사회공포증에 관한 임상적 고찰(2) 一시선공포에 관하여一

A Clinical Study of Social Phobia — Focused on the Symptoms Related to Eye Sight —

This is a clincal report on 106 cases of social phobics who have been suffering particulary from the Fear of Eye-sight. During the period between May 1982 to Aug. 1987, total of 432 social phobics including 106 cases of the Fear of Eye-Sight were seen at Koryo General Hospital, Seoul Korea. Some of the important findings are as follows : 1. Nearly one fourth(24.5%) of social phobics are found to be suffering from the Fear of Eye-Sight (106 out of 432). 2. The Fear of Eye-Sight could be subclassified into the following four categories according to the nature or target of Eye-Sight i 1) the fear of eye-to-eye contact - 64cases(60.4%) 2) the fear of side-glancing - 5cases(4.7 %) 3) the fear of eye-sight to specific part (of body) - 23cases(ll.3%) 4) the fear of being stared at by others - 25cases(23.6%) 3. According to the nature of cognitive involvement, the fear of eye-to-eye contact could be subclassified ; 1) a simple type - no congitive involvement (33cases : 51.6% ) 2) a type of harming others (1 leases : 17.2 %) 3) a type of being harmed by others (l3cases : 20.3 %) 4) a combined type - harming others and being harmed by others (7cases * 10.9 %) 4. The fear of being stared at by others are relatively simple with no congitive involvement, and usually accompanied by the secondary social phobic symptoms such as tensing up, trembling, blushing, unnatural expression, and difficulty in eye-to-eye contact and writing. 5. The fear of eye-to-eye contact started at earlier age, 18.3 average, than other social phobic symptoms. 6. The average age of OPD visit was 26.7, which is similar to other social phobic symptoms. 7. 73.4% of the fear of eye-to-eye contact was delusional type which is almost twice the ratio of the type in the whole social phobic symptoms. 8. As for the fear of eye-to-eye contact, group psychotherapy was shown to be more effective than in other social phobic symptoms despite the fact that the former had a higher ratio of delusional type. 9. The Fear of Eye-Sight was considered to be a representative symptom of the social phobia in the Orient due in large to the Confucian culture