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      • KCI등재후보

        경계선 성격구조의 대상관계와 종교경험: 사례연구

        이해리 ( Harriot Lee ) 한국목회상담학회 2012 목회와 상담 Vol.18 No.-

        Christian clients oftentimes experience anxiety and confusion with strong ambivalence about God. This study explores the object relations and religious experiences of Borderline personality structure. The main focus was on the psychodynamics of the early object interactions of Borderline clients and their effects on self/object representations and religious experiences including God representation. For this purpose, Psychoanalytic Object Relations Theories on Borderline personality disorder were reviewed and a case study was performed as well. The case study aimed 1) to understand the inner process involved in creating one`s own private God, that is how it develops and how it is distorted or fixed by one`s object relations in one`s developmental pathways 2) to examine how the individual interacts with her private God and uses this God representation during crises. Implications for therapeutic relationship and pastoral care with Borderline clients were discussed.

      • KCI등재후보

        부적치료반응: 오래된 역설, 새로운 희망

        이해리 ( Ha Rriot Lee ) 한국목회상담학회 2014 목회와 상담 Vol.22 No.-

        Why do some clients react adversely to the progress of therapy and get ``worse`` instead of ``better``? This puzzling paradox is called‘negative therapeutic reaction``, the phenomenon of improvement followed by deterioration of a client``s psychological or symptomatic condition, apparently in response to the therapist``s interventions. This paper explores the possible unconscious origins of negative therapeutic reaction. Unconscious guilt, envy, pathological narcissism, painful attachment to the bad object, craving for or fear of fusion, masochism, inability to communicate and psychotic retreat are the major origins. Clinical vignettes illustrate the underlying complexities of the possible origins. Since negative therapeutic reaction is as much challenging as perplexing to therapists, therapy oftentimes drops or becomes unterminable. Treatment suggestions from the perspective of classical psychoanalytic approach are focused mainly on the interpretation of the client``s unconscious destructive fantasies. Neutrality and patience of the therapist is key to help client reach deeper insight. On the other hand, psychoanalytic approaches that emphasize the inter-subjectivity between the client and therapist focus on the therapeutic relationship. Considering that every failure in the treatment is interactive and can be a reenactment of the unconsciously internalized relationship, therapist should keep on watching his/her counter-transference. Also negative therapeutic reaction can be perceived not as a failure but as a process of the treatment. Furthermore, the recent development in modern psychoanalysis allows us to see negative therapeutic reaction as another chance. The perspective is changing from client``s intra-psychological response to inter-subjective one, from the one that destroys therapy to the one that is constructive and needs to be communicated, from the one that can be explained and interpreted by language to the ``unspeakable`` one that the therapist should contact and experience in him/her. This new perspective enables the therapist to continue to be in contact with client even in the middle of therapeutic impasse. It also helps the therapist to use negative therapeutic reaction creatively so that it could be a way to communicate and understand client``s entangled inner world rather than a therapeutic crisis. Some more ideas on therapeutic implications and faith are discussed drawing mainly on Wilfred Bion``s work to deepen the thoughts on this issue.

      • KCI등재
      • KCI등재

        빨강불가사리(Certonardoa semiregularis)에서 분리된 세균의 군집구조 분석

        이해리(Hae-Ri Lee),박소현(So-Hyun Park),김동휘(Dong-Hwi Kim),문경미(Kyung-Mi Moon),허문수(Moon-Soo Heo) 한국생명과학회 2018 생명과학회지 Vol.28 No.8

        불가사리를 이용하여 다양한 생리활성에 대한 연구가 많이 진행되었지만, 다른 천연물 연구에 비해 불가사리로 부터 분리한 미생물에 대한 연구는 부족하다. 이에 본 연구에서는 제주도에서 채집한 극피동물인 빨강불가사리(Certonardoa semiregularis)의 내장으로부터 Marine Agar와 R2A를 이용하여 총 103개의 균주를 분리하여 세균군집에 대해 조사하였다. 분리된 균주들은 16S rRNA유전자를 이용하여 염기서열을 분석 및 동정하였다. 그 결과 주요 계통군은 Proteobacteria (Alpha-proteobacteria 24%, Beta-proteobacteria 4%, Gamma-proteobacteria 65%) 93%, Bacteroidetes 4%, Actinobacteria 2%, Firmicutes 1%로 4개의 문이 확인되었고, 7개의 (Actinobacteria, Flavobacteria, Bacilli, Sphingobacteria, Alpha-proteobacteria, Beta-proteobacteria, Gamma-proteobacteria), 15개의 목, 19개의 과, 24속이 관찰되었다. 또한 계통 분석 결과 2개의 균주(Lysobacter sp., Pedobacter sp.)가 각각 97.55%, 97.58%로 상동성이 98% 이하로 나타나 새로운 속 또는 종으로 분류될 가능성이 있다고 여겨지며, 표준 균주와 함께 신종 후보 균주에 대한 생화학적, 형태학적 등의 추가적인 신종실험을 향후 진행해야 할 것으로 사료 된다. Although much research has focused on various bioactive substances in starfish, research on microorganisms isolated from starfish is lacking as compared with other natural products. In this study, we investigated bacterial communities in the gut of red starfish (Certonardoa semiregularis) in Jeju Island. In total, 103 bacterial strains were isolated using marine agar and R2A medium. The isolated strains were analyzed and identified using the 16S rRNA gene sequence. Based on an analysis of this gene sequence, the 103 isolated bacteria were classified into four major groups: Proteobacteria (93%: Alpha-proteobacteria, 24.8%; Beta-proteobacteria, 4%; Gammaproteobacteria, 65%) Bacteroidetes (4%), Actinobacteria (2%), and Firmicutes (1%). In addition, the isolates were divided into seven classes (Actinobacteria, Flavobacteria, Bacilli, Sphingobacteria, Alphaproteobacteria, Betaproteobacteria, and Gammaproteobacteria), 15 orders, 19 families, and 24 genera. A phylogenetic analysis revealed two strains, Lysobacter sp. and Pedobacter sp., with similarity of 97.55% and 97.58%, respectively. As the similarity in the 16S rRNA gene sequence was 98% or less compared to previously identified bacteria, the two strains may possibly be classified as a new genus or species. We suggest that additional studies, including biochemical and morphological tests, should be performed to identify the new candidate strains.

      • KCI등재

        무용교육자의 윤리의식 탐색

        이해리 ( Lee Haelee ),박성주 ( Park Sungjoo ),김진희 ( Kim Jinhee ) 인하대학교 교육연구소 2020 교육문화연구 Vol.26 No.4

        본 연구의 목적은 무용교육자의 윤리의식에 영향을 주는 요인을 파악하여 윤리의식을 향상시킬 수 있는 방안을 탐색하는 데 있다. 이를 통해 무용교육자에게 필요한 윤리의식을 제안하고자 한다. 연구 참여자는 발레를 가르치고 있는 무용교육자 8명을 대상으로 인터뷰와 문헌자료를 수집하였으며 사례 기록 분석과 귀납적 범주방법으로 내용 분석하였다. 연구결과 첫째, 무용계의 윤리의식에 영향을 주는 요인은 개인적 요인, 조직적 요인, 환경적 요인으로 나타났다. 둘째, 비윤리적인 행위가 무용교육자의 윤리의식에 영향을 주는 개인적 요인은 윤리관, 조직적 요인은 조직문화, 상사, 처벌, 환경적 요인은 사회적 풍토로 나타났다. 셋째, 무용교육자의 윤리의식을 향상시키는 방안으로는 개인적 요인에서 윤리교육과 배려하는 마음 갖기, 꾸준한 의사소통으로 나타났으며, 조직적 요인에서 법과 관련한 윤리교육, 조직문화 개선, 처벌 및 감찰 제도 강화로 나왔으며, 환경적 요인에서 강력한 법 규제와 무용계에 대한 지원 그리고 지속적인 관심이 무용교육자의 윤리의식을 향상시키는 해결방안으로 나타났다. The purpose of this study is to explore and analyze factors that affect ethical recognition of dance educators. We would like to suggest the ethical awareness necessary for dance educators. Participants in the study were interviews and literature data for 8 dance educators teaching ballet, and the contents were analyzed by case record analysis and inductive category method. The results of this study are as follows. 1) Influence factors to the ethical consciousness of the dance world have emerged as personal, organizational, and environmental factors. 2) The factors that influence unethical behavior on the ethical consciousness of dance educators have emerged as personal, organizational, and environmental factors. 3) The ways to improve the ethical awareness of dance educators were ethical education, consideration for personal factors, and steady communication, and ethical education related to the law, improvement of organizational culture, and reinforcement of punishment and inspection system in organizational factors. In terms of environmental factors, strong legal regulations, support for the dance community, and continued interest were found as solutions to improve the ethical awareness of dance educators.

      • KCI등재

        한국인 제2형 당뇨병환자에서 조기 대혈관 합병증 발생과 관련된 위험 인자

        이해리 ( Hae Ri Lee ),유재명 ( Jae Myung Yu ),최문기 ( Moon Gi Choi ),유형준 ( Hyung Joon Yoo ),홍은경 ( Eun Gyoung Hong ) 대한당뇨병학회 2009 Diabetes and Metabolism Journal Vol.33 No.2

        배경: 대혈관 합병증은 당뇨병환자의 주요 사망 원인으로 미세혈관 합병증과는 달리 유병기간과 비례하지 않는다. 그러나 한국인에서 당뇨병성 대혈관 합병증 발생까지의 당뇨병의 평균 유병기간이나 합병증 발생과 관련된 예측 인자들에 대한 연구는 아직 많이 부족한 실정이다. 따라서 저자들은 제2형 당뇨병에서 대혈관 합병증 발생까지의 평균 유병기간과 대혈관 합병증 발생에 영향을 미치는 요인들, 특히 조기합병증 발생에 관여하는 위험요소들을 조사하고자 하였다. 방법: 대혈관 합병증이 처음 발생하여 입원한 121명의 환자와 대혈관 합병증의 과거력이 없는 115명의 제2형 당뇨병 입원환자를 대상으로 하여 임상적 특성을 후향적으로 조사, 분석하였다. 대혈관 합병증 발생까지의 당뇨병 이환 기간을 5년을 기준으로 조기발생군(54명)과 후기발생군(67명)으로 나누어 비교 분석하였다. 또한 대혈관 합병증 발생군을 성별에 따라 나누어 추가 분석을 시행하였다. 결과: 대혈관 합병증 발생까지의 평균 당뇨병 유병기간은 8.7±7.8년, 평균 연령은 61세, 남녀 각 63명, 58명이었다. 대혈관 합병증 발생군과 대조군과의 비교에서 평균 나이(61.0±11.8 vs. 56.0±14.6세, P=0.004), 수축기와 이완기 혈압 모두 대혈관 합병증 발생군에서 높았고(133.6±20.7/79.8±12.3 vs. 121.8±17.7/76.3±9.6 mm Hg, P<0.05), 흡연력이 있는 환자의 비율이 높았다(42.1 vs. 20.0%, P<0.001). 그러나 당화혈색소는 대조군에서 대혈관 합병증 발생군에 비해 더 높았고(9.5±2.4 vs. 8.2±1.8%, P<0.001), 미세혈관 합병증 동반율도 유의하게 더 높았다. 대혈관 합병증 조기발생군의 평균 연령이 후기발생군보다 더 적었으며(58.2±12.8 vs. 63.4±10.4세, P=0.015), 흡연력은 더 많았다(53.7 vs. 32.8%, P=0.021). 대혈관 합병증 발생군에서 성별에 따른 분석 결과, 남성에서 여성보다 합병증 발생 연령이 보다 적었고(57.5±10.3 vs. 64.9±12.2세, P<0.001), 당뇨병의 가족력이 남성에서 더 많았으며 흡연력은 남성에서 77.8%로 여성의 3.4%에 비해 매우 높았다. 결론: 본 연구를 통하여 제2형 당뇨병에서 대혈관 합병증발생에 고령, 고혈압, 그리고 흡연력이 중요한 위험 인자임을 알 수 있었고 대혈관 합병증 위험도는 미세혈관 합병증 발생 이전부터 높아져 있었다. 특히 흡연력은 한국인 남성 제2형 당뇨병환자에서 대혈관 합병증 조기 발생에 관여하는 중요한 예측 인자로 생각된다. 또한 추가 분석 결과를 미루어볼 때, 같은 당뇨병의 유병기간을 가졌다 하더라도 60세 미만의 상대적으로 젊은 나이의 당뇨병환자들이 고령의 환자들보다 대혈관 합병증 조기 발생 위험도가 상대적으로 높은 것으로 여겨지며, 대혈관 합병증 발생과 관련하여 성별에 따라 연령, 당뇨병의 가족력, 고혈압, 흡연력과 같은 몇 가지 위험 요소들의 차이점이 발견되었다. 이러한 결과들은 제2형 당뇨병환자에서 대혈관 합병증 발생 예방에 효과적으로 이용될 수 있을 것으로 생각된다. Background: The average duration of diabetes and predictive factors of macrovascular complications in Korean diabetic patients remain to be elucidated. This study examines the average duration of diabetes up to the onset of macrovascular complications and clinically important factors of early development of these complications in Korean type 2 diabetic patients. Methods: Clinical characteristics in type 2 diabetics with (n=121) and without macrovascular complications (n=115) were analyzed. In addition, early onset (≤5 years, n=54) and late onset groups (>5 years, n= 67) were compared, as were the clinical characteristics between male and female patients in the macrovascular complications group. Results: The average duration of diabetes was 8.7±7.8 years in the macrovascular complications group. Average age, systolic and diastolic blood pressures and smoking history were all higher in the macrovascular complications group than the control group. However, HbA1c levels and prevalence of microvascular complications were higher in the controls. Average age was lower in the early onset group and many more patients of that group had a smoking history. In the analysis based on sex, marcrovascular complications developed earlier in male patients. In addition, the prevalence of family history of diabetes was higher in males and 77.8% of male patients had a smoking history (female: 3.4%). Conclusion: Our study confirms that older age, high blood pressure and smoking history are major risk factors for the development of macrovascular complications. Moreover, a smoking history in males can be both risk and predictive factors for earlier development of macrovascular complications in Korean type 2 diabetic patients. We also found that several clinical characteristics including age, family history of diabetes, hypertension and smoking history, vary between the sexes, and these findings can provide useful indices for the prevention of macrovascular complications. (Korean Diabetes J 33:134-142, 2009)

      • KCI등재

        정신증: 또 다른 진실을 위한 현대정신분석학적 탐구

        이해리 ( Harriot Lee ) 한국목회상담학회 2015 목회와 상담 Vol.25 No.-

        Our inner life is not free from trauma. Psychosis is a desperate pursuit for the stifled truth and for the shattered sense of self. The psychotherapist participates in this tense and distorted process through contacting the client’s signal of pain and dread (and so becoming the pain and dread), with his own elements of potential madness. Otherwise, he cannot find the way to communicate with the client or the spot to meet the truth. This journey requires a deep understanding and cogitation on the psychotic dynamic and process. This study explores the psychotic process, not from the diagnostic and statistical view that classifies psychosis by its symptoms, but from the Modern Psychoanalytic perspective, which has strived to ‘understand’ the process behind the symptoms. With a brief history of the Modern Psychoanalytic search for the dynamics of psychosis, a question is probed whether this quest for the psychosis will ever allow us to understand the deep nature of our own as well as the psychotic mind. Searching and confronting our innermost area is not only a spiritual pilgrimage but also a process that releases us from the prejudice and fear of the psychosis and leads us to help clients better. Major psychotic processes are investigated as well: the psychotic self as experienced as a disaster and its feeling of annihilation reflected by dreams and screams; the psychotic self split by projective identification and failure of containing; the psychotic self denuded through emptying experiences and their meanings, and the fragmented self through destructive attacks on the linking; rebirth of the delusional self through omnipotence fantasy and the paranoid process. Clinical vignettes are given to illustrate the underlying dynamics. Some more ideas on therapeutic implications and pastoral care are discussed to deepen the thoughts on this issue.

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