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KCI등재 학술저널

韓國 精神科醫師들의 精神治療實態 및 이에 대한 意見

Psychotherapeutic Practices of Korean Psychiatrists and Their Opinions about Psychotherapy

The purpose of this study was to survey the present status of psychotherapeutic practices of Korean psychiatrists and some of their opinions of psychotherapy. Information was solicited by means of a questionnaire, comprising of 20 items, distributed to the members of the Korean Neuropsychiatric Association (using the 1977-1978 Roster of the Korean Neuropsychiatric Association). Stamped return envelopes were supplied and the respondents were requested to remain anonymous. One hundred and fifty two members, or 51% of the Korean Neuropsychiatric Association responded to the questionnaire. The results were as follows: Eighty five percent of the respondents had pychotherapy sessions, but 8896 spent less than 14 hours per week in the practics of psychotherapy, and more than 60% conducted supportive therapy only. The majority of the respondents believed in the effectiveness of dynamic insight psychothe rapy even for schizophrenics, but only a small number of psychotherapists received adequate and proper treatment fee and relied on psychotherapy as their main occupational practice. The patients treated by the psychotherapists in Seoul were more educated and wealthier than the patients treated by the psychotherapists in other areas. Private psychiatrists had more patients receiving psychotherapy, devoted longer hours to psychotherapy. and charged less treatment feethan salaried psychiatrits did. Sixty one percent of the respondents felt their training in psychotherapy had been unsatisfactory, and 45% had the opinion that training in dynamic psychotherapy must be the chief training program in residency training course. In the respondents’ opinions, the difficulties frequently met when performing psychotherapy were shortage of therapists’ time, lack of understanding of the patients and their family me mbers, and poor economic status of the patients.

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