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        東醫寶鑑에 나타난 精神病 治療 : 精神療法事例를 中心으로

        李符永 大韓神經精神醫學會 1976 신경정신의학 Vol.15 No.1

        From the book of Korean medicine: "Tong Ui Po Kam", edited by Hou Choon and published in 1613, 5 cases of psychological treatment were derived and the discussions were held especially to the theoretical background of these therapies comparing them with the contemporary methods and theories of psychotherapy. The cases are summarized as following: 1. An woman fell in the state of fear and anxiety after she was robbed by a thief. The physician treated her successfully by strucking a box with a cudgel repeatedly while the patient was looking down the box. The physician declared: "If you see everything in usual way, you have nothing to fear." 2. An woman showed severe aggressive behaviours attacking people around her and didn't take the food. The physician realized that her illness is not to be treated with medicines. He ordered two women to decorate themselves like an actor and then like "Sumo" wrestler. Recognizing their comic features the patient began to laugh loudly. The two women then took a delicious food in front of the patient praising the pleasant taste of food. The patient also began to taste a bit of the food and several days later she was recovered completely from her illness. 3. An woman fell in severe depression for her fiance didn't return to home from his business trip. According to physician's order her family provocated her anger. After she wailed bitterly she was allowed to take medicine. Then the patient was informed that the fiance would come back soon although this was not true. The illness remained improved and at this moment the patient was recommended to take medicine. 4. An woman suffering from severs insomnia due to excessive broodings was treated successfully by being provocated to burst out her anger while her husband, according to the physician's order, intentionally wasted money for gambling and drunk every night. 5. One man grieving for his father who was killed by thieves suffered from severe chest pain and sense of mass in the chest. The symptoms were subsided after he was exposed to performances of a farce by shamans which led the patient to laugh. The treatments applied to above cases are quite similar to the modern psychotherapy of behavioural. superficial expressive approach and in certain type of psychodrama. These cases were cited from several Chinese literatures on medicine published in the time between 1156 and 1608 which suggests the psychotherapy in the form of modern Western approach was actively practiced in the Middle Age of Oriental medical history. The above mentioned treatments are characterized by their action oriented practical procedures when compared with rather didactic psychotherapy of Nock Chin in Korea performed in 822. The question was raised how the old Chinese physicians could come to the similar theraneutic measures to the Western one in spite of the entirely different system of explanation on human mind. Further investigation is necessary to determine the reliability of ancient Chines view of universe as well as human mind, the Yin Yang theory and 5 transforming system on which the principles of the Oriental medicine is largely based.

      • KCI등재

        유튜브 프리미엄 서비스의 서비스 특성이 사용자의 만족도, 충성도, 지속 사용 의도에 미치는 영향

        이부영,홍아름,이염남 공주대학교 KNU 기업경영연구소 2024 기업경영리뷰 Vol.15 No.2

        OTT 산업 가운데 유튜브는 광고기반 무료모델을 대표하는 플랫폼으로 ‘유튜브 프리미엄 서비스’라는 유료구독서비스를 출시하면서 공격적인 마케팅을 이어오고 있다. 본 연구는 유튜브 프리미엄의 서비스 특성이 사용자의 만족도와 충성도 그리고 지속 사용 의도 에 어떤 영향을 미치는지 알아보고자 한다. 연구 결과는 다음과 같다. 첫째, 이용자 만족도에 영향을 주는 요인으로 상대적 이점, 요금제 수준, 인지된 용이성이 유의미한 영향을 주는 것으로 나타났다. 둘째, 이용자 충성도에 영향을 주는 요인으로 요금제 수준과 상대적 이점이 유의미한 영향을 주는 것으로 나타났다. 셋째, 요금제 수준과 상대적 이점이 유튜브 프리미엄 서비스 지속 사용 의도에 유의한 영향을 주는 것으로 확인되었다. 넷째, 유튜브 프리미엄 서비스의 이용자 만족도가 이용자 충성도에 유의한 영향을 미치며, 만족도과 총성도 또한 모두 지속 사용 의도에 정의 영향을 미치는 것으로 나타났다. 따라서 유튜브 프리미엄 서비스의 지속 사용 의도를 극대화하기 위해서는 충성 고객 이탈 방지, 친구 초대 프로그램 및 마케팅 전략 강화, 유료 구독 서비스의 독점적 가치 제공, 그리고 다양한 요금제 제공을 통해 사용자 만족도와 충성도를 높여야 한다. 본 연구의 발견은 서비스 제공자가 사용자 경험을 개선하고, 서비스 충성도를 증진시키며, 장기적인 사용자 기반을 확보하는 데 필요한 전략적 요소들을 식별하는 데 기여할 것이다. Among the OTT industries, YouTube is a platform that represents a free, advertising-based model and has continued aggressive marketing by launching a paid subscription service called ‘YouTube Premium Service’. This study seeks to determine how YouTube Premium's service characteristics affect users' satisfaction, loyalty, and intention to continue using it. The research results are as follows. First, relative advantage, rate plan level, and perceived ease of use were found to have a significant impact as factors affecting user satisfaction. Second, the rate plan level and relative advantages were found to have a significant impact as factors affecting user loyalty. Third, it was confirmed that rate plan level and relative advantages had a significant impact on the intention to continue using YouTube premium services. Fourth, user satisfaction with YouTube's premium service had a significant impact on user loyalty, and both satisfaction and total satisfaction were found to have a positive influence on the intention to continue using it. Therefore, in order to maximize the intention to continue using YouTube's premium service, user satisfaction and loyalty must be increased by preventing loyal customer churn, strengthening friend invitation programs and marketing strategies, providing exclusive value of paid subscription services, and providing various rate plans. The findings of this study will contribute to identifying strategic elements needed for service providers to improve user experience, increase service loyalty, and secure a long-term user base.

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