정신치료의효과 : 인격의성숙에의한것인가? *

Transcription

1 KISEP Special Articles J Korean Neuropsychiatr Assoc Vol 41, No 1 정신치료의효과 : 인격의성숙에의한것인가? * 국문초록 이무석 ** The Effect of Psychotherapy: Does It Represent Itself in Emotional Growth? * Moo-Suk Lee, M.D., Ph.D. ** 중심단어 서 - Department of Psychiatry, Chonnam National University Medical School, Research Institute of Medical Sciences, Gwangju Corresponding author 론 39

2 치료효과에대한프로이트의개념과프로이트이후 - 40

3 - - - 치료관계를통한성장 41

4 - - 42

5 인간본성 (Human Nature) 의회복을통한정신치료 - 참고문헌 1) Gabbard GO(1994):Psychodynamic psychiatry in clinical practice. Washinton DC. American Psychiatric Press, pp ) Cooper AM(1992):Psychic Change:Development in the Theory of Psychoanalytic Techniques 7th IPA Congress Overview. Int J Psycho-Anal 73: ) Cooper AM(1989):Concepts of therapeutic effectiveness in psychoanalysis:a historical review Psychoanal. Inq 9:4-25 4) Freud S(1885):Freulein Anna O. in Studies on Hysteria. S.E. 2, pp ) Freud S(1933):New introductory lectures on psychoanalysis. S.E. 22, pp80, 68 6) Freud S(1914):Further Recommendations in the Technique of Psychoanalysis 2;Remembering, Repeating and Working through. S.E.12, pp ) Rangell L(1987):A Core Process in Psychoanalytic Treatment. Psychoanal. Q 56: ) Kernberg O(1975):Borderline Conditions and Pathological Narcissism. New York, Jason Aronson 9) Brenner C(1976):Psychoanalytic Technique and Psychic Conflict. New York, International University Press 10) Gray P(1990):The Nature of Therapeutic Actions in Psychoanalysis. J Amer Psychoanal Assn 38: ) Winnicott DW(1965):The maturational process of the facillitating environment:studies in the Theory of Emotional Development. London, Hogarth Press 12) Loewald HW(1960):On the therapeutic action of psychoanalysis. Int. J Psycho-Anal 41:

6 13) Zetzel ER(1970):The Capacity for Emotional Growth. Theoretical and Clinical Contributions to Psychoanalysis, New York, International Universities Press 14) Kohut H(1984):How Does Analysis Cure? Chicago, Univ. Chicago Press 15) Emde, R(1990):Mobilizing Fundamental Modes of Development:Empathic Availability and Therapeutic Action. J Amer Psychoanal Assn 38:881 16) Greenspan, S(1988):The Development of the Ego: Insights from Clinical Work with Infants and Young Children. J Amer Psychoanal Assn 36:3 17) Stone L(1981):Notes on the noninterpretive elements in the psychoanalytic situation and process. J Amer Psychoanal. Assn 29: ) Blum H(1984):The position and value of extratransference interpretation PANY. Bull 22:10, 11, 15 19) 이무석 (2000) : 한국인의마음속에있는아버지상과아버지와관련된정신병리. 정신분석 11(2): ) Harlow HF MK(1962):Social deprevation in monkeys. Scientific American. 1962, November, pp ) 김성희 (1999) : 광주시립정신병원에서 1999년 10월에한국인의사회구조는모계중심사회이라는말씀을하시는중에주신말씀 22) Kohut H, Wolf E(1978):The disorders of the Self and their Treatment:An Outline(1). Int J Psychonanal 59: ) Bowlby J(1958):The nature of the child s tie to his mother. Int J Psychoalal 39:350 44

7 ABSTRACT J Korean Neuropsychiatr Assoc Vol 41, No 1, January, 2002 The Effect of Psychotherapy: Does It Represent Itself in Emotional Growth? Moo-Suk Lee, M.D., Ph.D. Department of Psychiatry, Chonnam National University Medical School, Research Institute of Medical Sciences, Gwangju The author reviewed the relationship between psychotherapy and ego growth from psychoanalytic point of view. The effect of psychotherapy represents itself in ego growth. To illustrate this claim, the author reviewed Freud s concept on the effect of psychotherapy first and the concepts discussed in literatures after Freud. The main stance of this paper is that the effect of psychotherapy manifests itself in ego growth through therapeutic relationships. The author deduced that since the major part of the therapeutic process takes place unconsciously, one is unaware of his/her ego growth. Through psychotherapy, the immature part of the personality, which stoped growing in the course of development, starts to grow. It may be the ego growth either through gaining insight or the growth derived from the therapeutic relationship with the analyst. Mental illness can be looked upon as the loss of human nature, and the remedy lies in recovering the human nature. The lost human nature is recovered when one is in a therapeutic environment, that is very much maternal in nature. Psychotherapy may result in some changes in brain physiology or neurochemistry. It may take some time to bring about anatomical changes of the brain. If this assumption is correct that psychotherapy inflicts anatomical changes of the brain for it s positive effects, it should be accomplished through a long period of working-through of the problem. Some studies on this theme of neurophysiology and anatomical research are already in process and I hope to be able to explain the processes of psychotherapy in the near future. KEY WORDSPschotherapy Effect Ego growth Unconscious Relationship. 45