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한의치료와 ‘마음의 방 그리기’를 활용한 공황장애 치험 1례 보고

A Case Report on Panic Disorder Patient Using the ‘MRM (Mentalizing the Rooms of Mind)’ and Korean Medicine Therapy

동의신경정신과학회지 2020년 31권 3호 p.197 ~ 211
김지수, 정문주, 이가원, 유영수, 강형원,
소속 상세정보
김지수 ( Kim Jee-Su ) - Wonkwang University College of Oriental Medicine Department of Neuropsychiatry
정문주 ( Cheong Moon-Joo ) - Wonkwang University Jangheung Integrated Medical Hospital Rare Disease Treatment Research Center
이가원 ( Lee Ga-Won ) - Wonkwang University College of Oriental Medicine Department of Neuropsychiatry
유영수 ( Lyu Yeoung-Su ) - Wonkwang University College of Oriental Medicine Department of Neuropsychiatry
강형원 ( Kang Hyung-Won ) - Wonkwang University College of Oriental Medicine Department of Neuropsychiatry

Abstract


Objectives: The purpose of this study was to introduce the progress of treatment and improve clinical use after conducting Mentalizing the Rooms of Mind, the main technique of Mindfulness & Loving Beingness psychotherapy, for a patient with panic disorder.

Methods: We conducted a Mentalizing the Rooms of Mind for 10 sessions on an age 23 female diagnosed with panic disorder based on the DSM-5 diagnostic criteria. After receiving consent from the subject, through chart review, the progress of treatment was observed focusing on the MMPI-2 and CSEI-s (The Core Seven Emotions Inventory-short form) conducted pre- and post-treatment. This study was approved by the Institutional Review Board of Wonkwang University Sanbon Hospital (WMCSB202007-55).

Results: 1. The MMPI-2 clinical scales of an age 23 female with panic disorder showed a 7 (Pt)-1 (Hs)-3 (Hy) profile pre-treatment, but for post-treatment, the scale showed 1 (Hs)-3 (Hy) profile, and the 7 (Pt) scale showed significant decline. In the MMPI-2 reconstructed clinical scales, RC7 (Dysfunctional Negative Emotions) and RC8 (Aberrant Experiences) showed significant decline. 2. In the pre- and post-treatment MMPI-2 content scales, Anxiety, Fears, Obsessiveness, Social Discomfort, and Work Interference scores decreased, showing overall positive stability. On the MMPI-2 supplementary scales, the Anxiety and Post-Traumatic Stress Disorder scores decreased, and the Ego Strength increased, resulting in improved overall psychological adaptation. 3. Pre- and post-treatment of an age 23 female with panic disorder, CSEI-s showed significant decline of 恐, 驚, 悲, and 思. So it seems that the emotions caused by Chiljeongsang (七情傷) were more stable than before treatment.

Conclusions: As shown above, the treatment of panic disorder through Mentalizing the Rooms of Mind, a major technique of Mindfulness & Loving Beingness psychotherapy, showed positive changes in MMPI-2 as well as improvement of the subjective symptoms. Thus, Mentalizing the Rooms of Mind has high clinical use, and it seems that it is necessary to create a manual for this in the future.

키워드

Panic disorder; MRM (Mentalizing the Rooms of Mind); CSEI-s (The Core Seven Emotions Inventory-short form); MMPI-2 (Minnesota Multiphasic Personality Inventory-2), M&L psychotherapy; Case report

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