• Title/Summary/Keyword: defensiveness

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The Effects of Sensory Integration Intervention for the Improvement of Sleep Quality in Adults: A Single-Subject Experimental Design (성인의 수면의 질 향상을 위한 감각통합중재의 효과: 단일사례 연구)

  • Hong, Cho Rong;Yoo, Eun Young;Park, Ji Hyuk;Park, Hae Yean
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.2
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    • pp.1-17
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    • 2019
  • Objective : The purpose of this study was to investigate the effects of a sensory integration intervention to improve sleep quality in adults. Methods : The subjects of the study were three sleepless adults with sensory defensiveness. This study applied a multiple baseline design out of a single-subject study, with the process comprising 4 basic lines, 7 basic lines, and 14 basic lines. The intervention was conducted 3 times per week for a total of 12 times. Overall sleep time, sleep latency, and the number of times that participants awoke at night were measured during every session. Sleep quality, sensory integration capabilities (including sensory defensiveness), and sleep satisfaction were measured before and after treatment. Results : A visual analysis of total sleep time, sleep latency, and number of waking times during the night as measured daily after the sensory integration intervention was applied showed no noticeable improvement in any of the subjects. Conclusion : This study is meaningful in that it applied a sensory integration intervention to adults and proposed sensory integration therapy as a new method of intervention to treat sleep disorders.

The Effectiveness of the Short-term Intensive Intervention Program: Case Report (감각통합기능장애 아동에게 적용한 단기집중치료프로그램의 효과)

  • Choi, Hyun-Ae;Kang, Eun-A
    • The Journal of Korean Academy of Sensory Integration
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    • v.6 no.1
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    • pp.25-33
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    • 2008
  • Objective : To identify the effectiveness of a short-term intensive intervention program on the improvement of adaptive response of a child with mixed sensory integration disorder. Method : Four and half years old boy who has been diagnosed of PDD received 40 min of one intervention session and 50 min of 3 intervention sessions. The intervention was a part of the 2008 Sensory Integration Treatment Course developed by the Korean Academy of Sensory Integration (KASI) and all sessions were implemented under supervision by experts. Result : Adaptive responses of the child were enhanced throughout the intervention process in terms of postural response and peer interaction. His oral defensiveness is improved. As the intervention progressed, he exhibited more active movements, louder voice, and coherence within peer group. Conclusion : This case report demonstrates effectiveness of a short-term intensive intervention program in terms of improving adaptive response. To enrich the effectiveness, tt is suggested to educate parents about neurological base of the child's behaviors so the they understand the importance of various sensory experience within play.

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Intervention of Sensory Integration for Adult Patients: A Systematic Review (성인에게 적용된 감각통합 중재에 대한 체계적 고찰)

  • Hong, Cho-Rong;Lee, Sun-Hee;Park, Hae Yean
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.1
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    • pp.45-55
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    • 2018
  • Objective : The purpose of this systematic review was to inform intervention of sensory integration in adult patients and to provide evidence regarding occupational therapy. Methods : Studies for this review were collected by searching the Pubmed, Scopus, SAGE Journal, Medline, RISS database for articles from 1980 to 2017, using the following keywords: "(sensory integration OR sensory processing OR sensory integrative OR sensory based OR sensory defensiveness) AND adult" A total of 8 studies were included in the analysis. The selected papers were analyzed by using PICO (Patient, Intervention, Comparison, Outcome) framework. Results : The participants' diagnoses were learning disabilities, intellectual disability, dementia and sensory processing disorder. Assessment tools and intervention methods varied according to the researcher's intent. In most studies, sensory integration intervention was shown to be effective. Conclusion : This study was able to confirm that sensory integration intervention was available and effective for adult patients. This was intended to provide clinical evidence for occupational therapists, and further studies should be conducted to establish the application of sensory integration interventions to adults based on this study.

The Effects of Oral Activity With Sensory Integration Intervention on Eating of a Child With Oral Defensiveness: A Single-Subject Research Design (구강 활동을 병행한 감각통합중재가 구강 방어 아동의 먹기에 미치는 효과: 단일 실험 설계 연구)

  • Kim, Yoon-Sung;Son, Cho-Rok;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.1
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    • pp.1-13
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    • 2018
  • Objective : The purpose of this study was to investigate the effects of sensory integration intervention combined with oral activity on eating of child with sensitive oral senses. Methods : The study subject was 6 years old boy and diagnosed with developmental disorder. The experiment period was 15 sessions from April 21, 2017 to June 2, 2017. Experimental design used AB design in single-subject design, baseline (A) phase (sensory integration therapy) was 5 sessions and intervention phase (B) (sensory integration therapy combined oral activity) was 10 sessions. During the experiment, the child used the Goal Attainment Scale (GAS) to measure behavioral changes in eating. Results : The GAS score of voluntary eating of favorite foods was 0 on the baseline phase and increased to 1.9 on the intervention phase. The GAS score of voluntary eating of disliking foods was 0 on average during the baseline phase and increased to 1.7 on average during the intervention phase. Conclusion : This study suggests that sensory integration intervention combined with oral activity program may have a positive effect on eating of children with sensitive oral senses and limited food intake.

The Influence of Married Couples' Argument-Communication Behaviors on Marital Satisfaction - Analyses at the Dyadic Level - (부부싸움에서 사용하는 의사소통 행동이 결혼만족도에 미치는 영향 - 부부를 분석단위로 하여 -)

  • Kwon, Yoon-A;Kim, Deuk-Sung
    • Journal of the Korean Home Economics Association
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    • v.46 no.10
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    • pp.83-96
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    • 2008
  • Using a sample of 107 married couples, this study investigated the influence of self-reported argument-communication behaviors on marital satisfaction. The results were as follows. (a) Wives used more criticism, contempt, and self-assertion during marital arguments than husbands. There were no significant gender differences in the levels of defensiveness, stonewalling, and active listening. (b) Multilevel analyses indicated that marital satisfaction was predicted by the person's own level of self-assertion and stonewalling(i.e., actor effects) and by his or her spouse's level of stonewalling(i.e., partner effect). No other significant actor and partner effects were found. Also, there were no significant gender differences in the sizes of effects. (c) A cluster analysis of both spouses' communication behaviors during marital arguments identified four distinct groups of married couples. : mutual constructive, husband constructive-wife destructive, husband destructive-wife constructive, and mutual destructive. Mutual constructive couples reported the best marital satisfaction.

MMPI Characteristics of the Suicide Attempter Visiting Emergency Unit (응급실내원 자살시도자에서 MMPI 특성)

  • Seo, Hyeong Chull;Oh, Seong Beom;Kim, Tae Hun;Lee, Jun Hyung;Kang, Suk Hoon;Lim, Myung Ho
    • Anxiety and mood
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    • v.8 no.2
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    • pp.79-85
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    • 2012
  • Objective : The current study investigated the psychopathology characteristics of the suicide attempter visited in a university hospital for one year using the Minnesota Multiphasic Personality Inventory (MMPI) test commonly used in clinical medicine. Methods : 72 suicide attempter and 115 control group completed the Korean version of the MMPI. Results : The MMPI scores of the suicide attempters were significantly higher on the lie (L), infrequency (F), defensiveness (K), paranoia (Pa), psychasthenia (Pt), schizophrenia (Sc), hypomania (Ma) than the comparison group. Conclusion : We supposed that suicide attempter have more chance of being paranoid, psychasthenic, schizoid or hypomanic than the control group relatively. They seem to have psychotic psychopathology rather than neurotic psychopathology. These results suppoed that the psychopatholgy of suicide attempter may be different from the control group. However the final decision is indefinite, it needs more well designed systemic studies.

Patterns of Delusions and Hallucinations in Schizophrenia : Comparison between the 1990s and the 2000s (조현병 입원 환자의 망상과 환각 : 1990년대와 2000년대의 비교)

  • Jung, Hyun-Jin;Kim, Daeho;Oh, Hyun Young;Park, Yong-Chon
    • Korean Journal of Biological Psychiatry
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    • v.20 no.3
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    • pp.80-85
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    • 2013
  • Objectives Research suggests that content of delusion and hallucination in schizophrenia is influenced by culture and social environment. However, few studies investigated chronological change of delusions and hallucinations within a society. To investigate changes in delusions and hallucinations of schizophrenia according to time, we compared contents of symptoms between inpatients with schizophrenia at two different time frames. Methods All admissions to a psychiatric unit of Hanyang University Guri Hospital with discharge diagnoses of schizophrenia at two different five-year time frames (1996-2000 and 2006-2010) were reviewed. Using a checklist, adapted from the Scale for Assessment of Positive Symptoms, we investigated delusions and hallucinations of 247 patients (104 in the 1990s and 143 in the 2000s). Results Delusions and hallucinations of patients did not differ at two time frames. In women, however, auditory and somato-tactile hallucinations were significantly more frequent in the 1990s (p < 0.05). Conclusions Our findings support the literature emphasizing that content and frequency of hallucination may differ according to cultural environment. We speculate that attitude toward sex and defensiveness toward disclosure of symptoms may have contributed to interval difference.

How to Improve Eating Behaviour during Early Childhood

  • Green, Robin John;Samy, Gamal;Miqdady, Mohamad Saleh;Salah, Mohamed;Sleiman, Rola;Abdelrahman, Hatim Mohamed Ahmed;Al Haddad, Fatima;Reda, Mona M.;Lewis, Humphrey;Ekanem, Emmanuel E.;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.1
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    • pp.1-9
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    • 2015
  • Eating behaviour disorder during early childhood is a common pediatric problem. Many terminologies have been used interchangeably to describe this condition, hindering implementation of therapy and confusing a common problem. The definition suggests an eating behaviour which has consequences for family harmony and growth. The recent Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition does not cover the entire spectrum seen by pediatricians. Publications are substantive but level of evidence is most of the time low. This purpose of this review is to clarify terminology of eating behaviour problems during early childhood; including benign picky eating, limited diets, sensory food aversion, selective eating, food avoidance emotional disorder, pervasive refusal syndrome, tactile defensiveness, functional dysphagia, neophobia and toddler anorexia. This tool is proposed only to ease the clinical management for child care providers. Diagnostic criteria are set and management tools are suggested. The role of dietary counselling and, where necessary, behavioural therapy is clarified. It is hoped that the condition will make its way into mainstream pediatrics to allow these children, and their families, to receive the help they deserve.

Korean Music Therapy Students' Growth in Supervision: A Modified Grounded Theory (음악치료 전공생이 수퍼비전에서 경험하는 성장에 대한 연구)

  • Yun, Juri
    • Journal of Music and Human Behavior
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    • v.10 no.2
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    • pp.35-54
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    • 2013
  • The purpose of this study was to examine how Korean music therapy students experience growth under clinical supervision. The investigator conducted in-depth qualitative interviews with 9 students from 3 different universities in Seoul who had at least three semesters of clinical supervision. Data was analyzed using a modified grounded theory approach to construct the growth experience of music therapy supervisees. Results suggest that growth can be understood in terms of both personal and professional domains and includes four types of experiences: growth hindering, fostering, mediating, and revealing. In the personal domain, hindering factors are defensiveness, narcissistic trauma, avoidance and anxiety whereas growth fostering and mediating factors include reflection on self, musical self, unconscious drives and conflicting issues as well as self-driven problem solving skills. As a result, growth in the personal domain is associated with increased self-acceptance and self-awareness. Growth in the professional domain is hindered by having trust issues, performance anxiety, identity crisis, and being hypersensitive to the judgment of others. On the other hand, growth is fostered and mediated by opening the self and interacting more with others, building trusting relationships with peers and supervisors, and establishing a new relationship with music, which leads to improved attitude, increased motivation, and more efficient and effective training.

A Study on the Ambivalent Characteristic Displayed in Niki de Saint Phalle's Assemblages and Shooting Paintings by Looking Into Her Trauma (니키 드 생 팔의 트라우마를 통해 살펴본 아상블라주와 사격회화의 양면적 특성)

  • Yoo, Ka-Eun
    • The Journal of Art Theory & Practice
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    • no.6
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    • pp.77-99
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    • 2008
  • The purpose of this study is to show that the reason behind the ambivalent characteristic displayed in Niki de Saint Phalle's works is in her trauma and how such characteristic can be extracted from her works. During her creative years, Saint Phalle worked on various materials from different genres such as assemblages, shooting paintings, a series on Bride and Monster, 'Nana', 'Tarot Garden'and public sculptures. One commonality found among her various works is the ambivalent characteristic that contains contrasting elements simultaneously. Saint Phalle suffered a terrible psychological damage inflicted by her parents during her childhood. Specifically, she was sexually assaulted by her father and emotionally neglected by her mother, the trauma that affected her for the rest of her life. As a result, she came to develop extreme love- hate relationships with her parents and this became the main reason for the ambivalent characteristic displayed in her works. The love-hate relationship Saint Phalle developed can be identified through various researches done on the subject of the affect of sexual assault. It is common for incest victims to develop ambivalent feelings towards the perpetrator and Saint Phalle was no exception. Dissociation disorder and a snake well explain the trauma from her father. It is a generally accepted belief in the field of psychology that dissociation disorder commonly occurs to children who experience incest. And dissociation disorder is similar to the characteristic of ambivalence in the sense that a single entity contains more than two contrasting elements at the same time. In addition, the amputated doll objects used in her assemblages coincide with the expression of body detachment of people with dissociation disorder. These facts clearly indicate that the trauma from her father is showing through in her works. A snake is a subject matter that reflects the ambivalent tendency of Saint Phalle that resulted from her trauma. She remembers her father's rape as an image of a snake which is related to a phallic symbol in mythology or art reflecting her trauma. Moreover, she displays a similar pattern of ambivalent emotion like love and hate or fear towards a snake and her father. This is also confirmed by her portrayal of a snake as a monster or reversely as a creature with fundamental vitality in her works. The lack of affection from her mother can be explained by her mother's maternal deprivation. It appears that Saint Phalle's mother possessed all the causes for maternal deprivation such as maternal separation, personality disorder and inappropriate attitude towards child rearing. Especially, a study that shows mother's negative attitude towards child breeding tends to increase dissociation experience of children is another important evidence that supports Saint Phalle's dissociation tendency. These traces of Saint Phalle's trauma are clearly revealed in her assemblages and shooting paintings. The violent objects in her assemblages such as a hammer, razor, nail represent the rage and defensiveness towards her father. The objects such as fragments of broken plates of feminine patterns, pots and mirrors that her mother used symbolize the affection towards her mother. On the other hand, the destructed objects can be interpreted as her hate and resentment towards her mother. Shooting paintings contain her extreme fury and hate. Things such as acts of shooting and the image associated with blood after shooting are blunt expressions of her bursts of emotions. I have tried to define and classify the ambivalent characteristics shown in her assemblages and shooting paintings as hate, rage, violence, calm, love and pleasure according to the frame of Thanatos and Eros. Out of the six, hate, rage, violence and clam are associated with Thanatos while love and pleasure are associated with Eros and they correspondingly form an ambivalent structure. These ambivalent characteristics can be found in her assemblages and shooting paintings. The objects in her assemblages such as a razor, saw, hammer imply hate, rage, violence and the silence felt throughout her works represent calmness. And, as mentioned, the feminine objects can be seen as symbolizing love. In shooting paintings, hate, rage, violence can be found in the use of force and in the traces of watercolor after shooting, and a sense of pleasure in her feelings of catharsis after her shooting. Moreover, a shielded calmness can be found on the plywood all covered with plaster before the shooting. This study looked into the ambivalent characteristic of Saint Phalle's works by examining her trauma to find its correlation, and a meaning of this study can be found from the fact that it refocused the origin of Saint Phalle who is generally known as a feminist artist. Additionally, a meaning of the study can be found also from the fact that it examined the ambivalent characteristics of her works through a frame of Thanatos and Eros.

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