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        부모의 음주가 자녀에게 미치는 영향

        황혜순(Hey Soon Hwang),장환일(Hwan-Il Chang),김경빈(Kyung-Bin Kim) 한국중독정신의학회 1998 중독정신의학 Vol.2 No.1

        Children of alcoholics (COA) suffer a variety of problems related to the drinking problems of parents. The author studied characteristics of 42 children of alcoholic parents (who had been diagnosed and treated in mental hospital) and 80 children of problem drinkers (scores over 13 by The Korean Version of the Children of Alcoholics Screening Test (CASTK)). They were compared with 80 children who did not have alcoholic parents by means of questionnaire survey. They were middle and high school students. The results were as follows: The problem of alcohol drinking was not significantly different between COA and those of non-drinkers. But the incidence of frequent and excessive drinking among the children of problem drinkers was significantly higher than those of non-drinkers. The age of beginning smoking in COA was later than those of non-drinkers. But the rate and amount of smoking, and the rate of nicotine addiction were higher than those of nondrinkers. There were only 3 children who abused drugs in children of problem drinkers. So, there were no significant differences between two groups. But high risk for future drug problems was found in COA by questionnaire survey (The Screening Test for High Risk Group of Adolescent Drug Users). COA showed tendency to have low educated alcoholic father, low educated and excessive alcohol drinking mother than those of non-drinkers. COA had no healthy hobbies. COA showed tendency to have many opposite sex friends. They seemed to want opposite sex friends by whom their past difficult life could be compensated. Their interpersonal relationships and school performance were poor. They had attached more in hair staining, riding auto bicycle, curiosity to mind altering drug than children of non-drinkers. COA didn’t have adquate coping strategy during adolescence. And they exposed to more stress than those of non-drinkers. They had experienced frustration and depression when the things was not good. They had a tendency to be more sensitive and insecure. They frequently expressed feeling of anger of yelled. But they had difficulty in expressing their own feeling. They felt that their character had been changed from good to bad one during adolescence. There were significant differences between COA and those of non-drinkers. COA showed more compulsive money expense, overeating, over sleep, compulsive exercise than those of non-drinkers. And they felt fatigue, pain, cough, sputum and dyspnea more frequently. Alcoholic parents showed more problematic behavior, such as verbal and physical abuse, gambling, and sexual problem. COA showed higher rate of runaway, problem behavior including school and legal problems, and problem friends. Alcoholic parents showed more verbal and physical violence, and COA also showed more verbal and physical violence than those of non-drinkers. COA had more tendency to be involved in accidents and stealing.

      • 정신과 신체의 분화와 통합

        양병환,황혜순,Yang, Byung-Hwan,Hwang, Hey-Soon 한국정신신체의학회 2000 정신신체의학 Vol.8 No.1

        1960, 1970년대 이후 정신과 신체를 적절히 조화시키려는 경향이 나타났고, 최근에는 신경생물학과 유전학의 발달로 인해 더 이상 정신과 신체를 구분해서 생각할 수 없게 되었다. 이에 저자들은 정신-선체의 개념 및 그 관계에 대한 역사를 살펴보고, 최근에 논란되고 있는 정신-신체 모형 세 가지 즉, 생물정신사회적모델, 정신-신체동일이론, 기질적단위이론에 대한 비교 및 분자유전학과 환경과의 관계, 스트레스-체질모델을 고찰하였다. With Cartesian dichotomy, a person's behavior and illness distinguished sharply between "biologically based" phenomena and "psychologically based" phenomena in western country. But a more balanced view that considers both concepts swept into psychiatry in the 1960s and 1970s. And ironically, the revolution of neurosicience and genetics have now reached a level of sophistication that allow it to serve as a bridge between biology and psychosocial environment. So, even subtle changes in the environment can produce biological changes in the brain. We review the history of definitions and relationship of mind and body. And we provide a selective survey of the recent 3 conceptual models of mind-body relationships in general-biopsychosocial model, mental-physical identity theory, organic unity theory-, the relationships of genetic and environment, and stress-diathesis model.

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