척수장애인 성 상담을 위한 인지행동치료 적용에 관한 기초연구

Sexual Counseling for People with Spinal Cord Injuries: The Application of Cognitive Behavior Therapy

  • 투고 : 2018.10.10
  • 심사 : 2018.11.20
  • 발행 : 2018.11.28


대부분의 나라에서 척수장애인 수는 해마다 증가하고 있다. 장애발생 이후 많은 척수장애인이 성 정체성과 성적 부적응 문제를 가지게 된다는 연구들이 많음에도 불구하고, 그동안 이 문제는 재활상담 현장에서 소극적으로 다루어져 왔다. 이에 본 연구는 척수장애인들이 직면하는 성적 문제들을 제시하고, 성 상담과 관련된 이전 연구를 살펴보았다. 그리고 마지막으로 재활현장에서 척수장애인에게 적용 가능한 인지행동치료(CBT)를 통한 성 상담의 몇 가지 치료적 전략들을 제시하였다. 본 연구는 향후 재활상담현장에서, 척수장애인 뿐만 아니라 장애발생 후 장애인들이 겪게 되는 성 문제에 대한 보다 적극적인 논의의 필요와 적용 가능한 CBT의 기초적 이론 제시로써 의미가 있다. 이를 위한 몇 가지 제안들을 담고 있다.


성상담;척수장애인;인지행동상담;신체상;성적 부적응


  1. D. Falvo. (1999). Medical and Psychosocial Aspects of Chronic Illness and Disability. Gaithersburg, ML: Aspen Publication.
  2. H. S. Yoon, H. H. Park, C. U. Lee & S. H. Choi. (2017). The Analysis of Inactive People with Spinal Cord Injury, Legislation and Policy, 9(1), 395-419.
  3. S. Hochloski, S. Elliott, L. A. Brotto, E. Breckon & K. McBride. (2016). A Mindfulness Psychoeducational Group Intervention Targeting Sexual Adjustment for Women with Multiple Sclerosis and Spinal Cord Injury: A Pilot Study, Sexuality and Disability, 34(2), 183-198.
  4. P. W. New & K. E. Currie. (2016). Development of a Comprehensive Survey of Sexuality Issues Including a Self-report Version of the International Spinal Cord Injury Sexual Function Basic Data Sets, Spinal Cord, 54, 584-591.
  5. D. A. Ohi, M. Carlsson, V. J. Stecher & G. A. Rippon. (2017). Efficacy and Safety of Sildenafil in Men With Sexual Dysfunction and Spinal Cord Injury, Sexual Medicine Reviews, 5(4), 521-528.
  6. J. G. Previnaire, J. M. Soler, M. S. Alexander, F. Countois, S. Elliott & A. McLain. (2017). Prediction of Sexual Function Following Spinal Cord Injury: A Case Series, Spinal Cord Series and Cases, 453-480.
  7. A. I. Cobo-Cuenca, A. Sampietro-Crespo, M. Virseda-Chamorro, N. Martin-Espinosa (2015), Pcychological Impact and Sexual Dysfunction in Men with and without Spinal Cord Injury, The Journal of Sexual Medicine 12(2), 436-444.
  8. J. Farrow. (1990). Sexuality Counseling with Clients who Have Spinal Cord Injuries. Rehabilitation Counseling Bulletin, 33(3), 251-259.
  9. F. Jeff. (1990). Sexuality Counseling with People who Have Spinal Cord Injuries. Rehabilitation Counseling Bulletin, 33(3), 251-253.
  10. M. D. Romano & R. E. Lassiter. (1972). Sexual Counseling with Spinal-cord Injured. Archives of Physical Medicine and Rehabilitation, 53(12), 568-572.
  11. P. Jerry, A. Michael, D. Kathleen & J. Angela. (2001). Spinal Cord Injury and Sexuality in Married or Partnered Men: Activities, Function, Needs, and Predictors of Sexual Adjustment. Archives of Sexual Behavior, 30(6), 591-601.
  12. T. D. Stewart. (1981). Sex, Spinal Cord Injury, and Staff Rapport. Rehabilitation Literature, 42, 347-350.
  13. D. Yashnon. (1978). Spinal Injury. New York: Appleton-Century-Crafts.
  14. C. DeLoach & B. G. Greer. (1981). Adjustment to Severe Physical Disability. New York: McGraw-Hill.
  15. H. Kaplan. (1979). Disorders of Sexual Desire and Other New Concepts and Techniques in Sex Therapy. New York: Brunner/Hazel Publications.
  16. J. Vargo. (1992). A Cognitive Approach to Counselling Clients with Physical Disabilities. In S. E. Robertson, & R. I. Brown Eds.), Rehabilitation counselling: Approaches in the field of disability. London: Chapman & Hall.
  17. H. S. Yoo & H. Y. Lee. (2014). Effect of Cognitive-Behavioral Group Counseling on Life Satisfaction in the Elderly in an Old People's Home, Korea Academy of Welfare Counseling education, 3(2), 1-16.
  18. M. V. James. (1992). A Cognitive Approach to Counseling People with Physical Disabilities. In Sharon, E. R. & Roy, L. B. (Eds), Rehabilitation Counseling.
  19. J. C. Teal & G. T. Athelstan. (1975). Sexuality and Spinal Cord Injury: Some Psychological Considerations. Archives of Physical Medicine and Rehabilitation, 56, 264-280.
  20. Y. S. Oh & Y. S. Yoo. (2016). The Study of Christian Cognitive Behavioral Therapy for Spinal Cord Injury Disabled: Based on the Truth Therapy, Journal of Counseling and Gospel, 24(2), 255-284.
  21. V. Raimy. (1975). Misunderstandigs of the Self, San Francisco: Jossey-Base.
  22. G. Corey. (2001). Theory and Practice of Counseling and Psychotherapy. Belmont, CA: Brooks/Cole.
  23. B. A. Wright. (1983). Physical disability: A Psychosocial Approach(2nd ed.). New York: Harper & Row.
  24. L. R. Mona. (1998). Sexuality and Persons with Physical Disabilities: Unexplored no longer, Journal of Sex Research, 35(2), 217-220.
  25. L. S. Miller, W. E. Staas, G. J. & Jr, Herbison. (1975). Addominal Problems in Patients with Spinal Cord Lesions, Arch Phys Med Rehabil, 56(9), 513-516.
  26. W. J. Choi et al. (2018). The Effects of Convergent Reproductive Health Promotion Program for Korean University Students on Sexual Knowledge, Sexual Attitude, and Reproductive Health Promotiong Behavior, Journal of the Korea Convergence Society, 9(3), 145-152.
  27. S. J. Woo & E. S. Lee. (2017). The Convergence Study on the Sexual Life Experience of Rectal Cancer Men. Journal of the Korea Convergence Society, 8(5), 233-241.