알코올 의존증 노인의 웰다잉을 위한 모래상자치료 사례연구

김재옥(Je-Ok Kim),백현옥(Hyun-Ok Baek) 한국모래상자치료학회 2020 모래상자치료연구 Vol.10 No.1

본 연구는 알코올 의존증 노인의 웰다잉을 위한 모래상자치료 사례연구이다. 본 연구의 상담기간은 2018년 10월부터 2019년 1월까지 노인요양시설에서 의뢰되어 진행한 단일사례이며, 내담자는 알코올 의존증을 호소하는 82세의 할머니이다. 본 연구의 상담목표는 첫째, 모래상자치료는 내담자의 알코올 의존성향을 감소시킬 것인가? 둘째, 모래상자치료는 고독감과 대인관계 어려움이 있었던 노인들의 관계회복을 증진시킬 수 있는가?를 설정하였다. 본 내담자는 과거 너무 열심히 살았던 모습 회상, 고립감과 불안감 감소를 위해 알코올에 의존하게 되었다고 하였다. 습관성 알코올 의존증으로 요양시설 관계자와 찾아오는 가족들에게 공격성 및 분노행동으로 인해 대인관계가 급격히 어려워졌다고 하였다. 웰다잉 즉, 나이 듦과 죽음을 어떻게 고귀하고 존엄하게 맞이하고 준비할 수 있겠는가를 모래상자치료라는 매체를 활용하여 심리치료적인 접근을 제공하고자 하였다. 누구에게나 죽음은 피할 수 없지만 죽음을 삶의 일부분으로 숙명적으로 받아들이고 신께 의탁할 수 있을 때 보다 평안하게 지낼 수 있게 될 것이다. 이러한 관점에서 자아통합 및 대인관계 개선을 하도록 노인을 위한 프로그램으로써 모래상자치료와 같은 매체를 활용한 다양한 연구가 필요할 것이다. This study is a case study of sandtray therapy for well-dying in the elderly with alcohol dependence. The counseling period of this study was a single case requested and conducted in a nursing home for the elderly from October 2018 to January 2019, and the client was an 82-year-old grandmother complaining of alcohol dependence. The goal of this study is: First, will sandtray therapy reduce the client s alcohol dependence? Second, can the sandtray therapy improve the recovery of the relationship among the elderly who had a feeling of loneliness and interpersonal difficulties? This client said that she had become dependent on alcohol to recall her past lives too hard and to reduce feelings of isolation and anxiety. It was reported that interpersonal relations became rapidly difficult due to aggressive and anger behavior to nursing facility officials and families visiting due to habitual alcohol dependence. Well-dying, that is, how to greet and prepare for aging and death with nobility and dignity, was attempted to provide a psychotherapeutic approach using a medium called sandtray therapy. Death is inevitable for everyone, but you will be able to live more peacefully than when you can accept death as a fatal part of your life and rely on God. From this point of view, various studies using media such as sandtray therapy as a program for the elderly to improve self-integration and interpersonal relationships will be needed.

모래 상자치료를 통한 우울 아동의 개성화과정에 관한 연구

김경희 ( Kyung Hee Kim ),김재옥 ( Je Ok Kim ) 한국놀이치료학회 2013 한국놀이치료학회지(놀이치료연구) Vol.16 No.2

본 연구는 우울행동을 보이는 아동의 모래상자 치료사례 연구이다. 연구의 대상아동은 초등학교 4학년 남아로 무기력한 행동과 또래 관계 가 원 만하지 못하고 억압된 감정을 표출하지 못하여 일상 생활에서 어려움을 호소하여 K지역 O○ 소아정신과에 의뢰된 사례이다. 모래상자치료과정은 2012 년 5월 1일부터 2012년 12월 30일까지 주 1회 약 50분간 총30회기를 실시하였다 본 연구에서 사 용한 모래상자치료 분석기준은 우울척도를 통한 점수변화와 우울행동지표에 따른 변화 그리고 모래상자 안에서 개성화 과정을 분석하였다. 또한, 내담아동을 심도 있게 이해하기 위하여 모래상자 치료 전 과정의 사진 및 내용을 공동연구자와 전문가 1인이 함께 토의하면서 분석하였다. 아동의 우울 감소에 미치는 효과를 알아보기 위해 모래상자치료과정 사전·사후검사 점수변화를 보았으며 아동의 우울행동 변화를 살펴보기 위해 우울행동지표에 따른 변화를 관찰하였으며,Neumann의 자아 발달단계를 바탕으로 내담아동의 개성화 과정을 분석 정리하였다. 결과는 첫째,모래상자치료는 아동의 우울행동에서 우울점수가 감소되어 우울행동의 변화를 주었다. 둘째,모래상자치료에 서 우울 아동의 상징물 사용은 치료과정에서 대부분의 전과정에 물을 표현하므로 우울의 특성을 나타내어 치료과정에서 우울행동의 감소를 보였다. 셋째,모래상자 치료는 우울 아동의 개성화 과정에서 자아발달단계의 변화를 통해 무기력한 자아에서 역동적인 자아를 나타냈다. 결론적으로 대상아동은 모래상자치료과정을 통해 자신을 표현하고,자신과 타인을 수용하고 공격적인 행동 통제와 무기력한 행동을 감소하여 모래상자 치료가 유용한 치료도구임을 시사한다고 할 수 있다. This study presents a case of sandtray therapy for a child with depression. The subject is a fourth grade elementary school boy who acts with varying degrees of helplessness, exhibits problems with peer relationships and appears to have difficulty smoothly expressing his repressed emotions. For these reasons, his difficulties in everyday life meant that his case was, referred to the C C pediatric psychiatry in K region. The process of the sandtray therapy was conducted over a total of 30 sessions once a week for about 50 minutes from May 1, 2012 until December 30, 2012. In the study, the analytical standards of sandtray therapy were the transition by depression scale, which rated changes depending on an index of depressive behavior and his individuation process was observed while in the sandtray. In addition, in order to understand his inner state more deeply, a co-worker, discussed all photos and stages of the sandtray therapy. To find an effect of reducing the child`s depression, we considered changes to the pre-post test, observed an index of depressive behavior in order to research changes in his depressive behavior and analyzed the client`s individuation process on the basis of child developmental stage as outlined by Neumann. The results of the study were as follows. First, the sandtray therapy brought about a reduction in depression scores in the child`s depressive behavior and brought about other changes in his depressive behavior. Second, the symbols used in the depressed child during the course of sandtray therapy showed a reduction in depressive behavior in the treatment process. Third, the sandtray treatment helped the child to progress from a helpless self to a dynamic self through the changes of self-development stages from the process of the depressed child`s individualization. As a result, the subject expressed his se]f-ego appropriately in the sandtray, accepted himself and others and his aggressive and helpless behavior were both reduced. Thus, this study indicates that sandtray therapy is a significant therapeutic tool for this kind of problematic child.

낙동강 지류하천에 설치된 어도의 형식분류 및 평가

성진욱 ( Jin Uk Seong ),박정호 ( Jeong Ho Park ),김재옥 ( Jae Ok Kim ),박제철 ( Je Chul Par ) 한국하천호수학회 2013 생태와 환경 Vol.46 No.2

This study were classified the type of fishway installed on the tributary of Nakdong River, and analyze the state was to establish a management plan. As a result showed low installation ratio of fishway which includes 9,164 weirs at the 786 streams of the tributary of Nakdong River and 1,263 fishways. The type of fishway is shown as 62% for standard type and 38% for non-standard type. Assessment results of fishway condition, the ones in good condition, moderate and poor condition fishways are examined as 28%, 66%, 6%, respectively. In the past, there happened to install the fishways without discussing with fishery research institution but it is judged to install the verified fishways through powerful legal remedy and enable each community to control the fishways voluntarily through the support of government after installing the fishways.

수중보에 설치된 어도의 어류이동 연계율 평가

차순배 ( Soon Bae Cha ),성진욱 ( Jin Uk Seong ),김재옥 ( Jae Ok Kim ),박제철 ( Je Chul Park ) 한국환경과학회 2015 한국환경과학회지 Vol.24 No.2

In this study, the fish-migration ratios of rivers were analyzed, with the aim of proposing objective materials to help South Koreans to establish fish migration systems efficiently in the future. A total of 34,012 weirs have been built in the five major basins, with 5,081 fish-ways observed. Consequently, the fish migration ratio was considered low (14.9 %). According to the findings of the study analyzing the 5,081 fish-ways, standard-type fish-ways took up 68 % of the total while the non-standard types accounted for 32 %. The five major basins were observed to have a total fish-migration ratio of 21.4 %. Regarding tributaries, Tributary 1 accounted for 27.5 % of the fish-migration ratio, while Tributary 2 and 3 accounted for 19.8 % and 16.3 %, respectively. In conclusion, the study argues that any relevant field in the fishing industry of South Korea needs to improve their understanding of the fish-migration ratio. This would be expected, eventually, to help them maximize the efficiency of a minimum number of fish-ways. In addition, the study supports the need for those in relevant fields to study carefully the ecological needs of each fish species, before establishing priority standards for the building of fish-ways.