• 제목/요약/키워드: counselling case

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초중등 영재학급·교육원의 학생 생활지도 실태 및 과제 - 영재 담당교사들의 인식을 중심으로 (A Survey on the Problems and Conditions of Educational Guidance and Counselling in the Gifted Education Programs)

  • 이재분;이미경
    • 영재교육연구
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    • 제24권3호
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    • pp.359-377
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    • 2014
  • 본 연구의 목적은 우리나라 초중등 영재학급과 영재교육원에서 나타나는 일상생활 상의 문제들 중 교사들이 생활지도할 때 어렵다고 여기는 문제가 무엇이며, 어떻게 해결하고 있는지, 그 실태를 파악하고 실천적 과제를 도출하는 데 있다. 이를 위해 전국의 초중등 영재학급 및 교육청 영재교육원 담당교사 267명을 대상으로 설문조사를 실시하였다. 주요 연구결과 및 시사점은 다음과 같다. 첫째, 전체 응답자의 82%정도가 영재교육에서 생활지도가 필요하다고 생각하고 있어 이에 대한 대응이 요구된다. 둘째, 학생들의 이기적 성향 등을 교사들이 가장 심각한 문제로 느끼고 있으며, 이는 영재아 생활지도에서 기본생활습관, 도덕성 등을 중요하게 다루어야 함을 시사한다. 셋째, 학부모들과의 상담에서 학부모들의 영재교육에 대한 잘못된 인식 등이 문제로 지적되고 있으므로 생생한 사례 중심의 학부모 교육이 필요하다. 넷째, 교사들은 생활지도를 도와 줄 수 있는 현실적 방법으로, 인성교육 프로그램, 경험 있는 교사들을 중심으로 한 멘토링 체계 혹은 상담협의체 구성, 사례중심의 영재 생활지도 및 상담 가이드라인 개발 등이 필요하다. 다섯째, 향후 영재아들을 우리 사회공동체에 기여하는 사회적 자원으로 성장할 수 있도록 하기 위해, '윤리적 마인드를 갖춘' 영재를 키우는 한국형 영재교육 모델을 만들어 나갈 필요가 있다.

아동학대 인터넷상담 사례에 대한 내용분석 연구 (Contents Analysis of Child Abuse Counselling Cases on the Internet)

  • 이시연;박은미
    • 한국사회복지학
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    • 제56권4호
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    • pp.291-316
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    • 2004
  • 본 연구는 아동학대 인터넷상담 사례의 내용을 분석하여 아동학대의 이해를 위한 보완적 정보를 제공하고, 아동학대의 예방과 치료 체계에서의 인터넷 활용방안 모색을 위한 기초 자료를 제공하는데 목적을 두고 있다. 이를 위해 인터넷 아동학대상담센터(www.childabuse.or.kr)의 공개상담실에 게시된 상담 사례를 내용분석 연구방법을 사용하여 분석하였다. 연구 결과, 아동학대 인터넷상담 사례에서 특정 경향성을 발견하였고, 분석 결과는 다음과 같이 3가지 주제로 정리하였다. 첫째, 상담의뢰자 유형과 상담의뢰자가 학대 상황을 발견하게 된 경로, 상담의뢰 동기 목적을 중심으로 상담의뢰자 특성을 분석하였다. 둘째, 학대유형 및 특성으로 피학대자의 학대상황과 학대유형에 대한 분석이 이루어졌다. 셋째, 피학대자 특성으로 성별, 연령, 가정형태 및 문제, 피학대자의 정서적 특성, 아동학대의 영향 등을 분석하였다. 이러한 결과를 바탕으로 아동학대 예방 및 치료적 개입을 위한 실천적 방법들이 제시되었다.

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전화 상담사례에 나타난 부부갈등문제와 대응행동 (A Case Analysis on marital Conflict Problem and Coping Behavior -Focused on the Telephone Counsdlling-)

  • 이미영
    • 대한가정학회지
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    • 제33권1호
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    • pp.141-154
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    • 1995
  • The purpose of this paper is to investigate the marital conflict problem and coping behavior. The methods of this study are quantitative and qualitative method. For the data, 1069 counselling case of the married people were collected on S counselling center in Daegu, from January to May, 1994. The results of this study are as follows: 1. The main problems are marital debauchery affairs and then the value orientation, character and communication problem in turn. 2. Most clients used the complain type as the coping gehavior. 3. Recognized problem of oneself is debauchery problem and the self-damage and immaturity. Recognized problem of spouse is husband's incapacity, debauchery and violence. alcohol problem in wife case. Recognized problem of couple is a sexual problem for the most case.

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철학상담을 적용한 여성화병환자 사례보고 - 자아정체성에 기반한 철학상담을 중심으로 - (A Case Study of Philosophical Counseling of a Woman with Hwabyung - With a Philosophical Counseling Method Based on Self-Identity -)

  • 배은주;서효원;김종우
    • 동의신경정신과학회지
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    • 제30권3호
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    • pp.129-140
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    • 2019
  • Objectives: The purpose of this paper is to report the results of applying philosophical counseling to Hwabyung. Methods: At the time of the medical examination, 15 minutes or more of philosophical counselling method based on self-identity was conducted if possible. Additionally, We applied Hwabyung treatment guidelines (acupuncture, herbal medicine, etc.) to the patient If diagnosed as necessary. We evaluated visual Analogue Scale (VAS), Hwabyung scale, and Symptom Checklist 90-Revision (SCL 90-R) at baseline, and reassessed VAS and Hwabyung scale after about two weeks of treatments. Results: After about two weeks of treatment and philosophical counselling, VAS was between 10 to 1-2 and Hwabyung scale from 59 to 48. Also, the problem of fragmentation in the patient's life process was insighted, and the viewpoint was changed. Conclusions: It is useful to combine Korean traditional medical treatment with philosophical counselling method based on self identity for patients suffering from the Hwabyung. To Hwabyung patient, the view of philosophical counselling of feminism which understands women in political and cultural contexts is helpful.

Nutrition Intervention in a Gastric Cancer Patient With Gastrectomy for 12 Months: A Case Report

  • So Young Youn;Bo Eun Kim;Eun Mee Kim
    • Clinical Nutrition Research
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    • 제12권1호
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    • pp.1-6
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    • 2023
  • Gastrectomy is the most effective method of treating gastric cancer, but it is commonly associated with weight loss, nutritional deficiencies, and the increased risk of malnutrition due to post-surgery complications, including gastric stasis, dumping syndrome, malabsorption, and maldigestion. Malnutrition is a risk factor for postoperative complications and poor prognosis. To prevent it and guarantee a quick recovery after surgery, continuous and individualized nutrition intervention should be performed both before surgery and postoperatively. The Department of Dietetics at Samsung Medical Center (SMC) performed nutritional status assessment before gastrectomy, initial nutritional assessment within 24 hours of admission, description of therapeutic diet after surgery, nutrition counselling before discharge, and nutritional status assessment and individual nutrition counselling after 1, 3, 6, and 12 months from surgery. This is a case report of a patient who underwent gastrectomy as well as intensive nutrition intervention in SMC.

라이프케어를 위한 노인심리상담교육 경험의 사회적 지지와 참여에 관한 질적사례연구 (A Qualitative Case Study about Social Support and Participation Experience in Senior Counselling Program)

  • 김용남
    • 한국엔터테인먼트산업학회논문지
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    • 제13권3호
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    • pp.221-229
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    • 2019
  • 본 연구는 라이프케어를 위한 노인심리상담교육 참여 수강생의 학습과정과 노인의 사회적 지지와 사회참여의 의미를 알아보고자 하였다. 연구방법은 본 연구자와 함께 A 대학교 평생학습교육원에서 노인심리상담교육 15주 학습과정 속 내러티브 인터뷰를 통해 진행하였다. 연구결과 노인수강생들은 자아존중감을 높일 수 있는 노인심리상담교육을 통해 지적 수준을 높이고 교육을 통한 기억력을 향상할 수 있었다. 또한 노인심리상담사라는 자격증을 통해 스스로 교양을 쌓고 노인에 대한 이해와 사회적 상호작용의 공간속에 세대 간의 교류를 경험하면서 이해와 공감 능력을 키웠으며 학습을 통한 즐거움으로 노인들의 행위를 변화시키고 삶의 질이 높아진 것을 알 수 있었다. 본 연구를 통해 학습과정이 노인들의 사회적 지지와 사회 참여를 지속하게 하고 수강생들 간의 다양한 문화를 교류하면서 상호 작용과 실천적 학습을 이룰 수 있는 것으로 나타났다. 이러한 결과를 바탕으로 향후 다양하고 체계적인 교육프로그램들이 노인들의 라이프케어를 증진시킬 수 있을 것으로 기대한다.

실시간 심음 전송을 위한 원격 의료상담시스템 (Telemedicine Conference System for Realtime Transfer of Heart Sound)

  • 이병문;조원희;윤영미
    • 한국콘텐츠학회논문지
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    • 제9권8호
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    • pp.158-165
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    • 2009
  • 원격의료에 있어서 의사와의 상담은 매우 중요하다. 그러나 의사가 환자의 상태를 보다 정확히 판단하기 위해서는 최소한의 청진이 필요하다. 최근에 인터넷을 기반으로 화상 상담시스템이 개발되었으나 심장질환의 경우에는 원격으로 심음을 청진할 수 없어 원격의료 상담에 활용할 수 없었다. 이와 같은 문제를 해결하려면 의사와 환자가 상담도중에 심음을 측정하고 이를 실시간으로 전송할 수 있어야 한다. 본 논문에서는 의사가 인터넷을 통해 전송된 심음을 듣고 청진할 수 있는 실시간 심음 전송용 원격의료 화상청진 시스템을 제시하였다. 또한 u-헬스케어 환경에 적합하도록 모니터링 요원을 통해 주치의를 연결시켜줄 수 있도록 기능을 설계하고 구현하였다. 제안된 시스템은 환자와 의사의 이동성을 지원하기 위해 서버에이전트를 두어 사용자 인증과정에서 네트워크 주소정보를 제공하도록 기능구현을 하였다. 본 논문에서 구현한 시스템은 향후 심장질환자의 원격진료에 활용할 수 있을 것이다.

양방치료를 받고 있는 신경계질환아동에서 한방치료 및 기타 병행치료 이용실태에 관한 조사 (A Study on the Utilization of Korean Medicine & Other Parallel Treatments for Neurological Disease Children & Adolescents Treated with Western Medicine)

  • 정민정;임정화;황보민;김기봉;윤영주
    • 대한한방소아과학회지
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    • 제26권2호
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    • pp.72-84
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    • 2012
  • Objectives The purpose of this study is to investigate prevalence and the frequency of using Korean medicine, Complementary Alternative Medicine (CAM), and other parallel treatments in children and young adolescence with neurological diseases. Methods From April to July 2011, parents of the children and adolescents patients suffering from neurological disease completed questionnaires. Results 578 parents answered the questionnaires. 310 cases (53.5%) were using Parallel Treatments. Types of the Parallel Treatments being used are as follows. Rehabilitation 166 cases (27.4%), Speech Therapy 169 cases (27.9%), Education (Art, Music, Play) 109 cases (18.0%), Health supplement 72 cases (11.9%), Counselling, Cognitive & Behavioral Therapy 45 cases (7.4%), Herbal Medicine 24 cases (4.0%), Acupuncture, Moxibustion 13 cases (2.1%), Neurofeedback Therapy 1 case (0.2%), Etc 7 cases (1.2%). 257 cases (44.5%) have used Parallel Treatment before. Parallel Treatments being used in the past are as follows. Herbal Medicine 146 cases (35.4%), Acupuncture, Moxibustion 64 cases (15.5%), Education (Art, Music, Play) 54 cases (13.1%), Rehabilitation 47 cases (11.4%), Speech Therapy 46 cases (11.1%), Health supplement 30 cases (7.3%), Counselling? Cognitive & Behavioral Therapy 15 cases (3.6%), Neurofeedback Therapy 4 case (1.0%), Chuna, Manual Massage 2 case (0.5%), Etc 5 cases (1.2%). Conclusions Although patients were on both western medicine and Korean medicine, CAM, and other parallel treatment, the ratio of Korean medicine treatment was not as high as expected. Further studies are required to develop the model of integrative medicine.

사회적 기술 부족과 충동성으로 인해 또래갈등이 심한 분교아동의 상담사례 (Counseling Case Study of a Child with Peer Confliction due to Lack of Social Skills and Impulsiveness)

  • 이인선
    • 초등상담연구
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    • 제5권1호
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    • pp.227-253
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    • 2006
  • It seems common for students living at a small county and islands to experience psychological conflicts and be unaccustomed in the peer society because they are not familiar with peer interaction and social skills. This is a case study of L (hereinafter called L) who was grown up in the sheltered school at a small county. L was psychologically disturbed because he couldn't get along well in the transferred school. It is the reason why he had lived in the sheltered school at a small county, so he had not enough exposure to interact with peer and social skills. Sometimes he was obstinate irrationally and when he had trouble with friends, he threw something out or went out of school and tricked juniors dangerously. The fact of disperse with families, parent's indifference, and hate of older brother made L to have ill feeling against family. He had low motivation and low self confident in learning because of short attention time and accumulated poor learning progress. In this study, he was evaluated at various area, such as, intelligent, affective, personal and inter-personal, before counselling. To evaluated the effect of the counselling, K-WISC-III, KPRC, sentence filling test, social adaptation ability test, etc, were administered right after the counselling was over and 8 weeks later. For specific information gathering and analysing, observation diary and deepen counselling were accomplished by homeroom teacher, his mother, and his peers. To correct his problematic behaviors, 13 counseling sessions were accomplished for 6 months and those counselling sessions were recorded and analysed definitely. Followings are the result of this case study. First, he was recovered from the anxiety of inter-personal interaction and he started to interact with peers. The result of sac scale score of KPRC profile was lower than before as much as average student after counseling and 8 weeks later. This reveals that the distress against interpersonal relation have settled. Especially, through the result of sentence filing test, he seemed to feel attachment to peers and be positive, active in the relation of peer. For instance, he was active in the open class lesson and interacted well with peers. It could be said that he overcame the psychological distress comparing with previous time. Second, he could apologize to his peer and juniors for his fault. His attitude were well shown in the letter from an old friend at the sheltered school, average KPRC profiling score comparing with previous counseling time, and remarkable decrease of attack scale score of teacher and peer. Third, his view toward family turn out positive. He recognized his situation that he lived apart from family and even worried about his parent's financial difficulty. Through solving the confliction with his older brother, he could acquire the feeling of family reunion. Fourth, his learning motivation and self-confidence were increased. He confirmed his future positively and he might be judged more attentive because his intelligence index was higher than before as much as average student. With the main goal of this study, verification for effectiveness of counseling. understanding and helping problematic students such as L who lives at a small county and island through investigation of their real situation and problems with the method of counseling and socio-cultural analysis is worthwhile. Identification of ideal relationship with peer is related with positive self-conception, harmonic social adaptation and development of child. It is time to investigate easy adaptive in classroom and well-organised program to acquire general social skills for sheltered school students at a small county and islands.

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Poland 증후군[1례 보고] (Poland`s Syndrome - A Case Report)

  • 김성준
    • Journal of Chest Surgery
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    • 제25권3호
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    • pp.321-324
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    • 1992
  • Poland`s syndrome is very rare anomaly and typified by absence of the pectoralis major, absence or hypoplasia of the pectoralisminor, absence of costal cartilage, hypoplasia of breast and subcutaneous tissue, and brachysyndactyly. The clinical features are variable but all patients have absence of at least the sternal head of the pectoralis major muscle. The syndrome is not hereditary and is of unknown origin. Early recognition of Poland`s syndrome may give the provision of psychologic and genetic counselling for anxious parents. We have encountered a patient with this entity, and underwent successful correction.

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