직업적 역할은 정신장애인이 지각한 편견을 감소시키는가?

Effects of vocational roles on the perceived prejudice of people with psychiatric disabilities

본 연구는 정신장애인이 지각하는 사회의 편견에 영향을 미치는 요인은 무엇이며 이러한 요인의 영향은 어떠한 이론적 근거에서 설명될 수 있는지 규명하는데 목적이 있다. 상징적 상호작용주의이론에 근거하여 직업적 역할, 직업재활서비스욕구, 가족의 편견인식이 정신장애인이 지각하는 편견에 미치는 영향을 검정하였다. 본 연구의 분석에 활용된 자료는 2008년 국가인권위원회의 '전국 정신질환자 및 가족 생활실태조사'자료 중 충실히 응답된 229사례였고, 자료분석은 위계적 회귀분석을 활용하였다. 자료분석결과 정신장애인의 증상이 높을수록 편견인식이 높았고, 직업적 역할이 있으면 편견인식이 유의하게 감소하였다. 직업을 통해 재활을 도모하는 상태에 있으면 편견인식이 유의하게 증가하였고, 가족의 편견인식이 높으면 정신장애인의 편견인식도 높은 것으로 나타났다. 또한 가족의 편견인식은 직업적 역할이 정신장애인의 편견인식을 감소시키는 효과를 상쇄하는 것으로 나타났다. 이러한 연구결과에 근거하여 이론적, 실천적 함의를 논의하였다.

The purpose of this study was to find out some factors affecting the social prejudice perceived by people with psychiatric disability(PPD) and to present some useful explanations for those effects based on theories from symbolic interactionism. The hypotheses were as follow. First, the higher the symptoms, the higher will be the perceived social prejudice of PPD. Second, if PPD have vocational roles, the perceived prejudice will be lower. Third, if PPD want more services or supports for vocational rehabilitation, the perceived prejudice will be higher. Fourth, the higher the perceived prejudice of family members, the higher will be the perceived prejudice of PPD. The results show that the major hypotheses were supported. Based on the results some theoretical and clinical implications are discussed. First, this study made a little contribution to the study of perceived social prejudice of PPD providing some useful theoretical basis and empirical evidences. Secondly, due to the limitation of the data and cross-sectional research the results of this study need to be duplicated under more rigorous experimental or quasi-experimental study. Concerning the clinical intervention, it should be stressed to provide valued social roles to help PPD protect themselves from social prejudices. Secondly, rehabilitation professionals need to help PPD cope with increasing perceived prejudice while pursuing valued social roles such as employee. Third, rehabilitation professionals should assess the perceived prejudice of family members and to help them resist social prejudices through education, self-help groups, and other advocating strategies. Lastly, professionals should be carful not to blame family members for the adverse effects of their perceived prejudice on PPD.