Journal of Music and Human Behavior (인간행동과 음악연구)

Korean Music Therapy Education Association (한국음악치료교육학회)
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Case Study on the Use of Songwriting to Promote Self-Acceptance in Adolescents in Palliative Care

노래 만들기를 통한 완화의료 청소년의 자기수용 증진 사례 연구

  • Youn, Ha Jeong (Pediatric Palliative Care Center, Kyungpook National University Children's Hospital)
  • 윤하정 (경북대학교 어린이병원 소아완화치료센터)
  • Received : 2022.08.12
  • Accepted : 2022.11.23
  • Published : 2022.11.30
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Abstract

This study aimed to examine the effects of songwriting on the self-acceptance of adolescent in palliative care. Three participants were recruited from a university hospital in an urban area in South Korea. The songwriting intervention was conducted in six sessions, and each session was composed of an introduction, song writing and wrap-up. Participants were asked to complete the Unconditional Self-Acceptance Questionnaire (USAQ) before and after the intervention. Their verbal expressions and written song lyrics observed during the intervention were also measured. The results showed that the USAQ scores increased after the intervention, indicating the improvement in their acceptance of the self without judgement or high reactivity to feedback. In addition, the participants exhibited greater recognition of their emotions and acceptance of themselves as they are. They were also better able to discover internal resources and psychological competence. The participants reported that they could more freely express their emotions through song writing and that recording the songs they created was a means of communicating their feelings to others. Based on this study, it is expected that adolescents in palliative care will be able to experience self-acceptance through such brief song writing interventions.

본 연구는 노래 만들기 활동이 완화의료 청소년의 자기 수용력 증진에 미치는 효과를 연구한 것으로, 연구의 목적은 완화의료 청소년의 심리 정서 지원을 위한 음악치료 프로그램 초기 개발 현장에 근거를 제시하고자 함이다. 본 연구는 경상북도 소재 대학병원의 생명윤리위원회(IRB)의 승인을 받고 제출한 절차에 따라 진행하였으며, 총 3명의 대상자가 모집되었다. 프로그램은 총 6회(주 1-2회, 1회기 당 50분)로 매회기 도입, 노래 만들기, 마무리의 순서로 중재당일 참여자의 수준에 따라 노래 만들기 활동을 단계적으로 제공하였다. 대상자의 자기수용과 관련된 변화는 무조건적 자기수용 척도 검사와 참여 과정에서의 음악적 표현 및 언어적 반응을 분석하여 살펴보았으며 그 결과, 대상자 모두 자기 수용력 척도 점수에서의 향상이 도출되었다. 또한, 참여자들 모두 노래 만들기를 통해 자신의 정서를 인식하고 자신을 있는 그대로 수용하는 변화를 보였으며, 타인의 판단으로부터 자신을 분리해 자신만의 수용적 힘을 발견할 수 있었다. 더불어 참여자들의 부정적 정서가 환기됨을 확인할 수 있었으며, 참여자들이 녹음된 결과물을 통해 타인과 소통하는 모습이 관찰되었다. 이와 같은 결론을 바탕으로, 완화의료 청소년들이 본 프로그램을 통해 긴 치료과정에 함몰되지 않고 올바른 자기수용을 경험할 수 있기를 기대한다.

Keywords

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