• The Korean Journal of Pain
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• 제28권2호
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• pp.88-95
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• 2015

Background: Patients suffering from non-cardiac chest pain (NCCP) can interpret their chest pain wrongly despite having received a correct diagnosis. The objective of this study was to compare the efficacy of the relaxation method with metaphor therapy for reducing irrational beliefs and pain severity in patients with NCCP. Methods: Using a randomized controlled trial, 33 participants were randomly divided into a relaxation training group (n= 13), a metaphor therapy group (n = 10), and a control group (n = 10), and were studied for 4 weeks. The two tools used in this research were the Brief Pain Inventory (BPI) index for determining the degree of pain and the short version of the Jones Irrational Belief Test. Metaphor therapy and a relaxation technique based on ${\ddot{O}}$st's treatment were used as the interventions. The collected data were analyzed with a multivariate analysis of covariance (MANCOVA), a Chi-square test, and the Bonferroni procedure of post-hoc analysis. Results: The relaxation training method was significantly more effective than both metaphor therapy and the lack of treatment in reducing the patients' beliefs of hopelessness in the face of changes and emotional irresponsibility, as well as the pain severity. Metaphor therapy was not effective on any of these factors. In fact, the results did not support the effectiveness of metaphor therapy. Conclusions: Regarding the effectiveness of the relaxation method as compared with metaphor therapy and the lack of treatment in the control group, this study suggests that relaxation should be paid greater attention as a method for improving the status of patients. In addition, more studies are needed to determine the effectiveness of metaphor therapy in this area.

• 한국환경과학회지
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• 제19권11호
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• pp.1437-1444
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• 2010

This research was to find out the effectiveness of the horticultural therapy program based on the therapeutic factors and the most meaningful experiences of the clients. For this purpose "Green harmony" program focused on harmony through horticulture was implemented. It is based on the preposition that holistic health is promoted with harmonious relationships with oneself, other people, community and nature. The program has three-fold structure: In innermost it deals with the task of the late adolescent, i.e., self identity, secondly the experience of communication and solidarity in the group, and finally extension of interest to the community. For the therapeutic intervention, questions using the metaphor of the activity were given to the clients for the establishment of self-identity, while group activity and the donation of the works let the second and third purpose accomplished. Outdoor activity, 'Tire garden project', has provided the clients with chances of the contact with nature, cooperation with other group members, and a contest to provoke enthusiasm. Also recycling and greening of the community were possible by utilizing old tires for the containers and by donating the final works to the community. For the evaluation of the result, the effect of the program on the stress of the college students was tested, and the most meaningful experiences during the participation to the program were asked to identify the therapeutic factors acknowledged by clients. "Green harmony" program has brought positive effects on the stress of the clients in spite of relatively short period of five weeks. The clients has acknowledged plant/nature contact and interactions between group members for the most meaningful experiences. This research suggests "Green harmony" horticultural therapy program based on the therapeutic factors is highly applicable for the general populations.

• 한국가족복지학
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• 제23호
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• pp.263-302
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• 2008

본 연구는 홀어머니와 성인인 큰아들의 갈등에 대한 가족치료사례로써, 가족관계에서 발생하는 의사소통의 어려움과 자아분화의 문제에 대한 가족치료적 개입방법과 효과성을 제시하고자 한다. 홀어머니와 큰아들의 갈등에 대하여 부인(며느리)이 상담을 의뢰하여 시작되었고, 13회기동안 개인 및 가족상담으로 진행되었다. 본 연구는 상담 축어록과 치료자가 기록한 메모를 중심으로 한 내용을 부호화(coding)작업을 통하여 개념과 하위범주, 그리고 상위범주로 나누었다. 또한 코딩작업을 통하여 발견한 범주들을 Miles와 Huberman(1994)이 제시한 관계망(network)와 매트릭스(matrix)를 활용하여 관계를 나타내었다. 본 연구의 분석 결과에 따르면 아버지가 사망하자 어머니는 큰아들이 가족을 부양해주기를 원하였지만, 큰아들은 어머니의 기대와 달리 결혼을 하여 분가하였다. 이 과정에서 서로의 감춰진 불만이 드러나고 모자갈등이 표면화되었다. 이런 갈등의 저변에는 가족의 경계선문제, 미분화된 자아, 역기능적 의사소통방식, 어머니의 원가족 경험 등이 영향을 미치고 있었다. 치료자는 모자갈등의 악순환고리를 끊기 위하여 치료적 동맹관계를 형성하였고, 의사소통방식의 지도, 반복되는 패턴의 조명, 재명명, 비유법을 활용하였다. 결과적으로 어머니와 큰아들은 자아분화, 기능적 의사소통의 활성화, 인식의 변화, 경계선의 변화를 경험하였고, 모자갈등의 소거와 더불어 가족관계가 향상되었다. 본 연구는 책임감과 기대감으로 인해서 발생하는 홀어머니와 큰아들의 갈등에 대한 가족치료가 효과적이라는 점과 유효한 개입방법들을 보여준다.