통합적 집단미술치료가 가정폭력 피해여성의 우울, 자아존중감 및 자기표현에 미치는 효과

다국어 초록 (Multilingual Abstract)

The purpose of this study is to verify the effects of integrated group art therapy on depression, self-esteem and self-reference of female domestic violence victims. The integrated group art therapy(IGAT) is a group art therapy which integrates psycho-dynamic therapy and cognitive behavioral therapy.
Specified study aims of this study are as follows : 1) What were the effects of IGAT on depression of female domestic violence victims? 2) What were the effects of IGAT on self-esteem of female domestic violence victims? 3) What were the effects of IGAT on self-reference of female domestic violence victims? 4) What were the effects of IGAT in terms of personal change of female domestic violence victims?
The subjects are 20 female domestic violence victims who were cared in shelter located in a Kyoungki Province. 10 subjects were randomly alloted in experimental group and 10 subjects were randomly alloted in controlled group. The experimental group received IGAT(Integrated Group Art Therapy) of 15sessions carried out for 2 hours, twice a week. The controlled group didn't receive any treatment.
All subjects of each group completed BDI(Beck Depression Inventory) and SEI(Self-Esteem Inventory) before IGAT and after IGAT. The scores of each test were calculated and they were verified by two way ANOVA. The experimental group also completed K-HTP(Kinetic-House Tree Person) before IGAT and after IGAT. Two sets of the drawings were qualitatively compared for each member of experimental group.
All expressions of experimental group members during 15 sessions were recoded and transcribed, which were analyzed for each person according to Jung, Bang-Ja's Self-reference Category System.
The results of this study are as follows : 1) IGAT decreased whole depression and each of 4 sub-categories of depression. 2) IGAT increased whole self-esteem and each of 3 sub-categories of self-respect. 3) Negative self-reference in the begging stage were changed to positive ones. Positive self-reference increased remarkably in the middle stage and negative ones decreased in the final stage. 4) All members of experimental group showed statistically significant positive change in all 3 dimensions of depression, self-esteem and self-reference. They also showed qualitatively positive change in comparison of pre- and post K-HTP.
This study verified that IGAT are effective in decreasing depression, increasing self-esteem and positively changing self-reference of female domestic violence victims.
Suggestions for further study are as follows : 1) 'Integrated art therapy' of this study is a mixed art therapy which applies both psycho-dynamic therapy and cognitive-behavioral therapy. As such therapies are rare, this writer couldn't compare with other studies. More integrated therapies which integrate various theories and strategies in consideration of important variables of treatment programs and subjects should be developed and tested. 2) In spite of the subjects' unique situation in 'shelter', further treatment and evaluation needs to be implemented in order to gain more meaningful results. 3) Even though 3 evaluators' analysis of the subjects' expressions showed relatively high correlation (.72～.88), results with higher validity could be gained, if evaluators would discuss their categories and agree to final outputs of analysis.

국문 초록 (Abstract)

본 연구의 제한점을 논의하면서 이를 토대로 후속 연구를 위한 제언을 하고자 한다.
첫째, 본 연구의 통합적 미술치료는 정신역동적 치료이론과 인지행동적 치료이론을 통합한 것이다. 그러나 서로 다른 이론을 통합하여 적용한 미술치료 연구가 거의 없는 실정이어서, 본 연구의 통합적 집단미술치료를 비교하여 연구할 수 없었다. 앞으로 가정폭력 피해여성들의 심리적 · 정서적 외상의 극복과 효과적인 치료를 위해 다양한 심리치료 이론과 기법들을 통합한 미술치료기법들이 연구 · 개발되어야 할 것이다.
둘째, 가정폭력 피해여성들이 쉼터에 일정기간 동안 머물러 있다가 퇴소하는 특수한 환경 속에 있지만, 추수지도와 사후 평가를 실시한다면 보다 의미있는 결과를 얻을 수 있을 것이다.

목차 (Table of Contents)

• Ⅰ. 서 론 = 1
• 1. 연구의 필요성 = 1
• 2. 연구문제 = 5
• 3. 용어정의 = 6
• Ⅱ. 이론적 배경 = 9
• 1. 가정폭력 피해여성의 심리사회적 특성 = 9
• 2. 가정폭력 피해여성의 이해와 이론적 접근 = 18
• 3. 통합적 집단미술치료 = 21
• Ⅲ. 연구방법 = 30
• 1. 연구대상 = 30
• 2. 연구절차 = 30
• 3. 측정도구 = 31
• 4. 통합적 집단미술치료 = 33
• 5. 자료처리 = 37
• Ⅳ. 결과 = 39
• 1. 가정폭력 피해여성 집단의 우울 변화 = 39
• 2. 가정폭력 피해여성 집단의 자아존중감 변화 = 40
• 3. 가정폭력 피해여성 집단의 자기표현 변화 = 42
• 4. 가정폭력 피해여성 개인의 변화 = 49
• Ⅴ. 논의 = 71
• 1. 가정폭력 피해여성 집단의 우울 변화 = 71
• 2. 가정폭력 피해여성 집단의 자아존중감 변화 = 73
• 3. 가정폭력 피해여성 집단의 자기표현 변화 = 74
• 4. 가정폭력 피해여성 개인의 변화 = 76
• Ⅵ. 결론 및 제언 = 78
• 1. 결론 = 78
• 2. 제언 = 79
• 참고문헌 = 80
• 영문초록 = 90
• 부 록 = 92
• 1 우울검사(BDI) = 92
• 2 자아존중감검사(SEI) = 95
• 3 자기표현 분류척도 = 97
• 4 집단미술치료 과정 = 98
• 5 집단미술치료 평가서 = 109
• 6 개인별 그림자료 = 110