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학술논문

Ideology, Stigma, and Survival: Mental Health and Treatment Experiences of North Korean Women under Authoritarian Rule

상세내역
저자 문수인
소속 및 직함 이화여자대학교
발행기관 통일학연구원
학술지 Journal of Peace and Unification
권호사항 15(4)
수록페이지 범위 및 쪽수 67-92
발행 시기 2026년
키워드 #North Korean women   #mental health   #treatment experiences   #ideology   #stigma   #문수인
조회수 4
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상세내역
초록
This study examines how mental health is defined, experienced, and governed under North Korea’s authoritarian system. Drawing on in-depth interviews with six women who received psychiatric treatment before defection, it reconstructs how ideology and institu-tional control shaped perceptions of illness and care. Findings show that psychological distress was moralized as weakness or ideological deviation, discouraging formal treat-ment and reinforcing surveillance. Participants described fear of exposure, avoidance of hospitals, and reliance on informal healing, with enduring stigma symbolized by the 49-ho psychiatric label. Overall, the analysis reveals that mental illness in the DPRK functions less as a medical condition than as a disciplinary mechanism that intertwines morality, medicine, and political power.
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