• 한국노년학
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• 제41권4호
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• pp.587-609
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• 2021

본 연구는 개별 심층면접을 통해 조손가족 조모의 손자녀 양육에 대한 경험을 확인하고, 양육자의 관점에서 어떠한 신체-심리-사회적 이슈들을 당면하고 있는지 파악하는 것을 주요 목적으로 하고 있다. 특히 코로나19 팬데믹 상황 속에서 조모와 손자녀가 경험하는 다양한 이슈와 변화 및 어려움을 탐색하였다. 연구 참여자는 동거가족 내 부모세대 없이 6개월 이상 손자녀를 전담 양육하는 7명의 조모이고, 자료수집은 반 구조화된 심층 면접을 통해 이루어졌다. 분석결과 1) 손자녀 양육에 대한 나의 느낌, 걱정, 그리고 대처, 2) 손자녀 양육의 현실에서 부딪히는 어려움과 장애, 3) 자라면서 변화하는 손자녀와의 갈등 그리고 대처, 4) 조부모, 부모, 손자녀 그들 간의 관계와 감정, 5) 서비스 및 자원에 대한 욕구와 바람이라는 5개의 주요 범주를 발견할 수 있었다. 이들 범주에서는 총 16개의 주제어와 60개의 하위주제어가 도출되었다. 전반적으로 연구에 참여한 조모는 손자녀 양육에 대해 양가감정(보람과 부담감)을 갖고 있었고, 공통적으로 경제적 어려움과 건강의 한계, 손자녀와의 소통 단절에 대한 어려움을 언급하였다. 특히, 코로나19로 인해 손자녀가 조모와의 대화 없이 하루 종일 집에서 컴퓨터와 게임에 몰입하면서 세대 간 갈등이 더욱 심화되는 경향이 나타났다. 조모의 서비스 욕구는 손자녀를 위한 학습지원과 정서적·관계적 지원, 그리고 경제적 지원에 우선순위를 보였다. 이와 같은 연구결과를 토대로 조손가족 지원을 위한 정책적, 실천적 제언을 논의하였다.

• 동의신경정신과학회지
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• 제35권1호
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• pp.115-140
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• 2024

Objectives: This study investigates the impact of M&L psychotherapy on an adolescent with anxiety disorders transitioning into adulthood, using a retrospective mixed-method approach. Methods: An adolescent with Diagnostic Statistical Manual of Mental Disorders (DSM)-5-diagnosed anxiety disorders underwent combined treatment with M&L psychotherapy and complex Korean medicine therapy over a period of approximately two years. Patient records tracked the diagnosis, treatments, and progress. In-depth interviews were also conducted. The study used a convergent parallel mixed-method approach, integrating quantitative analysis from psychological assessments, including the State-Trait Anxiety Inventory (STAI-X), the Core Seven Emotions Inventory-short form (CSEI-s), and the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), with qualitative analyses of traditional Korean medicine counseling session notes, interviews, and other qualitative psychological assessments. Results: State anxiety decreased from 40 to 36, and trait anxiety decreased from 42 to 34. MMPI-2 L scale scores decreased slightly to 64T, whereas S scale scores increased to 62T, and FRS scores decreased to 70T from an initial score of 78T. Qualitative analysis revealed an increase in the MMPI-2 Es scale, identified as "subjectivity." Joy (喜) emerged as the highest emotional profile score in the CSEI-S. Scores for anger (怒), thought (思), fear (恐), and fright (驚) decreased, indicating improved negative emotions. Qualitatively, expressions of determination to "move forward" and "strengthen the mind" were noted, suggesting enhanced "lower danjeon (下丹田)." Conclusions: Integrating traditional Korean medicine treatment with M&L psychotherapy for a vulnerable adolescent with anxiety disorders demonstrated efficacy. Further research is warranted to substantiate the effectiveness of M&L psychotherapy and advocate for its wider adoption in mainstream practice.

• 사상체질의학회지
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• 제15권2호
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• pp.38-57
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• 2003

Objective: The purpose of this study is to discourse upon that the construction of Sasang Constitutional Medicine has a significant property of Oriental Medicine by explaining the disparity of the viscera and bowels of four constitutions through the special quality of ying-qi and wei-qi circulating in human body on the basis of the channel-qi theory of ${\ulcorner}Huangdi$ $Neijing{\lrcorner}$ Conclusion: 1. Primordial-qi is the congenital essence inherited from the parents and pectoral-qi, ying-qi and wei-qi is the acquired essence derived from the food and air that human eat and breathe. 2. Ying-qi and wei-qi circulates in the meridian system by the strength and pushing of pectoral-qi under the influence of primordial-qi 3. Ying-qi, by the pushing function of pectoral-qi, determines large lung-small liver and small lung-large liver according to the innate quantity of qi and blood. 4. Wei-qi, by the pushing function of pectoral-qi, determines large spleen-small kidney and small spleen-large kidney according to the innate quantity of qi and blood. 5. The heart in the theory of the meridian system's fetus-nourishing and Sasang Constitutional Medicine is involved in the formation of viscera and bowels as governing human body and seven emotions. 6. It is considered that Taiyang person and Taiyin person have the constitution influenced by ying-qi. 7. It is considered that Shaoyang person and Shaoyin person have the constitution influenced by wei-qi. The inquiry into several literatures on the basis of the channel-qi theory of ${\ulcorner}Huangdi$ $Neijing{\lrcorner}$ leads us to the idea that the construction of Sasang Constitotional Medicine is another well-implied representation of the property of the meridian doctrine in the existing Oriental Medicine. And it is considered that the more continual studies of literatures and Sasang Constitutional Medicine Acupuncture are necessary henceforth.

• 동의신경정신과학회지
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• 제25권1호
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• pp.109-122
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• 2014

Objectives: The aim of this study is to investigate the core emotion assessment instrument based on the Chiljeong. Methods: We searched for a literature review of oriental medicine and established the operational definition. Based on the existing psychological scale measurement, we selected the items and analyzed the reliability through a two-step preliminary study. Results: 1) Through the analysis of reliability after the two-step preliminary study (first: 170 items, n=63, second: 152 items, n=42), we had excellent internal consistency (Cronbach's alpha > 0.70) as well as good test-retest reliability (>0.70). Thus, we demonstrated that this scale had reliability. 2) Analyzing the correlation of each emotion, we had a comparatively strong positive-correlation (>0.6), except for Hui, and found a particularly high correlation of Sa, U and Bi. Conclusions: We developed the final 141 items of the core emotion assessment instrument through the two-time preliminary study. In the future, the main study on the clinical and non clinical groups of various ages should be continued.

• 동서간호학연구지
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• 제1권1호
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• pp.40-49
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• 1997

This study was done for understanding the desirable direction of eastern and western nursing by comparing the nursing practice for the Pyrexia patient occuring most commonly. Body temperature usually maintains around $37^{\circ}C$ owing to the thermoregulatory center but pyrexia is caused by exogenous pyrogen like infection, cancer or disturbances in body's homeostatic heat balance. Pyrexia is defined that body temperature rise above $37.2^{\circ}C$. It has chill phase, course of the fever, termination accompanied various symptoms. Oriental medicine explains that pyrexia comes from Yang's(陽) abundance and Yin's(陰) lack. Pyrexia mainly happens when body constitution is in bad condition by Six Dirty's(六陰) affection to Wi Area (偉分). It also occurs because of unbalance between Qi (氣) and Yin(陰) caused by the lack in Seven Emotions, labor, food. The Sanghanron(傷寒論), explains that pyrexia is categorized exogenous fever like Poong Han(風寒), Poong Yul(風熱), Sup Yul(濕熱) and endogenous fever due to the Qi and blood deficiency. Explained above, even though pyrexia has different meaning in oriental medicine and western medicine, but this study have compared the oriental and western medicine assuming that pyrexia is rise of body temperature. From this point of view, oriental and western nursing shows the similarity in the field of 1) use of antipyretic to control the body temperature 2) rest and comfort 3) watering 4) nutrition and case study was executed in nursing practice. From the above study, western nursing has superiority in decreasing the patient's risen body temperature using antipyretic and ice bag. But in case of empty heat, oriental nursing which recommends the patient's body keep warm and prevent the use of ice bag as the first step and helps patient's sweating by drinking of hot water was comparatively effective. In conclusion, it is desirable that oriental nursing emphasizing the supportive nursing and western nursing should be harmonized according to the status of pyrexia patient and it is needed to study the nursing method appropriate in our culture.

• 대한한의학회지
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• 제32권6호
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• pp.95-102
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• 2011

Objectives: The purpose of this study is to develop a program of group psychotherapy named "the promotion of hope program (PHP)" that will provide effective emotional support for cancer patients. Methods: In order to develop a group counseling program for cancer patients, this study utilized reality therapy based on Oriental medicine theory which is the mind affect the body. We established four steps for making positive changes to individual behavior: creating soil for hope, watering hope, sprouting hope, and the blossoming flower of hope. To verify the effectiveness of the program, we conducted a comparative clinical trial. Patients were divided into two groups by unrestricted randomization: the intervention group (n=20) and the control group (n=17). The members of each group did not exceed seven patients. We divided the trial period into three sections. The intervention group received group psychotherapy twice a week for 4 weeks. The control group watched hope-related videos and talked about members for two hours each week for four weeks. We evaluated the scale of anxiety and depression, self-esteem, and hope, both before and after the examination. Results: PHP decreased the level of anxiety and depression in the intervention group (1.21 vs. 0.75, p<0.01). PHP also improved the level of both self esteem (2.80 vs. 3.34, p<0.01) and hope (2.69 vs. 3.23, p<0.01). In contrast, the control group showed no interval change at any point in time. Conclusion: Following the above results, PHP can be seen as an effective program for helping cancer patients to increase positive emotions and behaviors while reducing negative thoughts.

• 동의생리병리학회지
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• 제16권4호
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• pp.657-666
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• 2002

Review on internal damage disease(disease of the spleen and stomach) in Hyungsang medicine is as follows; In case of woman, Disease of the spleen and stomach is caused mostly a excessive thought. In case of man, Disease of the spleen and stomach is related to the genitals's disease for man is based on the kidney and body. In shapes of the Jung(精), Ki(氣). Shin(神) and Hyul(血), the seven feelings(emotions) in the Ki(氣) and Shin(神) types and deficiency of essence and blood in the Jung(精) and Hyul(血) types induce mostly diseases of the spleen and stomach. Treatments are used frequently to promote the normal flow of Ki(行氣), promote digestion and remove food stagnancy(消導), resolve phlem(化痰) and check upward perverted flow of fire(降火) in the Ki(氣) and Shin(神) types and tonity the essence(補精), tonity the blood(補血) and replenish Ki(補氣) in the Jung(精) and Hyul(血) types. The main parts to appear outside diseases of the spleen and stomach are face color, depression condition of eyes, lips' condition, LU10(魚際)'s color and the rise and fall of flesh etc. Shapes of the six meridians have to treat to divid shapes and symtoms of the six meridians according to 'deviation of Ki and blood' and 'the expression part of symtoms'.

• 한국콘텐츠학회논문지
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• 제20권9호
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• pp.271-284
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• 2020

하프라이프 알릭스에 대한 시장의 호평과 VR장비 판매 증가는 수익모델의 부재로 미래가 불확실한 VR시장 활성화의 전환점이 될 수 있다. 이에 선행연구를 바탕으로 VR게임의 특성을 그래픽, 1인칭시스템, 인터페이스, 컨트롤러, 인터랙션 기술, 사운드, 스토리로 분류하고 분석하였다. 분석결과 7개 요소는 VR의 구성 요소 중 게임의 완성도를 의미하는 '상호작용'과 '가상이미지'에 해당하였으며 상호 연결되어 있어 이를 묶은 상위 개념인 '현존감'을 제안하였다. VR 구성요소로서 사용자의 감정을 나타내는 '몰입감'은 유저의 능력에 적절한 과제의 난이도를 부여하는 몰입이론으로 분석하였으며 연구 과정은 전문가 패널 15명에게 델파이 기법과 FGI를 실시하여 객관성 확보를 위해 노력하였다. 마지막으로 '현존감'과 '몰입감'은 비례하는 특성으로서 알릭스는 물론 앞으로 VR게임 분석에서도 계속 유효한 개념이 될 수 있으므로 두 단어를 합한 '프레즌스 이펙트'라는 개념적인 틀을 제안하였다.

• 초등상담연구
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• 제5권1호
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• pp.93-118
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• 2006

The aim of this research is to find out the common emotional factors that elementary school teachers feel when they experience in teaching children with ADHD and to know their responding process through experiential analysis. Seven elementary school teachers took part in this research as co-investigators, and I led the experiential approach. The co-investigators have analyzed their emotional experiences during 4 sessions. They learnt about the method of experience analysis and discussed their emotional experiences of children with ADHD. And they found out some factors concerning their emotional experiences and had the time to discuss in odor to search for the common factors of that process. Finally the co-investigators took part in a session to examine the factors which they have all agreed in, and then I verified this result. 1 interpreted the factors found and constructed a psychological resolution process. Two main objectives and the results of this research are as follows. First, are there any common factors among teachers who experience in treating children with ADHD? This research showed that elementary school teachers get angry and irritated with ADHD children's troubles. Second, what kind of psychological process is there in teachers' experiences children with ADHD? The psychological process of teachers dealing children with ADHD could be conceptualized in 5 steps, the step of recognizing an action of children with ADHD, the step of first cognitive consideration, the step of giving meaning and cognitive appraisal, the step of experiencing emotion, and the step of dealing with emotion. Teachers seemed to experience a little bit different psychological process. According to whether they thought about children's behavior positively or negatively in the second step, they had different emotional experiences. If they had a positive thought, they could take children's nonadaptive behaviors as personal characteristics. However, if they took them negatively, they considered them impolite and disobedient. Even when the teachers experienced negative emotions, their responses were divided into two groups whether they took it positively or negatively. This research showed that if teachers could control their negative emotional experiences, they could calm down with children with ADHD and treat them positively.

• 한국보육지원학회지
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• 제8권5호
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• pp.253-274
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• 2012

본 연구는 한국 전래동요 중에서 유아에게 적합한 것을 선정하기 위한 기준을 마련하여 유아교육 현장에서 전래동요가 효율적으로 적용되기 위한 가능성의 구안에 그 목적을 두었다. 이를 위해 설정한 연구문제는 첫째, 유아에게 적합한 한국 전래동요의 선정 기준은 어떠한가, 둘째, 선정기준에 따른 유아를 위한 한국 전래동요는 어떠한가이다. 먼저, 유아에게 적합한 한국 전래동요의 기준을 선정하기위해 유아교육 및 유아교육 관련 전문가 30명을 대상으로 델파이 조사를 통해 문항을 선정하였다. 수집된 응답들은 spss 12.0의 프로그램을 이용하여 평균과 표준편차를 계산하였다. 연구 결과 유아에게 적합한 한국 전래동요의 선정 기준은 '전통적 놀이공간과 놀이언어의 즐거움이 살아있는가, 옛 아이들의 생활 모습과 정서를 담고 있는가, 유아가 쉽게 이해할만한 내용인가, 유아가 흥미를 느낄만한 내용인가, 유아의 발달에 도움을 주는가, 유아가 쉽게 부를 수 있는 선율인가, 장단이 단순하고 반복적인가'로 나타났다. 또한 선정기준이 확정됨에 따라 이 기준을 바탕으로 유아에게 적합한 전래동요 112곡이 선정되었다. 112곡의 노랫말은 주로 '놀이의 즐거움'을 표현한 곡들로 전래동요의 전승을 위해서는 놀이가 함께 연행되어야 함을 시사한다.