• Title/Summary/Keyword: 치료적 개입

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Therapeutic Use of Music for Stuttering Children (말더듬 아동을 위한 음악치료적 접근)

  • Cho, Jung Min
    • Journal of Music and Human Behavior
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    • v.4 no.1
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    • pp.21-30
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    • 2007
  • Unlike other common forms of speech disorder, such as phonological disorder or dysphonia, stuttering has not been studied within the context of music therapy. Most cases of stuttering display no difficulty in singing, and fluency within the musical structure does not translate to fluency in speech. Hence, musical approach has been generally considered to be ineffective to the treatment of stuttering. However, the fundamentals of music therapy assume its extensive application in treating variety of speech disorders, including the case of stuttering. Presented in this paper are the case studies designed to validate the efficacy of music therapy as a remedy for stuttering. This study enrolled 6 children with stuttering and conducted 20 individual sessions over a period of 10 weeks. The sessions focused on the Melodic Intonation Therapy, Reinforcement of speech rhythm, song writing and singing. Musical elements were structured to enhance the verbal expression and rhythmic senses, as well as to facilitate the initiation of verbal communication. The result is as follows. First, it was noticed that the disfluency had been decreased in before and after of the music therapy in every child although the result was somewhat different depending the child. The overall result of the investigation shows the significant difference statistically. And categorically speaking, the significant difference was checked in the frequency of the stuttering. In the steps of the session, the increase and decrease was happened repeatedly, and then after it was decreased little by little. Secondly, the Communication Attitude was decreased in before and after of the music therapy, and also there was significant difference statistically. although the avoidance behavior was decreased in before and after of the music therapy, the increase and the decrease was repeated irregularly in the steps of session. All the results described above shows that music therapy gives positive effect to decrease in disfluency of stuttering child and also to develop the Communication Attitude. And new possibility and effectiveness can be proposed in the musical approach to the stuttering.

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A Pilot Study on the Development and the Effect of a Cognitive-Behavioral Intervention for Undergraduates at Mental Health High Risk (정신건강 고위험군 대학생을 위한 인지행동치료적 개입의 개발 및 효과 확인 예비 연구)

  • Kim, Jihye;An, Sun-Hee;Park, You Jin;Park, Sehwan;Jhung, Kyungun
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.30-37
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    • 2022
  • Objectives : The purpose of this study was to develop a cognitive-behavioral intervention for college students at high risk for mental health and to investigate its effect on mental health outcomes. Methods : The program was developed to reduce depressive symptoms and adverse outcomes while promoting resilience and positive effects. It consisted of eight sessions in a small group format for eight weeks. Thirty subjects at high risk for mental health participated in the program. Outcomes on the depressive symptoms, resilience, satisfaction with life, negative affect, and positive affect were evaluated at pre-and post-intervention. Results : Depressive symptom scores reduced significantly post-intervention compared to pre-intervention (t=3.51, p=0.002). Resilience scores (t=-3.65, p=0.001) and satisfaction with life scores (t=-3.00, p=0.006) increased after intervention than pre-intervention. Positive affect scores decreased post-intervention (t=2.28, p=0.031). There was no significant difference between pre-and post-intervention negative affect scores (t=-0.94, p=0.356). Conclusions : Present study demonstrated that group-based cognitive-behavioral intervention could be helpful for college students at high risk for mental health to reduce mental health symptoms and improve healthy protective factors.

The Analysis on Domestic Thesises Related with Music Therapy for Normal and Disabled Children (국내 일반 및 장애 아동 관련 음악치료 학위논문 유형분석)

  • Lee, Mi Kyung
    • Journal of Music and Human Behavior
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    • v.3 no.2
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    • pp.15-28
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    • 2006
  • Music plays significant roles in the process of human development. The requirement in each process of development can be encouraged by children's participating in various musical activity and so the musical circumstance can make an important factor. Acknowledging that, there were some attempts to use music as a means of treatment or education for children. The subjects of clinic studies in music therapy, especially in Korea, have mainly been children with delay or disability in development. The purpose of this article is focused on collecting and analyzing articles which are written about children who are the main subjects of clinic studies. By collecting and analyzing those articles, the tendency of domestic studies about music therapy concerned with children can be widely examined. Ninety thesis about music therapy related with normal and disabled children have been collected and analyzed considering the subjects, methods, fields of the studies and musical intervention. The conclusions are the same with followings. First, considering the subjects, the studies on children with disabilities are more than normal children and the studies on autistic children occupy the largest portion of them Recently the studies on normal children have been increased as well as the studies on children with disability. Second, for the methods1 experimental studies have been performed more widely than descriptive studies. Third, considering the fields of development, the studies on the social field occupies the largest part of all and they are followed by emotion, language and communication, cognition in turn. Last, in case of musical intervention, it is clear that musical intervention is more used as forms of singing songs and playing instruments than special skills of music. Through this article, the achievements and shortcomings in this territory could be possibly shown at the same time. Moreover, the direction which it has to move toward could be shown.

Effect of Virtual Reality Exposure and Web-based Cognitive Intervention Integrated Program on Social Anxiety Disorder (발표상황에 대한 가상현실노출과 웹기반 인지적 개입의 통합 프로그램 효과 검증)

  • Park, Ki-Woo;Yoon, Hyae-Yeong
    • Journal of the Korea Convergence Society
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    • v.13 no.1
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    • pp.1-12
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    • 2022
  • In this study, the effect of VR exposure programs integrated with web-based cognitive restructuring education on reducing social anxiety was confirmed. The experimental group (n=12) received a 10~15 minute session of web-based cognitive intervention and a 20-minute session of virtual reality exposure therapy. The comparison group (n=15) received a 10~15 minute session of web-based speech education and a 20-minute session of virtual reality exposure therapy. After 4 weeks, the experimental group had an increase in positive interpretation bias, a decrease in negative interpretation bias, and a decreased level of social anxiety. These results suggest that the combination of self-help form of web-based cognitive intervention in the treatment of social anxiety disorder can improve the therapeutic effect of VRET.

A Study on Application of Family Group Conferencing Model in Korean Child Protection: Focus on Family Group Conference in New Zealand (한국 아동보호체계에 있어서의 가족의사결정모델 적용가능성에 관한 연구: 뉴질랜드의 패밀리그룹컨퍼런스 제도를 중심으로)

  • Jung, Eun-Jue
    • Journal of the Korean Society of Child Welfare
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    • no.27
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    • pp.7-35
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    • 2008
  • The model of family decision-making in child protection has been widely discussed and adopted in many countries. The purpose of this study was to introduce the model and, then, investigate whether this process is applicable in child care and protection services in Korea. The main goal in the study has been to explore the philosophical and practical foundations of the family involvement approach in decision-making and describe the international applications of the model. Family group conferencing, originally developed and enacted in New Zealand, has been critically examined. The potential contributions of the study may include seeking a more effective intervention for child protection through determining whether the model is appropriate or desirable in issues of philosophy, practice and policy within the Korean culture.

OSTEORADIONECROSIS ON MANDIBLE : A CASE REPORT AND LITERATURE REVIEW (하악골에 발생한 방사선골괴사증 증례보고 및 문헌고찰)

  • Park, Jin-Hyuk;Shin, Sun-Ho;Lee, Su-Woon;Kim, Woo-Hyung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.5
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    • pp.458-463
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    • 2006
  • The osteoradionecrosis of the mandible can be a serious complication of radiotherapy for malignancies of the head and neck. The cause and pathogenesis of osteoradionecrosis are unclear and anecdotal. There are various treatment-, patient- and tumor-related risk factors on development of osteoradionecrosis. The treatment of osteoradionecrosis relies on conservative measures (antibiotics, debridement, irrigation and HBO) and surgical measures (sequestrectomy, marginal resection and segmental resection with or without reconstruction). But the indications are not defined. We present the two cases of patients who were not controlled by conservative treatment but good-resulted by surgical treatment.

CHILD SEXUAL ABUSE - CONCEPT, PATHOPHYSIOLOGY, PSYCHIATRIC SEQUELAE, INTERVENTION - (아동 성학대 - 개념, 병태생리, 정신과적 휴유증, 치료적 개입 -)

  • Kim, Boong-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.47-66
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    • 2002
  • Sexual abuse is emerging as one of the major form of child abuse. In the late 1990s, official reports of sexual abuse began to mushroom at a much more rapid rate than reports of other forms of abuse in Korea. In addition, sexual abuse can cause the most serious emotional-cognitive-behavioral sequelae to victims. Although child & adolescent psychiatrists meet many sexual abuse victims who are referred from many types of child protective services, the psychiatrists may not be likely to give them sufficient and appropriate treatment and guideline for victims and their parents. In this article, the historical concepts, pathophysiological processes, shortterm & longterm sequelae of sexual abuse are reviewed and summarized. And I summarize the intervention and outcome studies for sexual abuse victims. In the close future, the active participation of psychiatrists who help the child and adolescents will be expected in the development of nationwide preventive and therapeutic projects for victims and families of sexual abuse.

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Research Trend on Depression of Korean Medical Students Based on Quantitative Studies (의과대학생 우울에 관한 국내 연구동향 : 양적연구를 중심으로)

  • Jeong, Joy;Lee, Soo Jin
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.446-457
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    • 2021
  • The aim of this study was to grasp the seriousness of depression problems in medical students by examining the research trends among them and to present desirable direction of the future study. A selective search has been conducted for literature published in Nurimedia (DBPIA), Korean studies Information Service System (KISS), Research Information Sharing Service (RISS), National Assembly Library (NANET) and National Digital Science Library (NDSL) databases. 18 papers have been selected for the final analysis. The results showed that studies on depression problems were published in very small proportion which researchers with diverse majors including psychiatry participated. Second, most of depression assessment tools usually measured depression only while some did various psychological symptoms. Third, independent t test was the most frequent analytic method. Last but not least, there was no research dealing with intervention about depression in medical students. To sum up, though numerous researchers with diverse specialties participated in the depression study and analyzed the data using various analyses and variables, there is a lack of intervention for depression of the medical students. Therefore, it is necessary to emphasize the necessity of practical intervention based on the evidence-based practice.

Tea-Culture Therapy Program Development for Personality Education of Juvenile Reformatory Students (소년원생의 인성교육을 위한 차문화치료 프로그램 개발)

  • Kim, In-Sook
    • Journal of Internet of Things and Convergence
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    • v.7 no.4
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    • pp.59-68
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    • 2021
  • The purpose of this study is to develop a personality education tea culture therapy program to effectively improve juvenile delinquency prevention and social adaptation. In order to verify the effectiveness of the tea culture therapy program through social intervention, we analyzed whether there were significant differences in the scores of social characteristics such as self-efficacy, self-control, and interpersonal relationships of juvenile detention students before and after participating in the program. Ten juvenile detention students between the ages of 14 and 17 who were accommodated to a juvenile detention center in B city were selected as the experimental group for the study. The tea culture therapy program was conducted 10 times as a social intervention personality education for juvenile delinquents, and as a result, self-efficacy was found to have a pre-mean of 2.37 (SD 0.33) and a post-mean of 2.49 (SD 0.31), showing a significant difference (Z=-5.874. P=.000), self-control showed a significant difference with the pre-mean 2.06 (SD 0.20) and the post-mean of 2.16 (SD 0.19) (Z=-4.743, P=.001). The interpersonal relationship was found to have a significant difference, with a pre-mean of 1.90 (SD 0.32) and a post-mean of 2.15 (SD 0.21) (Z=-5.892, P=.000). The above results show that this program has a significant effect on improving social characteristics such as self-efficacy, self-control, and interpersonal relationships among juvenile detention students. Therefore, the tea culture therapy program developed in this study for personality education for juveniles can be used as a personality education program for various types of adolescents as well as in the field of correctional welfare in the future.