• 제목/요약/키워드: Embarrassment

검색결과 61건 처리시간 0.028초

한국간호사들이 경험한 미국병원에서의 언어장애 극복 과정 (Overcoming Langage Barrier by Korean Nurses in U.S. Hospital Settings)

  • 이명선
    • 대한간호학회지
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    • 제26권2호
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    • pp.483-496
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    • 1996
  • The purpose of this study was to describe how Korean nurses overcome the language barrier while working in the U.S. hospital settings. Twelve Korean nurses living in New York metropolitan area were asked open-ended, descriptive questions to collect the data. The interviews were done in Korean. All interviews were audiotaped under the permission of the participants and were transcribed verbatim. The data were analyzed using grounded theory analysis. The research process consisted of two phases. In the first phase 8 Korean nurses were interviewed and analyzed. In the second phase, further data were collected to verify categories and working hypotheses that were emerged from the first phase. The results of this study show that all Korean nurses experienced severe psychological stress such as confusion, anxiety, frustration, loss of self-confidence, embarrassment, guilt, depression, anger, and fear. Among the mode of communication such as listening, speaking, leading, and writing, they had the most difficulty in speaking. Speaking ability was especially important for them because of the emphasis of individualism and self-defense in the U.S. Among the verbal communication modes, non-face-to-face communications such as phone conversation and body language were the most difficu1t for them to overcome. It took at least 2 years for the participants to initially overcome the language barrier in U.S. hospitals. After 2-5 years they began to feel comfortable even in non-face-to-face communication. They could actively search for the better place to work after 5 years. They finally felt comfortable in English and in their job almost after 10 years. The factors that influenced the English improvement were ‘the years of clinical experience in Korea’, ‘the decade they came to the U.S.’ ‘coming to U.S. alone or with other Korean nurses’, ‘racial homogeneity or heterogeneity of the working unit’, and ‘the degree of social support’. The strategies Korean nurses used to overcome the language barrier included depending on the written communication, using ‘nunchi’, working and studying hard, and establishing good interpersonal relationships with co-workers. They also employed assertive behavior of the U.S., such as using more explicit verbal language and employing smiles and eye contact with others during the conversation. The results of the study may help Korean nurses and nursing students who try to work in U.S. hospital settings by understanding problems other Korean nurses faced, factors that influenced their English improvement, and strategies they used. They may also help U.S. nurses and administrators in developing and implementing efficient programs for newly employed Korean nurses by understanding major problems and feelings the Korean nurses experienced and strategies they used to overcome the language barriers.

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음주운전 전력 집단별 심리적 메커니즘 차이 분석을 통한 음주운전 상습화 예방대책 연구 (Prevention of Habitual Drunk Driving through Analyzing Psychological Difference for each Group partitioned by the Number of DUI Records)

  • 장석용;박원범;정헌영;고상선;백상근
    • 대한교통학회지
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    • 제30권4호
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    • pp.107-118
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    • 2012
  • 본 연구는 음주운전 전력(최근 5년간 단속 횟수) 집단별 음주운전과 관련한 심리학적 이론변수의 모형 구축 및 검정과 경로분석 등을 통하여 집단별 특성을 도출하고 상습적 음주운전자에 대한 대책을 제시하고자 하였다. 본 연구의 결과 상습적 음주운전에 대한 예방대책을 요약하면 다음과 같다. 첫째, 음주운전과 관련한 운전자의 심리적 경로는 집단(회수)별로 방어기제와 죄의식, 수치심, 곤혹감 등에 많은 차이를 보여 음주운전 전력별로 대책의 차별화가 필요한 것으로 나타났다. 둘째, 상습적 음주운전자는 자기 합리화의 방어기제가 높은 것으로 나타나 단순 정보제공이나 집체 교육만으로 예방효과를 거두기는 곤란한 것으로 나타나 자동차 시건장치 및 운전면허 제한 제도의 도입, 그리고 집단 상담형태의 교육 및 처방이 이루어져야 할 것으로 분석되었다. 셋째, 상습적 음주운전자는 방어기제 중 특히 투사성이 높아 감수성 훈련과 같은 프로그램을 의무적으로 부과하는 제도적 보완이 필요한 것으로 나타났다.

Psychometric Validation of the Bahasa Malaysia Version of the EORTC QLQ-CR29

  • Magaji, Bello Arkilla;Moy, Foong Ming;Roslani, April Camilla;Law, Chee Wei;Raduan, Farhana;Sagap, Ismail
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8101-8105
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    • 2016
  • Background: This study examined the psychometric properties of the Bahasa Malaysia (BM) version of the European Organization for Research and Treatment of Cancer (EORTC) Colorectal Cancer-specific Quality Of Life Questionnaire (QLQ-CR29). Materials and Methods: We studied 93 patients recruited from University Malaya and Universiti Kebangsaan Medical Centers, Kuala Lumpur, Malaysia using a self-administered method. Tools included QLQ-C30, QLQ-CR29 and Karnofsky Performance Scales (KPS). Statistical analyses included Cronbach's alpha, test-retest correlations, multi-traits scaling and known-groups comparisons. A p vaue ${\leq}0.05$ was considered significant. Results: The internal consistency coefficients for body image, urinary frequency, blood and mucus and stool frequency scales were acceptable (Cronbach's alpha ${\alpha}{\geq}0.65$). However, the coefficients were low for the blood and mucus and stool frequency scales in patients with a stoma bag (${\alpha}=0.46$). Test-retest correlation coefficients were moderate to high (range: r = 0.51 to 1.00) for most of the scales except anxiety, urinary frequency, buttock pain, hair loss, stoma care related problems, and dyspareunia (r ${\leq}0.49$). Convergent and discriminant validities were achieved in all scales. Patients with a stoma reported significantly higher symptoms of blood and mucus in the stool, flatulence, faecal incontinence, sore skin, and embarrassment due to the frequent need to change the stoma bag (p < 0.05) compared to patients without stoma. None of the scales distinguished between patients based on the KPS scores. There were no overlaps between scales in the QLQ-C30 and QLQ-CR29 (r < 0.40). Conclusions: the BM version of the QLQ-CR29 indicated acceptable psychometric properties in most of the scales similar to original validation study. This questionnaire could be used to complement the QLQ-C30 in assessing HRQOL among BM speaking population with colorectal cancer.

가정간호사의 실무체험 연구 (A Study on the Lived Experiences of Homecare Nurses)

  • 서문자;김소선;신경림;강현숙;김금순;박호란;김혜숙
    • 대한간호학회지
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    • 제30권1호
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    • pp.84-97
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    • 2000
  • The Necessity and Purpose of the Study Recently the number of patients with chronic diseases and the aged patients is increasing steadily. Furthermore, due to the expansion of health insurance system, the number of patients hospitalized in the general hospital is increasing at a surprising speed. However, hospitals urge the early discharge of the patients for the efficiencies of hospital administration, and therefore, the number of patients who must be taken care of in their home is also increasing. Homecare nursing is one of the health care service for the patients at home who require continual attention and care, and now increasing attentions are given to it as one of the professional nursing fields. However, it was almost impossible to find a study on the actual experiences of the homecare nurses written by their own language in Korea, that it also posed a great difficulty in understanding their diverse experience. Considering these situation, this study will help understanding of them, and provide the fundamental data on their experiences for making policies to develop homecare nursing. Methods of Research Phenomenological research method was employed to analyze the lived experiences of homecare nurses fundamentally. Data collection Data were collected from August 1998 to December 1998 from ten homecare nurses who worked for patients under the homecare nursing setting as model cases designated by Seoul Nurses Association and who agreed to the purpose of this study after listening to and understanding the explanation completely. The in-depth interview was carried at the time which was convenient both for the researcher and participants for one or two hours, and recovered with the approval participants. The first interview covered diverse and broad areas like the situation of homecare nursing, and their feelings and thoughts over it, and in the second and third interviews, more specific questions are asked. Data Analysis For the phenomenological analysis, contents analysis was employed. The data collected from the participants were analyzed into the following procedures according to Van Manen 's phenomenological analysis. 1) Reserve the preconception of the researcher by restricting it inside parenthesis. 2) Make a thorough observation of the lived experiences by insight process. 3) Analyze the contents (Find out the repetitive factors) 4) Interpret the essence found. 5) State the meaning of the interpretation. Results and discussion 1. Fear and expectation for the first visit. (unfamiliarity, awkwardness, anxiety, shivering) 2. Mingle with the family (feeling friendly with the family, becoming like a family member) 3. Being proud of her own know-how (learning the know-how, organizing alternatives, building up confidence) 4. Pity for the poor. (criticizing the current government, feeling ashamed, feeling anger) 5. Difficulty of constructing cooperative system with physicians (strenuousness, frustration) 6. Helplessness due to the lack of support system (difficulty to get supplies, annoyance, embarrassment by institutional restraints) 7. Anxiousness for heavy traffic and parking (annoyance, hastiness) 8. Ethical conflicts (pity for the patients and family, skepticism about lengthening life maintenance) 9. Burden for the possible accident (pressure, anxiety, conflict, physical exhaustion) 10. Establishment of identity as a professional (fulfillment, worth, joy) 11. Being distressed at other's ignorance

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Women's Perceptions and Attitudes about Cervical Cancer in Turkey: Kato's Device as an Alternative to the Pap Smear

  • Sahin, Mustafa Kursat;Sahin, Gulay;Dikici, Mustafa Fevzi;Igde, Fusun Artiran;Yaris, Fusun
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권2호
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    • pp.905-910
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    • 2014
  • Aims: To determine the status of women's perception and attitudes about cervical cancer and their thoughts on Kato's self-sampling device. Materials and Methods: This descriptive research was conducted between July-December 2012 with a study populationof married women older than 18 years. Results: A total of 246 women volunteered, with a mean age of $34.9{\pm}9.22$ (19-52). In the last year, 52.0% had been examined by a gynecologist to address a complaint or for a periodic health check. Of the 118 who had not had a gynecological examination, 42.4% indicated negligence, 26.3% stated the reason was no complaint, 14.4% feared they might receive bad results from the examination, and 8.5% stated that were shy or embarrassed. Of all of the women, 35.0% answered that they had information about cervical cancer, and 0.7% had heard about the HPV vaccine. No one in their families had received the vaccine. Of the women, 28.5% had had a Pap smear, and 71.4% of those had normal results. Of those who had never had a Pap smear, 47.2% had never heard about the test; 18.8% explained the reason for not having a test as shyness or embarrassment with a male doctor. None of the women had heard about Kato's device. Once the women were informed, 73.6% expresseed interest in use; 51.9% answered they could use it and not be embarrassed, 30.9% would use it because they did not have to see a doctor, and 17.1% would use it as it allows them to take a smear in all conditions and whenever they want. Of the women, 60.0% thought that they could not successfully use Kato's device; 40.0% thought that a smear should be taken by a doctor. Conclusions: Most of the women in our population had never had a Pap smear and wanted to use the Kato's device.

상습 음주운전자의 심리적 특성에 따른 음주운전 대책에 관한 실증적 연구 (An Empirical Study on Measures for reducing Drunk Driving exploiting Psychological Characteristics of Inveterate Drunk Drivers)

  • 박원범;장석용;정헌영
    • 대한교통학회지
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    • 제29권5호
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    • pp.91-104
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    • 2011
  • 최근 음주운전자 중 과거 음주운전 전력이 2회 이상인 경우가 많아 음주운전을 상습적으로 하는 운전자가 사회적 문제로 대두되고 있다. 본 연구는 상습적 음주운전자들이 가지고 있는 심리적 특성 및 대책을 모색하고자 비음주운전자들과 1~2회 이상 음주운전자들 집단 간 차이를 구조방정식의 확인적 요인 분석으로 알아보고 대책마련을 하고자 했다. 연구결과를 정리하면, 첫째, 음주운전 단속 전력별로 운전자들의 희망 치료 방식 및 교육내용을 파악하여 제시할 수 있었다. 둘째, 방어기제(합리화, 투사, 승화)와 음주운전 심리(죄의식, 수치심, 곤혹감), 자존감(긍정, 부정)을 이론변수로 사용하여 음주운전 전력별 음주운전 심리특성 모형을 구조방정식을 통해 구축할 수 있었다. 셋째, 음주운전 심리특성 모형의 분석 결과 각 집단의 특성에 맞는 음주운전 예방 및 저감대책을 제시할 수 있었다. 넷째, 음주운전 단속 전력과 한국형 알코올 중독자 선별 검사 점수를 대응분석하여 개인의 음주특성에 따른 음주운전 대책 부분을 보완 할 수 있었다. 또한, 음주운전 2회 이상 전력자를 상습 음주 운전자로 제시하였다.

청소년의 성지식 요구 (Needs for Sex Knowledge in Adolescents)

  • 이은주
    • Child Health Nursing Research
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    • 제5권2호
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    • pp.211-234
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    • 1999
  • The purpose of this article was to get hold of adolescent's needs for sex knowledge and to reveal their understanding of sex. These results may be applied to the sex education and counselling for adolescent. The participants of study were 267 students (females, 144 ; males, 123) who were the first and second grade form 1 middle and 2 high schools. They were asked to describe 3 questions that they wanted to know or to learn about sex. Their questions about sex were total 779(girls, subtotal 456, mean 3.2, boys, subtotal 323, mean, 2.6). These questions categorized to 9 items by content analysis. The items were ‘sexual drive, behavior and tendency(229, 29.4%)’ , ‘anatomy and physiology of reproductive system(140, 18.0%)’, ‘reproduction(131, 16.8%)’, ‘concept of sex(31, 4.0%)’, ‘acquaintance between the other sexes(17, 2.2%)’, and ‘the others(9, 1.2%)’ in order of frequency. The most frequent item that the student want to know or team about sex was ‘sexual drive, behavior and tendency’ except girls of sophomore in middle school. There were several features in participants' needs for sex knowledge as respects of the understanding of sex- biological sex, gender, and sexuality. The prominent feature in knowledge need of bio logical sex was that the participants had the interests according to their biological sex. They had the negative attitude to the phenomenons (ex, menstruation and pregnancy, phimosiectomy, etc) that they experienced or would experience due to their biological sex. A part of them asked the questions based the misconceptions and used the slangs or ‘××’, ect. to name the male or female genitalia. The male students wanted to know the female genitalia. The participants' understanding of gender reflected the sexism of our society, but they didn't accept and had doubts about the dual, hierarchical structure of that. The students, especially female seemed to be powerless to the harms of the sexual violence. Girls had much interest in their appearances and complained to our sexual culture that women comforted and served men. The participants had the dual perspective that the sexuality as respects of physiologic phenomenon was considered as natural but that as related to heterosexuals was as negative. And they deemed that men's sexual drive was stronger than women's and was difficult or was not able to be inhibited. They had much interests in homosexuality but reflected the negative attitude to that in our society. Adolescent felt wonder why the expressions of sexuality of adult were permitted but theirs were not. Lastly, a part of boys substituted querying the sexuality of animals for asking that of human. Maybe it was because of the embarrassment to talk about human's sexuality directly. The teenaged participants understood that the sex had not only the biological meanings but also the sociocultural meanings. They regarded the sex as natural and wanted to know it, but they had conceptions that it was difficult and embarrass to talk about it openly and directly.

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'천안함 사건' 유가족의 심리사회적 경험 (Psychosocial Experience in Cheonan Warship Incident Survivors)

  • 이윤수
    • 한국가족복지학
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    • 제43호
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    • pp.87-110
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    • 2014
  • 본 연구는 '천안함 사건 유가족들의 심리사회적 경험은 무엇이며, 그 본질은 무엇인가'라는 연구 질문을 가지고 천안함 사건 유가족들의 심리사회적 경험을 심층면담으로 탐색했다. 천안함 사건 유가족이 느낀 군인의 죽음과 삶에 대한 의미와 본질에 대한 독특한 경험을 현상학적 분석방법을 통해 나타내고자 했다. 연구 분석을 통해 '하늘이 무너져도 희망을 갖음', '언론보도와 군에 대한 억울함', '실종자 가족에서 유가족으로', '한 풀기와 따뜻하게 빨리 보내주고 싶은 마음'이라는 본질을 찾게 되었다. 바다에 오랫동안 방치된 전사자의 죽음은 국가와 사회에서는 매우 큰 정치 군사 외교적 이슈였지만 유가족들 개인에게는 큰 고통과 충격이었다. 천안함 사건 초기 상황에서 군과 언론의 잘못된 대처와 보도는 유가족에게 많은 상처를 주었고 집단의 힘으로 바로 대응하기 위해 그들 스스로 자조집단을 만들었다. 유가족들의 가족을 잃은 상실감은 천안함 사건으로 전사한 가족의 신분과 그 당시의 기후, 정부와 국민의 반응, 군에서의 유가족에 대한 대응과 포용, 시신의 유무와 상태에 따라 많은 영향을 주었다. 연구 결과에 대한 제언은 군사회복지와 가족복지의 정책과 서비스 뿐 아니라 우리나라 사회복지실천 현장에서 활용할 수 있는 개인과 집단의 위기개입과 임파워먼트 사례 연구에 대한 기초자료가 될 것이다.

국공립 어린이집 재원 유아의 문제행동과 교사의 현재 교수 실태 및 지원요구에 대한 탐색 (An Analysis of Child Care and Education Teacher's Current Practices and Difficulties in Supporting Children with Problem Behaviors)

  • 이연정;조윤경
    • 한국보육지원학회지
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    • 제10권3호
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    • pp.5-29
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    • 2014
  • 본 연구는 학급 내에서 다양한 문제행동을 보이는 일반유아의 행동특성들과 이로 인한 유아의 어려움, 교수과정에서 교사가 느끼는 어려움 및 지원요구를 알아봄으로써, 보육현장에 있는 교사들에게 실질적인 지원방안을 제시하고자 하였다. 서울 경기 지역에 위치한 국 공립어린이집에 근무하는 만3~5세 보육교사 8명을 대상으로 반 구조화된 심층면담을 실시하고, 내용분석을 시행하였다. 연구결과는, 교사들이 인식한 유아의 문제행동은 행동적인 문제를 보이는 외현적인 문제행동 유형과 정서적인 문제를 보이는 내현적인 문제행동 유형, 이외의 기타유형이었고, 유아는 자신의 여러 가지 문제행동들로 인해 교사 또래 부모관계에서 어려움을 보이고 있었다. 교사는 학급 내에서 문제행동을 보이는 유아들에게 적절한 지원을 하지 못하거나, 개별적인 지원을 하기도 하며, 어린이집 내 외부에서 도움을 받을 수 있는 곳을 안내하고, 가정과 연계하여 육아지원을 하고 있었다. 교사가 주로 사용하는 교수방법은 행동주의적 접근 심리적 접근이었다. 유아의 문제행동에 따른 교수의 어려움으로 교수과정에서 생기는 문제 교사의 감정조절에 어려움 시간부족 담임교사가 없는 통합보육시간 활동 진행의 방해 전문성부족 부모상담을 통한 가정과의 협력의 어려움을 이야기 하였다. 자녀의 문제행동에 대한 부모들의 반응은 자녀의 문제행동에 당황 수긍 단순지연 회피하는 경향을 보였으며, 문제행동을 보이는 유아를 위해 가정 어린이집 외부와 지역사회 교사연수를 통해서 현재 도움을 받고 있었지만 적절하지 않았다. 따라서 교사는 전문가 보조인력 지원, 부모와 교사에 대한 교육, 교사에 대한 존중, 심리치료 놀이치료 진단평가 등 외부 기관과의 연계, 경제적지원 등을 요구하였다.

문학텍스트와 문학적 해석 -「스페인 문학사」를 통한 모델 연구 (Literary Text and the Cultural Interpretation - A Study of the Model of 「History of Spanish Literature」)

  • 나송주
    • 비교문화연구
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    • 제26권
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    • pp.465-485
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    • 2012
  • Instructing "History of Spanish Literature" class faces various types of limits and obstacles, just as other foreign language literature history classes do. Majority of students enter the university without having any previous spanish learning experience, which means, for them, even the interpretation of the text itself can be difficult. Moreover, the fact that "History of Spanish Literature" is traced all the way back to the Middle Age, students encounter even more difficulties and find factors that make them feel the class is not interesting. To list several, such factors include the embarrassment felt by the students, antiquated expressions, literature texts filled with deliberately broken grammars, explanations written in pretentious vocabularies, disorderly introduction of many different literary works that ignores the big picture, in which in return, reduces academic interest in students, and finally general lack of interest in literate itself due to the fact that the following generation is used to visual media. Although recognizing such problem that causes the distortion of the value of our lives and literature is a very imminent problem, there has not even been a primary discussion on such matter. Thus, the problem of what to teach in "History of Spanish Literature" class remains unsolved so far. Such problem includes wether to teach the history of authors and literature works, or the chronology of the text, the correlations, and what style of writing to teach first among many, and how to teach to read with criticism, and how to effectively utilize the limited class time to teach. However, unfortunately, there has not been any sorts of discussion among the insructors. I, as well, am not so proud of myself either when I question myself of how little and insufficiently did I contemplate about such problems. Living in the era so called the visual media era or the crisis of humanity studies, now there is a strong need to bring some change in the education of literature history. To suggest a solution to make such necessary change, I recommended to incorporate the visual media, the culture or custom that students are accustomed to, to the class. This solution is not only an attempt to introduce various fields to students, superseding the mere literature reserch area, but also the result that reflects the voice of students who come from a different cultural background and generation. Thus, what not to forget is that the bottom line of adopting a new teaching method is to increase the class participation of students and broaden the horizon of the Spanish literature. However, the ultimate goal of "History of Spanish Literature" class is the contemplation about humanity, not the progress in linguistic ability. Similarly, the ultimate goal of university education is to train students to become a successful member of the society. To achieve such goal, cultural approach to the literature text helps not only Spanish learning but also pragmatic education. Moreover, it helps to go beyond of what a mere functional person does. However, despite such optimistic expectations, foreign literature class has to face limits of eclecticism. As for the solution, as mentioned above, the method of teaching that mainly incorporates cultural text is a approach that fulfills the students with sensibility who live in the visual era. Second, it is a three-dimensional and sensible approach for the visual era, not an annotation that searches for any ambiguous vocabularies or metaphors. Third, it is the method that reduces the burdensome amount of reading. Fourth, it triggers interest in students including philosophical, sociocultural, and political ones. Such experience is expected to stimulate the intellectual curiosity in students and moreover motivates them to continues their study in graduate school, because it itself can be an interesting area of study.