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이진복(Lee Jin book),장명(Jang Myoung),김혜림(Kim Hye rim) 전북대학교 교육문제연구소 2015 교육문제연구 Vol.21 No.2
There are many youths complaining about how tough life is. This toughness also applied to teachers, students and even parents. Gadamer’s hermeneutics has an important counseling philosophic significance that understands and counsels people who live very tough lives. This research study analyzes the core concepts of Gadamer’s hermeneutics and examines that counseling philosophical meaning it takes on. Gadamer’s hermeneutics were analyzed using the concepts of prejudice, influential history, hermeneutic cycling, and prospect convergence counseling. In summary prejudice is the position before judging with reason. Influential history includes the events, situations, history and traditions etc. that form prejudices. Hermeneutic cycling will help the culture of conversing settle. The counselor and the counselee can reenact their lives with the conversation that is prejudice and influential history, and the medium that is language. Through this process both parties can achieve prospect convergence counseling to reach an even deeper understanding. 요즘 많은 청소년들은 삶이 힘들다고 호소하고 있다. 이런 힘듦은 교사와 학생, 학부모들에게도 해당된다. 가다머의 해석학은 매우 힘든 삶을 살아가는 사람들을 이해하고 상담하는 중요한 상담 철학적 의의를 지닌다. 본 연구는 가다머의 해석학적 주요개념을 분석하고 그것이 어떤 상담철학적 의미를 갖게 되는가를 알아보도록 한다. 가다머의 해석학적 특징으로는 선입관, 영향사, 해석학적 순환, 그리고 지평융합이라는 개념을 분석하였다. 요약하면 선입관은 이성으로 판단하기 전에 입장을 말한다. 영향사는 선입관을 형성한 사건, 상황, 역사, 전통 등을 말한다. 해석학적 순환은 대화하는 문화를 정착시키도록 도울 것이다. 상담자와 내담자가 자신의 선입관과 영향사를 대화라는 구조와 언어라는 매개체로 다시 삶을 재현해낼 수 있다. 또 양자는 이와 같은 과정을 통해서 상호간의 지평융합을 달성하여 심층적인 이해에 도달하게 된다.
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정원규(Weon Kuu Chung),김수곤(Soo Kon Kim),김민철(Min Chul Kim),장명(Myoung Jang),문성록(Sun Rock Moon) 대한방사선종양학회 1995 Radiation Oncology Journal Vol.13 No.3
Purpose : To analyse clinical outcome and prognostic factors according to treatment modality, this paper report out experience of retrospective study of patients with esopahgeal cancer. Materials and Methods : One hundred and ten patients with primary esopahgeal cancer who were treated in Presbyterian Medical Center from May 1985 to December 1992. We analysed these patients retrospectively with median follow up time of 28 months, one hundred and four patients(95%) were followed up from 15 to 69 months. In methods, twenty-eight patients were treated with median radiation dose irradiated 54.3Gy only. Fifty-sex patients were treated with combined chemoradiothearpy. Sixteen cases of these patients were treated with concurrent chemoradiation and the other patients(forty cases) were treated sequential chemoradiotherapy. In concurrent chemoradiotherapy group, patients received 5-FU continuous Ⅳ infusion for 4 days. Cisplatin Ⅳ bolus, and concurrent esophageal irradiation to 30 Gy. After that patients received 5-FU continuous Ⅳ. Cisplatin bolus injection and Mitomycin-C bolus Ⅳ. Bleomycin continuous Ⅳ, and irradiation to 20 Gy. In sequential chemoradiotherapy group, the chmotherapy consisted of 5-FU 1,000mg/m² administred as a continuous 24 hour intravenous infusion during five days and Cisplatin 80-100mg/m² bolus injected, or Bleomycin. Vinblastine, Cisplatin, Methotrexate were used of 1 or 2 cycles. After preoperative concurrent chemoradiation, twenty-six patients underwent radical esopagectomy. Results : Ninety-three patients could be examined for response assessment. By treatment modality, response rates were 85.1% for radiation alone group and 86.3% for combined chemoradaition group. But in operation group, after one cycle of concurrent chemoradiation treatment, response rate was 61.9%. The pathologic complete response were 15.4% in peration group. Overall median survival was 11 months and actuarial 5-year survival rate was 8%. The median survival interval was 6 months for radiation alone group. 11 months for combined chemoradiation group and 19 months for operation group. And also median survival was 19 months for complete responder group that 8 months for noncomplete responder group. In univariative analysis, statistically significant prognostic factors were tumor size, clinical stage, tumor response, and operation. In multivariative analysis, significantly better survival was associated with clinical stage, tumor response, radiation dose, and operation. Conclusion : Compared with radiotherapy alone, combined multimodality may imporve the median survival in patients with localized carcinoma of the esopahgus and toxicity is acceptable.
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