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性機能障碍에 對한 最近槪念 : DSM-Ⅲ-R을 中心으로 Centered on DSM-Ⅲ-R criteria
兪桂濬 大韓神經精新醫學會 1988 신경정신의학 Vol.27 No.5
The author presented introductory remarks including the brief historical review of the changes in sexual concepts from Freud's thinking to the recoent trends of human sexuality, and also described the differential comments on classification and definition of sexual dysfunctions according to DSM-Ⅱ, ICD-9, DSM-Ⅲ and DSM-Ⅲ-R, and finally centered to emphasize them adopted by DSM-Ⅲ-R. In DSM-Ⅲ, sexual dysfunctions constitute a separate category of Axis I disorders and eight distinct syndromes(table 1), and the sexual response cycle is divided into four phases : appetitive, excitement, orgasm and resolution. Before DSM-Ⅲ, sexual dysfunction was based on a biphasic model of the human sexual response and of sexual disorders, dividing them into two classes ; those characterized by disturbances of the exicitement phase, namely impotence and inhibited female excitement, and the orgasm phase dysfunctions ; premature ejaculation and retarded ejaculation in male and inhibited female orgasm. DSM-Ⅲ-R, the various observations led to the conceptualization of the triphasic concept of the human sexual responses, and to the development of specific more effective treatment approaches for the desire phase disorders. Thus, it became apparent that the sexual response cyele is comprised of three phase: desire, excitement and orgasm. DSM-Ⅲ emphasized a lack of sexual desire which previously had not been recognized as a distinct clinical entity. The notion that inhibited sexual desire constitutes a distinct clinical entity was rapidly accepted to the extent that the triphasic concept provided the theoretical basis for the new classification for sexual dysfunction adopted by DSM-Ⅲ. More recently, disorders of sexual desire have been further subdivied into two separate clinical entities in DSM-Ⅲ-R : Hypoactive sexual desire and sexual aversion disorder. The author described briefly classification and definition of six major categories of sexual disorders listed in DSM-Ⅲ-R(Table 2).
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Diphenylhydantoin과 Chlorpromazine의 倂用治療가 精神分裂症患者의 思考, 情緖 및 行動에 미치는 影響 : A Double-Blind Study
兪桂濬,梁元淑,金種柱 최신의학사 1977 最新醫學 Vol.20 No.7
The present study investigated the effects of a combined treatment of diphenylhydantoin and chlorpromazine on thought, affect and behavior of schizophrenic patients, comparing with chlorpromazine and placebo as a double-blind study. The number of patients selected for this study were 22 hospitalized patients. They were 5 acute schizophrenic episodes, 1 schizoaffective, 10 paranoid type and 6 chronic undifferentiated type which they showed rather acutely vivid symptoms, even though they were all relapsed and readmitted. Patients were randomly divided to two groups of D. P. H. +C. P. Z, and C. P. Z. +Placebo. Daily recommended dosages were 300mg for D. P. H, and between 150mg and 600mg for C. P. Z. They were all received drugs orally for two weeks for the study. Using the psychiatric rating scale and psychological testings (Rorschach and Korean Wechsler Intelligence Scale), the authors applied them to the before and after medication, and obtained the following results. 1) On the hyperside of psychopathology in the affect and behavior such as irritability, excitability, hyperactivity, hostility and anger etc, it seemed that the combination of two drugs have statistically significance to compare with C. P. Z. only, and totally they showed the trends of reducing the symptoms deviated from normality at the end of two weeks. But on the hyposide of it such as depression and hypoactivity etc, they showed little effect, both. 2) On thought process and content of thought, the two groups showed statistically no significance at the end of two weeks.
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박기창,한정옥,유계준 大韓神經精神醫學會 1985 신경정신의학 Vol.24 No.2
An epidemiologic and psychiatric studies about suicides in Whoeng-Sung county for the past 7 years from January 1, 1977 to December 31, 1983 were conducted in order to identify overall pictures of suicides committed in this area. All the suicidal cases were obtained from the records of Whoeng-Sung police station. The authors visited homes of suicide victims and interviewed the family members, the relatives and the neighbors. The total number of suicides committed in this area during the study period was 123, and the suicidal rate was 23.4 per 100,000 population. The number, excluding the inhabitants outside this area, was 109, and the rate was 20.7 per 100,000 population. The male to female ratio was 2 to 1 and the highest rates were shown in the age group of 50-59 for male and 20-29 for female. Also, higher rates were shown in lesser educated, lower economic class, and people of Buddism and Confucianism. The main method for suicides, accounting for 76.2% of the total, was by ingestion of herbicides and insecticides for farming purposes. The place selected for the suicide was usually at victim's own house (67.9%). 82.4% of the victims have previously suggested their intention to commit suicide and of the victim have left a will. Also the suicidal rate was highest in the summer, higher in the afternoon, and higher in the beginning of the week for the male. Single men showed the highest suicidal rate. The common precipitating factors of committing suicide were family trouble, chronic illness or disability and financial difficulty. The most apparant dynamic motives of the suidides was easy self-abandonment of one's own life. Most of the suicidal victims had some psychopathologic condition (91.6%).
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