정신분열증 환자의 性 (Sexuality) 에 관한 임상적 고찰

A Clinical Study of Sexuality in Schizophrenic Patients.

The author attempted to study the sexuality in schizophrenic patients in terms of their sexual behaviors, thought and perceptal disturbances by the method of statistical evaluation. The subiects are 260 schizophrenic patients who were hospitalized in National Mental Hospital during the period of seven months (Aug. 1, 1981-Feb. 28, 1982.). Some of their characteristics are as follows： 1) Sex ratio is about the same (F : F; 1 ： 1.1). The marital state is more than half of them (69. 3%) are single. The divorce or seperated one are 4.0%. In the educational level, more than three fourth of them (84. \%) are high school graduates. Regarding to subtype chronic undifferentiated and paranoid types consist of 91. \% of total cases. 2) The majority of patients show sexual problems in their behaviors (41.5%), disturbance in thoughts (47.396) and perceptions (19. 5%). 3) In their thought disturbances, the preoccu-pation of hetero sexual matters(90.9%), the inc- estuous thoughts and ipulses (81.0%) occurred mostly at prepsychotic period. The homosexual tendency is predominant (63.6%) in paranoid type. In perceptual disturbuuces, the female shows more of auditory and the male shows of more of visual hallurination. however, the olfactory hallucination (1. 996) is less common both sexes. In the sexual behaviors, the celibacy, the seual apathy, and libidinal impotence are commonly seen in this study (13.896). The reason seems to be related to the chronicity of hospitalization could we exclude side-effects from neuroleptics. The subject, who committed incest and or rape reveal the symptoms of idea of references, hallucinations and poor reality Resting. 4) The sexual nature of delusion or hallucination is rarely occurred singly, instead they occur mostly in combined, such as various combinations of grandiose, persecutory, religious, predictive and political themes. As a concluding remark, the author strongly feels that the sexual problems in schizophrenic patients appear to be common phenomenon. Thus the more organized studies in terms of etiology, psychodynamics, and phenomenology of sexuality in the schizophrenics are needed.