同氣間에 發病한 精神分裂症 患者들의 家族力動 = Family Dynamics of Sibling Schzophrenics' Family

국문 초록 (Abstract)

著者는 近年 慶北醫大附屬病院, 大邱 東山基督病院 및 大邱에 있는 個人 精神病院에서 入院加療를 받은 바 있는, 同氣間에 에 2名以上이 精神分裂症으로 發病한 24家族 53名의 患者들을 對象으로 面談 및 病歷誌를 參考로 하여 同氣間 患者들의 相互關係 및 家族構造的이고 家族力動的인 面 等을 調査하여 본 結果 다음과 같은 事實을 發見하였다.
同氣間에 2名以上이 精神分裂症으로 發病한 家族은 그 子女數가 많았고 첫 子女에 精神分裂症 患者가 많았다.
同氣間에 精神分裂症 患者들의 症狀은 서로 類似한 點들이 많았고 表面的으로 보았을 때 初發者가 後發者보다 더 甚하였다.
同氣間 精神分裂症 患者들의 相互關係는 大部分이 共生的이었고 少數에서는 敵對的인 關係에 있었는데 이와같은 關係는 家族構造的이고 家族力動的인 面과 密接한 關係를 갖고 있었다.
同氣間 精神分裂症 患者들의 父親은 長男이거나 獨子인 境遇가 많았고 엄하고 무섭고 거리감이 많은 性格의 所有者들이 많았으며 母親은 服從的이고 過剩保護하거나 無力한 性格의 所有者가 많았다.
同氣關 精神分裂症 患者들의 家族들을 家族構造的이고 家族力動的인 面으로 볼 때 父親의 外道가 甚해서 嫡庶關係가 많았고 家庭內 秘密이 많았다.
以上으로 볼 때 같은 同氣間에 2名 以上이 精神分裂症으로 發病하게된 境遇가 혼자 發病하게된 境遇에 比하여 여러가지 面에서 質的으로 相異한 點은 찾아 볼 수 없었고 단지 病的인 家族力動이 더욱 두드러지게 들어났던 것이 特記할만 하다고 하겠다.

다국어 초록 (Multilingual Abstract)

Author attempted to fine out whether there were any characteristic findings in the sibling schizophrenics family (family in which more than two members of sibling were schizophrenia), including clinical feature, interpersonal relationship between sibling schizophrenics and family structure with it's dynamics.
Study group included 53 schizophrenics from 24 sibling schizophrenics' families who were recently admitted to Kyungpook National University Hospital, Dongsan Prebyterian Hospital and local clinics in Taegu city.
Results obtained were summarized as follows:
The members of sibling were larger in the sibling schizophrenics' families than that of normal and the first born childrens were affected more frequently than subsequent ones.
The presenting symptoms of sibling schizophrenics from the same family were similiar but more severe in the patient who was afflicted first.
Interpersonal relationship between sibling schizophrenics in the same family was symbiotic in the majority, and small number showed rivalism, depending on their family structure & dynamism.
Higher frequency rate of sibling schizophrenia was noticed in the family in which father was the eldest son or the only child. And usually fathers were found to be overprotective & submissive.
Comparative analysis of the above findings showed no difference from the family in which only one child was afflicted. However one outstanding characteristic of family dynamics from the study group was seen in that there were more family secrets and legitimate-illegitimate struggles due to father's debauchery.