E-ISSN : 2733-4538
The aims of this study were (a) to examine the alexithymic syndrome and coping deficits in somatization group through the Rorschach test and (b) to analyze the results in the aspects of the cognition, emotion, behavior, and stress management. For these purposes, we compared 56 somatization patients with the two normative data: Korean adult norms of Rorschach response provided by Kyung-Jin Shin and Ho-Teak Won(1991) and American those provided by Exner(1990). The results showed that somatization patients had smaller number of R, fewer M responses, lower W Sum C score, fewer blends responses, higher Lambda score and lower EA score than did comparison groups. Also, somatization group showed fewer FC responses than did American adults. These results indicated the alexithymic syndrome in somatizaion group. Besides, somatization patients had severe coping deficits: (1) EA<6, (2) COP<2, AG<2, (3) W Sum C<2.5, Afr<.46, (4) Pure H<2 were appeared in most of somatization patients and (5) Isolation Index>.24 in some of somatization patients. Finally, the results were analysed in the aspects of the cognition, emotion, behavior, and stress management. Based on these analyses, recommendations for treatment were suggested.
(1994) 신체화의 개념과 기전,
(1994) 전문가를 위한 새로운 심리평가의 실제, 하나의학사
(1994) 동통을 가진 신체형장애 환자에서 감정표현능력과 압통역치,
(1991) Exner종합체계에 따른 한국 정상성인의 Rorschach 반응특성 I,
(1998) 신체화 집단의 신체감각에 대한 해석편향,
(2000) 부정적 정서, 감정표현불능증, 신체감각 증폭지각 및 신체적 귀인이 신체화에 미치는 영향: 매개모델의 검증,
(1997) 한국판 감정표현불능증 척도 개발 연구,
(1988) Alexithymia and somatization:A Rorschach study of four psychosomatic groups,
(1996) Contributions of cognitive science to the Rorschach Technique: Cognitive and neuropsychological correlates of the response process,
(1994) Diagnostic and statistical manual of mental disorders,
(1997) Dissociation, somatization, substance abuse, and coping in women with chronic pelvic pain.,
(1995) Somatoform disorders and personality traits,
(1988) A cognitive-educational treatment for hypochondriasis,
(1990) The somatosensory amplication scale and its relationship to hypochondriasis Journal of Psychiatry Research,
(1986) Psychosomatic diseases and the Rorschach test,
(1993) Nonverbal and verbal emotional expression and health,
(1999) Perceptual and memory biases for health-related information in hypochondrical individuals,
(2002) Somatization: A critical review of conceptual and methodological issues,
(2003) Alexithymia and somatization:A quantitative review of the literature,
(1959) American Journal of Medicine,
(2004) Subjective health complaints, sensitization, and sustained cognitive activation (stress). ,
(1990) A Rorschach Workbook for the Comprehenssive System,
(1986) The effects of internal versus external information processing on symptom perception in an exercise setting,
(1993) Comparison of the efficacy of electromyographic biofeedback cognitive-behavioral therapy and conservative medical interventions in the treatment of chronic musculoskeletal pain Journal of Consulting Clinical Psychology,
(2003) Depression and vulnerability as assessed by the Rorschach method,
(1996) Alexithymia and psychological distress among frequent attendance patients in health care.,
(1994) Symptom attribution in cultural perspective,
(1997) Multisomatoform disorder: An alternative to undifferentiated somatoform disorder for the somatizing patient in primary care.,
(198218-25) Rorschach and pain characteristics of patients with low back pain and Journal of Personality Assessment,
(1991) What is stress? In M,
(1988) American Journal of Psychiatry,
(1987) Cognitive behavioural intervention for irritable bowel syndrome Journal of Clinical Gatroenterology,
(1996) The Rorschach and MMPI:Toward a more scientifically differentiated understanding of cross-method assessment,
(2001) The hard science of Rorschach research: What do we know and where do we go?,
(2003) Biofeedback-based interventions in somatoform disorders: A randomized controlled trial.,
(2001) Cognitive-behavior therapy for medically unexplained symptoms: A critical review of the treatment literature,
(2002) Memory bias in patients with hypochondriasis and somatoform pain disorder,
(1993) Journal of Psychosomatic Research,
(1989) Advances in Experimental Social Psychology,
(1988) Disclosure of traumas and immune function Health implications for psychotherapy Journal of Consulting and Clinical Psychology,
(1994) Interpretation bias in responses to ambiguous cues in pain patients Journal of Psychosomatic Research, Pincus
(1996) Pain patients' bias the interpretation of ambiguous homophones,
(2001) The personality profile and alexithymic syndrome in primary headache: A Rorschach study.,
(1991) Cognitive and social factors in somatization Current concepts of somatization, Washington DC American Psychiatric Press
(1957) The clinical assessment of normal and pathological communication,
(1955) Comments on the metapsychology of somatization,
(1972) Short-term psychotherapy and emotional crisis, Harvard University Press
(1994) The course of somatization and its effects on utilization of health care resource,
(1991) A potential paradigm for psychosomatic medicine,
(1999) A review of recent research addressing the utility of the Rorschach,
(2003) 로르샤하 해석의 원리 (김영환, 김지혜, 홍상황 외 공역). , 서울: 학지사. (원전은 1998에 출판).
(1992) International classification of disease,