여

김율리,주수산나,이예슬,김현경 대한가정학회 2022 대한가정학회 춘계학술대회 자료집 Vol.2022 No.0

소아청소년 신경성 식욕부진증

김율리 대한소아청소년정신의학회 2022 대한소아청소년정신의학회 학술대회논문집 Vol.2022 No.11

중증지속단계 섭식장애

김율리 대한소아청소년정신의학회 2018 대한소아청소년정신의학회 학술대회논문집 Vol.2018 No.11