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공황장애 기독교인지행동치료 프로그램을 통한 변화과정 연구 : 사례연구를 중심으로
양정선 한국실천신학회 2020 신학과 실천 Vol.0 No.69
본 연구의 목적은 공황장애 기독교인지행동치료 프로그램을 통한 변화과정을 확인 하는 것이다. 본 연구는 공황장애로 진단받은 기독교인을 대상으로, 기독교인지행동치 료 프로그램에 참여한 맥락에서 공황장애 경험과 변화과정 그리고 결과를 질적 사례 연구 방법으로 규명하고자 하였다. 이를 위해 먼저 공황장애 기독교인지행동치료 프 로그램을 개발하였다. 본 연구자가 개발한 기독교인지행동치료 프로그램은 공황장애 인지행동치료인 MAP(Mastery of Your Anxiety and Panic)을 기독교적 세계관으로 해석하여 수용하고, 기독교적 변화기제 5가지를 사용하여 구성되었다. 이어서 12주간 공황장애 기독교인지행동치료 프로그램을 집단상담으로 실시하였으며, 프로그램에 참 여한 9명을 연구 참여자로 선정하였다. 프로그램 진행과정에서 회기별 녹취록과 연구 자의 관찰기록지, 프로그램 종료 후 심층 인터뷰를 수행하여 원자료를 구성하였다. 자료는 맥락을 나눈 후 분석하였고, 의미단위, 요약개념, 범주를 구성한 후 이를 경험, 변화과정, 결과로 배열하였다. 연구 결과는 다음과 같다. 공황장애 경험은 일상생활의 어려움, 요동치는 감정의 기복, 나락으로 떨어뜨리는 부정적 생각, 벗어나려는 몸부림, 치료의 시행착오이다. 변 화과정은 하나님과 함께하는 치료의 시작, 인격적인 하나님 체험, 부정적 사고를 성경 적 사고로, 새로워진 하나님 이미지, 달라진 하나님과의 관계이다. 결과는 변화를 향 한 도전, 변화된 일상, 새 삶을 향한 소망으로 나타났다. 연구 결과에 근거하여 공황 장애 변화과정에 대한 논의와 제언을 하였다. The purpose of this study is to identify the process of change through Christian Cognitive Behavioral Therapy for Panic Disorder. This study sought to identify the experience, process of change and results of panic disorder through qualitative case studies in the context of participating in Christian Cognitive Behavioral Therapy for Panic Disorder for Christians diagnosed with panic disorder. Christian Cognitive Behavioral Therapy for Panic Disorder developed by this researcher was composed of five Christian change mechanisms, interpreting and accepting MAP, a cognitive behavioral therapy for panic disorder, as a Christian world view. Then a group counseling program was conducted for 12 weeks to treat Christian cognitive behavior with panic disorder, and nine people who participated in the program were selected as research participants. In the course of the program, the source materials were composed by conducting in-depth interviews after the end of the program, including recordings of each session, observational records of researchers. The data were analyzed after dividing the context, organizing the semantics, summary concepts, and categories, and arranging them into experience of panic disorder, process of change, and outcome. The results of the study are as follows. The experience of panic disorder is the difficulties of everyday life, fluctuating emotions, negative thoughts that fall into the abyss, struggle to escape, and trial and error of treatment. The process of change is the beginning of treatment with God, personal experience of God, converting negative thoughts into bible thinking, renewed image of God, and changed relationship with God. The outcome was a challenge to change, a changed routine and a desire for a new life. Based on the research results, discussions and suggestions on the process of changing panic disorder were made.
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공황장애 기독교인지행동치료 프로그램 개발과 효과성 연구
양정선 ( Yang Jung Sun ) 한국복음주의상담학회 2020 복음과 상담 Vol.28 No.1
본 연구의 목적은 공황장애를 위한 기독교인지행동치료 프로그램을 개발 하여, 프로그램의 효과성을 검증하는 것이다. 먼저, 공황장애에 대한 이론적 배경과 성경적 관점을 연구하였다. 이를 기반으로 공황장애 인지행동치료로 인정받고 있는 Barlow와 Craske의 MAP에 기독교 상담적 접근을 시도하여, 기독교적 변화기제 5가지를 사용한 기독교인지행동치료 프로그램을 개발하였다. 기독교적 변화기제는‘말씀기반 이완기법(Bible-Based Relaxation Therapy; BBRT)’,‘ 하나님나라관점의성경적사고’,‘ 자기대화를 주님과의 대화로 바꾸기’,‘ 하나님이미지’,‘ 동기’이다. 본 연구에서 개발한 기독교 인지행동치료 프로그램을 공황장애로 진단받은 기독교인을 대상으로 12주 동안 시행하여, 프로그램의 효과성을 검증하였다. 본 연구의 결과는 다음과 같다. 기독교인지행동치료 프로그램에 참여한 실험집단은‘공황 및 광장공포 심각도’와‘불안민감도’가 유의미하게 감소하였고‘하나님이미지’척도 중‘양육’척도가 유의미하게 증가하였다. 본 연구는 성경적 변화를 위해 5가지 기독교적 변화기제를 사용한 기독교인지행동치료 프로그램을 개발하여, 기독교 상담의 방법을 제안하였다. The purpose of this study is to develop a Christian Cognitive Behavioral Therapy Program for Panic Disorder, to verify the effectiveness of the program. To do this, the article first studied theoretical background and biblical perspective on panic disorder. Based on this, this study attempted a Christian counseling approach to Barlow and Craske’s MAP(Mastery of Your Anxiety and Panic), which is recognized as the Cognitive Behavioral Therapy for Panic Disorder, and developed a Christian Cognitive Behavioral Therapy program using five Christian change mechanisms. The Christian change mechanism used in this program is Bible-Based Relaxation Therapy(BBRT), that is, the biblical thought from the perspective of the Kingdom of God, turning self-dialogue into dialogue with the Lord, the image of God, motivation. The Christian Cognitive Behavioral Therapy program was conducted for 12 weeks for Christians diagnosed with panic disorder and the effectiveness of the program was verified. The results of this study are as follows. The experimental group who participated in the Christian Cognitive Behavior Therapy program showed a significant decrease in ‘severity of panic and agoraphobia’ scale and ‘anxiety sensitivity’ scale. As a result of the study, the Cognitive Behavioral Therapy for Panic Disorder has proven effective in Christians with panic disorder. This study developed the Cognitive Behavioral Therapy for Panic Disorder using five Christian Change Mechanisms for Bible Change, suggesting a method of Christian counseling.
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박기영 한국실천신학회 2023 신학과 실천 Vol.- No.87
This paper is aimed at studying the principles of Christian cognitive behavior therapy shown in “Proverbs” and providing data to effectively help Christian clients. The researcher began the study on the assumption that the words of encouragement and admonition found in “Proverbs” could assist in Christian cognitive behavior therapy. In the introduction, efforts were made to examine previous research on the awareness of Christian counseling which has been spreading in churches and on previous studies on Christian cognitive behavior therapy. In the main body of the text, the researcher studied the outline and themes of Proverbs, and the psychopathology shown in Proverbs, and considered the characteristics of Christian cognitive behavior therapy while comparing “traditional” cognitive behavior therapy and Christian cognitive behavior therapy. Furthermore, the researcher pointed out the limitations of the concept of cognitive distortion in cognitive behavior therapy and redefined cognitive distortion mentioned in terms of Christian cognitive behavior therapy. In other words, the researcher considered cognitive distortion in Christian cognitive behavior therapy as thoughts contaminated with sin that is hated by God, and selected seven related themes of cognitive distortion. Christian counselors should face or encourage clients using the words in “Proverbs” to refute the cognitive distortion of those clients stained with sin. For this purpose, Christian counselors should have five counseling abilities: they are spiritual wisdom, listening, emphasizing, facing and encouraging. The researcher described the effect of refutation mentioned in Christian cognitive behavior therapy as changes to thoughts, words and behaviors which please God, and specifically suggested the words of Proverbs related to this. This paper has some limitations. First, the themes of cognitive distortion are limited to those mentioned in Proverbs. Second, it doesn’t deal with how clients’ attitudes towards counseling can change their cognitive distortion. Regarding this, additional research is necessary.
KCI
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