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무용/동작심리치료와 감각운동심리치료의 유사성에 대한 고찰
주자경 한국무용동작심리치료학회 2023 무용동작심리치료연구 Vol.7 No.1
This study aims to present various approaches to Dance movement psychotherapy in a new psychotherapy paradigm by analyzing the similarities between Dance movement psychotherapy and Sensorimotor psychotherapy. In the past, psychology has developed based on experience-oriented clinical statistics, but with the development of advanced technologies to measure brain activity such as magnetic resonance imaging(FMRI) in the early 1990s, understanding of brain-neural-body interactions has increased. As advanced technologies such as magnetic resonance imaging(FMRI) can be used to measure physical responses in physical psychotherapy such as Dance movement psychotherapy, the perception of this is changing. One of the basic principles of Dance movement psychotherapy is that the body and mind constantly interact (Schoop, 1974).This reflects psychological development, psychopathology, subjective expression, personal pattern, and personality aspects. Sensorimotorpsychotherapy is a body work-oriented language-based psychotherapy developed by Pat Ogden, inspired by the structural integration work of Ron Kurtz and Rolf. Dance/movement psychotherapy is a treatment method applicable to lifelong development subjects, but it can be more effective if it is used in conjunction with other disciplines. As there are limitations and suggestions for every study. It is not easy to achieve effectiveness for all subjects with only a single specific psychotherapy technique. Therefore, this study aims to prove the effectiveness of Dance movement psychotherapy and explore the possibility of expanding Dance movement psychotherapy by comparing and analyzing Sensorimotor psychotherapy and Marian Chace, the founder of Dance movement psychotherapy. Marian Chace's Dance movement psychotherapy theory has early experience-oriented characteristics and is one of the representative techniques in the field of Dance/movement psychotherapy. Therefore, we would like to prove the effectiveness of Dance movement psychotherapy by comparing and analyzing with the current theory of Sensorimotor psychotherapy based on neurophysiology, and explore the possibility of expansion of Dance movement psychotherapy based on this.
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주자경(Ja-kyung CHOO) 한국무용동작심리치료학회 2020 무용동작심리치료연구 Vol.4 No.1
본 연구는 “뇌전증 환자의 불안 특성과 무용동작치료”이다. 본 연구는 뇌전증 환자의 불안 특성을 심층 면담을 통해 살펴본 후 실제 사례를 통해 무용동작치료로 불안 감소에 어떠한 긍정적인 영향을 미칠 수 있는지 탐색하는데 그 목적이 있다. 연구 문제를 분석하기 위해서 6명의 자발적인 연구 참여자들을 모집하여 심층 면담을 통한 질적연구를 수행하였다. 연구 방법으로는 삼각 측정법(triangulation)을 이용하여(Patton, 1980), 6명의 연구 참여자가 언급한 빈도수를 확인하고, 2명 이상이 언급한 내용 중 동일한 의미 단위로 요약하여 하위 구성 요소를 추출하였다. 뇌전증 환자의 불안 특성 결과는 4개의 구성 요소와 12개의 하위 구성 요소로 분류되었다. 뇌전증은 몸과 마음을 분리하는 질병이며(박미숙, 2010), 무용동작치료는 몸과 마음을 통합을 목표로 하고 있다(류분순, 2000). 연구자는 무용동작치료가 뇌전증 환자들의 불안 감소에 어떠한 긍정적 영향을 미치는지 관찰하기 위하여 연구자와 내담자 G의 사례를 분석하여 무용동작치료가 뇌전증 환자들에게 어떠한 긍정적인 영향을 주는지 알아보았다. 그 결과 뇌전증 환자들은 예측불가능한 발작의 불안으로 신체와 감정을 억압하여 Wilhelm Reich는 신체 갑옷을 경험하게 된다. 신체 갑옷으로 억압된 감정은 성격으로 고착된다. 무용동작치료는 움직임의 개입으로 안전한 환경에서 신체, 정서적 감정을 알아차리고 움직임과 소리 내어 표현하므로 불안을 해소하고 감소한다. 이 같은 경험은 대인관계도 원활하게 도와주며 사회성 향상에 긍정적 영향을 미치게 된다. 본 연구는 뇌전증과 무용동작치료를 연결한 국내 첫 번째 연구로서, 전 세계에서 5천만 명에게 나타나는 대표적인 만성 신경질환인 뇌전증 환자 불안 감소에 무용동작치료가 긍정적 영향을 미쳤다는 데 의의가 크다. 또한 현재까지 진행된 타 연구와는 다르게, 본 연구는 예측 불가능한 발작으로 신체적 어려움뿐 아니라 심리적, 사회적 어려움을 겪고 있는 뇌전증 환자들의 삶의 기본적인 문제 해결에 다가갔다고 생각한다. 더불어 뇌전증을 경험한 당사자가 직접적으로 사회에서 소외되면서 가졌던 고민을 담은 연구로서 그 의미가 크다. 연구자는 본 연구의 시작으로 보다 다양한 신경계 질환에도 무용동작치료에 관한 연구가 가능함을 시사하였다고 생각한다. Epilepsy is a leading chronic neurological disorder (World Health Organization, 2019) that appears in about 50 million people in the world s population, and estimated 300,000 to 400,000 patients in Korea are suffering from cerebral infarction. This is a common disease that anyone can develop, but the reality is that only a limited number of people are treated properly, and that the number of studies has been underrated for a long time due to misconceptions. To analyze the research problem, six voluntary study participants were recruited to conduct qualitative research through in-depth interviews. The method used triangulation (Patton, 1980) to identify the frequency mentioned by six study participants and to extract subcomponents by summarizing them in the same units of meaning among the contents mentioned by two or more. Results of anxiety traits of patients with epilepsy are sorted four components <Anxiety of daily life>, <Anxiety about symptoms>, <Anxiety within social relationships>, <Anxiety about emotional expression>, 12 subcomponents of anxiety, ① Emptiness of difficult daily life, ②Anticipatory anxiety due to seizure, ③Lack of confidence in all things, ④Anxiety derived from physical symptoms, ⑤Lack of self-control for physical symptoms, ⑥Representment towards epilepsy, ⑦Emotional anxiety due to physical symptoms. ⑧Difficulties within social relation, ⑨Negative environment changed by epilepsy, ⑩Suppression of emotional expression, ⑪Settlement by my own way, ⑫Sense of alienation from world Epilepsy is a disease that separates the body from the mind (Park Mi-sook, 2010), and dance movement therapy aims to integrate the body and mind (Flow fraction, 2000). The researcher analyzed the cases of researcher and client G to see how dance movement therapy has a positive effects on patients with epilepsy, in order to observe how it has positive effects on them. As a result, epilepsy patients experience body armor, slowing down by suppressing the body and emotions with the anxiety of unpredictable seizures. Emotions suppressed by body armor cling to character. Dance movement therapy eliminates and reduces anxiety recognizing emotional feelings and expressing with movement and sounds in a safe environment with movement intervention. This experience will help interpersonal relationships smoothly and will have a positive impact on improving social skills. This study is the first in Korea to link epilepsy to dance movement therapy, and it is significant that dance movement therapy has had positive effects on the reduction of anxiety in patients with epilepsy, a leading chronic neurological disorder seen in 50 million people around the world. Also, unlike other studies conducted so far, I believe that this study has approached the basic problem life of patients with mental and social difficulties as well as physical difficulties due to unpredictable seizures. Futhermore this research in significant as I, the researcher had experienced epilepsy and alienated directly from society with many difficulties. This researcher carries my own anxiety. I believe and wish that dance movement therapy could be effective and possible or more various neurological disorders strting from this study.
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