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韓國人 精神障碍者의 人間環境의 病因的意義에 關한 硏究

The Etiological Significance of Interpersonal Enviromnent of Korean Mental Patients

부산의대잡지 1963년 3권 2호 p.349 ~ 381
오석환,
소속 상세정보
오석환 (  ) - 부산대학교 의과대학 신경정신과교실

Abstract


Part I: The author intended to reevaluate the family as the etiological agent in mental disorders. After an extensive review of the various literatures the author reached the following conclusion:
1) In general, man studies conclude that the family factors are presumed to be productive of mental illness. However, there are so much differences in the results of various studies and their opinions.
2) The most of studies were carried out separately and sporadically and vary in research methods. There shows so much differences in the number and selection of cases, standard of evaluation and use of control group. The variation is so great and the method in general are so questionable that it seems difficult and unreasonable to compare each other.
3) It is difficult to evaluate the statistical significance properly this 0 the advantage and disadvantage of the use of large number versus small number of cases.
4) There is no reliable consistency in interpreting the findings which could be influenced by a subjective view.
5) There is a lack of consideration of background and corellation of various factors.
Part II : The author evaluated the family factors and parent-child relationships of 790 Korean including 160 controls and 172 American patients.
1) The incidence of parental deprivation in Korean patients before 19th birth day by death or separation is as follows: 44% (P<0.01) in schizophrenia, 57% (P X0.01) in psychopathic personality, 36% (P<0.05) in psychoaeurosis, comparing with control group (23.13%). It appears to be significant that broken home influence nit directly itself but indirectly contributing to the unstable home atmosphere.
2) It was found that 47.5% of schizophrenics, 62% of psychopathic delinquents and 41 of psychoneurotics experienced rather severe overprotection and or rejection by one or both
Parents, (P<0.01) before 19th birth day.
3) As to the sibling position and family size the author could not find any ground to discuss
significance as an etie´ogicai age. The further methodological problems were discussed.
4) In the families of schizophrenics (64.5%) and psychopathic delinquents (74%) the hir1i incidences of family conflicts, instability and incompatibility were observed. The most of them were impeded by multiple deleterious influence which were chronically present a d frequently recurrent.
5) It was found that the incidences of psychoses in the family of schizophrenics and manicdepressive psychotics were more frequent than control or other groups (P<0,01). It is suggested that the psychopathological study only on the environmental factors and interpersonal relation in psychosis is inclined to be one-sided.
6) It is observed that the psychopathological significance of these factors in Korea are not appreciably different on the whole from that in other countries where social and cultural background and family system are different.
Part 9: The author investigated the differences in parent-child relationships between schizophrenics (the former) and psychopathic delinquents (the latter) by I.C.L.
1) The former´s attitudes to their parents are significantly different from that of the tatters. The former shows self-effacing, masochistic, distrustful, dependent and overconventional tendencies. Though the latter shows aggressive, sadistic, rebellious and selfish tendencies
to others, they reflect their wish for how their attitudes to. parents would like to be.
2) Father´s attitudes to the latter are characterized by autocratic, competitive, narcissistic, aggressive and sadistic tendencies. To the former they are characterized by docile, dependent, cooperative and overconventional tendencies. The latter appreciate their father´s attitude as though it differs from that to others.
3) Mother´s attitudes to the former are significantly different from that of the latter and characterized in the cooperative, overconventional, responsible, hypernormal and on the other hand autocratic, competitive, possesive and restrictive tendencies.
4) Those characteristics and tendencies are quite similar to the results which were found through clinical interviews in the author´s study. Paty jj .

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