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Objectives: This study aimed to examine changes of brain function before and after short-term psychodynamic psychotherapy in a patient with major depressive disorder (MDD). Methods: We recruited a patient with MDD, and a well-trained psychotherapist administered 26 sessions of short-term dynamic psychotherapy for the patient. Before and after psychotherapy, we assessed the patient’s psychological states using the Korean Version of Hamilton Depression Rating Scale (K-HDRS), and also measured the patient’s brain function using the [18] fluorodeoxy glucose ([18F]FDG) positron emission tomography. Results: The score of K-HDRS decreased from 17 to 11 after the treatment. Decreased [18F]FDG uptake was found in the right precentral gyrus, right inferior parietal lobule, medial dorsal nucleus of right thalamus, right middle occipital gyrus, right lingual gyrus, and left cuneus after the treatment. Increased [18F]FDG uptake was found in the right precuneus, left superior occipital gyrus, left middle temporal gyrus, left parahippocampal gyrus, and left insula after the treatment. Conclusion: This study showed the clinical improvement and changes in brain function in a MDD patient after short-term dynamic psychotherapy. We suggest that a well-designed comparison study may be necessary in order to explore brain areas which are involved in the improvement of depression after short-term dynamic psychotherapy.

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The eternal triangle: child, parents, therapists : how do we cope with parents when working with the child? Abigail Golomb pp.3-8

애착이론으로부터 정신화까지 : 배경과 임상적 의의 반건호 pp.9-20

When a mother brings her baby to psychoanalytic sessions Frances Thomson-Salo pp.21-28

인문학적 뇌 : 기억과 인지에 관한 최근 담론 권택영 pp.29-38

Tennessee Williams 원작에 근거한 '뜨거운 양철지붕 위의 고양이' 희곡과 영화의 분석적 해석 김이영 pp.39-49

주요우울장애 환자에서 단기역동정신치료가 뇌기능에 미치는 영향에 대한 증례보고 구정일, 강은호, 홍택유, 유범희 pp.50-57

참고문헌 (30건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Intensive Short‐Term Dynamic Psychotherapy of treatment‐resistant depression: a pilot study 네이버 미소장
2 Total dream loss: A distinct neuropsychological dysfunction after bilateral PCA stroke 네이버 미소장
3 The Parahippocampal Gyrus in the Baboon: Anatomical, Cytoarchitectonic and Magnetic Resonance Imaging (MRI) Studies 네이버 미소장
4 Regional brain metabolic changes in patients with major depression treated with either paroxetine or interpersonal therapy: preliminary findings. 네이버 미소장
5 Fast and robust registration of PET and MR images of human brain 네이버 미소장
6 Craig AD. How do you feel--now? The anterior insula and human awareness. Nat Rev Neurosci 2009;10:59-70. 미소장
7 Davanloo H. Basic Principles and Techniques in Short-term Dynamic Psychotherapy. New York: Spectum publications, INC.;1978. 미소장
8 Investigating the functional anatomy of empathy and forgiveness 네이버 미소장
9 Diagnosis and definition of treatment-resistant depression. 네이버 미소장
10 The mind's eye--precuneus activation in memory-related imagery. 네이버 미소장
11 Fmrib.ox.ac.uk/fsl Oxford: FMRIB Analysis Group; c2005 [Updated 2013 Jan 22]. Available from http://www.fmrib.ox.ac.uk/fsl. 미소장
12 Modulation of cortical-limbic pathways in major depression: treatment-specific effects of cognitive behavior therapy. 네이버 미소장
13 A rating scale for depression. 네이버 미소장
14 Depression and the hyperactive right-hemisphere 네이버 미소장
15 Hugdahl K, Specht K, Biringer E, Weis S, Elliott R, Hammar Å, et al. Increased parietal and frontal activation after remission from recurrent major depression: a repeated fMRI study. Cogn Ther and Res 2007;31:147-160. 미소장
16 Neural Mechanisms of Understanding Rational Actions: Middle Temporal Gyrus Activation by Contextual Violation 네이버 미소장
17 Changes in regional brain glucose metabolism measured with positron emission tomography after paroxetine treatment of major depression. 네이버 미소장
18 Differences in brain glucose metabolism between responders to CBT and venlafaxine in a 16-week randomized controlled trial. 네이버 미소장
19 Kim HN. Techniques of short-term dynamic psychotherapy. J Korean Psychoanalytic Society 2004;15:33-48. 미소장
20 Reflective Self-Awareness and Conscious States: PET Evidence for a Common Midline Parietofrontal Core 네이버 미소장
21 Common effects of emotional valence, arousal and attention on neural activation during visual processing of pictures 네이버 미소장
22 The efficacy of short-term psychodynamic psychotherapy in specific psychiatric disorders: a meta-analysis. 네이버 미소장
23 Parietal Cortex and Representation of the Mental Self 네이버 미소장
24 Differential cerebral metabolic changes with paroxetine treatment of obsessive-compulsive disorder vs major depression. 네이버 미소장
25 Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998;59 Suppl 20:22-33; quiz 34-57. 미소장
26 The neuronal basis and ontogeny of empathy and mind reading: Review of literature and implications for future research 네이버 미소장
27 Double dissociation in neural correlates of visual working memory: A PET study 네이버 미소장
28 Neural Correlates of First-Person Perspective as One Constituent of Human Self-Consciousness 네이버 미소장
29 A structured interview guide for the Hamilton Depression Rating Scale. 네이버 미소장
30 Validity and Reliability of the Korean Version of the Hamilton Depression Rating Scale(K-HDRS) 소장

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