정신보건사회복지사 수련생의 사이코드라마 경험 연구

하태선,박우진 한국인간복지실천학회 2012 한국인간복지실천연구 Vol.9 No.-

본 연구는 정신보건사회복지사들이 정신보건사회복지사 수련과정에서 겪는 어려움을 사이코드라마 경험을 통해 알아보고, 사이코드라마 참여를 통해 치료의 경험을 질적 사례연구로 분석하는 것이 목적이다. 2012년 10월 28일에 사이코드라마 워크숍에 참여한 정신보건사회복지사 수련생 16명과 드라마 주인공으로 참여한 2명을 대상으로 분석하였다. 분석 결과 총 2개의 상위범주와 7개의 하위범주로 나타났다. 수련생으로 힘들었던 경험의 하위 범주에는 업무과다, 경제적인 어려움, 수퍼바이저로부터의 모욕으로 나타났으며, 사이코드라마 과정의 치료 경험의 하위범주에는 역할 교대를 통한 상호이해, 가상 현실 구성, 현실 극복 경험으로 나타났다. 본 연구결과를 토대로 첫째, 기존의 정신보건사회복지사 수련제도에 있어서 수련기관에서 겪는 수련생 환경에 대한 수정 및 검토가 필요하다. 둘째, 수련생들을 위한 처우 개선이 필요하다. 셋째, 정신보건사회복지사 1급 수퍼바이저의 자질 향상을 위한 인성교육과 질 관리가 필요하다. This study was qualitative case study that aims to explored the difficulty experience a mental health social workers trainees in the training process by Psychodrama and to analysis the experience of treatment in participation Psychodrama. In order to conduct this study, 16 member in mental health social workers trainees course practice 2 sessions of Psychodrama. The results were a total of two top seven categories and sub-categories. First, the difficult experience as a trainees are as followed. 1) work overload 2) financial difficulties 3) an insult supervisor. Second, the experience of treatment in participation Psychodrama are as followed. 1) mutual understanding through role reversal 2) configuring the virtual reality 3) overcoming experience of the reality. Based on the results of this study, the following suggestions could be made. First, it is necessary to review the existing mental health social worker training course. Second, it is necessary to improve mental health social worker trainees. Third, it is required the quality of character and quality management of mental health social worker supervisors.

소년범죄 피해자 및 가해자의 관계회복 경험에 관한 사례연구 -서울가정법원 화해권고제도 참여학생을 중심으로-

하태선,배임호 한국학교사회복지학회 2014 학교사회복지 Vol.- No.28

This study was a multiple case study that explored the restoration experiences of juvenile victims and offenders who participated in the reconciliation recommendation system. The study conducted in-depth interviews and follow-up analyses for five victim students and five offender students. The primary results found in this study were as below. First, it is shown that both victim students and offender students had experienced negative consequences produced by the crimes. After their participation in the reconciliation recommendation system, they had raised expectations that the cases could be resolved well. In the dialogue process, participants started to understand each other while listening to their positions and thus felt relieved when the cases were terminated through a consensus of damage claims despite some dissatisfaction. Second, the factors that affected the relational recovery between victims and offenders could be divided into both positive and negative factors. Based on the findings of this research, the following suggestions could be made. First, it is important to provide support to normalize the damaged relationships between the victims and offenders, and to develop and distribute re-integrative programs for them. Second, in order to solve school violence and prevent juvenile delinquencies, it is necessary to develop conflict intervention programs that can resolve the conflicts through dialogue. Third, to maintain the sustainability of the reconciliation recommendation system, various elements should be supplemented, such as its publicity, design of a relationship recovery-centered dialogue process, victims and offenders’active participation, follow-up services, and professional education and training of the committee members of the reconciliation recommendation system. 본 연구는 소년범죄 피해학생 및 가해학생을 대상으로 화해권고제도에 참여하여 관계회복의 경험을 파악하기 위해 피해학생 5명과 가해학생 5명을 심층 면접하여 분석한 다중 사례연구이다. 본 연구의 주요결과로 첫째로, 피해학생들과 가해학생들 모두가 범죄사건으로 인한 부정적인 영향들을 경험한 것으로 나타났고, 그들이 화해권고제도에 참여한 후에는 자신들의 사건처리가 잘 마무리될 것을 기대하게 되었다. 뿐 만 아니라 상호 대화하는 과정에서 피해자와 가해자들은 상대방의 입장을 이해하게 되었고 자신들의 사건이 다소 불만스러운 점이 있었지만 손해배상의 합의를 통하여 해결되었을 때 안도감을 갖게 되었다. 둘째로 피해자와 가해자의 관계회복에 영향을 미친 요인은 긍정적인 요인과 부정적인 요인으로 나주어졌다. 본 연구의 결과들에 따라 몇 가지 시사점들을 제안하면, 먼저 피해자와 가해자의 손상된 관계를 정상화할 수 있는 지원이 절실하며 저들을 재통합할 수 있는 프로그램들을 개발하고 보급하는 것이 중요하다. 둘째로, 학교폭력을 해결하고 청소년비행을 예방하기 위해서는 대화를 통하여 갈등을 해결할 수 있는 개입 프로그램을 개발하는 것이 요청된다. 셋째로, 화해권고제도가 지속적으로 발전되기 위해서는 다양한 요소들, 예를 들어 홍보의 강화, 관계회복에 중점을 둔 대화절차, 피해자와 가해자의 적극적인 참여유도, 사후처리, 그리고 화해권고위원들을 위한 전문적인 교육훈련이 보완되어져야 한다.

농촌 지역사회복지를 위한 탐색적 연구

하태선 아신대학교 ACTS 신학연구소 2023 ACTS 신학저널 Vol.58 No.-

본 논문은 양평군 농촌 지역사회복지에 참여하고 있는 실무자들을 대상으로 FGI를 실시하여 그들이 경험하는 가장 시급한 농촌 지역사회의문제가 무엇이며 개선방안을 탐색함으로써 양평군 지역사회복지 실천을위한 방향을 제시하고자 한다. 본 연구 결과를 토대로 양평군 지역사회복지 실천을 위한 방안을 제시하면 다음과 같다. 첫째, 취약계층의 의료·복지서비스 접근성 향상을 위한 복지서비스의 통합과 지역거점 복지관의 확충이 필요하다. 둘째, 지역주민들의 응급치료와 양질의 의료서비스를 제공받기 위해 의료서비스 개선이 필요하다. 셋째, 젊은 인구의 유입과 정착을 위한 양질의 일자리 창출과 지역 특성을 반영한 신산업 개발이 필요하다. 넷째, 복지 사각지대를 개선하기 위해 대상자 선정 기준 완화와 민관 협력체계가 마련되어야 한다. 다섯째, 양평형 노인 돌봄 주택 확충이 필요하다. This propose of this study is to a direction for practicing rural community welfare by conducting FGI for practitioners participating in rural community welfare in Yangpyeong-gun and exploring what is the most urgent rural problems they experience are and improvement strategy. Based on the results of this study, the following are suggestions for rural community welfare. First, it is necessary to make integrated welfare center and regional base welfare center. and it is to improve access to medical and welfare services for the client. Second, it is necessary to establish medical care services to provide emergency treatment and high-quality medical services to local residents. Third, it is necessary to create high quality jobs for the influx and settlement of young populations and to develop new industries that reflect regional characteristics. Fourth, in order to protect welfare blind spots, the client selection criteria should be relaxed and should be established a public-private partnership system. Fifth, it is necessary to prepare Yangpyeong-type elderly care homes.

Ginseng Total Saponin Attenuates Podocyte Apoptosis Induced by Diabetic Conditions Through the Recovery of CD2-Associated Protein

하태선,하동수 한국식품영양과학회 2019 Journal of medicinal food Vol.22 No.2

CD2-associated protein (CD2AP), an adaptor protein, plays several important roles in podocyte function, linking slit diaphragms to actin-based cytoskeleton and sending survival signals. Here, we investigated whether ginseng total saponin (GTS) had a protective role in the changes of podocyte CD2AP protein and podocyte apoptosis under in vitro diabetic conditions. Conditionally immortalized mouse podocytes cultured with normal glucose (5 mM) or high glucose (30 mM) and with or without advanced glycosylation end products were treated with GTS. We found that CD2AP co-localized with the F-actin fibers in podocyte cytoplasm using confocal imaging; however, diabetic conditions caused the podocytes to diminish and conglomerate CD2AP stainings in the peripheral cytoplasm, which were recovered by GTS. Diabetic conditions also suppressed CD2AP protein levels at 6 and 24 h in western blotting. These phenotypical changes of CD2AP protein were mitigated by GTS. Diabetic conditions also induced podocyte apoptosis at 24 h, which were attenuated by GTS. These findings provide a novel mechanism that diabetic conditions induce quantitative and qualitative changes of podocyte CD2AP protein and apoptosis, which would be restored by GTS.

Angiotensin II Modulates p130Cas of Podocytes by the Suppression of AMP-Activated Protein Kinase

하태선,박혜영,성수빈,안희열 대한의학회 2016 Journal of Korean medical science Vol.31 No.4

Angiotensin II (Ang II) induces the pathological process of vascular structures, including renal glomeruli by hemodynamic and nonhemodynamic direct effects. In kidneys, Ang II plays an important role in the development of proteinuria by the modification of podocyte molecules. We have previously found that Ang II suppressed podocyte AMP-activated protein kinase (AMPK) via Ang II type 1 receptor and MAPK signaling pathway. In the present study, we investigated the roles of AMPK on the changes of p130Cas of podocyte by Ang II. We cultured mouse podocytes and treated them with various concentrations of Ang II and AMPK-modulating agents and analyzed the changes of p130Cas by confocal imaging and western blotting. In immunofluorescence study, Ang II decreased the intensity of p130Cas and changed its localization from peripheral cytoplasm into perinuclear areas in a concentrated pattern in podocytes. Ang II also reduced the amount of p130Cas in time and dose-sensitive manners. AMPK activators, metformin and AICAR, restored the suppressed and mal-localized p130Cas significantly, whereas, compound C, an AMPK inhibitor, further aggravated the changes of p130Cas. Losartan, an Ang II type 1 receptor antagonist, recovered the abnormal changes of p130Cas suppressed by Ang II. These results suggest that Ang II induces the relocalization and suppression of podocyte p130Cas by the suppression of AMPK via Ang II type 1 receptor, which would contribute to Ang II-induced podocyte injury.

Role of Podocyte AMP Kinase

하태선 충북대학교 동물의학연구소 2011 Journal of Biomedical and Translational Research Vol.12 No.3

AMP-activated protein kinase (AMPK), as a sensor of cellular energy status, has been known to play an important role in the pathophysiology of diabetes and its complications. As AMPK is also expressed in podocytes, it is possible that podocyte AMPK would be an important contributing factor in the development of proteinuria. In recent years, although interest regarding AMPK in the kidney has intensified, the studies on the role of AMPK in podocytes are limited. In this review, I will discuss the roles of AMPK in podocytes, which may involve in the development of podocyte dysfunction and proteinuria, and the possibility of AMPK-modulating drugs in the prevention and treatment of podocytopathy.

소년범죄 사건 이후 피해소년 및 가해소년의 경험에 관한 사례연구

하태선,배임호 한국소년정책학회 2015 少年保護硏究 Vol.28 No.1

This study was a multiple case study that explored theexperiences of juvenile victims and offenders. The studyconducted in-depth interviews and follow-up analyses for fivevictims and five offenders. According to the primary resultsfound in this study, the experiences of juvenile offenders andvictims during the conflict resolving process following the crimecould be classified into the experience of victimization, attitudestoward each other, and the failure to the conflict resolvingprocess on their own. Based on the findings above, the following suggestions couldbe made. First, for juvenile victims and offenders both, thus, itis necessary to make multi-lateral efforts to reduce the negativeinfluences caused by them. Second, it is important to providesupport to normalize the damaged relationships between thejuvenile victims and offenders, and to develop and distributere-integrative programs on the basis of newly adopted juvenilejustice system. For this purposes it is suggested that variousprograms based on restorative justice in the juvenile justicesystem is carefully examined and executed.

ACTS 신학·신앙운동으로서의 기독교사회복지실천의 방향

하태선 아신대학교 ACTS 신학연구소 2023 ACTS 신학저널 Vol.55 No.-

The purpose of this study is to understanding the the theological synoptic movement as an ACTS theology-faith movement and to explore the future direction of Christian social welfare practice based on the central Christian truth. First, The Christian social welfare practice of ACTS should be a practice to restore the image of God. Second, The Christian social welfare practice of ACTS can be realized in the redemption of spirit and body through Jesus Christ based on the redemptive work of Jesus Christ. Third, Christian social welfare practice of ACTS should be a practice for world evangelization. Therefore, the Christian social welfare practice of ACTS must practice God’s love for human beings through concrete care and to solve social problems broken by sin, and ultimately pursue welfare that is realized only through the redemption of Jesus Christ. 본 논문은 ACTS 신학·신앙운동으로 신학공관 운동을 이해하고, ACTS가 지향하는 기독교 중심진리 내용을 고찰한 후, 기독교의 중심진리에 근거한 기독교사회복지실천의 나아갈 방향을 모색하기 위한 연구이다. ACTS의 기독교사회복지실천이 나아가야 할 방향을 정리하면 다음과 같다. 첫째, ACTS의 기독교사회복지실천은 하나님의 형상을 회복하기 위한 실천이 되어야 한다. 둘째, ACTS의 기독교사회복지실천은 예수그리스도의 구속사역에 기반하여 예수그리스도를 통한 영과 육의 구속에서 실현될 수 있다. 셋째, ACTS의 기독교사회복지실천은 세계복음화를위한 실천이 되어야 한다. 따라서 ACTS의 기독교사회복지실천은 인간을 향한 하나님의 사랑이 구체적인 돌봄과 실천으로 구현되어야 하며, 죄로인해 깨어진 사회문제를 해결하고, 궁극적으로 예수그리스도의 구속으로만 실현되는 복지를 추구해야 할 것이다.

교정시설에 수용 중인 성범죄자의 가족관계 실태와 가족지원 방안 연구

하태선 한국교정학회 2017 矯正硏究 Vol.- No.74

이 연구의 목적은 성범죄자의 교정시설 수용 이후 가족관계 실태를 알아보고, 성범죄자 집단별 가족관계 정도와 가족지원 욕구를 파악함으로써 효과적인 가족지원방안을 모색하고자 하는 연구이다. 교정시설 수감 중인 성범죄자들을 대상으로 설문조사를 실시하여 성범죄 발생 이후 가족과의 관계 실태와 집단별 가족관계 정도를 분석하였다. 본 연구결과에 의하면 성범죄자들은 성범죄 발생 이후 가족과의 연락을 자주 못하며, 이혼과 같은 가족해체를 경험했다. 또한 성범죄자 가족들은 정신적 충격, 경제적 어려움 등의 피해를 호소하고 있었다. 따라서 성범죄자들의 가족관계 강화를 위해 교정시설 내에서 가족 간의 접촉 기회를 늘리고, 편안한 분위기에서 가족들이 면담할 수 있는 공간을 마련해 주어야 한다. 부모교육과 부부관계 개선을 위한 프로그램을 진행하고, 성범죄자들의 개별 상황에 맞춘 가족지원 프로그램이 강화되어야 한다. 지역사회 민간기관 및 전문가들과 연계하여 다양한 치료 프로그램이 실시될 수 있도록 교정현장의 개방화가 이루어져야 한다. The purpose of the study is to investigate the changes in family relationships after sex offender 's entry into the correctional facilities and is to find effective ways of family support. Family relationship and support are important factors of the adaptation of the offenders to the correctional facilities and social adaptation after release. The entrance of a offender into a correctional facility causes a break with the family. The family takes charge of the prisoner's support and the burden of family economical problems and child care. However, support for prisoners in correctional facility is insufficient. So the family conflicts occur and sometimes is disbanded. In particular, sex offenders experience difficulties in getting social support due to the social bias of 'sex offender'. According to the results of this study, sex offenders do not communicate well with family members. and experience family dismissal such as divorce. Family members of sex offenders were suffering from psychological shocks and economic difficulties. Therefore, it is necessary to increase opportunities for contact with family members in correctional facilities in order to strengthen the family relations of sex offenders. It should provide a space where the family can meet in a comfortable environment and conduct parent education and marriage relationship improvement programs. And the family support program fitted to the individual circumstances of sex offenders. The correctional facility must be open and various treatment programs should be implemented. It should be connected with the local civic organizations and experts.

Angiotensin II induces endoplasmic reticulum stress in podocyte, which would be further augmented by PI3-kinase inhibition

하태선,박혜영,성수빈,안희열 대한고혈압학회 2015 Clinical Hypertension Vol.21 No.12

Introduction: Angiotensin II (Ang II) contributes to the pathological process of vascular structures, including renal glomeruli by hemodynamic and nonhemodynamic direct effects. On renal effects, Ang II plays an important role in the development of proteinuria and glomerulosclerosis by the modification of podocyte molecules and cell survival. In the present study, we investigated the effect of Ang II on endoplasmic reticulum (ER) stress in podocytes. Methods: We cultured mouse podocytes with increasing doses of Ang II and evaluated ER stress markers by Western blotting. Results: Ang II increased Bip protein, an ER chaperone, in a dose-dependent manner at 24 h, which was ameliorated by losartan, an angiotensin II type 1 receptor antagonist. Ang II also increased ER stress markers, such as phospho-PERK, phospho-eIF2α, and ATF4 proteins of podocyte, significantly in a dose-dependent manner at 24 h. Increased phospho-PERK and ATF4 proteins were further augmented by phosphoinositide 3 (PI3)-kinase inhibitor, LY294002, which suggested that Ang II could induce podocyte ER stress of PERK-eIF2α-ATF4 axis via PI3-kinase pathway. Discussion: These studies suggest that Ang II could induce podocyte ER stress of PERK-eIF2α-ATF4 axis via PI3-kinase pathway, which would contribute to the development of podocyte injury induced by Ang II, and the augmentation of PI3-kinase would be a therapeutic target.