• Title/Summary/Keyword: 치료적 놀이

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A Systematic Review on Effects of School-Based Occupational Therapy (학교기반 작업치료에 관한 체계적 고찰)

  • Jung, Nam-Hae
    • The Journal of Korean Academy of Sensory Integration
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    • v.12 no.1
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    • pp.25-38
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    • 2014
  • Objective : This study was conducted to determine effects of school-based occupational therapy through a systematic review Methods : We systematically reviewed studies published in PubMed and Ovid from 2000 to June 2014 using keyword 'school' or 'children' and 'occupational therapy'. Fourteen studies were selected. The level of evidence, participants, assessment, intervention area, method and effects were analyzed by reviewing full text. Results : The most group and age of participants were normal child with fine motor difficulties and 6~8 years old in selected studies. The most target area of intervention was handwriting, fine motor and visuo-motor integration (68.8%) and the most method was direct treatment (71.4%). The top on the assessment was Beery-Buktenica Test of Visual-Motor Integration (14.9%) and next was Bruininks-Oseretsky Test of Motor Proficiency (11.1%). Effects of school based occupational therapy were founded in the visual motor integration, learning skill, level of participation, fine motor, play and behavioral problem. Conclusion : This systematic review provides evidence concerning the participants, intervention, assessment and effects of school based occupational therapy. It should be used for basic data for the research and practice of school-based occupational therapy.

The Effects of Family Sandplay Therapy with Structural Family Therapy on the Family Strengths of Children with Emotional and Behavioral Disorders (구조적 가족치료를 활용한 가족모래놀이치료가 정서·행동장애아 가족의 건강성에 미치는 효과)

  • You, Seung-eun;Park, Boo-jin
    • Journal of Families and Better Life
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    • v.33 no.4
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    • pp.33-50
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    • 2015
  • The purpose of this study was examining the effects of family sandplay therapy with structural family therapy in improving the family strengths of children with emotional and behavioral disorders. First, we looked for a way to combine family sandplay therapy with structural family therapy and formulated an approach that could maximize the strengths of each theory and complement each other's weaknesses. And then we applied family sandplay therapy together with structural family therapy and analyzed its effects on family strengths. The subjects of this study were 10 families of children with emotional and behavioral disorders, and they were divided into an experimental group with 5 families and a control group with the other 5. To the experimental group received 16 sessions of family sandplay therapy with structural family therapy. In order to prove the effectiveness of family sandplay therapy with structural family therapy on family strengths, a family relationship( husband-wife relationship, parent-child relationship, and sibling relationship) scale and a family function(family cohesion, family adaptability) scale were used. The main findings of this study are as follows. First, the family relationships of the families with emotional-behavioral disorder children were improved after the application of family sandplay therapy with structural family therapy. Second, the application of family sandplay therapy with structural family therapy improved the family function of families with emotional-behavioral disorder children. Third, in the course of family sandplay therapy with structural family therapy, family sand tray was changed in a pro-healing direction, and family structure was also transformed from a dysfunctional structure to a functional one. As previously stated, family sandplay therapy with structural family therapy for families of children with emotional and behavioral disorders enhanced family strengths through improving family relationships and restoring family functions.

Related to Supporting Art Therapy for Children and Youth in Korea Survey of State Projects (국내 아동·청소년 대상 미술치료 지원 관련 국가사업 실태 조사)

  • Ahn, Yi-jeong;Chung, Yeo-Ju;Kim, Seo-Young;Jang, Jeong-Ja
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.314-322
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    • 2020
  • The purpose of this study is to investigate the state projects related to psychological sentiment for child and youth in Korea, examine the current status of art treatment-related projects for child and youth, and seek ways to improve them, focusing on projects supported by the Ministry of Health and Welfare, the Ministry of Gender Equality and Family, and the Ministry of Culture, Sports and Tourism. The results examined through this study were firstly, mental health promotion projects conducted in the public sector in Korea are mainly carried out on consignment to affiliated organizations, and are promoted not only for diagnosis, mediation, and therapeutic intervention but also for care and prevention. Second, psychological and emotional support projects are being attempted with various approaches such as reading, playing, gardening, and art, and art therapy is actively used as a part of art programs. In addition, it is suggested that the government should provide efficient welfare and utilize it as a common goal through linkage and cooperation with other ministries for the continuous and stable implementation of state-led psychological support projects. In addition, it is hoped that this research will be used as a research material to explore specific strategies for effectiveness of national policy projects on the overall psychological sentiment of child and youth.

An Analysis of the Archetypical Symbols of Children's Performance with Water During Sandplay Therapy (아동의 모래놀이치료에서 물(水)을 통한 연행의 상징 분석)

  • Goh, Eun-Kyoung;Chung, Kai-Sook
    • Korean Journal of Child Studies
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    • v.32 no.3
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    • pp.185-202
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    • 2011
  • The purpose of this study was to understand the archetypical symbols present when conducting sandplay therapy with water from a hermeneutic point of view. The research participants were 6 children aged 8~9 who experienced problems in parent-children relationships. The result were as follows : The nature of archetypical symbols of present when working with water can be structured along two themes, vertical movements and horizontal movements. In vertical movements with three sub-themes, the meaning of 'to put in and boil out' is interpreted as 'mother's feeding baby', the meaning of 'to sink and bring out of water' is interpreted as 'resource acquisition', 'to swamp and float on the water' represents 'death and rebirth'. In horizontal movements consisted of two sub- themes, the meaning of 'to be swept away' is interpreted as 'initiation and conversion', the meaning of 'to wave and fix' is interpreted as 'to overcome the difficulties and create stability'.

A Study on setting the Environment of Inclusive Playground Including Disabled Children and Children without Disabilities (including at-risk children) based on J. Ayres' Sensory Integration Theory (감각통합이론에 근거한 장애와 비장애를 포용하는 놀이터 환경 구성에 관한 연구)

  • Kim, Naeri
    • Korean Institute of Interior Design Journal
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    • v.24 no.3
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    • pp.205-212
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    • 2015
  • This study starts at the at-risk children(the students in the margins)' needs for the inclusive education environment who increased lately. It is studied in the limited scope, which is about spacially 'playground' and 'Sensory integrative therapy' in terms of the special education therapy. The 6 environmental setting principles are suggested, which is redefined in terms of suitable for applying to the environment design based on the training way and arbitration principle of J. Ayres' Sensory integrative therapy. And then various environment design methods are drawn from above-mentioned 6 principles, they are categorized in 4 elements for environmental setting - sensory element, behavior element, mental element and design expression element. This trial brings daily practice of therapeutic stimulate to sensory integration dysfunction children, and sensory experiential diversity promoting development to general children. Expecially it has some advantage that at-risk children(the students in the margins) feel a sense of belonging as a member of society.

THE CURRENT TRENDS OF BRITISH MUSIC THERAPY & TWO CASE STUDIES OF AUTISTIC CHILDREN (영국 음악치료 사례연구 - 자폐아 치료를 중심으로 -)

  • Kim, Jin-Ah
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.123-132
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    • 1997
  • The purpose of this paper is to introduce the current trends of British Music Therapy and its effectiveness as a therapeutic intervention for the autistic children. This paper consists of two parts;Part one will provide a general picture of music therapy by looking at its fundamental concepts and therories. Part II(two case studies) will illustrate the actual processes of music therapy which can engender a therapeutic relationship between the therapist and the autistic child. Through the first case study of Charlie, a 3 year and 9 month non-verbal autistic boy, we shall see how music therapy facilitates both non-verbal and verbal communication and a form of pretend play. The second case of Mark, a 10 year old autistic boy with complex emotional, behavioural and learning difficulties who had been sexually abused in the past, presents how the therapist’ acceptance of the child’ being and the shared experience of music therapy enable the child to express his difficulties and to develop the awareness of self and others. By exploring both musical and interpersonal aspects of music therapy, this gives an in depth examination of therapeutic processes. In order to clarify clinical procedure, this paper is viewed in musical, developmental and psychodynamic perspectives. To ensure confidentiality, the clients will be referred to by alter-native forenames.

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A CASE OF PERVASIVE DEVELOPMENTAL DISORDER NOS WITH REPETATIVE SELF-INJURIOUS BEHAVIOR (반복적으로 머리를 때리는 전반성발달장애 환아 1례)

  • Kim, Jeong-Lim;Chung, Bo-In;Cho, Soo-Churl;Hong, Kang-E;Lim, Myung-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.2
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    • pp.244-251
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    • 1999
  • Self-injurious behavior is often showed in mental retardation, especially in autism. Self-injurious behavior has been regarded as a symptom cluster rather than a disease but it is an emergent clinical situation that can directly affect mortality. This case is about a refractory autistic patient who showed a self-injurious behavior of hitting the head repetitively. He was hospitalized and was treated by pharmacotherapy and behavior therapy and for this reason this clinical experience is reported with literature review. The patient is a 7-year old boy who was ward admitted from 1999 April 20 till July 10 into OO hospital OO ward because of self-injurious behavior. During the 12 weeks he had admission treatment. As for the pharmacotherapy, haloperidol was dosed up from 0.5mg to 1.0mg from the 4th week and combination drug therapy was done during the admission with naltrexone 25-50mg. As for the behavioral therapy, Differential Reinforcement of Other behavior was used and regular play therapy was done. To remove the physical restraint, headgear and hard sleeve was used. Currently, OPD follow up treatment is being done and haloperidol 0.5mg and naltrexone 50mg is maintained. The patient’s mother is educated and play therapy is done an hour daily at home. When the patient was released form the hospital, self-injurious behavior was decreased more than the moderate state and remission state is still being maintained at the outpatient clinic.

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A CLINICAL STUDY ON CHILD SEXUAL ABUSE (소아 성학대에 대한 임상 연구)

  • Lee, Soo-Kyung;Kwack, Young-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.5 no.1
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    • pp.184-193
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    • 1994
  • This study was purposed to find out clinical characteristic of intra and extrafamilial sexual abuse, nature of offenders, difference of symptoms describe that sexually abused children and adolescents were experienced. Subjects were 10 sexually abused children and adolescents who visited Seoul National Mental Hospital, from Jan. 1992 to Dec. 1993. In intrafamilial sexual abuse, they had more chronic course than extrafamilial abuse and had more family psychopathology. In symptomatology, The preschool children mainly presented to somatic symptoms and anxiety, and The school children prominently exhibited depressive reaction and withdrawal. Most common reaction of parents was anger and guilt. They were treated with crisis intervention, play therapy, and hospitalization, if needed. The maintenance of treatment was difficult due to parent's avoidance and repression.

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A Development Study on New Hand Rehabilitation Training Tool Using Cat's Cradle Game (실뜨기 놀이를 활용한 새로운 수부재활훈련도구 개발 연구)

  • Lee, Yu Sol;Chung, Do Sung
    • Design Convergence Study
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    • v.17 no.3
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    • pp.1-19
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    • 2018
  • Hand rehabilitation training tools are used in hospitals and at home for patients and users who require recovery of disabled hands and improvement in overall hand function. However, existing training tools are not organized into a progressive system, and they lead to repeatability operations over a period of time. As a result, patients feel free and cannot be motivated by rehabilitation, and continuous rehabilitation training is difficult. Based on this argument, the study combines one of the elements of the game called the "Cat's cradle" to enable the user to feel achievement through play and to achieve natural rehabilitation through unconsciousness. After examining the characteristics of the tool, the user's environment, the relevance of the Cat's cradle game to the training tool and to the patient's continued rehabilitation was established. And design elements were derived through professional interviews. Later, design guidelines and prototypes have been created to complement the problems associated with guidelines and prototypes by conducting usability testing and design element assessment.

THERAPEUTIC APPROACH FOR CHILD AND ADOLESCENT AFTER DISASTER (재해를 당한 소아청소년에 대한 치료적 접근)

  • Lee, Young-Sik
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.24-29
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    • 2002
  • The social attention about disaster psychiatry was increased after 911 terror in New York. The role of child psychiatrist and specific consideration for the treatment of child victim in disaster were reviewed. The following were main points. 1) The most single determining factor of prognosis is supporting system and parental attitude to their child victim. So family therapy and parental eucation are needed. 2) Cognitive Behavior Therapy is known to the most effective treatment in many literature. 3) Brief group therapy with fellow victim is cost effective preventive methods and screening tool for more serious victim, 4) Eye Movement Desensitization and Reprocessing(EMDR) could be a very amazing method in reducing repetative horrible traumatic image. 5) Many kinds of drug using in adult are considered with caution.

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