• Title/Summary/Keyword: 치료경험

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Theory Review for Understanding Flow Experience in Occupational Therapy (작업치료에서 몰입경험 이해를 위한 이론적 고찰)

  • Lee, Jeong-Hoon;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.71-81
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    • 2021
  • Introduction : The purpose of this article was to introduce the theory of flow experience to occupational therapy for various therapeutic interventions to improve the subject's physical function, activity, and participation. Review : To understand the flow experience in occupational therapy, this study summarized the concept and characteristics of the flow experience, the stages and the scientific characteristics of the brain, measurement methods, and related studies through a review of domestic and foreign literature. In occupational therapy, the subject's flow experience can be defined as 'a psychological state in which the subject is completely flow in the therapeutic activity he is doing while forgetting the passage of time'. Subjects perceived a clear goal for the task and experienced engagement when the challenge was balanced with a high level of skill. In a previous study, positive changes in attention and concentration, executive function, upper extremity function, and performance of daily living activities were confirmed in subjects who encountered the flow experience. Conclusion : If the subject's flow experience in various therapeutic interventions in domestic occupational therapy is considered, the treatment effects will be further promoted.

Treatment Status and Its Related Factors of the Hypertensives Detect ed Through Community Health Promotion Program (지역사회 보건사업에서 발견된 고혈압환자의 치료실태와 관련요인)

  • Kam, Sin;Kim, In-Ki;Chun, Byung-Yeol;Lee, Sang-Won;Lee, Kyung-Eun;Ahn, Soon-Ki;Jin, Dae-Gu;Lee, Kyeong-Soo
    • Journal of agricultural medicine and community health
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    • v.26 no.2
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    • pp.133-146
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    • 2001
  • The purpose of this study was to investigate the treatment status and its related factors of the newly detected rural hypertensives through community health promotion program. A questionnaire survey and blood pressure measurement were performed to 6,977 residents of a rural area, and 282 hypertensives detected by blood pressure measurement were selected as subjects of the study. The study employed the health belief model as a hypothetical model. The major results of this study were as follows: The proportion of person experienced treatment among hypertensives was 12.0%. Treatment experience rate was significantly related with age and educational level(p<0.01). That is, if they were older, lower educational level, the treatment experience rate was higher. The major reasons of no treatment were 'they had not hypertensive symptoms ' (45.6%), 'their blood pressure was not high so much that they received treatment ' (43.2%). The chief facilities for treatment were public health institutions(57.9%) such as health center and health subcenter, and hospital/ clinics(29.8%). The treatment experience rate was higher when they had higher perceived severity for hypertension, lower perceived barrier to treatment, although statistically not significant. Treatment experience rate was significantly related with cues to action and health education experience(p<0.05). That is, if they had hypertension related symptoms such as headache previously, patients suffered from hypertension complication and health education experience for hypertension, the treatment experience rate was higher. In multiple logistic regression analysis for treatment experience, having a cerebrovascular patient in their acquaintance and the experience of health education for hypertension were significant variables. On consideration of above findings, it would to be essential to provide knowledge about hypertension and its treatment, and severity of hypertension complications through health education.

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The Aspect of Music Therapists' Experiences in Countertransference and Countertransference Management Ability (음악치료사의 역전이 경험 양상과 역전이 관리 능력)

  • Yi, So Young
    • Journal of Music and Human Behavior
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    • v.5 no.1
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    • pp.19-45
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    • 2008
  • The purpose of this study was to offer fundamental data to manage countertransference, and to research into countertransference management ability by aspects in therapists' experiences in countertransference and their professional characters. For the paper, a survey was conducted on 62 music therapists who provided professional music therapy after finishing graduate school of music therapy through clinical practice and internship, and the result was drawn as follows. Around 84% of participants answered that they had been in trouble by countertransference in the analysis of a questionnaire regarding experience in countertransference. 48% among them first experienced countertransference during the practice in graduate school. 27% and 14% respectively answered that they experienced it within 3 years after graduation and during internship. Also, the result showed that therapists usually had difficulty with adults with mental disease, and the second most difficult clients were children with developmental disabilities. 76% of participants who had difficulty by countertransference answered that they were able to manage it to some degree, and almost all who answered thought that research into countertransference and management were necessary. About the question as to how to manage countertransference, 54% suggested self-analysis and self-therapy. 33% answered that countertransference should be treated through supervision. Finally, 13% of participants answered that it should be handled in graduate school. In this paper, which empirically examined therapists' experience in countertransference and countertransference management ability had meaning in providing essential basic data for music therapists to apply and manage countertransference for therapists themselves, as well as for clients.

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Mothers' Experience of Treatment Services for Attention Deficit Hyperactivity Disorder (ADHD 아동을 둔 어머니들의 ADHD 치료 및 서비스 경험에 관한 연구)

  • Choi, Mal Ok
    • Korean Journal of Social Welfare
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    • v.68 no.2
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    • pp.161-184
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    • 2016
  • The purpose of this study was to explore the perceptions in treatments and experiences of attention-deficit hyperactivity disorders (ADHD) for mothers parenting a child with ADHD. Using Giorgi's 4 stages, this study investigated the meaning of ADHD treatments for mothers. Data were collected from December 2014 to February 2015 for 3 months with a sample of 13 mothers of children with ADHD via in-depth interviews. Collected data was analyzed using an interpretative phenomenological approach. Dominant issues identified were: I (mother) need to be changed for my child; Through mothers' experiences of lack of self-determination about a child with ADHD, they realized ignorance, chaos, and anxiety. While they experience multiple negative feeling, there is a positive change with unresolved issues. The findings highlight the correct awareness of ADHD and incorporated therapies for mothers and children with ADHD to improve treatment retention. Also, specialized services would be developed for mothers to promote their positive attitude to life, which is vital to cultivating the correct self-awareness.

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Thematic Analysis of the Therapeutic Song Writing Experience of Music Therapy Interns: A Focus Group (음악치료 인턴들의 치료적 노래만들기 경험에 대한 주제분석: 포커스 그룹을 중심으로)

  • Park, Chanyang;Kim, Jinah
    • Journal of Music and Human Behavior
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    • v.17 no.1
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    • pp.1-24
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    • 2020
  • The internship is essential for the music therapy curriculum and affords interns the opportunity to apply their classroom-based knowledge and skills to real-world clinical settings. However, challenges associated with the internship can result in interns undergoing trial-and-error learning, interpersonal conflicts, and intrapersonal difficulties. An experiential music therapy group may be useful in helping interns process these incidents and develop their personal and professional skills. We explored the experiences of music therapy interns participating in therapeutic song writing. In this study, five music interns completed two 4-hour sessions of therapeutic song writing. Following the second session, a group interview was conducted with participants to gather data on their experiences. The interview was recorded, transcribed, and analyzed. Six themes and 18 sub-themes were derived from the data. The six themes were preconceptions of therapeutic song writing, meaningful lyric creation, challenges in song composition, structured experiences during song writing process, development of self-awareness through music, and relational experiences resulting from the group process. Participants were able to incorporate their individual internship experiences into a single song by communicating with group members during the step-by-step process. Participation in therapeutic song writing was found to help music therapy interns identify and process challenges encountered during their internship and further their personal and professional development.

A Qualitative Inquiry on Group Music and Imagery Experiences (그룹 음악과 심상 경험에 대한 질적 사례연구)

  • Kim, Aimee Jeehae
    • Journal of Music and Human Behavior
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    • v.17 no.2
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    • pp.101-117
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    • 2020
  • This study aimed to investigate music and imagery (MI) experiences in group settings using a qualitative case study approach. For this purpose, a focus group interview was conducted with four professional music therapists, who participated in peer MI group sessions without a therapist. Data collected from the interview were analyzed by qualitative data analysis procedures. Results demonstrated that successful group music experiences in the early stages, such as sharing and selecting music together within the group or experiencing group support, leaded to developing trust towards music and the group in participants. Moreover, the trust built upon such basis was shown to facilitate expansions in emotional experiences, imageries, relational aspects, and music resources, which led to new personal insights. In addition, the participants recognized the supportive nature of the group played a role of encouraging participants to challenge new experiences during MI experiences. The results suggest that group as a therapeutic factor can promote expansive emotional experiences and insights. Furthermore, the findings may provide implications for music psychotherapy applications in group settings.

Mutual Maturity Process between Client-Therapist in Music and Imagery Session: Therapist's Point of View (음악과 심상 세션에서 내담자-치료사간 상호 성장의 과정: 치료사의 관점에서)

  • Kim, Kyoung Sook
    • Journal of Music and Human Behavior
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    • v.9 no.2
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    • pp.35-52
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    • 2012
  • The purpose of the study was to prospect for mutual maturity between therapist-client in Music and Imagery music therapy session from therapists' points of view. Qualitative data has been collected by in-depth interview of therapist-client mutual maturity process, then analysed with grounded theories. The questions of the study were to ask process of mutual maturity experienced by music and imagery therapist and meaning of the experience itself. Therapists ware to answer the moment of mutual maturity, realization and meaning of mutual maturity process through semi-structured in-depth interview. The four therapists who participated in the interview are certified MIT(Music & Imagery Therapist) by Lisa Summer and currently in training GIM. From the in-depth interview, 81 concepts have been collected and have been divided into 20 categories in open coding, then rearranged into 9 categories in axis coding. To explain music and imagery therapists' maturity process through grounded theory paradigm, as a result, the main phenomenon of experience was 'to deal with counter-transference'. When dealing their counter-transference, therapists experienced their maturity process. Supervision and musical/non-musical self-reflection are also used for interactive intervention medium. So, maturity of therapists leads to knowing and accepting herself and mature therapists are able to help clients mature.

Effects of Periodontal Disease on Cardio-Cerebrovascular Disease: A Focus on Personal Income and Social Deprivation (치주질환이 심뇌혈관질환 발생에 미치는 영향: 지역결핍과 개인소득을 중심으로)

  • Kim, Min-Young;Shin, Hosung
    • Journal of dental hygiene science
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    • v.17 no.4
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    • pp.375-381
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    • 2017
  • The study aimed to investigate the effects of differences between personal income and social deprivation on the association between cardio-cerebrovascular disease (hypertension, stroke) and periodontal disease. This study used 12 years of cohort data from the Korea National Health Insurance Service covering the years 2002 to 2013. Among the patients aged more than 40 years who had received treatment for periodontal disease 224,067 and 284,730 who had not received treatment for hypertension and stroke, respectively, were included in the analysis. The Kaplan-Meier analysis revealed differences in the rate of treatment for cardio-cerebrovascular disease (hypertension, stroke) according to regional differences, the rate of treatment increased as the composite deprivation index value increased. The difference in treatment rates for cardio-cerebrovascular disease (hypertension, stroke) according to income was found to be higher in the treatment group with low income. This study empirically proved that the association between systemic disease and periodontal disease varies depending on personal income and the regional socioeconomic deprivation level. This shows that the clinical influence of periodontal illness on systemic disease differs according to the personal socio-demographic characteristic and residential area and that an individual's characteristic (income and the regional) needs to be considered along with the patient's clinical intervention in the disease treatment process.

Symptom Experience, Mood Disturbance, & Social Support in Breast Cancer Patients Undergoing Radiotherapy (방사선 치료를 받는 유방암 환자의 증상경험, 정서상태 및 사회적지지)

  • Chung, Bok-Yae;Xu, Yu;Lee, Eun-Hyun
    • Asian Oncology Nursing
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    • v.6 no.2
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    • pp.172-180
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    • 2006
  • 목적: 본 연구는 방사선치료를 받는 유방암 환자의 증상경험, 정서적 상태와 사회적지지 및 관련 변수간의 관계를 파악하기 위한 서술적 상관관계 연구이다. 방법: 연구대상자는 T시에 위치한 2개 대학병원에서 방사선 치료를 받는 유방암 환자 126명으로, 연구도구는 일반적 특성과 증상경험, 정서적 상태 및 사회적지지를 측정하기 위한 도구로 구성된 질문지이다. 결과: 연구 대상자의 증상경험은 21.96(SD = 14.14), 정서적 상태는 110.95(SD = 100.92), 사회적지지는 3.70(SD = 0.98)로 나타났다. 증상경험과 정서상태는 유의한 정 상관관계(r = .396, p = .001)를 나타내었고, 증상 경험과 사회적지지는 유의한 부적 상관관계(r = -.304, p = .003)를 나타내었다. 증상경험에 영향을 미치는 요인은 정서적 상태로 설명력이 16.5%이었다. 제언: 이상의 연구결과 방사선치료를 유방암 환자의 증상경험과 환자의 정서적 상태가 관련이 됨을 알 수 있으나, 그 설명력은 약하므로 앞으로 더 연구하여야 할 영역이라 생각한다.

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A Qualitative Single Case Study on Change in Interactive Bibliotherapy Experience with A Middle-aged Widowed Spouse (배우자 사별 중년여성의 상호작용적 독서치료 경험에서 나타나는 변화에 대한 질적 단일 사례연구)

  • Park, Jung-Ae;Lee, Myng-Woo
    • Journal of Korean Library and Information Science Society
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    • v.46 no.4
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    • pp.299-324
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    • 2015
  • This paper is a qualitative single case study and it was conducted for the purpose to explore change in interactive bibliotherapy experience with a middle-aged widowed spouse. A Middle-aged Widowed Spouse was taken as a research partaker. Through this research, we explored partitively the partaker's experience changes by each session during the commencing of interactive bibliotherapy and the partaker's inner/external experience change after the end of session. The result, interactive bibliotherapy facilitated and expressed the reaction of a partaker by its writing skills and reading materials including partaker's own poems. Furthermore, facilitated emotion from material and self-awareness made a partaker understand and accept itself through therapeutical interaction. In addition, those kind of changes appeared inner/external experience in life, and lasted after the end of the session. In this regard, the inner/external change appeared from a partaker means the effect of bibliotherapy, and we can notice that it is a result that facilitated through truthful reaction of counselor and texts.