[논문]한의치료와 '마음의 방 그리기'를 활용한 공황장애 치험 1례 보고

김지수; 정문주; 이가원; 유영수; 강형원

doi:10.7231/jon.2020.31.3.197

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 원문보기

동의신경정신과학회지 = Journal of oriental neuropsychiatry, v.31 no.3, 2020년, pp.197 - 211

김지수 (원광대학교 한의과대학 신경정신과학교실) , 정문주 (원광대학교 장흥통합의료병원 난치질환치료연구소) , 이가원 (원광대학교 한의과대학 신경정신과학교실) , 유영수 (원광대학교 한의과대학 신경정신과학교실) , 강형원 (원광대학교 한의과대학 신경정신과학교실)

Abstract ▼ AI-Helper

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.

주제어

표/그림 (12)

그림 Fig. 1. Changes of Mentalizing the Rooms of Mind during the 2nd session. Pre-treatment: The subject established a relationship through Mentalizing the Rooms (MRM) and observed the rooms inside her as it is. Post-treatment: After performing the breathing and resource mindfulness, the calm and peaceful feelings such as trees, birds, and wind were stored in the mind.
표 Table 1. Mindfulness & Loving Beingness Psychotherapy Skills and Objectives for Each Session
그림 Fig. 2. Changes of Mentalizing the Rooms of Mind at the 4th, 5th, 6th session. The 4th, 5th, and 6th sessions of MRM expressed what is in me as it is, and cherished each room.
그림 Fig. 3. Changes of Mentalizing the Rooms of Mind during the 7th session. Pre-treatment: The subject encountered the image of herself standing in the middle of school, reality, and panic anxiety. Post-treatment: A current 24-year-old adult comforted an inner third grader in middle school, who is standing alone.
그림 Fig. 4. Changes of Mentalizing the Rooms of Mind during the 8th session. Pre-treatment: A positive mind was in the corner, but there were still a lot of thoughts at the bottom, and She was still scared of people. Post-treatment: After implementing the 3Dantian Mindfulness, she thought that the energy coming from the bottom would have to penetrate the top. 'What is this?' She threw a question mark, and the thought came up, "I'm not weak." And there was a strong conviction.
그림 Fig. 5. Changes of Mentalizing the Rooms of Mind during the 10th session. Pre-treatment: The subject expressed the crushed curved triangle and the reality above the chest, and expressed the love of a mother and father who had all of anxiety, depression, and worries under the chest. Post-treatment: The subject drew a brightly colored heart room surrounding himself in a circle of 'being loved', 'will be happy', and 'peace'.
그림 Fig. 6. Changes of Mentalizing the Rooms of Mind during the 12th session. Pre-treatment: In reality, I'm opening the door a little and getting good sunlight, but there are still negative things under the water. Post-treatment: I used to be swept around like floating on water. There was a lot of anxiety that I would fall out. Now I feel like I'm standing on solid ground.
그림 Fig. 7. Minnesota Multiphasic Personality Inventory-2 validity scale and clinical scales profile of pre- and post-treatment.
그림 Fig. 8. Minnesota Multiphasic Personality Inventory-2 restructured clinical scales (RC) of pre-and post-treatment.
그림 Fig. 9. Minnesota Multiphasic Personality Inventory-2 content scales of pre- and post-treatment.
그림 Fig. 10. Minnesota Multiphasic Personality Inventory-2 supplementary scales of pre- and post-treatment.
그림 Fig. 11. The Core seven-emotions Inventory-short form change of pre-and post-treatment.

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