• Title/Summary/Keyword: 대인행동

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Literature Review of Therapeutic Milieu of Psychiatric Patient and Suggestion for Changing Environment of Psychiatric Wards in Korea (치료적 환경에 대한 문헌적 고찰 및 정신과병동 환경변화에 대한 몇가지 제언)

  • Lee, So-Woo
    • Journal of Korean Academy of Nursing
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    • v.6 no.1
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    • pp.80-90
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    • 1976
  • 정신과 영역의 환자를 위해 간호원의 역활을 필요로 한 이래 여러 가지 간호의 개념으로 간호원의 역할이 변화되어오고 있다. 정신과 환자의 안전만이 가장 큰 치료의 중심일 때는 병동열쇠의 위엄에 곁따라 보호관리에만 치중해 왔으며 정신의학에서 약물요법, 전기요법의 치료과정이 생기면서 간호원의 역할 변화 및 지식의 요구를 필요로 하게 되었으며, 환경과 개인의 밀접한 관계를 중시해오면서 치료적 환경속으로 환자의 인간적 치료가 강조되었을 때 의사소통과 대인관계의 인적 환경으로써 또한 간호원의 역활이 중요시 되어왔다. 이런 관점에서 치료적 환경에 대한 정확한 이해는 간호행위과정의 불완전을 제거하며 보다 활발한 정신과 환자간호에 기여하는 일 일 것이다. DR. Bartom은 병실 환경이 비생산적이고 비 치료적일때 성격의 변화는 물론 행동적 특성의 변화까지 가져올 수 있다고 말했다. 즉 무감동적이고, 무조건적 순종이 있으며 솔선하여 행하는 행위가 줄고 장래 계획에 대한 자극이 줄어들고 될대로 되어 가는 상태 그 자체에 머물러 있어 인간의 특징적 의미와 가치를 상실하게 된다는 것이다. 정신과 병실은 잠정적 체류지로 보아야 하겠고 이 체류지에서의 영향이 환자에게 보다 유익하게 끼칠려면 간호원이 지속적으로 치료적 분위기를 유지해야 할 것이다. 치료적 입장으로서의 간호의 활동 초점은 대인관계에서 환자의 의식수준과 자아관련 수준에서의 취급이 무의식 수준에서의 탐구조사보다 바람직하다. 치료적 가치로써 치료적 환경의 이론적 근거를 DR. Sullivan 은 인간의 상호관련 문제에 두고 있다. 즉 상호작용이 존재하는 환경은 어떠한 곳이든 성격에 영향이 있고 이 성격은 대인관계의 복잡성으로부터 결코 떨어질 수 없다는 얘기다. 자아구성 또한 환경의 영향을 받는데 Cumming은 병동환경과 자아구성 재동기간에 밀접성을 시사한바 있다. Visher와 O'sullivan은 정신과적 치료중에서 일상생활에서 경험되어지는 의사소통과 대인관계속에서 학습되어지는 여러 가지가 있기 때문에 매일의 활동획이 치료적 방향으로 계획되어 져야 한다고 말했다. Maxwell Jones 또한 치료적 환경의 유용한 가동은 전 직원의 기여에 있으며 이는 정신건강을 최적으로 올려 줄 것이다. 라고 말했다. 이러한 상황에서 간호원은 의미 없이 환자의 감정 욕구를 깨닫지 못하고 감정지지를 주지 못하며 정서적 긴장을 예방하지 못한 체 환자와의 관계를 유지한다면 현대간호의 개념에서 이탈되어지고 발달되어지지 못한 미숙아 현상이 유지 될 것이다. 보다 바람직한 치료적 환경 유지는 간호로써 환자에게 기여해 주는 일이다. 간호의 역활과 더불어 전문적 태도는 따뜻하고 포용성 있게 그리고 융통성 있게 대함은 물론 간호인 자신의 "자기이용"을 깊이 그리고 치료적으로 이용할 것을 깨달아야 할 것이다. 즉 정신과 병실에서의 간호원 존재 자제가 환자에게 미치는 영향도 고려해야 한다는 것이다. 덧붙여 환자를 위한 일주일 병동 행사표를 Model로 제시하였고 그 안에서의 간호원의 역활을 약술하였다.

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PRINCIPLES OF POWER, CONTROL AND SURVIVAL IN INTERPERSONAL RELATIONSHIP (대인관계에 있어서 힘과 통제 그리고 생존의 원리)

  • Cho, Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.2
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    • pp.169-177
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    • 1999
  • Human being can be defined in several ways. These are biological, psychological, social and religious, ethical and philosophical aspects. The first two viewpoints refers to the intrapersonal aspects and the last two viewpoints deals with the interpersonal aspects. There have been numerous thoeries and hypotheses to explain the human behavior and psychopathology, but the author does not find any theory or hypothesis to integrate the biological and psychological viewpoints. In addition, The author does not find any theory to integrate the intrapersonal and interpersonal aspects in interpersonal relationships. Thus, the author proposed one model to explain the human behavior. In proposing this theory, the author has the following hypotheses:1) All human being can not exist by oneself. 2) The ultimate goal of all human being is to achieve 'Survival'. 3) There are four kinds of survivals and they are biological, psychological, social and religious, ethical and philosophical survivals. 4) Power and control are two prerequisites for survival and there are four kinds of power and control. 5) The four elements of power and control are biological, psychological, internal and external ones. 6) The conflict between buman being can also be explained in terms of power, control and survival. 7) Normality and abnormality of human behavior can be explained in terms of the harmony and balance among the powers and controls.

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A Study on the integrative ways of moral education for the building of children's social awareness and relationship skills (초등학생의 사회인식 및 대인관계 능력 함양을 위한 도덕교육의 통합적인 방안 연구)

  • Lee, In Jae;Chi, Chun-ho
    • The Journal of Korean Philosophical History
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    • no.29
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    • pp.375-396
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    • 2010
  • The aim of this paper is to suggest some ways of moral education for the building of children's social awareness and relationship skills as social and emotional competencies. Based on the social and emotional learning(SEL), this paper is tried to provide the effective ways to develop children's social awareness and relationship skill. According to SEL, social and emotional competence is the ability to understand, manage, and express the social and emotional aspects of one's life in ways that enable the successful management of life tasks such as learning, forming relationships, solving everyday problems, and adapting to the complex demands of growth and development. And it is also the process of acquiring and effectively applying the knowledge, attitudes, and skills necessary to recognize and manage emotions. Five key competencies such as self-awareness, social awareness, responsible decision making, self-management, relationship skills are taught, practiced, and reinforced through SEL programming. Moral education and social and emotional learning have emerged as two prominent formal approaches used schools to provide guidance for students' behavior. social awareness and relationship skills are necessary for succeeding in school, in the family, in the community, in life in general. Equipped with such skills, attitudes and beliefs, young children are more likely to make healty, caring, ethical, and responsible decisions and to avoid engaging in behaviors with negative consequences such as interpersonal violence and bullying.

Relationship of Psychological Separation, Depression and Antidepressive Coping Behaviors in University Students (대학생의 심리적 독립, 우울 정도와 우울 대응행동 간의 관계)

  • Jeon, Hae-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2655-2663
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    • 2012
  • The purpose of this study was to investigate psychological separation, depression and antidepressive coping behaviors and to examine the relationship between psychological separation, and depression in Korean university students. The subjects were 131 students who were in 4 university in Chungcheong-do, Korea. The data were collected through self reported structured questionnaire using the psychological separation index, beck depression inventory and antidepressive coping behaviors instrument. The level of depression was classified into; not depressed, 54.2%; mildly depressed, 22.9%; moderately depressed, 16.8%; severely depressed, 6.1%. Among antidepressive coping behaviors, cognitive activity-oriented behaviors was the one with highest percentage(30.8%). Depression was negatively related to functional independence, attitudinal independence, emotional independence from father and conflictual independence from mother. And depression was positively related to conflictual independence from father. These results suggest that it is necessary to develop nursing intervention to strengthen psychological separation form parents and to be able to help desirable antidepressive coping behaviors for the psychological health of university students.

A Case Study of Synchronization-Based Group Music Therapy for Promoting Peer Interaction of Children With Autism Spectrum Disorder (자폐범주성장애 아동의 또래 간 상호작용 촉진을 위한 동기화 기반 그룹 음악치료 사례)

  • Kim, Jiyun
    • Journal of Music and Human Behavior
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    • v.17 no.1
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    • pp.97-125
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    • 2020
  • This case study examined the effects of synchronization-based group music therapy for improving peer interaction of children with autism spectrum disorder (ASD). The participants were five children between the ages of 6 and 10 with ASD. A total of eight 30-minute music therapy sessions were conducted two times a week. During sessions, target behaviors (i.e., engagement in joint action, synchronized movements, eye contact, and initiation of social interaction) were observed and analyzed. Also, the PIPPS-P was completed by parents to identify behavioral changes in real-life environments from pretest to posttest. Following the intervention, all of the participants showed increases in synchronized movements with peers and attempts to initiate social interaction. In addition, parents rated their children's play behavior as being improved in their everyday living environment. These results support that synchronous movements between children with ASD, which were facilitated with rhythmic cueing, led to enhanced engagement in joint action. Considering that those movements are the basis for further social skills (e.g., play behavior), this study also indicates that synchronization-based group music therapy could be an effective therapeutic approach for improving the peer interaction of this population.

The Effects of Self-Differentiation and Ego-Resilience on Service Maladjustment Behaviors of Social Service Agent (사회복무요원의 자아분화와 자아탄력성이 복무 부적응행동에 미치는 영향)

  • Lee, Kyung-hee;Park, Jung-yoone
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.60-76
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    • 2018
  • The objective of this study was to determine the effects of self-differentiation and ego-resilience on service maladjustment behaviors of Social Service Agent. To achieve this, we chose these research questions. To verify these research questions, data were collected by distributing 470 questionnaires to Social Service Agent serving in service organizations located in Seoul. Four hundred twenty-seven surveys were used for statistical analysis. The results of this study are as follows: First, Social Service Agents were shown to generally adjust well to service, as self-differentiation and ego-resilience were slightly higher than the median, while service maladjustment behavior was slightly lower than the median. Second, when the effects of sociodemographic characteristics, self-differentiation and ego-resilience on service maladjustment behavior were studied, all values of sociodemographic characteristics, self-differentiation and ego-resilience affected all lower factors of service maladjustment behavior with significance. For social withdrawal, the effectiveness of interpersonal relations, optimistic attitude, and the degree of family regression had a negative correlation, and emotional divorce, education level, and term of service had a positive correlation. The degree of family regression, anger management, and cognitive function vs. emotional function had a negative correlation with hyperactivity while self unity had a positive one. Family regression, cognitive function vs. emotional function, anger management, and family's economic level negatively correlated with aggression. Family regression, optimistic attitude, cognitive function vs. emotional function, family's economic level and term of service had a negative correlation with obsession and compulsion.

The Relationships of Maternal Attachment, Social Competence and Interpersonal Cognitive Problem-Solving Skill in Kindergarten Children (유아의 애착행동과 사회적 능력 및 대인문제해결력과의 관계)

  • 조복희
    • Journal of the Korean Home Economics Association
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    • v.35 no.6
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    • pp.249-259
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    • 1997
  • The purpose of the study was to investigate the relationships of maternal attachment, social competence and interpersonal cognitive problem-solving skill. fifty-four children aged 5 and 6 years and their mothers were observed and videotaped in a strange situation. Children were interviewed in order to assess interpersonal cognitive problem solving skill. teachers rated children's social development using modified ISCE(Iowa Social Competency Scale : Preschool Forma). The results showed that there were significant relationships of maternal attachment, social competence and interpersonal cognitive problem-solving skill. children of the secure attachment to mothers were greater social activator, cooperative, alternative solution thought and consequential thought. In contrast, children of insecure attachment to mother were less social activator and cooperative, and more hypersensitive and apprehensive. Children's social competence was related to the interpersonal cognitive problem-solving skill.

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의과대학생 학습 및 생활지도의 새로운 모색 - 2005년도 학생 상담 사례를 중심으로 -

  • Jeon, U-Taek
    • Korean Medical Education Review
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    • v.8 no.1
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    • pp.23-33
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    • 2006
  • 의학교육은 학생들에 대한 교육과 평가만으로 구성되지 않는다. 학생들이 그러한 교육을 모두 잘 이수하고 졸업할 수 있도록 잘 지도해 주는 것까지를 포함한다. 의학교육에 있어 이러한 지도가 필요한 이유는 의대생들의 학습과 생활에 문제가 자주 발생하기 때문이다. 이에 본 연구에서는 2005년도에 본 의과대학에서 이루어진 총104건의 상담사례를 분석하여 그 문제와 대안을 제시하였다. 나타난 문제로는 불완전한 교육과 극단적 내부경쟁, 학생들의 집단 학습적 행동, 시간 관리 및 학습방법의 문제, 불안과 우울의 문제, 열등감의 문제, 자기개발과 자기실현에서의 불안, 삶의 다양한 문제들과 가치관 형성의 어려움(이성교제, 가족관계, 학교 내 대인관계 등) 등이었다. 이에 대한 해결방안으로 다음과 같은 다섯 가지가 제안 되었다. 즉 학생들에 대한 "의대에서 공부하는 방법" 교육, 새로운 의대 학습 문화의 창출지원, 전공의 선발에 있어 다면적 평가 시스템의 도입, 상담을 담당해 주시는 교수들과 멘토(mentor)의 필요, 가치관 지향적인 의학교육의 필요이다.

The effects of multimedia fairytale activities on infants' prosocial actions (멀티미디어 동화 활동이 유아의 친사회적 행동에 미치는 영향)

  • kim, Yong-Sook;Ran, Sung-Young;Yoo, Ji-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4498-4510
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    • 2015
  • The purpose of this study is to investigate effective teaching media for infants' teaching-learning process by comparing the effects of multimedia fairytale activities and picture fairytale listening activities on infants' prosocial actions. Following the purpose of this study, we studied any effect to infants' prosocial actions from multimedia fairytale activities by dividing in two groups. This study was conducted with 5-year-old infants (total 40; 20 experimental group & 20 comparison group) in D daycare center in Daejeon. Verifying data tool were time series corresponding t-test, independent t-test and multi-variant analyses. As a result, multimedia fairytale listening activities are more effective for infants' prosocial actions. It has meaningful difference in the interpersonal relationship skills and early childhood education adapt which is sub-area of infant's prosocial actions. So, for various and high-quality early childhood education, using multimedia teaching media is more effective than existing teaching media.

NURSING PROBLEMS OF THE INPATIENTS WITH CONDUCT DISORDER (행동장애 입원환아의 간호문제)

  • Im, Sook-Bin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.116-124
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    • 1991
  • Nursing problems of 48 hospitalized patients with Conduct Disorder at a Child-Adolescent psychiatry inpatient were analyzed by reviewing nursing records. The results showed that the problems such as ineffective individual coping, impaired social interaction, disturbance in self-concept, potential for violence, alteration in parenting, altered growth and development were continued from early to later phase of the hospitalization and the other problems such as self-care deficit, anxiety, sleep disturbance, altered nutrition, hyperthermia were temporary. The etiologic factors related to these problems were underdeveloped ego, low self-esteem, dysfunctional parent-child relationship, some situational crises in family and handicap like mental retardation or epilepsy. Therefore nursing approach for the patients with Conduct Disorder should focus on ego growth and improvement of interpersonal relationship through systematic and long-term nursing plans and interventions for these patients and their family.

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