• 대한감각통합치료학회지
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• 제21권3호
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• pp.79-102
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• 2023

목적 : 자폐 스펙트럼 장애(Autistic Spectrum Disorders, 이하 ASD)는 비전형적 감각 적응, 의사소통 문제, 상동 행동 등이 특징인 발달 장애로 섭식장애가 흔하게 동반된다. ASD 아동의 섭식장애는 감각, 구강운동, 행동, 인지, 사회성 등 다양한 원인으로 발생하며 주요 증상으로는 까다로운 먹기, 선택적 먹기, 음식 거부, 새로운 음식 거부, 음식 다양성 제한, 음식 혐오 등 다양하다. 또한 건강 및 영양 섭취 문제, 섭식 발달, 섭식 관련 사회성, 가족과 보호자의 스트레스 등 다양한 문제가 동반되기도 한다. ASD 아동의 섭식장애는 출생 후부터 나타날 수 있으며 일반적으로 진단이 이루어지는 3세 이전에 발생하기 때문에 적절한 중재 제공 전 공백이 발생할 수 있다. 보통 섭식장애 증상은 연령이 증가할수록 감소되는 경향이 있으나 증상 자체는 남아 있는 경우가 많아서 조기 평가 및 중재, 지속적인 확인이 필요하다. 본 연구에서는 ASD 아동의 섭식장애 특성과 영향을 주는 요인, 중재법에 대한 일반적인 내용을 문헌 고찰을 통해 확인하였다. 결론 : ASD 아동의 섭식장애 중재로는 감각 기반 중재와 행동 기반 중재가 일반적이다. 감각 기반 중재는 음식 민감성, 행동 기반 중재는 음식 선택성에 효과적인 방법이다. 또한 ASD 아동의 섭식장애 증상이 다양한 만큼 감각 및 행동 기반 중재를 기본으로 놀이와 참여, 구강운동, 식이와 일상생활까지 포함된 종합적인 접근이 필요하다. 그러나 아직 ASD 아동의 섭식장애 중재를 위한 적절한 평가와 중재 프로토콜 및 가이드라인이 부족한 상황으로 보다 체계적인 이해를 바탕으로 한 복합적인 접근이 필요하다. 작업치료사 등 연하재활 전문가는 종합적인 이해를 바탕으로 ASD 아동의 섭식장애 해결을 위한 적절한 평가 및 중재를 제공해야 할 것이다.

• 아동학회지
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• 제31권6호
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• pp.35-50
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• 2010

Joint attention, language development, and the relationship between these two variables were compared in infants from multi-cultural and Korean families. Joint attention was observed in both the Early Social Communication Scale (ESCS) and in infant-mother free play. Language development was evaluated by means of the MacArthur-Bates Communicative Development Inventory-Korean. There were no group differences in initiating and responding to joint attention in ESCS. However, in infant-mother free play, joint attention episodes were less and shorter in duration with infants from multi-cultural families than in Korean infants. The size of both the expressive and receptive vocabulary was also smaller in infants from multi-cultural families than in Korean infants. In terms of Korean infants, mean duration of joint attention episodes in free play showed a significant positive correlation with the size of the expressive vocabulary and initiating joint attention in ESCS also showed a significant positive correlation with the size of receptive vocabulary. However, none of the measures of joint attention indicated a significant relationship with the size of either expressive or receptive vocabulary in infants from multi-cultural families.

• 한국지역사회생활과학회지
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• 제17권4호
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• pp.3-14
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• 2006

The purpose of this study is to find out the repercussion of mothers' quality of object relation and hope on their children's emotional and behavioral disorder level and satisfaction level on counseling. Participants were 112 children between ages of 6 and 12, and the 112 mothers of those children. Questionnaires for mothers were used to assess their object relation level, hope level, and counseling satisfaction level. Questionnaires for children were used to assess their depression and aggression level. Results were as follows: First, mothers with lower object relations had children with higher depression and aggression levels. Second, children of the mothers who scored higher object relation levels scored higher on the satisfaction level on counseling. Third, among the mother's object relation level, hope level, and counseling satisfaction level, the object relation level appeared to have the strongest repercussion on the child's emotional and behavioral problems. The results of this study can be used as a base material to improve the effect of play therapy for the children who have emotional and behavioral problems, on helping the children and their mothers to have positive object relations.

• 아동학회지
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• 제25권5호
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• pp.111-128
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• 2004

Responsiveness and initiative between infant and mother from toy centered play situation at 6, 7 months of age and infant's social communication skills at 12 months were studied in a sample of 62 infant-mother pairs. Through the video analysis, infants were grouped into simple react group, cooperated group, and active initiative group. In the between groups, we analyzed whether mother's initiative act styles and response styles were different, and whether their social communication skills were different when they tested at 12 months. The results showed that mother's initiative styles were not different but mother's response styles were significantly different with infant groups. Further result showed that cooperated group gained higher score than active initiative group in the total score of Eary Social Communication Skills scales at 12 months of age. The results suggested that mother's responsive behaviors were more important than initiative behaviors for the infant's positive interaction, and the difference of these behaviors would lead to a gap of early social communication abilities.

• 아동학회지
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• 제25권5호
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• pp.95-110
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• 2004

This research employs the grounded theory approach among various qualitative methodologies in order to reach a deep understanding of both the experiential process that children undergo in block play and the essential meaning of it. The objects of this study are 22 children(female 7, male 15) in a 5-year-old class of K kindergarten at Guro district, Seoul. The result of this research shows that first, children take pleasure in block play because of the delight and sense of accomplishment in building, the joy in demolishing, and the happiness of embracing the world through dramatic play with building structures. Second, the characteristics of children's block play are popular subject of the play, decision of the subject, impromptu transformation and elaboration of building structures, and flow of the play according to friend/non-friend relationship. Third, the implicit rules shared by children have more significant influences upon the block play than the agreed rules at the beginning of semester.

• Human Ecology Research
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• 제54권6호
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• pp.631-642
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• 2016

This study analyzed of the themes (wounding and healing); concerning the Sandplay therapy process applied to children with emotional instability and attention deficit problems. The subjects of the study were 30 elementary school children who agreed to a personal-interview with the author. They all were families of receiving basic livelihood welfare living in the same county. After the preliminary analysis, the main study data collected from subjects was analyzed by variance (t-test), frequency analysis, and correlation analysis using the standard table modified in accordance with Mitchell's classification system. Particular attention was made in the analyses of the characteristics of the subjects as members of low-income families. As the Sandplay therapy proceeded, it became evident that the wounding area showed a low frequency while the healing area featured a high frequency, and confirmed (as in previous studies) that the Sandplay therapy would be effective for children with emotional instability as well as for those with attention deficit problems. The analysis of difference between the types of children with both problems revealed that Sandplay therapy was more effective for children with emotional instability than for those with attention deficit problems. The analysis also revealed that Sandplay therapy was more effective for girls than for boys.

• 아동학회지
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• 제18권1호
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• pp.143-162
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• 1997

This qualitative study explores the development of young Korean children's reading stances and responses to children's books and discusses their literacy development in relation to school reading experiences. Rosenblatt's theory (1978) of aesthetic and efferent stances is used to characterize the relationship between the reader and the text. A teacher's reading stances in the official school world are analyzed and their relationships to children's stances and responses are discussed. The teacher's efferent stance encouraged her children's responses to he efferent as well. It also influenced children's assumptions and expectations about the teacher's reading activities, so that the children came to view these activities only as ways of obtaining factual knowledge and practicing literacy skills. The children's own interests and intentions during free play time are described in order to understand children's reading stances in the unofficial school world. The children showed various types of stances during free play time even though they were encouraged to take only one type of stance, i.e., an efferent stance, in the official school world. The findings are discussed In terms of their implications for classroom practice and literacy research.

• 부모자녀건강학회지
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• 제8권1호
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• pp.37-48
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• 2005

Purpose: The purpose of this study was to develop a play education program to reduce children's fear of needle insertion to the implanted port, and to assess the effect of this program. Method: The play education program was composed of play education before needle insertion, encouragement during needle insertion, and a present to reward then after needle insertion. Measurement instruments were the Procedure Behavior Check List(PBCL) and Faces Rating Scale(FRS). Results: The first hypothesis, "the PBCL point of children with malignant disease would decrease after play education program", was rejected(before insertion : Z=-0.189, p= .850, during insertion : Z=-0.350. p= .727, after insertion : Z=-0.590, p= .555). The second hypothesis, "the FRS point of children with malignant disease would decrease after play education program education", was rejected(observer 1 : Z=-0.245, p= .806, observer 2 : Z=-0.912, p= .362, self-report : Z=-0.181, p= .856). The third hypothesis, "the Time of needle insertion would decrease after play education program", was rejected(Z=-0.464, p= .642). Conclusion: The effect on fear-reduction of play education program for children with malignant disease inserted implanted port was not significant but continuous education is needed for parents and children.

• 아동학회지
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• 제36권4호
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• pp.33-48
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• 2015

It is generally known that children's development of 'gender schema' and 'gender role stereotype' has a positive relationship with the notion of 'gender role preference'. This study analyzed an unusual case focusing on the role playing of two brothers'. The elder brother, Hyoung-Gyoo, always preferred to take the female role, and he had a preference for feminine names like "Cordelia" whilst engaging in role playing situations. The brothers can be said to have crossed the border into the realm of intersexual role playing. The results revealed Hyoung-Gyoo's clear discrepancy between gender-related perceptions and reality, and showed his younger sibling Je-Gyoo's high level of acceptance towards his brother's extraordinary gender role preference. The results of this study can serve as a useful reference point for detailing unusual development from early childhood regarding 'opposite-gender-role seeking' characteristics.

• 아동학회지
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• 제33권1호
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• pp.93-109
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• 2012

The purpose of this study is to explore how children aged four, in institutional care, perceive and express basic emotions, such as happiness, sadness, anger, surprise, through a role play program using dolls. This study selected two children who were both aged four years old and are currently in child institutional care. The children were observed during six role play trials using dolls and were questioned after the trials. The results were : 1) The children aged four in institutional care best perceived and expressed the emotion of happiness. 2) The children aged four in institutional care were able to positively change their feelings of sadness and expressive behavior through the intimate relationships they formed with the researcher. 3) The children aged four in institutional care expressed the emotion of anger throughout the entire role play using dolls and were positively changed the instructions and coaching given by the researcher. 4) The children aged four in institutional care had the most difficulty in expressing the emotion of surprise. The results of this study could be used as basic data for creating a program intended to help children aged four in institutional care develop their emotions.