• Title/Summary/Keyword: 심리적 어려움

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Concept Analysis of Frail Elderly based on Walker and Avant's Method (Walker와 Avant 방법에 근거한 허약 노인 개념 분석)

  • Kim, Jae-Hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.394-405
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    • 2019
  • The purpose of this study is to clarify the concept of the frail elderly and to obtain theoretical evidence. The research method was conducted using the basic principles for conceptual analysis of Walker and Avant(2005). As a Result of a review of the literature about how to utilize the concept of a frail elderly, frail elderly might be in the intermediate state of health and disease. They can be defined as physically vulnerable in the sarcopenia, inflammation, insulin resistance, and preceding advanced disease, lead to hospitalization, falls, disability, and death. The attributes were physiological, psychological, and socio-environmental and economic factors, so they had multidimensional factors. They were required the assist daily living of another person. Also, their attributes had decreased the amount of recovery time and degree, and exhaustion. The attributes of frail elderly consisted of these facts: dynamic process, multidimensional factors, dependency, vulnerability. The frail elderly was a dynamic process that involves the possibility of change to health and disease, and include physical, mental, cognitive, and social environmental factors. In addition, the frail elderly was difficulty in daily life, physical vulnerability and difficulty in adaption. In conclusion, frail elderly as defined by the results of this study will contribute to the foundation of health care systems, including community visiting nursing to understand the level of frail elderly and systemic management to do not go into long term care.

Developing a Theoretical Model for Clients-participants Centered Bibliotherapy (내담자-참여자 중심 독서치료 모형 개발에 관한 연구)

  • Lim, Seong-Gwan
    • Journal of the Korean Society for Library and Information Science
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    • v.51 no.3
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    • pp.65-81
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    • 2017
  • Psychotherapy is an area of psychology that helps/treats people who are experiencing psychological and emotional difficulties by non-medical means. Psychotherapists build up theoretical backgrounds, profiles, and/or techniques to adequately assist clients and participants in the treatment of these disorders. Despite the fact that South Korea has a history of nearly 20 years in the field of bibliotherapy, there has not been a developed or proposed psychotherapy treatment model that suits many objectives and goals utilizing bibliotherapy. In this study, based on the person-centered counseling theory, we intend to develop a model and approach focusing on the clients-participants who are subject to bibliotherapy. This study will be the basis and reference for the development of bibliotherapy model(s) suitable for various psychological objectives and goals in the future as an alternative or in addition to other psychotherapy methods and techniques.

Focus Group Study on Psychosocial Distress of Cancer Patients (치료 중인 암 환자들의 심리사회적 어려움에 관한 포커스 그룹 연구)

  • Yi, Myung-Sun;Kim, Jong-Heun;Park, Eun-Young;Kim, Jong-Nam;Yu, Eun-Seung
    • Korean Journal of Adult Nursing
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    • v.22 no.1
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    • pp.19-30
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    • 2010
  • Purpose: The purpose of the study was to describe psychosocial difficulties experienced by cancer patients. Methods: Three focus group interviews were conducted to collect the data from 19 outpatients with cancer undergoing treatments during 2009. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using constant comparative analysis of grounded theory. Results: As a result of constant comparative analysis, 'psychosocial distress' was identified as a core category, and seven subcategories were identified. 'Plunged into negative emotions' and 'damaged self-identity' were identified as major categories in the individual dimension. 'Difficulty in dealing with diagnosis' and 'hasty expectations and concerns' were identified in the dimension of family. 'Inefficient communication' and 'lack of necessary information' were identified in the dimension of health care setting. 'Lonely journey into a strange territory' was identified in the dimension of society. Conclusion: The results of the study indicate that cancer patients experience a wide range of psychosocial problems. Thus, in assessing and relieving psychosocial distress of cancer patients, it is necessary to focus not only on the level of the individual but also on the levels of family, health care setting, and society in general is necessary.

Adaptive Multilayered Student Modeling using Agent (Agent 기반 적응적 다중 학습자 모델링)

  • 이성곤;유영동
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 1999.10a
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    • pp.263-268
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    • 1999
  • 지능형 교육 시스템에서 학습자 모델은 학습자의 반응을 토대로 교수모듈과 전문가 모듈을 연계하여 새로운 학습자 모델을 제시하는 역할을 수행하고 있으며, 이는 성공적인 지능형 교육 시스템의 구현에 있어서 핵심적인 부분이다. 따라서 많은 대학교 및 연구소에서 그동안 학습자 모형에 관한 많은 연구가 이루어져오고 있다. 그러나 대부분의 연구는 단일 학습자 모형을 기반으로 두고 있으며, 이러한 단일 학습자 모형을 이용한 시스템들은 학습자의 지식 또는 학습자의 성향을 정확히 파악하기는 어려움을 갖고 있을 뿐만 아니라 다른 모듈과의 인터페이스 부분에서 중복된 많은 정보를 가지고 있다. 따라서 본 논문에서는 학습자의 지식을 정확하게 진단하고 각 모듈간의 중복된 정보를 보완할 수 있는 다중 학습자 모형을 개발하여 구현하였다. 또한 이러한 다중 학습자 모형을 최적으로 수행할 수 있도록 하기위하여 agent기법을 적용하였다. Agent를 이용한 다중 학습자 모형을 적용하여 구현한 시스템은 첫째, 단계적인 접근 방법으로 보다 정확한 학습자의 지식 진단이 가능하다. 둘째, 학습과정중 학습자의 심리 상태 및 학습자의 선호도 등 파악이 용이하다. 셋째, 교수모듈과 전문가 모듈과의 연계에 있어서 정보의 중복됨의 최소화 등의 장점을 제공한다.

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Factors that Help and Hinder South Korean Teachers' Bereavement Following Student Suicide: A Concept-Mapping Approach (학생 자살 후 교사의 애도 경험에 관한 개념도 연구: 어려움 및 도움 요인)

  • Seo, Jung Il;Lee, Hwa Yun;Kim, Ga Yeon;Lee, Dong-gwi
    • Korean Journal of School Psychology
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    • v.18 no.1
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    • pp.121-151
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    • 2021
  • This study aimed to identify the factors that helped and hindered secondary school teachers who experienced student suicide using the concept-mapping approach. Seven South Korean middle and high school teachers were interviewed from which 113 core statements were elicited. The participants sorted these core statements into categories by meaning. Multidimensional scaling and hierarchical cluster analysis were conducted to identify the underlying structure of the teachers' experiences. Four hindering factor clusters emerged: (1) regret over failing to prevent the suicide, (2) an apathetic atmosphere in the school, (3) a sense of helplessness related to suicide survivors, and (4) approach-avoidance conflicts related to suicide survivors. Six helpful factor clusters emerged: (1) cooperation and care offered between suicide survivors, (2) focusing on the present, busy life, (3) spiritual activity, (4) social support, (5) overcoming grief through altruistic behaviors, and (6) sympathy for the deceased. Two dimensions were found for both the hindering and helpful factors. The hindering factor dimensions were external system-internal experiences and related to suicide survivors-related to suicide decedents. The helpful factor dimensions were distancing from the loss-approaching the loss and professional activities-personal activities. The present study empirically explored and described the underlying structure of teachers' bereavement experiences after student suicides.

A Study on the Symbols of the Snake's Shedding (뱀의 허물벗기에 대한 상징 연구)

  • Ju-Hee Na;Dong-Tae Kim
    • Industry Promotion Research
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    • v.8 no.1
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    • pp.135-141
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    • 2023
  • Snakes are objects that appear in religions, folktales, and folktales of various countries, and have had a great influence on human spirit and culture since ancient times. In this study, we focused on the shedding of skin in the ecology of snakes and dealt with related symbols. In the process of shedding its skin, the snake overcomes difficulties and pains, grows, and escapes death to gain a new life. This has the meaning of individuation through the process of psychological transformation by overcoming hardships. This shedding of skin was recognized as a symbol of wisdom, transformation, rebirth, and healing in myths, religions, and folktales, and settled in people's unconscious.

The Study of Comparing the Factors of Affecting on the Quality of Life for Young-Old Women and Old-Old Women (전기, 후기 여성노인의 삶의 질 및 영향요인 비교연구)

  • Kim, Mee-Ryoung
    • Korean Journal of Social Welfare
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    • v.58 no.2
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    • pp.197-222
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    • 2006
  • This study distinguishes the aging population as young-old and old-old women. It examines the difference of each variable between young-old and old-old women. Also, it examines the effect of physical, psychological, social, economic and environmental factors on the quality of life for older adults in both groups and compares the effects on the quality of life between both groups. The sample of this study is collected from Daegu and Kyungbuk province and the sample size of this study is 310. As statistical method, t-test, $X^2$ and hierarchical multiple regressions are used. As demographic factors, age, marital status, income and education are controlled. The research results show that marriage, perceived health, self-esteem and social support are important factors of affecting on the quality of life for both groups. However, for young-old group, the perceived economic hardship and the receipt of social welfare affect negatively and social participation affects positively on the quality of life. On the other hand, for old-old group, informative social role affects positively and social participation affects on the quality of life negatively.

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Depression after Traumatic Brain Injury (외상성 뇌 손상이후의 우울증)

  • Jung, Han Yong;Han, Sun Ho
    • Korean Journal of Biological Psychiatry
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    • v.6 no.1
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    • pp.21-29
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    • 1999
  • Traumatic Brain Injury(TBI) of any severity can result in broad and persisting biopsychosocial sequelae. Depression after TBI occur at a greater frequency than in the general population, with estimates approaching 25% to 50% for major depression, and 155 to 30% for dysthmia. Acute onset depressions are related to lesion location and may have their etiology in biological response of the injured brain, whereas delayed onset depressions may be mediated by psychosocial factors, suggesting psychological reactions as a possible mechanism. Anxious depressions are associated with right hemisphere lesions, whereas major depressions alone are associated with left dorsolateral frontal and left basal ganglia lesions. However, there is insufficient information to postulate a specific neuroanatomic model for TBI-related depression.

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The Grounded Theoretical Study on Negative Emotion Recovery Process of Female College Students Through Bibliotherapy (독서치료를 통한 여대생의 부정적 정서 회복과정에 대한 근거이론적 연구)

  • Kim, Kil-Ja
    • Journal of the Korean Society for Library and Information Science
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    • v.42 no.3
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    • pp.103-131
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    • 2008
  • Today. the mental health has a great deal of impact on individuals and the society surrounding. Therefore. this research is to propose a way of bibliotherapical intercession by stages and patterns as to examine the recovery process of students with negative emotion by using the grounded theoretical method. This research collected materials through focus-interview, participant observation and book reports of 4 experiments involving female college students aged from 21 to 23, all having emotional and psychological difficulties. The recovery process of female students with negative emotion involved causal factors such as "recognition of hidden wound" "Sense of inferiority", and "difficulty in forming relationships", as well as contextual factors like "sympathetic attitude". which altogether brought about the core phenomenon. "pursuit for healthy ego". This core phenomenon induced to recovering the bright and positive attitude through using the strategies of 'self insight' and application of 'management plan', influence by such incoherent conditions as 'intimate surroundings' and $\setminus$ 'support system patterns'. And as time passed. the recovery process appeared tin four stages: 'issues recognition'. 'emotional responses', 'issue solution' and 'self application'.

Social Support as a Moderator in the Relation Between Depression and Living Arrangements among Elderly Korean Immigrants (성인자녀와의 동거여부와 우울증간의 관계에서 사회적 지지의 역할)

  • Kim, Hak-Ju
    • Korean Journal of Social Welfare
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    • v.51
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    • pp.141-156
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    • 2002
  • The relation among social support, depressive symptoms, and living arrangements were examined in a non-random sample of 175 adults age 60 and older. A convenience sample was obtained through a personal interview. A structural equation modeling approach was used to explore the role of social support in the relation between the living arrangements of elderly Koreans and their level of depressive symptoms. These results are consistent with previous analyses suggesting that social support plays a significant role in moderating depressive symptoms, in relation to negative living arrangements among older Korean populations (the buffering-effect hypothesis).

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