Somnambulism is defined as a state of dissociated consciousness triggered by impaired arousal, which results in partial wakefulness and partial sleep. No effective therapy or medication has been available for treating children with somnambulism. Herein we present a case in a 4.5-year-old girl, who presented with somnambulism associated with separation anxiety disorder every night in a week. The girl received formal assessment and appropriate interventions, and the symptoms disappeared within a week. The treatment was carried out in 5 stages: diagnosis of the disease, establishment of trust, information collection, supervision, and individualized psychotherapy. Although dreams in childhood can be difficult to interpret, close observation of the behaviors in sleepwalking, as a special form of dream, in addition to the more precise description by the guardians, still provides useful clues to understand those dreams. For children with somnambulism, early intervention with psychotherapy can significantly decrease the false revival of the unconscious desires, and thus may serve as a treatment option other than medications.
Child ; Child, Preschool ; Female ; Humans ; Psychoanalytic Therapy ; Sleep ; Somnambulism ; therapy

This review describes the types of psychiatric treatment studied during the Japanese colonial period of 1910–1945 in Korea, known at the time as Chosun. Twenty-nine research papers and abstracts on psychiatric treatment were reviewed, which were published in the Shinkeigaku-zassi (Neurologia), the Seishin-shinkei-gaku zassi (Psychiatria Et Neurologia Japonica) and the Journal of Chosun Medical Association, by faculty members of the department of neuropsychiatry, Chosun-Governor Hospital and Keijo (Seoul) Imperial University School of Medicine. The major research area was biological psychiatry and biological treatment, as Japanese pioneers in psychiatry at that time had introduced German psychiatry into Japan. Professor Kubo published the most papers, followed by Dr. Hattori, Dr. Hikari, and Professor Suits. In Chosun-Governor Hospital, research on prolonged sleep therapy was an active field. In the Imperial University Hospital, malarial fever therapy, sulphur-induced fever therapy, and insulin shock treatment were the most frequent research topics. Some were tried for the first time in the Japanese Empire, which reflected the pioneering position of the university. These achievements are attributed to Professor Kubo. Six papers on psychotherapy were published. Among them, two papers were on persuasion therapy, three papers were case reports of psychoanalytic therapy, and one paper on Freud. However, this psychoanalytic therapy research seemed to be limited trials conducted following literal guidance, and no further development was noted. Generally, research was characterized by simple design, small numbers of subjects, lack of objective evaluation method, lack of statistical treatment, and especially lack of ethical consideration comparing with today's standard.
Asian Continental Ancestry Group* ; Biological Psychiatry ; Humans ; Hyperthermia, Induced ; Insulin Coma ; Japan ; Korea* ; Methods ; Neuropsychiatry ; Persuasive Communication ; Psychiatry* ; Psychoanalytic Therapy ; Psychotherapy

The authors reviewed the meanings of a psychoanalytic setting, which is composed of a patient's free association and an analyst's analytic neutrality. In particular, this was done by discussing the definitions of a psychoanalytic setting, the functions of free association, and the development of the meanings of analytic neutrality over time. The purpose this wasto provide an understanding of a psychoanalytic setting for psychoanalytic therapists. To fully understanda psychoanalytic setting, the several points must be considered. Firstly, a patient's introspection about his/her inner world in the presence of an analyst in a psychoanalytic setting facilitates the development of the psychoanalytic process. Secondly, both a patient's reflective functioning of his/her mental process and a patient's relational experiences of transference feelings toward their analyst is important for analytic treatment. Thirdly, a patient's progress withfree association during treatment sessions indicates spontaneity, a motivation to be cured from a patient's standpoint. Fourthly, a patient and an analyst become aware of the meaning of a patient's materials from free association through the process of Ed-highlight: Unclear. I'm not sure what you mean by this word. Are you referring to the patient's thoughts or feelings? free association itself. Fifth, the main aim of analytic neutrality is to understand the patient's psychic reality, and it is important to understand this reality through interaction between a patient and an analyst
Free Association ; Humans ; Motivation ; Psychoanalysis

PURPOSE: The purpose of this study was to examine the relationship between ego-states and communication skills in medical students. METHODS: A total of 109 medical school students participated in this study, which used the communication skills self-test papers and the Egogram checklist. The data were analyzed by frequency analysis, and Pearson correlation analysis. RESULTS: Ego-state was related to communication skills. In particular, adapted child ego-state was negatively associated with each sphere of communication skills. CONCLUSION: Our results suggested that ego-state types should be considered in developing a communication skills education program for medical students.
Checklist ; Child ; Education ; Humans ; Schools, Medical ; Students, Medical* ; Transactional Analysis

The purpose of this study is to analyze the type of ego states and stress coping style on female college students who are in the course of nursing study. This study is performed in the view of Transactional Analysis and designed to scrutinize descriptive correlations between the type of ego states and stress coping style. The subject is consists of 144 freshmen and sophomore, 138 junior and senior students group, who are students of K nursing college located in Seoul. The sampling investigation period is on Sept. 14, 2002 to Oct. 26, 2002. The measuring instrument used for Transactional Analysis ego state is 50 items Ego-gram research paper devised by Dusay(1997). For studying coping stlye, Folkman & Lazarus's measurement(1984) was adopted, which is translated and modified by Han, and Oh,(1990). Statistic average and standard deviation were generated by using SPSS PC+, t-test and Pearson correlation. The results were as follows: 1) In the type of ego states on both groups(lower group : freshmen, sophomore upper group : junior, senior) indicated the arithmetic apex NP(maximum value), then the point A was high and the data made a down slope to point AC. In the comparison to type of ego states between two groups, only at point CP, the data value of upper year students represented higher than that of lower year ones by C(t=2.28, p= .023). In the psychological energy level of ego states, both groups indicated average level.2) Stress coping style of whole students were highly and affirmatively dedicated to research. Consecutive consequences follow like this(high to low) : the central point of problem, search for social support, hopeful aspect and indifference. Especially hopeful aspect(t= .67, p= .05), relaxation of tension(t=-2.16, p= .03) made significant difference each other in the view of arithmetic calculation 3) While verifying coping style in terms of ego states level between lower and upper students group, In type CP, high level ego states group indicated significant difference on stress coping style area than low leveled group and made such sequences as the central point of problem, hopeful aspect, search for social support, positive interest and relaxation of tension. In type NP, sequences such as the central point of problem, search for social support, positive interest and relaxation of tension were emerged with little differences. In type A, the central point of problem, positive interest and relaxation of tension. In type FC, hopeful aspect, search for social support, positive interest and relaxation of tension. In type AC, hopeful aspect and indifference were derived significantly different(p< .05). 4) In the aspect of relation between ego states and coping style, type CP presented the central point of problem and relaxation of tension, type NP presented positive interest, search for social support and the central point of problem, type A showed the central point of problem, positive interest and relaxation of tension, type FC showed relaxation of tension, positive interest, search for social support, indifference and the central point of problem, type AC showed hopeful aspect, indifference and the central point of problem. All the sequence shown above had high-to-low procedure and represented static relations each other(p< .05).
Ego* ; Female ; Hope ; Humans ; Nursing* ; Relaxation ; Seoul ; Students, Nursing* ; Transactional Analysis

BACKGROUND AND OBJECTIVES: Societal factors seem to exercise a strong influence on hearing aid uptake, use, and satisfaction. In particular, knowledge, perception, and attitude of people will have bearing towards their and others health behavior and decisions. The current study aimed at understanding the perception of hearing aids by adults belonging to the general population in different countries. SUBJECTS AND METHODS: The study employed a crosssectional design. A sample of 404 adults from India, Iran, Portugal, and the United Kingdom were recruited by relying on a convenience sampling. Previously published data was re-analyzed but it was applied for different approach. Free association task was used to collect the data. They were asked to provide up to five words or phrases that come to mind when thinking about “hearing aids.” The data was initially analyzed based on qualitative content analysis. This was followed by quantitative cluster analysis and chi square analysis. RESULTS: The content analysis suggested 39 main categories of responses related to hearing aids. The cluster analysis resulted in five main clusters, namely: 1) positive attitude, 2) external factors, 3) hearing aid use and satisfaction, 4) etiology, and 5) benefits and limitations of technology. A few demographic factors (i.e., education, occupation type, country) showed association with different clusters, although country of origin seemed to be associated with most clusters. CONCLUSIONS: The study provides us with unique insights into the perception of hearing aids by the general public, and additionally, the way demographic variables may influence these perceptions.
Adult ; Demography ; Education ; Free Association ; Great Britain ; Health Behavior ; Hearing Aids ; Hearing Loss ; Humans ; India ; Iran ; Occupations ; Portugal ; Thinking

The mechanism of psychotherapy is explained by the recent developments in neuroscience and neuroimaging. The purpose of this study is to understand the nature of psychotherapy and to discuss the future of psychotherapy improvement with the help of advances of the neurobiological findings in psychotherapy. For this study, we investigated a wide range of materials. We searched for various researches on psychotherapy, brain, and neurobiology. In addition to the conventional psychodynamic psychotherapy, we investigated research findings on cognitive behavioral therapy, interpersonal psychotherapy and eye movement desensitization and reprocessing (EMDR). Moreover, based on the actual experiences of treating patients, we speculated the neurobiological mechanisms of the process and results of psychotherapy. With the development of neuroscience, we are now able to understand the personal consciousness, unconsciousness and developmental process. Also subdividing the disease is made possible. Personalized treatment has become available, and we are able to predict the prognosis of patients. Our memories are composed by implicit memory and explicit memory. By psychotherapy, we can consciously remember explicit memory, and it becomes easier to explore implicit memory through free association. Through psychotherapy, we will also be able to learn the effect of acquired environment and experience. Psychotherapy is able to correct human behaviors by modifying the memories. Through the regulation of emotions, it becomes possible to modify the memories and correct the behaviors. In this process, doctor-patient relationship is the main factor which cause positive treatment effects. Furthermore imagination therapy or unconscious, non-verbal stimuli could bring about positive treatment effects. Now psychotherapy could be explained and studied by neuroscientific researches. In this sense, we could provide the direction of future advances in neuroscience by the neurobiological understanding of psychotherapy.
Brain ; Cognitive Therapy ; Consciousness ; Eye Movements ; Free Association ; Humans ; Imagination ; Memory ; Neurobiology ; Neuroimaging ; Neurosciences ; Prognosis ; Psychotherapy ; Unconscious (Psychology) ; Unconsciousness

PURPOSE: Nowadays, chromosomal regions containing genes associated with the risk of lung cancer are identified by a number of genome-wide association studies (GWASs). As part of the study, GWAS has identified the association of six chromosomal regions, 1q23, 4q22, 4q31, 5p15, 6p21, and 15q25, as being associated with lung cancer risk in the European population. We investigated the impact of genetic variants identified in GWASs for lung cancer susceptibility on the survival outcomes in patients with early stage non-small cell lung cancer (NSCLC). MATERIALS AND METHODS: Three hundred and sixty-three patients with surgically resected NSCLC were enrolled. Eight single nucleotide polymorphisms (SNPs), rs2808630 on 1q23, rs7671167 on 4q22, rs1489759 and rs2202507 on 4q31, rs2736100 and rs402710 on 5p15, rs1052486 on 6p21 and rs16969968 on 15q25, were genotyped using a polymerase chain reaction-restriction fragment length polymorphism assay. The associations between genotypes and overall survival (OS) and disease-free survival (DFS) were analyzed. RESULTS: None of the eight SNPs were significantly associated with OS or DFS. In addition, when the patients were categorized according to age, gender, smoking status, tumor histology and pathologic stage, there were no significant associations between the eight SNPs and the survival outcomes. CONCLUSION: These results suggest that the genetic variants identified by GWASs for lung cancer susceptibility may not affect the prognosis of early stage NSCLC.
Carcinoma, Non-Small-Cell Lung ; Disease Susceptibility ; Disease-Free Survival ; Genome-Wide Association Study ; Genotype ; Humans ; Lung ; Lung Neoplasms ; Polymorphism, Single Nucleotide ; Prognosis ; Smoke ; Smoking

OBJECTIVETo determine the anthropometric parameters and the isometric muscle strength in a working population sample in China, and to investigate the relationship between muscle strength and individual attributes, such as age, gender, height and weight.

METHODSThe study population consisted of 146 male and 47 female people including workers, administrators and college students. Four types of muscle strength, i.e., handgrip, arm lift, shoulder lift, and torso pull, were measured.

RESULTSLeft handgrip, right handgrip, arm lift, shoulder lift and torso pull of male workers were (42.07 +/- 7.20), (43.92 +/- 7.14), (26.79 +/- 4.64), (33.79 +/- 6.88), (88.56 +/- 17.98) kg, respectively while those of female workers were (21.29 +/- 5.09), (23.26 +/- 5.47), (13.29 +/- 3.37), (18.52 +/- 4.01), (41.06 +/- 12.04) kg, respectively. The female's strength was about 50% lower than the male's. The strength in the 40 approximately years old group was higher than that in other age groups. There were significant positive correlation between the gender and the isometric strength as well as between the body weight and the isometric strength. If the body weight served as the corrected parameter, there was no significant difference in the handgrip among the groups (P < 0.05), but the torso pull of male workers > college students > administrators. All relative muscle strengths except the torso pull were similar for all age groups.

CONCLUSIONThe body weight as the independent variable can be used for establishing the predictive equation of the muscle strength. Calculation of the relative muscle strength can relieve the interference of the body weight for the muscle strength.

Adolescent ; Adult ; Anthropometry ; Female ; Hand Strength ; physiology ; Humans ; Male ; Middle Aged ; Muscle Contraction ; physiology ; Muscle Strength ; physiology ; Muscle Strength Dynamometer ; Pilot Projects ; Transactional Analysis ; Work Capacity Evaluation

OBJECTIVE: To analyze the cardiovascular outcome of statin medication in individuals retrospectively categorized on the basis of the 2013 American College of Cardiology and American Heart Association (ACC/AHA) guidelines risk assessment and to determine the additional prognostic value of coronary computed tomography angiography (CCTA) in assessing cardiovascular disease (CVD) risk in this group. MATERIALS AND METHODS: This retrospective study reviewed 4255 asymptomatic individuals who had undergone self-referred CCTA with a median follow-up period of 87 months. The primary endpoint was major adverse cardiac events (MACEs); these included cardiac death, nonfatal myocardial infarction, and unstable angina. Individuals recommended for statins according to the ACC/AHA guidelines were analyzed by their assessed risk. RESULTS: MACE occurrence was significantly higher in the statin-recommended (SR) group with significant coronary artery disease (CAD) than in those with insignificant CAD (p < 0.001). In individuals with a normal coronary artery on CCTA, MACEs did not occur regardless of statin medication. In the SR group with significant CAD, there was no significant difference between statin users and non-users (p = 0.810). However, in cases with insignificant CAD, the event-free survival was significantly lower among statin users (p = 0.034). In patients recommended for moderate-intensity statins, the segment involvement score on CCTA was significantly associated with a higher risk of MACEs (hazard ratio 2.558; p = 0.001). CONCLUSION: CCTA might have a potential role in CVD risk stratification among asymptomatic statin candidates.
American Heart Association ; Angina, Unstable ; Angiography ; Atherosclerosis ; Cardiology ; Cardiovascular Diseases ; Cholesterol ; Coronary Artery Disease ; Coronary Vessels ; Death ; Disease-Free Survival ; Follow-Up Studies ; Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors ; Myocardial Infarction ; Retrospective Studies ; Risk Assessment