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충남대학교 간호대학 2 차시 정신질환자 치료와 간호의 역사

정신간호학1 2차시 정신질환자 치료와 간호의 역사_v1-2

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  • 2

  • 2 / 53

    1.

    ,

    . ,

    . 2 , ,

    (Platon,

    B.C. 427~437)

  • 3 / 53

    1.

    -

    , ,

    , , , , , , , ,

    ,

  • 4 / 53

    1.

    1)

    ,

    ,

    , ,

    ,

    -

    -

    - -

    -

  • 5 / 53

    1.

    1) (B.C. 700 )

    (B.C. 1550)

    Atharva veda

    Sushruta-Samhita

    , , ,

    B.C. 10

    ,

    Saul

  • 6 / 53

    1.

    2) (B.C. 700~A.D. 500)

    , , ,

    -

    -

    - ,

    -

    - ( ),

  • 7 / 53

    1.

    2) (B.C. 700~A.D. 500)

    PythagorasPythagoras

    , , , , , . .

    Hippocrates(B.C. 460~370)Hippocrates

    (B.C. 460~370)

    , , , , ( ) ,

    , (blood-letting), , (ritual purification) (phrenitis), (mania), (melancholia) ,

    , , , (senile dementia) , (hydrotherapy), , ,

  • 8 / 53

    1.

    2) (B.C. 700~A.D. 500)

    Platon(B.C. 427~347)

    Aristoteles(B.C. 384~322)

    Republic"

    ,

    Herophilus(B.C. 335~280)

    ,

  • 9 / 53

    1.

    2) (B.C. 700~A.D. 500)

    Asclepiades(B.C. 150)

    , , . , , , (blood letting), .

    Celsius(B.C. 25~A.D. 50)

    De Re Medicina" . ,

    Soranus(98~138)

    , , , ,

    Aretaeus(50~130):

    ,

    Galen(130~200)

    ( ) , ,

  • 10 / 53

    1.

    3) (middle age A.D. 500 ~1500)

    ( )

    St. Augustine

    (confession)

  • 11 / 53

    1.

    3) (middle age A.D. 500 ~1500)

    1204 . ,

    Baghdad , Rhazes

    1486 Alsace Rufah , , ,

  • 12 / 53

    1.

    4) (A.D. 1500~1700)

    ,

    17

    , , ,

    , , , lunatic . Martin Luther , .

    , ,

  • 13 / 53

    1.

    .

    . Weyer , , , , , (folie a deux), ,

    4) (A.D. 1500~1700)

    J. Weyer(1515~1588)

    Andreas Vesalius(1514~1564) , ,

    ,

  • 14 / 53

    1.

    4) (A.D. 1500~1700)

    17 ,

    1656 , ,

    ,

    1547 Bethlehem (Bedlam)

    1601 (poor law) ,

  • 15 / 53

    1.

    18

    5) 18~19

    W. Cullen(1710~1790)

    (neurosis) . ( )

    Franz Anton Mesmer(1733~1815)

    Benhamin Rush

    Phillippe Pinel(1745~1826)

  • 16 / 53

    1.

    18

    5) 18~19

    W. Cullen(1710~1790)

    (Animal Magnetism) , Mesmerism

    Franz Anton Mesmer(1733~1815)

    Benhamin Rush

    Phillippe Pinel(1745~1826)

  • 17 / 53

    1.

    18

    5) 18~19

    W. Cullen(1710~1790)

    1752

    , , . , . , 1773 Williamsburg The Eastern Asylum(Eastern Lunatic-Hospital)

    Franz Anton Mesmer(1733~1815)

    Benhamin Rush

    Phillippe Pinel(1745~1826)

  • 18 / 53

    1.

    18

    5) 18~19

    W. Cullen(1710~1790)

    , , , , ,

    . (open door policy) ,

    Franz Anton Mesmer(1733~1815)

    Benhamin Rush

    Phillippe Pinel(1745~1826)

  • 19 / 53

    1.

    Freud

    6) 19 ~ 20

    Wilhelm Griesinger(1817~1868)

    emil Kraepelin(1856~1926)

    , ,

    19

    Hideo Nohuchi(1876~1928)

    Eugen Bleuler(1857~1939)

    (schizophrenia)

  • 20 / 53

    1.

    6) 19 ~ 20

    Dorothea Lynde Dix

    (1802~1887) , 30

    Jean Martin Charcot

    (1825~1893) ,

    Sigmund Freud(1856~1939)

    (free association)

    , , (dynamic psychiatry)

  • 21 / 53

    1.

    Adolf Meyer(1866~1950) Johns Hopkins

    ,

    Alfred Adler(1870~1937)

    ,

    Otto Rank(1884~1939)

    Freud (birth trauma) (separation anxiety)

    6) 19 ~ 20

  • 22 / 53

    1.

    6) 19 ~ 20

    1900 , ,

    Carl Gustav Jung

    (1857~1961)

    Carl Gustav Jung

    (1857~1961)

    (analytic psychology)

    libido (life force)

  • 23 / 53

    1.

    6) 19 ~ 20

    H. S. Sullivan(1892~1949)

    .

    Melanie Klein(1882~1960)

    . play therapy ,

    Anne Freud Freud Ego and Mechanism of Defense" Freud

  • 24 / 53

    1.

    6) 19 ~ 20

    1930

    Julius Wagner Von jauregg(1857~1940)

    Nobel

    Manfred Sakel(1900~1957) 1933 insulin shock .

    Egas Moniz(1974~1955)

    1936 (psychosurgery) ,

  • 25 / 53

    1.

    6) 19 ~ 20

    1938 1935

    Cerleitti(1877~1963) Lucio Bini

    Ladislaus J. Von Meduna(1896~1964) Camphor Cardizole

  • 26 / 53

    1.

    7) 20 ~

    .

    Erich Fromm(1900~1980)

    , ,

    Erik Erikson(1902~1995)

    ,

    Frieda Fromm-Reichman

    Karl Menninger , ,

  • 27 / 53

    1.

    7) 20 ~

    Freud H. S. Sullivan ,

    1952 Jean Delay Pierre Deniker Chlorpromazine

    John b. Watson Joseph Wolpe

    Aaron Beck(1921~) Albert Ellis(1913~)

  • 28 / 53

    1.

    7) 20 ~

    1 2 43%

    1946 , (National Institute of Mental Health)

    1

    2

    3

  • 29 / 53

    1.

    7) 20 ~

    1963

    1955~ 1975

    , , ( ), ,

    559,000 66% .

  • 30 / 53

    2.

    19 , 20

    Florence Nichtingale

    Notes On Nursing"

    1836

    1860

    Fliedner 3 Kwaiserthwerth (F. Nightingale )

    1

  • 31 / 53

    2.

    1872

    1880 , 15

    1890 , 432

  • 32 / 53

    2.

    1)

    Linda Richards

    19

    1913

    1936

    Waverly Mclean 2

    1880

  • 33 / 53

    2.

    1)

    Linda Richards

    1880

    1913

    1936

    (hydrotherapy),

    19

  • 34 / 53

    2.

    1)

    Linda Richards

    1880

    19

    1936

    Johns Hopkins

    Nursing Mental Diseases1913

  • 35 / 53

    2.

    1)

    Linda Richards

    1880

    19

    1913

    67

    1937 (National League for Nursing Education)

    1940

    1930 , ,

    1936

  • 36 / 53

    2.

    2)

    2 1946

    , , ,

    , 12

    8000 , 1948 , 9

    1965 , 31

    1987 60

  • 37 / 53

    2.

    2)

    1948 Brown Nursing for the Future

    , 1955

  • 38 / 53

    2.

    3)

    1952 3

    Gwen Tudor Will2

    Frances Sleeper3

    peplau (Interpersonal Relation in Nursing)1

    Sullivan ,

    Peplau , ,

  • 39 / 53

    2.

    3)

    1952 3

    Gwen Tudor Will2

    Frances Sleeper3

    peplau (Interpersonal Relation in Nursing)1

    Psychiatry"

    10

  • 40 / 53

    2.

    3)

    1952

    1957

    1958

    1957 ,

    Mellow

    Peplau, Will, Mellows

  • 41 / 53

    2.

    3)

    1961

    1962

    Ida Jean orlando The Dynamic Nurse-Patient Relationship: ,

    Peplau Interpersonal Technique: The Crux of Psychiatric Nursing: Peplau 1 , ( )

  • 42 / 53

    2.

    4)

    (1963 )

    Perspectives in Psychiatric Care" , Journal of Psychiatric Nursing and Mental Health Service(1981 Journal of Psychosocial Nursing and Mental Health Service ) , , ,

    1971 New Jersey New York 1970 1973

    1982 . 1973

  • 43 / 53

    2.

    4)

    1

    2

    3

    4

    , ,

    ,

  • 44 / 53

    2.

    4)

    19,145

    6,030

    770

    1984 (NANDA)

    Archives of Psychiatric Nursing : 1987 .

  • 45 / 53

    2.

    4)

    1978 President's Commission of Mental Health

    - , , ,

    -

    - , , ,

    -

    -

  • 46 / 53

    4)

    1982

    ( )

    , , ,

    1990

    , 1

    , 2

    3

    2.

  • 47 / 53

    1)

    3.

    20 , , ,

    ,

    ( ) ( ) ( )

    10 ( 818 ) ( ) , ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

  • 48 / 53

    1)

    3.

    ( ) , ,

    , , .

    ( )

  • 49 / 53

    2)

    3.

    1885

    1907 11 , (1910 )

    1910 , 1913

    1917 1923

    (1910~1945)

    (descriptive psychiatry) , 1914 , ,

  • 50 / 53

    3)

    3.

    1945

    2001 6

    1962

    1995

    , 6 25

    , 1945

    , , , ,

    : , ,

    46,472 , 14,262 60,734 ,

  • 51 / 53

    4)

    3.

    , , , , 6 25

    1960 1970

    ,

    , ,

    ,

  • 52 / 53

    3.

    4)

    ( ) (1927 )

    1943 ,

    1950 , 1960

    1970 1974 1971 , 1992 2 , 4

  • 53 / 53

    2)

    3.

    20 1996~1998 (UNDP)

    1992 1993 , .

    1996

    150 850 .

    2004 3,000 .

    2 , ,