• 동의신경정신과학회지
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• 제33권4호
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• pp.473-484
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• 2022

Objectives: To report a case of a patient with a mild depressive episode accompanied by physical symptoms such as hyposmia visiting a Korean medicine hospital who was treated with oriental psychotherapy in parallel with existentialism-based psychotherapy showing improvement. Methods: For this patient, Korean medicine Psychotherapy was mainly used for treatment. In parallel, existential Psychotherapy, acupuncture treatment, and self-relaxation training were implemented. For estimating this treatment, changes in results of Beck Depression Index (BDI), Beck Anxiety Index (BAI), Numeric Rating Scale (NRS), Korean Version of Sniffin' Sticks Test (KVSS), Butanol Threshold Test (BTT), Cross-Cultural Smell Identification Test (CC-SIT), and somatic symptoms that the patient subjectively expressed were determined. Results: After the comprehensive treatment, it was confirmed that changes in BDI, BAI, KVSS, BTT, CC-SIT, NRS, and subjective somatic symptoms expressed by the patient all showed improvements. Conclusions: We propose that a comprehensive treatment using Korean medicines Psychotherapy in parallel with existential psychotherapy can be used for patients who complain of physical symptoms accompanied by depression and hyposmia.

• Journal of Hospice and Palliative Care
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• 제23권4호
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• pp.167-171
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• 2020

The finite nature of human existence leads many to search for meaning, which comes into sharper relief for those who are imminently facing death. Therefore, universal existential concerns such as the inevitability of death, existential isolation, loss of meaning, freedom, and dignity are inherent psychological issues in palliative care. Consequently, one of the critical challenges facing palliative care is how to address these issues effectively. This paper provides an overview of common themes of existential concerns and psychotherapeutic interventions to address existential distress among patients in palliative care.

• 한국실내디자인학회논문집
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• 제24권3호
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• pp.186-196
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• 2015

This research comprehended the fundamental cause of elderly nursing home residents' negative feelings of loneliness, depression, fear, and loss of self-usefulness as existential issue, since they already went through loss, death of loved ones, geriatric disease and disability. The purpose of this research is to explore how existentialism and existential psychotherapy theory of Irvin D. Yalom can be applied to nursing home environment design, and to suggest design directions. Based on his framework of human's ultimate interest, death, freedom followed by responsibility, isolation, and meaninglessness, interior design suggestions and applicable spaces were presented. Four cases from Australia, Denmark, Japan and Korea were analyzed according to design suggestions to grasp the current situation and to draw further proposition. The conclusions are as follows. (1)Environment should support nursing home residents to resolve existential issues. (2)Death is the least supported issue on all of the cases. Environmental elements that can induce residents to think and discuss on death, hospice program and space for memorial service is necessary. (3)Regarding to freedom, the environment should support resident's disability to maintain independence as much as possible and residents autonomy and decision should be respected. Single/double rooms, motorized bed, free and safe usage of kitchen and garden are necessary. (4)For isolation, Space and time for meditation should be provided. (5)To find meaning of life, environment should support residents in both physical and cognitive aspect so that they can contribute to others. Space for hobby is necessary for continued creativity and self-realization.

• Journal of Hospice and Palliative Care
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• 제24권3호
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• pp.135-143
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• 2021

End-of-life patients experience physical, mental, social, and existential distress. While medical personnel provide medication and care to alleviate patients' distress, listening to and interacting with patients remains essential for understanding their psychological condition. The most important tool, though difficult to implement in practice, is end-of-life discussion (EOLD). EOLD has been shown to have positive effects on end-of-life treatment choices, achievement of patients' life goals, improvements in the quality of life of patients and their families, and the prevention of depression and complicated grief among bereaved family members. EOLD is not often undertaken in clinical practice, however, due to hesitancy among medical personnel and patients for various reasons. In order to conduct an EOLD, the patient's judgment, psychiatric illnesses such as delirium and depression, and psychological issues such as the side effects of psychotropic drugs, denial, and collusion must be evaluated. Open and honest conversation, treatment goal setting, the doctor's familiarity with the patient's background, and attentiveness when providing information are important elements for any dialogue. Meaning-centered psychotherapy was developed to alleviate the existential distress of cancer patients, and its application may promote EOLD. The future development of meaning-centered psychotherapy in practice and in research is expected to further promote EOLD.

• 철학연구
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• 제130권
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• pp.135-159
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• 2014

이 논문의 목적은 롤로 메이의 실존주의 심리치료가 키에르케고어의 불안개념에 철학적 기초를 두고 있음을 밝히는 것이다. 메이는 자신의 실존주의 심리치료를 정립하는 데 키에르케고어의 불안개념을 사용한다. 키에르케고어의 불안개념과 달리 프로이트의 불안개념은 지나치게 기술적이라고 메이는 비판한다. 억압의 원인이 불안이라는 후기 프로이트 이론은 억압을 야기하는 인간관계의 중요성을 간과한다는 것이다. 주체가 타인과의 관계에 부여하는 가치의 중요성이 주체에게 생성되는 불안의 강도에 결정적이라는 것이다. 메이는 공포와 불안을 구별하는 데서 대상성의 유무를 들고 있다. 이는 키에르케고어나 프로이트에게도 공통적인데 대상이 있는 것은 공포이고 그렇지 않은 것은 불안이다. 메이는 불안을 존재론적으로 해석한다. 무/비존재에 대한 키에르케고어의 언급을 발전시켜서 불안은 비존재에 대항하여 자신을 긍정하는 존재의 경험이라고 주장한다. 메이는 키에르케고어의 자유를 가능성, 잠재성과 유사한 의미로 해석한다. 인간이 잠재성을 성취하는 문제에 직면할 때의 상황이 불안이라는 것이다. 키에르케고어에게 자유는 불안과 관련되면서 동시에 죄와도 관련된다. 메이는 이를 계승하여 죄의식과 불안을 동전의 양면으로 취급한다. 그는 죄의식을 어떤 병적인 것이 아니라 인간의 가능성의 증거로 본다. 키에르케고어는 :불안의 개념"의 부제를 '원죄라는 교의학적 문제에 관한 심리학적 관점에서의 단순한 연구'라고 적고 있다. 그가 불안과 죄의 관계를 분리할 수 없는 문제로 보았음을 드러낸다. 이러한 연구를 통해 메이의 실존주의 심리치료에서 가장 중요한 불안개념은 키에르케고어에게서 연유함을 명확히 하고자 하였다.

• Journal of Hospice and Palliative Care
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• 제24권2호
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• pp.69-73
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• 2021

Dealing with existential concerns experienced by patients is an important part of palliative care. Interventions that use the life review method to encourage patients to reminisce about their lives can help them find new positive meanings, promote ego integrity, and reduce emotional suffering. Not everyone has positive memories when they look back on the past, however. This poses a limit on the effectiveness of the life review method for healthcare providers working in palliative care contexts. In this study, we discuss the limits of life review and suggest imagery rescripting as a new modality constituting a psychotherapeutic approach to deal with negative memories safely and effectively.

• 대한불안의학회지
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• 제1권1호
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• pp.14-17
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• 2005

By the influence of the descriptive approach of DSM-III, the anxiety became the same thing as the anxiety disorder to the clinicians. This unfortunate result sacrificed psychodynamic model of symptom formations and simplified the anxiety as one of the disease entity not as the overdetermined symptoms. These phenomenon awakened the psychoanalytic interest which was in sleep. Freud was the first major articulator of the basic significance of anxiety in human behavior. He attributed the particular quality of the anxiety experience to the trauma of birth, and subsequently to the fear of castration. Such classification of the anxiety according to the psychosexual development is helpful for the clinicians in understanding the origin of anxiety which the patient shows during the psychotherapy. The other analytical view of interpersonal psychoanalysis came from Sullivan. A large part of his therapy is taken up with recognizing and correcting parataxic distortions that interfere with realistic self-appraisal of events and of oneself in relation to others. Perhaps no explanation is the 'most basic' explanation for human anxiety. Anxiety is a multifaceted entity consisting of aspects of realm of discourse. Existential anxiety is inescapable in Western culture but it can be transcended by the cultivation of mind in Eastern culture. The analysts need to stay attuned to their own propensities for anxiety and must permit their own experiences with anxiety to be the grist for the psychotherapeutic mill.

• 대한간호학회지
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• 제43권1호
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• pp.91-101
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• 2013

Purpose: This study was done to identify effects of a life-esteemed education applied logotherapy on life respect, meaning of life, and depression on older elementary school students. Methods: A nonequivalent control group and non-synchronized design was conducted with a convenience sample of 142 students. The program named 'My Precious Life'. consisted of one session per week for five weeks. Students were assigned to the experimental group (n=70) or the control group (72). Data were analyzed using descriptive statistics, Chi-square, Fisher's exact test, t-test, and repeated measured ANOVA with the SPSS/PC 18.0 program. Results: Meaning of life and life respect increased significantly and depression decreased significantly for participants in the experimental group. Conclusion: The results of the study indicate that life-esteemed education applied logotherapy is effective in improving meaning of life and life respect and in decreasing depression in elementary school students. It can also be used to prevent existential distress and to intervene as a motif for having hope in life.

• 한국융합학회논문지
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• 제13권4호
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• pp.315-320
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• 2022

본 연구는 코로나바이러스감염증 19(COVID-19)시대에 실존주의 심리치료를 통해 부각되기 시작한 삶의 의미에 대해 그것이 갖는 함의를 논의하였다. 코로나바이러스감염증 19 팬데믹 상황에서 우리는 의미 있는 삶을 살아가기 위한 노력을 하고 있으며, 과연 어떻게 살아가는 것이 의미 있는 삶인지 개인과 공동체는 의미 찾기에 대한 노력을 기울이고 있다. 인류는 평안한 삶을 위한 전제를 가지며 과거부터 삶의 의미에 대한 관심이 지속되었다. 2019년 12월 전 세계를 강타한 COVID-19라는 치명적인 바이러스는 사람들에게 불안, 소외, 우울 등 스트레스를 형성하며 개인과 공동체의 삶을 위태롭게 하였다. 삶의 의미에 대한 연구는 COVID-19 이전에도 활발하였지만, 바이러스의 세계적인 대유행 속에 사람들의 삶의 의미에 대한 변화와 각 개인에게 COVID-19는 어떠한 영향을 미치고 있는지를 살펴보는 것이 필요하다고 생각한다. 다시 말해 COVID-19시대에 우리 삶의 의미를 명확히 한다라는 것은 스트레스를 줄이는 대처이며 삶의 질을 향상시키기 위한 촉매제이기도 하다. 본 연구는 삶의 의미에 대한 다양한 시각과 결과를 살펴보며 COVID-19시대에 삶의 질을 향상시킬수 있는 방안을 마련하는데 기초연구를 제공하고자 한다.