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A Study on the Coping Experience of Mental Disorder Symptoms

정신장애인의 정신질환 증상 대처 경험에 관한 연구

  • Kim, Nanghee (Korean Research Center for Guardianship and Trusts) ;
  • Song, Seung-yeon (Korean Research Center for Guardianship and Trusts) ;
  • Kim, Hyojung (Korean Research Center for Guardianship and Trusts)
  • 김낭희 (한국후견.신탁연구센터) ;
  • 송승연 (한국후견.신탁연구센터) ;
  • 김효정 (한국후견.신탁연구센터)
  • Received : 2021.02.09
  • Accepted : 2021.05.20
  • Published : 2021.05.28

Abstract

This work aims to explore personal coping and insight experience in mental disorder symptoms from the perspective of the parties in order to lay an empirical basis for the transition of the mental health service paradigm from a medical model to a human rights model. For this purpose, in-depth interviews with 8 persons with mental disorders were conducted and a model of practice was suggested through analysis using the grounded theory. As a result, 11 categories, 23 sub-categories and 132 concepts were identified. According to the analysis of this study, people with mental disorders have changed their perspective on symptoms through in-depth insight into their identities and symptoms as mental disorders, and discovered their own autonomous ways to cope with symptoms, managing their daily lives. Therefore, in developing a Korean alternative model for people with mental disorders, it is necessary to prepare conditions to find their own countermeasures through opportunities for insight.

본 연구는 정신건강서비스 패러다임을 의료적 모델에서 인권적 모델로 전환하기 위한 경험적 근거기반을 마련하고자 당사자의 관점에서 정신장애 증상에 대한 개인적 대처와 통찰경험을 탐색하는 데 목적이 있다. 이를 위해 정신장애인 당사자 8명을 대상으로 심층인터뷰를 진행하였고 근거이론 방법을 활용하여 분석하였다. 연구결과 132개의 개념, 23개의 하위범주, 그리고 11개의 상위범주로 유목화할 수 있었다. 연구 결과 정신장애인들은 증상에 대한 깊은 통찰을 통해 증상에 대한 자신만의 관점을 갖게 되는 한편 증상에 대한 대처방법을 찾고자 노력하고 발견함으로써 증상과 함께, 증상을 관리하며 일상생활을 영위하고 있었다. 따라서 우리 사회에 맞는 정신장애인에 대한 대안적 모델을 개발함에 있어 정신장애인 스스로 통찰의 기회를 통해 자신만의 대처방안을 찾도록 여건을 마련하는 것이 필요할 것이다.

Keywords

Acknowledgement

This work is supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea(NRF-2019S1A3A2099593)

References

  1. Ministry of Health and Welfare. (2019). The Combined Second and Third Periodic Report under the Convention on the Rights of Persons with Disabilities. The Republic of Korea
  2. CRPD. (2006). Conventions on the Rights of Persons with Disabilities, (Online). www.un.org/esa/socdev/enable/rights/convtexte.htm.
  3. M. S. Kim. (2018). The Experience of Recovery from Severe Mental Illness: A Qualitative Meta-Summary. Social Science Research Review, 34(1), 85-110. DOI : 10.18859/ssrr.2018.02.34.1.85
  4. D. Y. Roh, J. G. Cahng & C. H. Kim. (2012). Improving Medication Adherence in Patients with Severe Mental Illness. The Korean Journal of Psychopharmacology. 23(4), 155-165.
  5. J. H. Kim, Y. H. Piao, Q. Shen & Y. C. Chung. (2018). Pharmacotherapeutic Strategies to Prevent Relapse in Schizophrenia, Journal of the Korean Neuropsychiatric association, 57(3), 225-229. DOI : 10.4306/jknpa.2018. 57.3.225
  6. M. Slade. (2009). Personal Recovery and Mental Illness: A Guide for Mental Health Professionals, Cambridge University Press.
  7. K. A Lee & K. H. Ha. (2012). A Study on the mental health Social worker's Experience of the Strengths-based Practice at Community Psychiatric Rehabilitation Centers. Mental Health & Social Work, 40(2), 63-90.
  8. M. M. Choi. (2012). Study on Strategies for Strengthening Resilience of People with Chronic Mental Illness through Professionals' Experiences. Mental Health & Social Work, 40(3), 202-230.
  9. W. A. Anthony. (1993). Recovery from mental illness: the guiding vision of the mental health service system in the 1990s, Psychosocial Rehabilitation Journal, 16(4). 11-24. DOI : 10.1037/h0095655
  10. L. Davidson, M. J. O'Connell, M. Staeheli, R. Weingarten, J. Tondora & A. C. Evans. (2001), Concepts of recovery in behavioral health: History, review of the evidence, and critique, New Haven, CT: Yale University School of Medicine, Department of Psychiatry.
  11. L. Davidson & J. S. Strauss. (1992). Sense of self in recovery from severe mental illness. British Journal of Medical Psychology, 65(2), 131-145. DOI: 10.1111/j. 2044-8341.1992.tb01693.x
  12. D. Roe & M. Chopra (2003). Beyond coping with mental illness: Toward personal growth, American Journal of Orthopsychiatry, 73(3), 334-344. DOI: 10.1037/0002-9432.73.3.334
  13. E. Greenglass, R. Schwarzer, D. Jakubiec, L. Fiksenbaum & S. Taubert. (1999). The proactive coping inventory (PCI): A multidimensional research instrument, In 20th International Conference of the Stress and Anxiety Research Society (STAR), Cracow, Poland (Vol. 12, p. 14).
  14. K. H. Kim. (2001). Proactive Coping Inventory, Journal of Social Science, 12, 23-34.
  15. Y. K. Oh & E. J. Kim. (2014). Relationships among Personal Standards Perfectionism, Evaluative Concerns Perfectionism, and Satisfaction with Life: Mediating Role of Proactive Coping. Korean Journal of Health Psychology, 19(4). 1167-1184. DOI : 10.17315/kjhp.2014.19.4.015
  16. S. Y. Song. (2018). An Exploratory Study on Mad Studies as an Alternative Approach for the People with Psychiatric Disability. Journal of Critical Social Welfare, 59. 297-345. https://doi.org/10.47042/ACSW.2018.05.59.297
  17. Y. P. Lee. (2018). Is the Bethel House an Alternative Community for the mentally disabled? - Focused on the Social Welfare Program View -. Korean Journal of Social Welfare Education, 42, 57-84.
  18. Y. P. Lee. (2019). The legal policy implications of self-determination experience in the use of antipsychotics by the mentally challenged. Journal of Law and Politics research, 54, 141-178. DOI : 10.17926/kaolp.2019.19.2.141
  19. J. E. Lee. (2017). A Study on the Mentally Disabled's Actual Participation in Research and Mutual Help. A Master's thesis. The Catholic University of Korea, Bucheon.
  20. J. Y. Bae & Y. P. Lee (2020). A study on the experience of medication discontinuation among people with mental disabilities. Korean Journal of Social Welfare Studies. 51(1), 41-82. https://doi.org/10.16999/KASWS.2020.51.1.41
  21. I. S. Kim. (2016). Qualitative research methode and Analysis in Social Work. Jipmoondang.
  22. D. K. Padgett. (2008). Qualitative methods in social work research : Challenges and rewards. CA: Sage.
  23. Y. Y. Choi. (2017). Experience and practice task of operation of corporation guardianship service for a vindication of the rights. Journal of Disability and Welfare, 36, 61-82. DOI : 10.22779/kadw.2017.36.36.61
  24. A. L. Strauss & J. M. Corbin. (1996), Basics of Qualitative Research: Techniques and Procedures for Grounded Theory, Kim, Suji.Shin, Kyounglim Trans.,《Basics of qualitative research》, Hanul Academy.
  25. J. A. Song & K. H. Kang. (2018). Meaning of Alcohol Dependence of Female Alcoholics through Phenome -nological Case Study. Korean Journal of Qualitative Research in Social Welfare, 12(1), 25-52. DOI : 10.22867/kaqsw.2018.12.1.25
  26. C. S. Song. (2016). A Ground Theory Approach to the Adaptation Process of the Spinal Cord Injured Persons, Journal of East-West Nursing Research, 22(2), 158-169. DOI : 10.14370/jewnr.2016.22.2.158
  27. E. Longden, J. Read & J. Dillon. (2018). Assessing the impact and effectiveness of hearing voices network self-help groups, Community mental health journal, 54(2), 184-188. .DOI : 10.1007/s10597-017- 0148-1
  28. P. Solomon. (2004). Peer support/peer provided services underlying processes, benefits, and critical ingredients. Psychiatric rehabilitation journal, 27(4), 392-401. DOI: 10.2975/27.2004.392.401
  29. S. Johnson, D. Lamb, L. Marston, D. Osborn, O. Mason, C. Henderson & S. Sullivan. (2018). Peer-supported selfmanagement for people discharged from a mental health crisis team: a randomised controlled trial. The Lancet, 392(10145), 409-418. DOI : 10.1016/S0140-6736(18)31470-3
  30. R. Bentall. (2004). Madness Explained: Psychosis and Human Nature. Suffolk: Penguin.
  31. H. Lester, & J. Q. Tritter. (2005). 'Listen to my madness': understanding the experiences of people with serious mental illness, Sociology of health & illness, 27(5), 649-669. DOI : 10.1111/j.1467-9566.2005.00460.x
  32. J. Russo & S. Wooley. (2020). The Implementation of the Convention on the Rights of Persons with Disabilities: More Than Just Another Reform of Psychiatry, Health and Human Rights, 22(1), 151-162.