• 제목/요약/키워드: Psychological Therapy

검색결과 711건 처리시간 0.032초

미술치료에서 선화(Line Drawing)의 운동성이 갖는 치료적 메커니즘 고찰 (A Study on the Therapeutic Mechanism of Line Drawing's Movement in Art Therapy)

  • 이현지;정여주
    • 한국콘텐츠학회논문지
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    • 제22권9호
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    • pp.497-509
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    • 2022
  • 선(lines)은 인류 역사에서 가장 오래된 시각적 요소이자 인간의 삶과 밀접하게 연관됐으며, 동굴벽화나 바위에 선으로 그려진 그림 및 기호는 인간의 생존을 위한 대체 이미지로 존재해 왔다. 미술에서 선은 단시간 내에 대상의 핵심을 드러내며, 미술치료에서는 내담자의 심리적 상태를 진단하고 치료적으로 개입할 수 있는 매개체가 된다. 그러나 선 그리기, 즉 선화(line drawing)는 진단뿐 아니라 과정상에서 치료적 중요성을 지님에도 불구하고 그 효용성과 치료적 특성을 고찰한 연구는 활발히 이루어지지 못했다. 따라서 본 연구에서는 미술치료에서 선화와 연관된 국내외 문헌을 이론 삼각검증, 질적 내용분석, 공통부분 찾아내기를 통해 우선 도출한다. 그 결과 선화의 핵심적인 치료적 요소인 운동성을 뇌 구조와 연결하여 살펴본다. 이를 통해 선화의 운동성이 신체, 뇌, 마음에 미치는 치료적 메커니즘을 고찰하고 미술치료 안에서 어떻게 치료적으로 활용 가능한가를 검토 및 제안하는 데 학문적 의의를 둔다.

Comparative Study of Multimodal Therapy in Facial Palsy Patients

  • Neville, Catriona;Gwynn, Tamsin;Young, Karen;Jordan, Elizabeth;Malhotra, Raman;Nduka, Charles;Kannan, Ruben Yap
    • Archives of Plastic Surgery
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    • 제49권5호
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    • pp.633-641
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    • 2022
  • Introduction In chronic facial palsy, synkinetic muscle overactivity and shortening causes muscle stiffness resulting in reduced movement and functional activity. This article studies the role of multimodal therapy in improving outcomes. Methods Seventy-five facial palsy patients completed facial rehabilitation before being successfully discharged by the facial therapy team. The cohort was divided into four subgroups depending on the time of initial attendance post-onset. The requirement for facial therapy, chemodenervation, or surgery was assessed with East Grinstead Grade of Stiffness (EGGS). Outcomes were measured using the Facial Grading Scale (FGS), Facial Disability Index, House-Brackmann scores, and the Facial Clinimetric Evaluation scale. Results FGS composite scores significantly improved posttherapy (mean-standard deviation, 60.13 ± 23.24 vs. 79.9 ± 13.01; confidence interval, -24.51 to -14.66, p < 0.0001). Analysis of FGS subsets showed that synkinesis also reduced significantly (p < 0.0001). Increasingly, late clinical presentations were associated with patients requiring longer durations of chemodenervation treatment (p < 0.01), more chemodenervation episodes (p < 0.01), increased doses of botulinum toxin (p < 0.001), and having higher EGGS score (p < 0.001). Conclusions This study shows that multimodal facial rehabilitation in the management of facial palsy is effective, even in patients with chronically neglected synkinesis. In terms of the latency periods between facial palsy onset and treatment initiation, patients presenting later than 2 years were still responsive to multimodal treatment albeit to a lesser extent, which we postulate is due to increasing muscle contracture within their facial muscles.

Addition of Myofascial Release Therapy to Therapeutic Exercise for Management of Nonspecific Neck Pain

  • Ha, Yangsun;Hahm, Suk-Chan
    • 대한통합의학회지
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    • 제9권2호
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    • pp.35-41
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    • 2021
  • Purpose : It is necessary to demonstrate the effect of non-invasive and non-pharmacological interventions such as manual therapy and therapeutic exercise for the management of nonspecific neck pain. In the present study, we aimed to investigate the efficacy of myofascial release therapy plus therapeutic exercise for disability owing to neck pain and quality of life in individuals with nonspecific neck pain. Methods : Eighteen participants with nonspecific neck pain were randomly allocated to intervention (n=9) and control groups (n=9). The intervention group received a myofascial release therapy for 20 min and performed neck stabilization exercises for 30 min twice a week for 4 weeks. The control group performed neck stabilization exercises for 30 min twice a week for 4 weeks at the same time points as the intervention group. Disability owing to neck pain and quality of life were quantified using the neck disability index (NDI) and the Korean version of the World Health Organization Quality of Life Brief Version (WHOQOL-BREF), respectively. NDI and WHOQOL-BREF were assessed before and after intervention. Results : The disability owing to neck pain significantly changed between the groups over time (total score of NDI, p=.049). There were significant time and group interactions in pain (pain intensity of NDI, p=.035) and concentration (concentration of NDI, p=.049). Personal care, lifting, reading, headaches, work, driving, sleeping, and recreation did not show significant improvement between the groups over time. Total score, overall quality of life and general health, physical health domain, psychological domain, social relationships domain, and environmental domain quantified by WHOQOL-BREF did not show significant improvements between the groups over time. Conclusion : These results suggest the clinical use of myofascial release therapy in addition to therapeutic exercise for the management of nonspecific neck pain. Further studies are needed to generalize the findings of this study.

자폐스펙트럼 장애 영유아 어머니의 양육 스트레스 수준에 따른 심리적 증상의 차이 (The Differences of Psychological Symptoms According to the Level of Parenting Stress for Mothers of Infants With Autism Spectrum Disorder)

  • 유아란;하은혜
    • 재활치료과학
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    • 제8권4호
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    • pp.19-31
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    • 2019
  • 목적 : 본 연구에서는 자폐스펙트럼 장애(ASD) 영유아의 어머니를 대상으로 양육 스트레스 총점, 부모영역 및 아동영역 수준에 따라 MMPI-2를 통해 어머니가 경험할 수 있는 양육 스트레스 수준에 따른 다양한 심리적 증상의 차이를 검증하였다. 연구방법 : 서울 소재의 종합병원 소아정신과, 재활의학센터, 발달 장애 클리닉 등에서 2010년에서 2015년까지 ASD로 진단을 받은 만 1세에서 5세까지의 영유아 어머니 72명을 대상으로 실시되어 축적된 한국판 부모 양육 스트레스 척도(K-PSI)와 다면적 인성검사 II(MMPI-2) 자료를 최종분석에 사용하였다. 결과 : 양육 스트레스 총점과 부모영역은 MMPI-2의 여러 임상 척도들과 유의한 상관관계를 나타냈지만, 아동영역은 유의한 상관관계를 나타내지 않았다. 또한, 양육 스트레스 총점 수준에 따른 심리적 증상의 차이를 검증한 결과, 위험 수준 집단이 정상 범위 집단보다 MMPI-2의 임상 척도 중 건강염려증(Hs), 우울(D), 편집증(Pa), 강박증(Pt), 조현병(Sc)이 유의하게 높았다. 양육 스트레스 부모영역에서는 위험 수준 집단이 정상 범위 집단보다 MMPI-2의 임상 척도 중 건강염려증(Hs), 우울(D), 히스테리(Hy), 반사회성(Pd), 편집증(Pa), 강박증(Pt), 조현병(Sc), 경조증(Ma), 내향성(Si)이 유의하게 높았다. 반면에 양육 스트레스 아동영역에서 위험 수준 집단과 정상 범위 집단 간의 차이는 유의하지 않았다. 결론 : 양육 스트레스 총점과 부모영역에서 위험 수준 집단의 심리적 증상이 유의하게 높았다는 것을 확인하였다.

도시숲과 학교숲 체험 활동이 고등학생의 숲에 대한 태도, 심리적 안녕감, 스트레스에 미치는 영향 (The Influence of Urban Forest and School Forest Experience Activities on Attitude Toward Forest, Psychological Well-being and Stress of High School Student)

  • 김희란;구창덕
    • 한국환경생태학회지
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    • 제33권3호
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    • pp.341-353
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    • 2019
  • 본 연구는 숲체험 활동이 고등학생의 숲에 대한 태도, 심리적 안녕감, 스트레스에 미치는 효과를 검증하기 위해 실행되었다. 연구대상은 화성시 B동에 위치한 고등학교의 학생 26명으로 도시숲 체험에 참가한 실험집단과 학교숲 체험에 참가한 통제집단으로 나누었고, 각 집단은 매주 1회 2시간씩 5회기의 숲체험 프로그램에 참여하였다. 고등학생들의 정신적 심리적 변화를 관찰하기 위해 숲에 대한 환경태도 척도, 심리적 안녕감 척도, 학업스트레스 척도를 이용해 사전과 사후 설문조사를 하였다. 자료 분석은 SPSS 23.0 프로그램과 Wilcoxon 부호순위검정을 실시하였다. 연구결과 숲체험 활동에 참여한 고등학생의 숲에 대한 태도에는 유의미한 증가가 있었다. 심리적 안녕감은 학교숲에 참가한 집단은 통계적으로 유의한 정도는 아니었으나 증가가 있었고, 도시숲 체험에 참가한 집단은 유의미한 증가가 있어서 숲체험 활동은 고등학생의 심리적 안녕감에 영향을 주었다. 학업스트레스에 있어서는 학교숲 체험에 참가한 집단은 통계적으로 유의한 정도는 아니었으나 감소가 있었고, 도시숲 체험에 참가한 집단은 유의미한 감소가 있어서 숲체험 활동은 고등학생의 학업스트레스에 영향을 주었다.

지체장애인의 심리적 재활을 위한 성격 및 가치관 분석 (An Analysis of Value and Personality for the Crippled Person's Psychological Rehabilitation)

  • 엄익곤;김규수
    • The Journal of Korean Physical Therapy
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    • 제4권1호
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    • pp.79-93
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    • 1992
  • This study is search for analyzed the primary factor of psychological characters of crippled person toward psychological rehabilitation that is the most foundmental to all rehabilitation for a crippled person. The research is, make a comparative analyze to personality character, value character, and motion, and then examined the relation of among then, by applies to high school's crippled students. First. in the personality character aspect, a group of crippled student's is shown that the factor of family relations is lack harmony than normal group, that is, shown up that a parents and family members is oversensitiveness to crippled person, So sometimes they overprotectiveness, unconcered, and not accept it is. Also, in the factor of confrontability aspect, a group of crippled person's average is shown to high as compared with normal group, and then, it shown that they are irresponsible, have a weak self-control, and show a marked trend toward self-control. This is means that crippled person have scruples about psychological and social adaptation. But friendship, adaptability, cheefulness. and emotonal stability is shown no difference with normal person. Accordingly, in the personality aspect, the falter of family-relation and confrontability can be know that the object of psychological rehabilitation. Second, in the sence of value aspect, crippled students is show that the average score had higher than normal group toward the factor of variety, therefor we can know that they have purpose to more pursur of variety in the living. This is consideration that a raise from the limited of social contact chance and badly informed and experience. Also, the factor of purpose-intention is shown that crippled students had low non than normal group, then, that means that they have a weak will toward cope with various problems in daily living. Crippled student is, in contrast to lacked fixed purpose with self-living, and also insufficient tring to accomplish their objects. Third, crippled students motion shown that related to low level of personality character and a sence of value factor. Daily living activity is show that related to the factors of confrontability and cheerfulness. This means that rehabilitation service given a change to confrontability and cheerfulness that can be effect is related. And the activity of home is related with confrontability, psychological rehabilitation for the change of activity is can say that it should be contribute to strengthen toward responsibility and self-control from self-central to intention at rho others. Fourth, the relation between an motion and a value of crippled student is shown low level of regulations that can be ignore. In sum, in the rehabilitation of crippled person, hereafter, a study subject is if which search to character factor and to find out effect inter-factors within the the factor of psychological rehabilitation as medical, occupational, social rehabilitation, then probably more effective development toward rehabilitation programs. Conseguently, hereafter for the crippled person's rehabilitaton, the study should be rquirement for establish a character and factors each filed of rehabilitation. The study sibject toward crippled person's rehabilitation for the fature is search for character factor toward medical. occupational, and social rehabilitation. and find out inter-relation among then like as search of this study for psychological rehabilitation. For the rehabilitation of crippled person, if is not preceding of study like this, it ought to be difficult to creation service as well as development to effective program.

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방풍통성산가미방을 병행한 지루성 피부염 치험 1례 (A case of Seborrheic dermatitis treated by Bangpungtongsungsangamibang)

  • 구진숙;서부일
    • 대한본초학회지
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    • 제31권2호
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    • pp.1-5
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    • 2016
  • Objectives : Seborrheic dermatitis is an inflammatory skin disorder affecting the scalp, face, and torso. Typically, it presents with scaly, flaky, itchy, and red skin. It may be aggravated by illness, psychological stress, fatigue, sleep deprivation, change of season. The purpose of this study was to report the clinical effects of herbal medicine on Seborrheic dermatitisMethods : We employed oriental medical treatments; herbal-medication (Bangpungtongsungsangamibang), acupuncture, moxibustion and cupping therapy. At the same time, the patient sweated out the skin poison. We treated him two times a week with oriental therapy method. He took medicine three times a day after a meal. During taking medicine, we let him avoid fatty food, flour based food, and alcohol. We took a picture the patient's body parts and compared the symptom with previous symptom. With the picture, we evaluated the patient's condition.Results : After taking treatment - 77 times' acupuncture, moxibustion and cupping therapy during 9 months and taking herbal-medicine, the skin condition of the patient was much improved. At first, he was troubled with itching and hot feeling at reddish area, time after time the itching and hot feeling was weakened. The reddish area was changed to scaly and flaky skin and changed to normal state.Conclusions : Herbal medicine (Bangpungtongsungsangamibang) with oriental medical treatments was an effective in the treatment of Seborrheic Dermatitis and it helped to improve regenerating the skin in the body.

마음챙김 명상과 이정변기요법을 이용한 PTSD 환자 치험례 (A Case Report for PTSD Patients Based on Mindfulness & I-Jeong-Byeon-Gi Therapy)

  • 박종민;이고은;서주희;배달빛;최성열;강형원
    • 동의신경정신과학회지
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    • 제25권1호
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    • pp.73-84
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    • 2014
  • The purpose of this study was to introduce a PTSD patient who experienced significant effects of mindfulness meditation and Ii-Gyeung-Byun-Qi therapy. Our psychotherapy was executed five times a week for the 14-year-old male patient who attended middle school and was diagnosed by DSM-IV Diagnostic Criteria for PTSD, and then the MMPI-A was evaluated to determine the effects after 3 months. The results showed normal profiles of MMPI-A validity scales and Clinical Scales profile after his treatment, positive changes in content scales, and significant decreases of PSYC (psychoticism) and NEGE (negative emotionality) in PSY-5 scales. This study made through a case report on the treated psychotherapy for PTSD by the applications of modern psychological techniques in the Korean psychotherapy. We expected that this case report will have a role in development of standardized psychotherapy programs for PTSD.

Comparison of Aerobic Exercise and Combination Exercise Program on Overall Physical Fitness and Mental Health in 20 Aged Subjects with Obesity

  • Lee, Eun-Sang;Kim, Gyeong-Tae;Lee, Seung-Won
    • 대한물리의학회지
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    • 제11권3호
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    • pp.89-96
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    • 2016
  • PURPOSE: The purpose of this study is to compare the effects of aerobic exercise and combination exercise on physical fitness, body composition, and depression and to observe the relationship between obesity and depression. METHODS: A total of 40 obese people were divided into an aerobic exercise group ($n_1$=20) and a combination exercise group ($n_2$=20) that was performed swiss ball exercise and aerobic exercise. Each group exercised three times per week for eight weeks. Outcome measures were basic physical fitness, body composition, and depression. RESULTS: After completion of the exercise, there was a significant difference in overall physical fitness factors of percentage body fat (%body fat), strength, muscle endurance, flexibility, cardiovascular endurance in the combination exercise group (p<.05). Strength, muscle endurance, flexibility, and cardiovascular endurance were more improved in the combination exercise group than aerobic exercise group (p<.05). However, changes of %body fat and psychological factor between the two groups were not significant. CONCLUSION: Combination exercise program has an effect on the solution of obesity in physical development and strength. Therefore, it seems to that use with better perform both aerobic exercise and Swiss ball exercise. In addition, the Swiss ball exercise, which is an easy, convenient and economical self-exercise that can be done at home, is recommended due to its positive effects on physical establishment and fitness.

조현병과 치유환경 (Schizophrenia and Healing Environment)

  • 이해경;이명수;노재성
    • 생물정신의학
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    • 제22권3호
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    • pp.95-100
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    • 2015
  • Treatment of schizophrenia is one of the most challenging areas in the field of psychiatry. There has been much improvement in psycho-pharmacotherapy, and at present, psycho-pharmacotherapy along with milieu therapy and social rehabilitation is the standard first-line treatment for schizophrenia. Healing environment, a concept which has arisen from the architectural field, has similarities in meaning to milieu therapy in psychiatry. In other words, healing environment may be an encountering point between psychiatry and architecture. In this encountering, each field can understand each other and expand its concept to aid the treatment of schizophrenia and to plan the build-up of the entire environment considering its social and psychological effects. In this paper, we aim to establish the basic concept of healing environment to alleviate the psychopathologies in schizophrenic patients. We worked under the premise that physical setting affects human behavior and mind, and that physical setting should play a role as a medium with therapeutic potential for patients with medical problems. The aims of this paper are as follows. First, theoretical discussion of the concept and the constructs of healing environment : second, understanding of the schizophrenic symptoms that may be affected by supporting environment : and third, discussion of supporting environment that may alleviate the symptoms of schizophrenia.