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조수철 대한소아청소년정신의학회 2000 소아청소년정신의학 Vol.11 No.2
인간은 여러 가지의 관점에서 정의될 수 있다. 첫째는 생물학적인 측면이며, 두 번째는 심리적인 측면이며, 세 번째는 사회적인 측면이다. 생물학적인 측면과 심리적인 측면은 인간내적(intrapersonal)인 면을 다루고, 사회적인 측면은 대인관계(interpersonal)적인 면을 다루고 있다. 대인관계는 기본적으로 힘과 통제의 관계로 정의할 수 있으며 의사-환자관계도 역시 힘과 통제의 관계로 정의할 수 있다. 특히 정신과 영역에 있어서는 의사-환자관계가 강조가 되고 있다. 의사-환자간의 관계에 있어서 환자의 정신상태를 정확하게 파악하는 과정은 무엇보다도 더 중요하다고 할 것이다. 이에 환자의 심리상태를 객관적이고도 정확하게 이해하기 위하여는 의사자신의 정신세계에 대한 정확한 인식과 통찰이 중요하다. 이에 본 연구에서는 성찰의 중요성에 대하여 논하고 성찰의 한 방법을 제시함을 기본 목적으로 삼는다. 중심 단어 : 대인관계ㆍ힘ㆍ반성ㆍ성찰. Human being can be defined in several ways. These are biological, psychological, social and religious, ethical and philosophical aspects. The first two viewpoints refer to the intrapersonal aspects and the last two viewpoints deal with the interpersonal aspects. In every aspect, introspection is very much important to understand him or herself and other person. In this paper, the author summarized the instruction from the oriental old classic books. By doing this process, the author suggested three ways to introspect himself : 1)We have to read the old classic books on Wisdom and follow the teachings in those books. 2)Self-analysis may be one way to introspect him or herself, It is to understand his emotional response by way of thinking(reasoning). By repeating this process, affect and thinking can achieve harmony and balance. 3)Training analysis may help to introspect oneself. Qualified analysts may be of help. In order to understand the psychological aspect of patients, the psychiatrists should get insight into his own mind. In this aspect, introspection is the single most important factor in achieving insight. KEY WORDS : Interpersonal relationshipㆍThinkingㆍEmotionㆍIntrospection.
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조수철,Hyo-Won Kim,김붕년,신민섭,유희정,김재원,Soo-Young Bhang,조인희 대한신경정신의학회 2011 PSYCHIATRY INVESTIGATION Vol.8 No.1
Objective The present study investigated whether teacher ratings and parent ratings of inattentive or hyperactive/impulsive symptoms were differently associated with intelligence or cognitive performance in Korean children. Methods Six hundred sixty-seven children were recruited from nine schools in five Korean cities. The teachers and parents of 580 of these children (9.0±0.7 years old, 333 boys and 306 girls) completed the Korean version of the Attention-Deficit/Hyperactivity Disorder Rating Scales (K-ARS), and the children performed the abbreviated form of the Korean Educational Development Institute-Wechsler Intelligence Scales (KEDI-WISC) and a neurocognitive battery consisting of the continuous performance test, the Children’s Color Trails Test, and the Stroop Color-Word Test. Diagnosis of full-syndrome and subthreshold attention-deficit/hyperactivity disorder (ADHD) were based on the Diagnostic Interview Schedule for Children Version-IV (DISC-IV). Results The level of agreement between teacher and parent ratings was low (r=0.21-0.26) in children with full-syndrome and subthreshold ADHD and low to moderate (r=0.31-0.41) in the normative sample. Teacher-rated ARS showed significant correlations with most sub-scores of KEDI-WISC and the neurocognitive battery both in the normative sample (r=-0.50-0.37) and in children with full-syndrome and subthreshold ADHD (r=-0.26-0.29). Correlations between parent-rated ARS and cognitive tests were lower and were found in fewer subscales of tests. Conclusion These results suggest the importance of considering the teacher’s report of a child’s school functioning during the assessment of ADHD.
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