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근거기반실천과 Hall과 Hall의 임상적 통합 근거와의 통합적 적용
김경준 한국복음주의상담학회 2020 복음과 상담 Vol.28 No.2
The purpose of this study is to apply Evidence-Based Practice in Psychology (EBPP) to the foundations of clinical integration suggested by Hall & Hall, which is one of the works of the integration of Theology and Psychology. Firstly, a brief introduction to Hall & Hall's clinical integration containing the definition and the broad ideas was presented. Clinical integration has a strong foundation with four reasons for existence: pragmatic, ethical, empirical and personal. Secondly, the background history of how EBPP movement had been developed from Eysenck's article in 1952 to the report of APA Presidential Task Force in 2006 and the three major components of EBPP, which are the best available research evidence, clinical expertise, and patient's values, characteristics, preference, and circumstances, were described. Thirdly, an integrative work of applying the concepts of EBPP to clinical integration was executed with the common goal of the two paradigms that is to improve the effectiveness of the counseling process. This work included the inspection of the possible areas applying the main points of EBPP to the foundational reasons for clinical integration and its categories. In addition, this work can contribute to more effective counseling ministry even in the secular counseling setting as well as in the Christian counseling settings. Lastly, some suggestions for the Korean Christian Counseling settings were presented. 본 연구의 목적은 최근 널리 받아들여지고 있는 '심리학에서의 근거기반실천'(EBPP)을 신학과 심리학 통합 작업의 일환으로 Hall과 Hall이 제안했던 임상적 통합에 있어서의 근거들과 통합하여 적용하는 것이다. 본론에서는 Hall과 Hall이 발표하였던 임상적 통합의 정의와 그 내용을 간략하게 개관한 후, 1952년에 Eysenck가 발표한 심리치료의 무익함에 대한 논쟁을 불러일으킨 논문으로부터 근거기반실천에 대한 APA 회장 전담팀의 보고서가 나오기까지 근거기반실천 운동이 생겨난 역사적인 흐름에 대하여 살펴보았다. 그리고 근거기반실천의 정의와 주축을 이루는 세 가지 내용 즉, 최고의 이용 가능한 연구 근거, 임상적 전문성 및 내담자의 가치, 성격 특성, 선호, 및 환경에 대하여 그 중심 개념을 소개하였다. 또한, 임상적 통합과 근거기반실천은 그 목적 면에서 상담의 효과 증진이라는 공통성이 있음을 제시한 후, 근거기반실천의 각 내용이 임상적 통합을 위한 근거의 이유들과 그 적용 범위에 어떻게 접목될 수 있는지에 대하여 상세히 고찰하여 기독교 상담 장면뿐 만 아니라 일반상담 장면에서도 임상적 통합을 유능하게 실천 할 수 있는 근거들을 제시하였다. 마지막으로 기독교 상담 실천 영역에서 적용 가능한 실제적인 제안을 제시하였다.
김경준 대한한방안이비인후피부과학회 2019 한방안이비인후피부과학회지 Vol.32 No.3
Objectives : By analyzing symptoms of tinnitus, we tried to find out the relationship between deficiency and excess(虛實) and visceral pattern identification(臟腑辨證). By testing Tinnitus Handicap Inventory(THI), we evaluated the quality of life of people suffering from various aspects of tinnitus, as well as comparing treatment efficiency. Methods : 52 patients were recruited in this study who was ill with tinnitus. They wrote out the questionnaire about tinnitus and the THI. Results : The vast majority of high-grade tiny noise patients are deficiency type(虛症). The vast majority of low-grade roar patients are excess type(實症). Tinnitus persistence and feeling of ear occlusion were prominent in low-grade roar patients. low-grade roar patients suggest that overall quality of life is lower than high-grade tiny noise patients. In terms of treatment efficiency, spleen-stomach weakness(脾胃虛弱)-type, stomach heat(胃熱)-type and phlegm-fire(痰火)-type was higher than kidney essence depletion(腎精虧損)-type and liver qi depression(肝氣鬱結)-type regardless of the aspect of tinnitus. Conclusions : The present study suggests that tinnitus pattern may be helpful in differentiating patients with tinnitus, and the effectiveness of treatment can be predicted through differentiation.
하지 피부색의 변화를 동반한 골절 후 발생 복합부위 통증 증후군(CRPS) 치험 1례
김경준 대한한방안이비인후피부과학회 2024 한방안이비인후피부과학회지 Vol.37 No.2
Objectives : To report the R/O CRPS patient after Korean medicine treatment, suffering severe buring pain and insomnia. Methods : The patient was a 56-year-old female patient and treated with herbal medicines and acupuncture in 32 days. The treatment effect was evaluated by measuring VNRS of pain, sleeping time and change in mood status. Results : The Korean Medical therapy had good effect on the patient. Especially, relaxing mental treatment is effective in improving and maintaining symptoms. Conclusions : The Korean medical treatments appeared to be effective in reducing R/O CRPS symptoms. Further clinical research of patients with CRPS is needed.
퇴예명목(退翳明目) 약재에 관한 문헌적 고찰과 활용연구
김경준,김연섭,Kim, Gyung-Jun,Kim, youn-sub 대한한방안이비인후피부과학회 2021 한방안이비인후피부과학회지 Vol.34 No.3
Objectives : This study was planned to help clinical treatment by examining the efficacy and frequency of use of medicines with removing nebula and improving vision action, centering on historical literature. Methods : Chinese literature centered on CNKI published after 2000 and ophthalmic books of the Beijing University of Chinese Medicine Library, regardless of the publication period. Domestic literature was searched using NDSL and OASIS, and literature published after 2000 was referenced. Results : According to traditional medical classics, as medicine with removing nebula and improving vision action, medicine with dispelling wind and clearing heat action accounted for the majority. However, it is desirable to use these medicine in the early stages of the disease. Conclusions : 1. Among the external contacts that induce corneal opacity, the wind-heat pattern was the most common. Among the visceral manifestation patterns that induce corneal opacity, liver or spleen was the most common. Cold-tempered medicine which is dispelling wind, clearing heat and bottling up the liver were most commonly used as therapeutic medicine. 2. As removing nebula and improving vision medicine, Cassiae Semen, Chrysanthmi Flos, Eriocauli Flos, and Buddlejae Flos have been widely used. 3. It has been investigated that removing nebula and improving vision medicine can be effectively used in the early stages of various diseases that cause corneal opacity.