한국무속의 ‘신병’에 대한 진단분류연구

Nosological Study of Shin-Byong(the Initiation Sickness) in Korean Shamans

To study nosologically the Korean shaman s initiation sickness, Shin-Byong’，the authors investigated 29 shamans with Symptom Check List-90-R(SCL-90-R) and questionnaire without visiting and interviewed 70 shamans using SCL-90-R, questionnaire and The Schedule for Affective Disorder and Schizophrenia-Lifetime(SADS-L). All shamans were located in Seoul. The results were as follows ： 1) Among symptom groups of SCL-90-R, Shin-Byong were associated with higher scores in depression, somatization, psychoticism and hostility group in descending order. 2) With DSM- HI -R classification, 87.2% of Shin-Byong，cases were mood disorders. Another 8.6% of cases were somatization and dissociative disorders and two disorders were related with dissociative phenomenon. Considering the diagnosis of manic episodes in this study, it seems to be a part of dissociative phenomenon, Shin-Byong’ is the syndrome that is mainly composed of depression and disorders which are related with dissociative phenomenon. 3) Shamans have teleologic thinking that Shin-Byong is the phenomenon to receive spirits and diagnose intuitively. They think the main therapeutic method is recieving spirits, In conclusion, Shin-Byong’ isn t a real disease entity but it is a shamanistic disease concept transformed during the shamanistic therapeutic process for depression patients with high dissociative tendency and dissociative disorder