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KMID : 0368819920310040648
Journal of the Korean Neuropsychiatr Association
1992 Volume.31 No. 4 p.648 ~ p.671
Culture-relevant Psychiatric Pradtice: Case Study of a Clinic


Abstract
There often is a considerable distance between the public's (including patient's) view of illness and that of modern medicine. Consequently, the patient's illness behavior often is not in accord with the physician's expectation. This is
especially
true
in psychiatric medicine. This study was undertaken to better understanding what factors in psychiatric practices in Korea today are positively correlated with patient' s expectation and result in good outcome.
The study was conducted by the authors using participant observation for one year(August 1990-July 1991) at a local psychiatric clinic(Dr. Se-Jong Lee, the director) which is well known and much sought after by the patients.
Our observations suggest that the effectiveness and popularity of Dr. Lee's approach may be in this flexible combination of the traditional Oriental-Korean sensibilities such as yin-yang and cold-hot theories with Western ideas such as
constitutional
disposition("diathesis") and functional frame of central nervous system. Pragmatic and symptom-oriented, he flexibly combines medication. simple and down to earth dialogue, as well as moderen technologies including EEG and CT scan.
In short, it is his pragmatism and apparent blending of Korean and Western approaches that chartacterize his approach.
KEYWORD
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