• 제목/요약/키워드: Counseling process

검색결과 297건 처리시간 0.027초

혈우병 환자의 질병과정 적응유형 (Adjustment Patterns of Illness Process of People with Hemophilia in Korea)

  • 김원옥;강현숙;이명선
    • 대한간호학회지
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    • 제34권1호
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    • pp.5-14
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    • 2004
  • Purpose: The purpose of this study was to explore adjustment pattern of illness process of people with hemophilia in Korea. Method: 23 people with hemophilia had participated for this study. The data were collected through in-depth interviews and analyzed using Strauss & Corbin's grounded theory method. Results: 'would be free from' was emerged as a core category and it reflects that all participants wanted to be free from the constraints of the disease. The adjustment process was categorized into two stage, the ‘unstable stage’ and the ‘stable stage’. In the process of 'would be free from' four different patterns were identified: hopelessness type; appreciation type; challenge type; and transcendence type. These types were identified based on the degree of pursuing normal life and managing the disease, and social support. The most frequently occurring type was hopelessness type but the participants of this type suffered the most. The transcendence type was the most ideal type, but it occurred the least. Conclusion: The results of this study indicate that people with hemophilia in Korea still suffer from the disease and they need supports. The results would be useful for health care professionals in establishing education and counseling program for the people with hemophilia.

초등학교 6학년의 부정적 인지과정.분노 경험.공격성 간의 관계 (The Relations Between The 6th Graders' Negative Cognitive Process.Anger Experience.Aggressiveness)

  • 김경숙
    • 초등상담연구
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    • 제5권1호
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    • pp.205-226
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    • 2006
  • The purpose of this study was to find out the relations between 6th graders' negative cognitive process and anger experience and aggressiveness. To achieve the goal, it conducted a test to examine children's negative cognitive process, anger experience, aggressiveness targeting 100 children of 6th grade in C elementary school, Gyeonggj province. Then it conducted SPSS 12.0 statistical program to get the results of correlation analysis and regression analysis. The outcomes were as follows. First, there was a meaningfully positive relation between a negative cognitive process and anger experience. In other words, children having more negative cognitive process seemed to experience the feelings of anger more often, this presented the important role of cognition while getting into a temper Second, it reported a positive relation between anger experience and aggressiveness. Children who have experienced anger more often showed more violent behaviors, especially there were more significant positive relations between trait-anger and aggressiveness compared to state-anger and aggressiveness. This could explain some possibilities that children with high level of trait-anger might outrage more often than others by recognizing the situations as anger stimulants. Third, when conducting a regression analysis, a negative cognitive process made an effect on anger experience which affected aggressiveness. However, it did not show a negative cognitive process making a direct effect on aggressiveness. This is considered that children could experience an anger while evaluating an event or object in a negative way based on individual belief, and emotional linguistic behavioral aggressiveness would be formalized as they express the sparked fury either internally or externally. In conclusion, this study proved that there were close relations between children's negative cognitive process and anger experience and aggressiveness. A negative cognitive process affects anger experience, and anger experience affects aggressiveness afterwards. A negative cognitive process affects aggressiveness through anger experience indirectly, and especially trait-anger among anger experience is the main factor to influence on aggressiveness. With consideration of these results, it is believed that mediation is important key to moderate the negative cognition and trait-anger in order to diminish children's aggressive behaviors. This study has a meaning to provide searching for manifold mediating methods between negative cognition and trait anger, with a fundamental resource.

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성폭력 피해 여성의 치유 경험 (The Experience of Healing of Female Sexual Abused Victims)

  • 권해수
    • 한국심리학회지 : 문화 및 사회문제
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    • 제13권4호
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    • pp.53-82
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    • 2007
  • 본 연구는 '성폭력 피해 여성의 치유 경험은 어떠한가'라는 연구 질문을 가지고 성폭력 피해 여성의 치유 과정을 심층적으로 탐색한 것이다. 상담 경험이 있는 성폭력 피해 여성 9명을 심층면접하였고, 스트라우스와 코빈(Strauss & Corbin, 1998)의 근거이론 방법을 활용하여 분석하였다. 성폭력 피해 여성의 치유 과정의 중심 현상은 '성폭력 피해로 인한 심리적 고통'이었으며, 인과적 조건은 '성폭력 인지', '절박함'이었으며, 맥락적 조건은 '폭로 이후 주변의 반응', '섹슈얼리티 고정 관념', 그리고 '가해자의 구속과 처벌'인 것으로 나타났다. 성폭력 피해 여성들은 치유 과정에서 '지지받음', '성폭력 피해 의미 재해석'에 의해 중재를 받았으며, '감정과 만남', '새로운 대처 기술 배움', 그리고 '미래에 대한 희망 가짐'의 상호작용 전략을 활용하는 것으로 나타났다. 또한 치유의 결과로 성폭력 피해자들은 '생존자로 당당하게 살아감', '삶을 재구성함'의 모습을 갖는 것으로 파악되었다. 본 연구는 한국의 사회·문화적 맥락 속에서 성폭력 피해 생존자들의 목소리를 통하여 치유 과정 및 관련 요소들을 체계적으로 밝혀냈다는 점에 의의가 있다. 본 연구의 한계점 및 후속 연구에 관한 제언들을 제시하였다.

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노령화에 대한 애도 - 영화 '수상한 그녀'의 정신분석학적 탐색- (Grief about Aging - Psychoanalytic search of the movie 'Miss Granny'-)

  • 조창운;이현심;이창돈
    • 한국융합학회논문지
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    • 제8권10호
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    • pp.351-358
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    • 2017
  • 본 연구는 영화 '수상한 그녀'에서 노령화에 대한 애도의 과정을 융 복합적으로 분석하였다. 영화의 내용을 반복적으로 탐색하면서 주인공이 노화과정에서 나타난 노년의 상실감을 애도의 과정으로 해석하면서 정신분석학적으로 탐색하였다. 즉 노화 과정을 인생의 재해석 과정과 향후 삶에 대한 발달적 태도 변화를 애도의 심리세계로 정신분석학적으로 분석하였다. 연구결과의 애도과정은 '상실과 결핍' ${\rightarrow}$ '도피와 퇴행' ${\rightarrow}$ '탈동일시와 탈집중' ${\rightarrow}$ '새로운 현실 적응'으로 나타났다. 이와 같은 결과에 의하여 상담자는 내담자의 애도작업이 원만하게 이루어지도록 심리적 애도환경 조성에 주력해야 할 뿐 아니라, 내담자의 애도능력 향상을 위한 복합적 상담기법을 구사할 수 있어야 함을 제언하였다.

진로탐색 프로그램이 마이스터고 학생의 진로성숙과정에 미치는 영향에 관한 사례연구 (A Case Study on the Impact of a Career Exploration Program on the Career Maturation Process of a Student at a Meister High School)

  • 강남숙;정민자
    • Human Ecology Research
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    • 제60권4호
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    • pp.577-593
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    • 2022
  • The purpose of this study is to investigate a student's career maturity during a career exploration program based on the ecological system perspective and to propose directions for the career maturation process to help H. Meister High School students to get jobs. A single-case 12-session career exploration program was applied to a first-year student at H. Meister High School in U. City for 90 minutes per session twice a week. To verify the effects of the program, this study conducted a pre-test and post-test of career maturity to analyze changes. In addition, the study qualitatively analyzed changes in the program activity sheets and process evaluation sheets per session. The results of the study are as follows: Firstly, the career exploration program based on the ecological system perspective conducted with the student at H. Meister High School improved the student's career maturity. Secondly, changes were observed in the scores in the sub-factors of career maturity between the pre-test and the post-test. Significant differences in the results of the analysis of the sub-factors of career maturity indicate that the program had a statistically positive impact on the career maturation process of the participant. In conclusion, as a result of the in-depth implementation of the program for 12 sessions, the participant expressed his desires which were clarified. In addition, a positive career maturation process appears to have taken place, owing to the self-directed program that led the participant to initiate plans and explore his career by himself. This study was conducted as a single case based on the ecological system perspective concerning career exploration and the career maturation process, but it will be necessary to expand the study to investigate the effects of group counseling, information exchange considering peer influences, common discussions on goal-setting, and other methods on the career maturation process.

인식된 짐스러움이 노인 자살사고에 미치는 영향: 삶의 의미와 사회참여의 조절된 매개효과 (The Influence of Perceived Burdensomeness on Suicidal Ideation of Older Adults: Moderated Mediating Effects of Meaning in Life and Social Participation)

  • 홍주안;권호인
    • 한국심리학회지 : 문화 및 사회문제
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    • 제24권3호
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    • pp.411-428
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    • 2018
  • 본 연구에서는 노인의 인식된 짐스러움과 좌절된 소속감이 자살사고에 미치는 영향을 삶의 의미가 매개하는지 규명하고자 하였으며, 또한 이 과정에서 노인 자살의 보호 요인으로 알려진 사회참여가 조절효과를 갖는지 탐색하였다. 본 연구의 대상은 호남지역에 거주 중인 남녀 노인 403명으로, 이들을 대상으로 자살사고, 인식된 짐스러움과 좌절된 소속감, 삶의 의미(의미 발견/의미 추구), 사회참여에 대한 자기보고식 설문을 실시하였다. PROCESS Macro를 사용한 매개분석 결과 인식된 짐스러움이 삶의 의미 발견을 약화시킴으로써 자살사고를 강화하는 경로임을 확인하였다. 반면 좌절된 소속감은 자살사고로 가는 직접 경로만이 유의했다. 사회참여를 포함한 조절된 매개분석 결과 인식된 짐스러움이 삶의 의미 발견 약화를 통해 자살사고로 이어지는 경로를 사회참여가 조절하는 것으로 나타나 조절된 매개효과가 검증되었다. 추가적으로 본 연구의 함의, 제한점 및 추후연구에 대한 제언을 제시하였다.

ADHD 아동을 대하는 초등교사의 체험분석 (An Experiential Analysis of Elementary School Teachers Beal ing ChiIdren with Symptoms ADHD)

  • 이숙경
    • 초등상담연구
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    • 제5권1호
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    • pp.93-118
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    • 2006
  • The aim of this research is to find out the common emotional factors that elementary school teachers feel when they experience in teaching children with ADHD and to know their responding process through experiential analysis. Seven elementary school teachers took part in this research as co-investigators, and I led the experiential approach. The co-investigators have analyzed their emotional experiences during 4 sessions. They learnt about the method of experience analysis and discussed their emotional experiences of children with ADHD. And they found out some factors concerning their emotional experiences and had the time to discuss in odor to search for the common factors of that process. Finally the co-investigators took part in a session to examine the factors which they have all agreed in, and then I verified this result. 1 interpreted the factors found and constructed a psychological resolution process. Two main objectives and the results of this research are as follows. First, are there any common factors among teachers who experience in treating children with ADHD? This research showed that elementary school teachers get angry and irritated with ADHD children's troubles. Second, what kind of psychological process is there in teachers' experiences children with ADHD? The psychological process of teachers dealing children with ADHD could be conceptualized in 5 steps, the step of recognizing an action of children with ADHD, the step of first cognitive consideration, the step of giving meaning and cognitive appraisal, the step of experiencing emotion, and the step of dealing with emotion. Teachers seemed to experience a little bit different psychological process. According to whether they thought about children's behavior positively or negatively in the second step, they had different emotional experiences. If they had a positive thought, they could take children's nonadaptive behaviors as personal characteristics. However, if they took them negatively, they considered them impolite and disobedient. Even when the teachers experienced negative emotions, their responses were divided into two groups whether they took it positively or negatively. This research showed that if teachers could control their negative emotional experiences, they could calm down with children with ADHD and treat them positively.

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전원마을조성사업에 의한 귀촌형 공동체마을의 주민참여 계획과정 특성 - 남원시 작은마을을 중심으로 - (Characteristics of Planning Process of Residents' Participation in Community Village Construction by the Rural Village Development Policy - Focused on the Jagun Maul of Namwon-city in Jeonbuk-do -)

  • 박경옥;이상운;류현수
    • 한국주거학회논문집
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    • 제24권3호
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    • pp.135-147
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    • 2013
  • The purpose of this study is to make a proposal for the planning of the back-to-farming community village. For this study of a community village designed by residents, the information on the residents' participation and the role of a coordinator in the whole planning process of the community village were investigated, based on the rural village development policy. The community village studied here is located at Sannae-myeon, Namwon-city in Jeonbuk-do. Interviews were answered by 17 households and a process coordinator. The results are as follows. 1) The process coordinator participated in the project on the design of village, permission documentation, and construction from the beginning. The coordinator and residents met every month, and discussed the respective housing and the village environment regulation. 2) Every house has its own plan, but the architectural coordinator's counseling and coordination in the planning process resulted in higher participation. Function of common spaces were determined by residents' participation. Finally, common spaces consist of 2 buildings that one would have as much as open spaces to accommodate as many as residents' activities and the other have business facilities. 3) The political assistance is needed to activate construction of resident-participation typed community villages; development of the conflict coordination program and coordinator education program for operation & planning.

Adult Trauma Patients with Isolated Thoracolumbar Spinous and Transverse Process Fractures May be Managed Conservatively to Improve Emergency Department Throughput

  • Awad, Kyrillos;Spencer, Dean;Ramakrishnan, Divya;Pejinovska, Marija;Grigorian, Areg;Schubl, Sebastian;Nahmias, Jeffry
    • Journal of Trauma and Injury
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    • 제34권1호
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    • pp.31-38
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    • 2021
  • Purpose: Traumatic vertebral injuries have a prevalence of 4-5% at level I centers. Studies have demonstrated that isolated thoracolumbar transverse process fractures (iTPF) rarely require brace or surgical interventions. We hypothesized that similarly isolated thoracolumbar spinous process fractures (iSPF) would have less need for bracing and operative interventions than SPFs with associated vertebral body (VB) fractures (SPF+VB). We performed a similar analysis for iTPF compared to transverse process fractures associated with VB injury (TPF+VB). Methods: In this single-center, retrospective study from 2012 to 2016, patients were classified into iSPF, SPF+VB, iTPF, and TPF+VB groups. Data including the fracture pattern, neurologic deficits, and operative intervention were obtained. The primary outcome studied was the need for bracing and/or surgery. A statistical analysis was conducted. Results: Of 98 patients with spinous process fractures, 21 had iSPF and 77 had SPF+VB. No iSPF patients underwent surgery, whereas 24 (31.17%) SPF+VB patients did undergo surgery (p=0.012). In the iSPF group, three patients (15%) received braces only for comfort, whereas 37 (48.68%) of the SPF+VB group required bracing (p=0.058). Of 474 patients with transverse process fractures, 335 had iTPF and 139 had TPF+VB. No iTPF patients underwent surgery, whereas 28 (20.14%) TPF+VB patients did (p≤0.001). Of the iTPF patients, six (1.86%) were recommended to receive braces only for comfort, while 68 (50.75%) of the TPF+VB patients required bracing (p<0.001). Conclusions: No patients with iSPF or iTPF required surgical intervention, and bracing was recommended to patients in these groups for comfort only. It appears that these injures may be safely managed without interventions, calling into question the need for spine consultation.

두 여성의 상담자로의 진로전환 경험이야기 (The Story of Two Women's Career Transition as a Counselor)

  • 최재혁;김명화
    • 한국콘텐츠학회논문지
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    • 제17권6호
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    • pp.514-526
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    • 2017
  • 본 연구는 두 여성이 상담자가 되기까지의 진로전환 과정의 경험을 살펴봄으로써 상담자가 되어 가는 진로전환의 경험과 의미를 질적 연구방법의 하나인 내러티브 탐구방법을 통하여 살펴보았다. 이를 위해 상담심리사 자격증을 소지하고, 두 번 이상의 진로전환 경험이 있는 상담심리사 2명을 연구 참여자로 선정하였고, 결과는 다음과 같다. 첫째, 이들은 자신의 흥미나 적성을 생각해볼 기회를 갖지 못한 채 여러 번의 진로경험을 하였다. 둘째, 진로전환이 자신만의 방법으로 적응하는 경험이었다. 셋째, 여러 직업을 거치면서 점차 자신이 원하던 일과 공부를 찾아가게 되었다. 넷째, 자신이 선택한 상담자의 직업에 만족하고, 상담자로서 자신을 통찰해 가고 있었다. 본 연구를 통해 진로전환을 삶의 일부분인 과정으로 받아들이고, 상담 전문가의 길을 걷고 있는 상담자로의 진로전환 경험의 의미를 확인하였다는데 의의가 있다.