가정폭력 문제음주자의 특성분석을 통한 치료사법체계의 개선방안에 관한 연구

차진경(Cha Jin Gyung),신현주(Shin Hyun Joo) 한국공안행정학회 2012 한국공안행정학회보 Vol.21 No.2

가정폭력은 지속적으로 반복되며 점점 심화되어 가족해체 등을 가져오는 심각한 사회문제이다. 특히 가정폭력은 과도한 음주로 인한 공격적 행위나 범죄행위를 더 많이 하는 것으로 보고되고 있다. 가정폭력의 문제는 가정 내의 문제만이 아니며 우리 사회가 함께 풀어야 할 숙제이다. 특히 가정폭력과 알코올 문제를 함께 갖고 있는 문제자들과 가족들이 처한 다양한 현실을 고려하면서 만성화된 가족병 해결에 적합한 장기적인'지원과 관리'시스템이 필요하다. 보다 효과적이고 통합적인 치료사법 시스템을 위해서는 가정폭력과 음주문제를 복합적으로 가진 행위자들의 특성을 파악하는 것이 무엇보다 중요하다. 따라서 이 연구에서는 서울가정법원으로부터 의뢰된 가정폭력 문제음주자의 특성을 밝히고, 이를 통해 치료사법체계에 대한 변화의 근거를 마련하고자 정책적인 시사점을 제안하고자 하였다. 연구결과 가정폭력 문제음주자의 특성은 첫째, 낮은 자존감과 고정된 성역할 태도를 갖고 있다. 둘째, 일반적으로 가정폭력을 행하는 사람에 비해 폭력이 더 심각하다. 셋째, 폭력 전과를 갖고 있으며 자녀 세대까지 이어지는 폭력 순환의 특성을 띄고 있다. 향후 외국의'약물법정'과 같은 법적인 제도화와 치료사법체계의 발전을 기대하며 이 연구결과를 토대로 치료사법체계 개선을 위한 방안을 다음과 같이 제안한다. 첫째, 치료에 대한 동기화를 촉진시키기 위해서는 강한 법적 강제력이 필요하다. 둘째, 가정폭력 문제음주자의 요구(needs)에 맞는 다양한 서비스가 필요하다. 셋째, 수탁명령(임시조치ㆍ보호처분)을 받은 행위자에 대한 평가를 위해 다학제적인 접근과 지역사회위원회를 구성하여 문제해결을 위한 다각적인 접근이 필요하다. 마지막으로, 피해자를 포함하여 가족 구성원 전체에 대한 치료가 동반되는 가족적 접근이 필요하다. 한편, 법원 수탁명령과 관련된 일산의 H 기관 내의 전담팀의 부재로 축적된 자료가 체계적이지 못하다는 연구의 한계가 있다. 이는 법원 수탁명령과 관련된 업무가 한시적이기도 하고, 제도적 장치가 미비하기 때문이라고 보아진다. 이러한 한계에도 불구하고 연구자들은 수집된 자료를 충실하게 분석하여 가정폭력문제음주자의 특성을 밝혀내고자 노력하였다. 이러한 측면에서 이 연구는 서울가정법원에서 위탁된 문제음주자의 특성을 밝혀보는 기초 연구로써, 이후 문제음주자와 가족들을 위한 법적장치의 치료프로그램의 발전과 제도를 구축하고 법원 수탁명령 대상자를 위한 치료재활 프로그램 개발을 위한 기초자료로 유용하다고 생각한다. Domestic violence is serious, repeated continuously, and family breakdown is a serious social problem. Especially, Domestic violence caused by excessive drinking, aggressive behavior or criminal activity reported to be more. Domestic violence is not just a problem in the home, is a difficult challenge for our society together. In particular, domestic violence offenders with alcohol problems and their family facing various problems should be considered. And a long-term support and management system is required for chronic illness resolves. To understand characteristics of actors in combination with domestic violence and alcohol problem is more important for more effective and integrated justice system. Therefore, this study reveals the nature of domestic violence problem drinkers referred from Seoul Family Court. The purpose of this study is to suggest its policy implication in order to provide a basis for characteristics of domestic violence and problem drinkers to change in the treatment judicial system. As a result, characteristics of problem drinkers committing domestic violence are as follows; first, they has low self-esteem and a fixed gender roles. Second, typically domestic violence is more serious violence than those who do. Third, they have a history of violence and the cycle of violence leading up to children's. We look forward to the development of treatments judicial system and legal institutionalization such as 'drug court' in the future. To improve the domestic violence batterer treatment judicial system, this study suggests some political implication as follow. First, the strong legal force to promote treatment motivation is needed. Second, Multidisciplinary approach to problem solving is required. Third, the variety of services are required to meet the needs of problem drinkers committing domestic violence. Finally, there needs the family approach including victims and treatment of family members. On the other hand, the limits of this study is that the accumulated data did not systematical. Because there is no Task Team that associated with the court order. It is temporary work and the system is insufficient. In spite of these limitations, the researchers were working to uncover the characteristics of problem drinkers committing domestic violence analyzing gathered data faithfully. This study is basic research about characteristics of problem drinkers committing domestic violence referred to by the Seoul Family Court the Family Court. In addition, starting from this study, it is considered usefully to establish legal systems for more active and systematic interventions that can develop in problems between problem drinkers committing domestic violence and their families.

가네의 9가지 수업사태와 비디오 클립을 적용한 의사소통 훈련이 간호대학생의 의사소통 능력과 대인관계에 미치는 효과

차진경,김향하,Cha, Jin-Gyung,Kim, Hyang-Ha 경희대학교 동서간호학연구소 2017 동서간호학연구지 Vol.23 No.2

Purpose: The purpose of this study was to determine the effects of teaching communication training using $Gagn{\acute{e}}^{\prime}s$ 9 events of instruction and video clip on communication competency and interpersonal relations of nursing students. Methods: The participants were 79 nursing students (41 in the intervention group, 38 in the control group). A nonequivalent control group design was used. The research was carried out from September 7 to November 20, 2015. Teaching communication skills using $Gagn{\acute{e}}^{\prime}s$ 9 events of instruction and video clip were provided to the intervention group 180 minutes/session once a week for 9 weeks. Data were analyzed using chi-square test, independent t-test and ANCOVA with SPSS/PC version 21.0. Results: The intervention group reported significantly higher scores of communication competency(F=8.41, p=.005) and interpersonal relations(F=8.97 p=.004) compared to those of the control group at the completion of the intervention. Conclusion: The findings of this study show that $Gagn{\acute{e}}^{\prime}s$ 9 events of instruction and video clip is an effective communication training for improving communication competency and interpersonal relations in nursing students. A randomized clinical trial is needed to confirm the value of communication training using $Gagn{\acute{e}}^{\prime}s$ 9 events of instruction and video clip for nursing students.

The effect of forest-based trauma stress management program on job stress, PTSD, resilience, mental health, and salivary cortisol for firefighters

Jin-Gyung Cha(차진경),Young-Mee Lee(이영미) 한국산학기술학회 2022 한국산학기술학회논문지 Vol.23 No.1

성인아이 특성이 있는 알코올중독자의 산림치유 프로그램 참여 경험

차진경(Cha, Jin-Gyung),김성재(Kim, Sungjae),천덕희(Chun, Duk-Hee) 한국산림휴양복지학회 2016 한국산림휴양학회지 Vol.20 No.4

본 연구는 23명의 성인아이(Adult Children of Alcoholics, ACoA) 특성이 있는 알코올중독자를 대상으로 산림치유 프로그램 참여를 통한 변화경험을 탐색하였다. ‘산림치유 프로그램에 참여한 경험은 어떠한가’ 라는 연구질문을 가지고 포커스그룹 면담을 실시하였으며, 주제내용분석 방법을 이용하여 수집된 자료를 분석하였다. 분석결과 3개의 주제와 10개의 하위주제들이 도출되었다. 제 1주제는 ‘연민으로 자기 내면을 성찰함’으로서 이는 숲이 지닌 다양한 모습을 통해 자신의 상처와 문제를 알아차리게 되었음을 의미한다. 제 2주제는 ‘숲의 에너지와 공명하며 소통함’으로 도출되었는데, 이는 오감각이 확장되면서 숲에서 자신의 마음에 귀를 기울이고 마음의 충족감을 경험하였음을 드러내준다. 제 3주제는 ‘자기치유를 통해 변화 되어감’으로서 마음이 치유되는 경험과 자신이 소중한 존재임을 알고 스스로 회복하고자 하는 의지를 가지게 됨을 표현한 것이다. 연구결과 성인아이 특성이 있는 알코올중독자들에게 산림치유 프로그램은 명상과 자아성찰을 용이하게 함으로써 스스로를 수용하고, 마음의 상처를 회복하며 미래를 긍정적으로 변화시키려는 의지를 만드는 계기가 되었음을 알 수 있었다. This study tried to examine how alcoholics with ACoA (Adult Children of Alcoholics) characteristics experienced restoration through a forest healing program. Focus group interviews were carried out under the question ‘what have you experienced in the forest healing program?’ with 23 alcoholics who met the DSM-5 alcoholic diagnostics. Their forest experiences were analyzed using thematic content analysis. Three themes and ten-subthemes were emerged. The first theme was the course in which the participants began to reflect on a life as alcoholics with ACoA characteristics in the forest and started ‘reflecting on one’s Inner side with compassion.’ The second theme appeared as ‘communication in resonance with the forest energy’ that the participants experienced in the course of the forest healing program. The third theme was drawn as ‘progressing to change through self-healing’ “The forest healing program” has advantages in that it is easy to perform techniques like meditation by using natural objects and that it can alleviate defense mechanisms of participants by inducing unaffected dialogues in order for the participants to look back on themselves in a comfortable condition. Based on the results so far, we can tell that the alcoholics with ACoA characteristics participated in the forest healing program to experience emotional changes through their reflection of their own inner side and interaction with the forest and had an opportunity to pursue growth and change.

지역사회 정신보건 재활간호 사업이 만성정신질환자의 자기돌봄 활동에 미치는 영향

유숙자,이광자,애정희,차진경 대한간호학회정신간호학회 1997 정신간호학회지 Vol.6 No.2

This study was carried out in order to know the level of self-care behavior of chronic mental patients who live in their community and take whether the programme is able to affect on the self-care behavior, after mental health nursing progrmme. The period of the study is from August in 1996 to August in 1997. The object of the study is 26 mental disorder patients who have been cared by Seung Buk Gu public health center participated in this study. The tool of this study was selected 46 questions which are adequate to mental disorder patients and was developed a self-care measurement and references by Sook-Ja Yoo(1991). The community mental health nursing rehabilitation programme has centered on the Seung Buk Gu public health center that a nurses for mental health rehabilitation and mental health nursing scholars forcused on mental disorder patients at their home. The programme required a client's meeting 5 times a week and family counsellor once a week. The client's meeting involved daily life training, occupational therapy, working therapy, music therapy, art therapy, group therapy, recration and exercise. The family counsellor involved recognizing of family's need, symptoms and medicine management for their patient's and support of families and patients. At the begining of the programme, the level of self-care behavior of the mental disorder patients had been taken. After 6 months, the level of self-care behavior had been taken. Also after the 6 month's progrmme, the level of self-care behavior was taken again. The level of self-care behavior of the patients presented that fields of dressing, safety, individual hygiene and eating had no problem to the patients, however the patients have difficulty in the field of leisure life and social life. Therefore it is known that the level of self-care behavior in mental disorder patients is more less in the community than at home for leisure life and social life. After programme, the change of self-care behavior was shown differenty the mean value 2.48 at the first period and 2.75(t=-3.24, p=.003) at the second period. The second of self-care behavior was measured and the third of self-care behavior was measured at the 6 months after. The second and third measurement were not shown differently but was shown a few addition. The first and third measurement were shown differently(t=-4.11, p=.000). Finally, a comparison of the relationship of at the first, second and third self-care behavior degree(M=2.92) was shown differently(F=5.346, p=.007), especially the third measurement was shown as expressed "I do frequently" on all scope except leisure life, household affairs life and social application scope. Conclusively, the community mental health nursing rehabilitation programme had effect on self-care behavior of the chronic mental disorder patients and further programme will be consider on liesure lfie.