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7大邱地域社會에서의 精神醫學에 對한 態度의 變化

A Study on the Changing Attitudes toward Psychiatry

경북의대잡지 1975년 16권 1호 p.309 ~ 319
윤석하,
소속 상세정보
윤석하 (  ) - 경북대학교 의과대학 신경정신과교실

Abstract


In order to implement the batter care for the mentally ill and to promote mental health in general at the given community, it is utmost important to understand the attitude of the general public as well as medical professionals toward psychiatry.
In the recent years, it is vaguely believed that the. attitude about psychiatry has been much accepted than ever before, however, no systematic research has been done to confirm on the subject.
This study is done to cempary how the attitude has been changed over the past. five years, from _~~70 to 175.
In the year of 1~~70, we Blau conducted the: study to analyze the general attitude about psychiatry by using the the quesiSonai~c form of multiple choice. The data were obtained from the random sampling of the staff at Kyungpook Unive~ sity Hospital anu the general public in Taegu city.
In 1975, five years later, we conducted the sarr~e study to compare v; ith the previous findings by using the same questionaire form. Though the samples were not the same as the previous one, , z~-e tried to match sex, age and education accordingi.y. -
The summary of the study is made as follows:
A) Among the medical professionals
1) loo significant changes in attitude were noted. in the follo~~ing items:
a) 1\´fore than 80% showed a positive view on the prospect of mental illness.
b) More than 80% were still reluctant to have an intimate relation with the mentally ill.
c) About half of the respondents saw the mentally ill unpredictable and dangerous, and only 30% favored on the open ward system.
d) In the general hospital setting, half of them were in favor of separating the psychiatric ward.
2) Significant changes in attitude were noted in the following items:
a) Though they were against opening the psychiatric ward, the increasing trend was exprssed; that the mentally ill should be handled more humanistically.
b) They became more acceptable toward the mental patients, however, at a superficial level though.
c) They became more pessimistic about the prognosis of the psychotic patient.
d) The increasing numbers had showed the "rest" would be a preferable treatment for the neurotics.
e) Psychiatrists were viewed lesser humanistiic and their assumed analytic eyes made th respondent quite uncomfortable.
B) Among the general public
No significant changes:
a) About half of them were still poorly informed about the etiology and treatment of the mental illness.
b) About 30,;~ had still held a misconcept on the treatment of neurotics.
c) :More than_ half had still seen the mentally ill snpredicatble and dangerous.
d) More than 70 o were well informed about the psychosomatic concept.
Significant changes:
Likely with medical professionals
a) The increasing trend was expressed that the rr.entally ill should be handled more humanistically.
b) They become more socially acceptable toward t;he mental patient.
Unlikely with the medical professionals,
b) They were becorr~ing more positive about psychotherapy as well as about the prospect of psychotics.
c) Those who were well informed about neurosis were decreasing in number and they tent to see it caused by the inflammation of "nerve"
d) The increasing trend was noted in viewing the mentally ill as dangerous and in relutance to have an intimate relation.

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