두뇌손상환자의 정신장애 평가기준 설정을 위한 연구 - 1 .장애판정의 현상 -

Study for the Establishment of Mental Disability Evaluation Criteria in Head Injuries

The author surveyed 94 cases of head injury referred from the court with the purpose of evaluation of mental disability. Premorbid characteristics of patients, information about the accidents, information about assessments, psychopathology, factors affecting the psychopathology and result of assessments, the relationship between psychopathology and diagnosis were studied. The results are summarized as follows; 1) The incidence of head injuries was significantly high in male, socially-active age group, & lower socio-economic level. 2) The incidence of automobile accident was significantly higher than industrial accidents and when comparing to another study the patients whose damages were evident and severe were more in number. 3) The time interval to assessing the disability was more than 1 year in almost all cases, and the disability evaluation criteria of McBride was used more commonly. And the results of assessment were of very wide distribution. 4) Organic brain syndrome was used as a diagnostic term without any specification in 28.7% of cases. In contrast, the concept of postconcussional syndrome was used in very few cases, and the diagnosis of posttraumatic neurosis was the most in numbers among the specified one. 5) The severity and evidency of brain damage was the most important factor among others affecting the psychopathology and the result of assessment. 6) The subjective complatints of patients tend to be treated as having a neurosis, and had many disadvantages in disability evaluation.