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      • KCI등재

        영유아 장애아동을 대상으로 한 보육교사 행위의 신체적 학대 성립 여부에 관한 판례연구

        박연주,한창근,김고은 한국통합사례관리학회 2024 한국케어매니지먼트연구 Vol.0 No.50

        The purpose of this study was to examine the judgment criteria used in the legal system for physical abuse by childcare teachers for infants and toddlers with disabilities by analyzing the relevant precedents; this is also expected to contribute to the ongoing discussions regarding this topic. The research method analyzes the judgment criteria using a qualitative research method, ➀ the important legal applications of the judgment, and it also ➁ selects two cases in which the behavior of childcare teachers around infants and toddlers with disabilities was established as physical abuse and finally examines the effect of the presence of direct tangible force on the court judgment of physical abuse. As a result, it was confirmed that criteria that are at the discretion of the judge are applied to the judgment of innocence even if there is a direct exercise of tangible power. It was also confirmed that the discretion of the judge plays an important role in determining the final inclusion of judgment criteria that take into account various situations that can be considered as physical abuse harming the health and development of the body, even without a direct exercise of tangible power. On the other hand, the judge's discretionary judgment showed that the characteristics of the disability were applied as a major factor. The results of this research present implications that can contribute to ongoing discussions about the judicial, legislative, and administrative aspects of this type of physical abuse.

      • KCI등재

        고등학생의 분노조절 능력 향상을 위한 독서치료 활용 집단상담 프로그램 개발

        박연주,유형근 한국청소년상담복지개발원 2012 청소년상담연구 Vol.20 No.2

        The purpose of this study is to develop a group counseling program to enhance anger-control abilities of high school students by using bibliotherapy. The development process consist of 5 stage; research, analysis, design, construction and application. First, it reviewed about studies on anger-control and it surveyed 276 high school students for actual requirement. Second, it analyzed the number of program session, session’s goal, session sequence. As a result, this program consist of 12 sessions. Third, it designed program contents and activities by pooling and warehousing. Forth, it developed final program by pilot test and experts of advice. Fifth, to verify the effectiveness of the developed counseling program, the test tool was 'Anger Factors Test' related to anger control ability in high school students from got the high score of pre-anger test. And 10 students who desired for the program were included in the experimental group, 10 students who did not participate in the program were in the control group. It was analyzed statistical data by Mixed ANOVA, experience report and counselor observation contents. The results obtained from this research are as follows. there were significant differences in improvements of anger control abilities by using bibliotherapy group counseling programs who participated in the program. 'Recognition', 'Emotion' ‘Behavioral‘ factors in improvements of the anger control abilities in those who participated in the programs when compared to the students that did not. 본 연구의 목적은 고등학생을 대상으로 독서치료를 활용하여 분노조절 능력을 향상시키기 위 한 집단상담 프로그램을 구안하고 그 효과를 검증하는데 있다. 연구는 경기도의 M고등학교 2학년 166명 중에 분노척도 검사결과 상위 20%에 속한 학생 33명중 참여를 원하는 학생 10 명을 실험집단에, 실험집단과 평균점수가 비슷한 10명을 통제집단에 구성하여 프로그램을 실 시하였으며, 프로그램 전과 후에 분노검사를 실시하고 혼합변량분석(Mixed ANOVA)으로 자 료처리를 하였다. 또한 양적 결과가 갖는 신뢰성에 대한 제한점을 보완하기 위하여 집단원의 경험보고서, 상담자 관찰내용을 분석하였다. 그 결과 고등학생의 분노조절 능력향상을 위한 독서치료 활용 집단상담 프로그램은 분노조절의 하위영역인 인지적, 정서적, 행동적 영역에서 실험집단이 유의미한 분노감소 효과를 보여 분노조절 능력을 향상시키는데 효과가 있는 것으 로 나타났다.

      • KCI등재

        충동성과 공격성으로 인해 또래관계가 어려운 아동의 놀이치료 사례연구

        박연주 한국상담학회 2008 상담학연구 Vol.9 No.3

        본 사례 연구는 충동적이고 공격적인 행동문제로 또래 관계가 원만하지 않은 초등학교 3학년 남자 아동이다. 행동적인 문제로 인해 친구와의 관계에서 좌절감과 분노감이 가득하고, 자신감 부족 등으로 학교가기를 싫어한다. 본 연구에서는 놀이를 통해서 부정적인 정서를 발산, 해소 하도록 하였다. 충동적이고 공격적인 행동문제를 가진 아동이 놀이치료를 통해서 자신의 행동을 조절하게 되었다. 칭찬과 보상을 통해서 아동은 자신감을 재형성하게 되었으며 어머니는 상담을 통해서 아동에 대해 적절하게 반응하였다. 본 사례연구는 놀이치료를 통해 아동의 분노감을 감소시켰으며 아동 자신에 대한 통제감이 증진되었고 공격성과 충동적인 행동이 줄어들었다. 그리하여 또래관계 개선에 도움이 되었다. 공격성과 충동성으로 인해 또래관계가 어렵거나, 학교 부적응 아동에게 놀이치료가 효과적임을 알 수 있었다. The purpose of this study was to investigate the effect of the individual play therapy on a child with aggressive and impulsive problems. Also the subject of this study was a 10 year old boy who had difficulty in interpersonal relationship with peers. This study was designed to determine the effectiveness of 28 sessions of play therapy. It is reported that anger, aggressive, impulsive problems and the level of stress are decreased through the sessions. At the same time, his self-esteem and emotional adjustment are heighten. Social skills are improved, too. Therefore, this study supports play therapy as an effective intervention for the children who have aggressive and impulsive problems.

      • 「아동학대범죄의 처벌 등에 관한 특례법」전·후 판결비교를 통해 본 아동인권강화에 대한 소고

        박연주,김봉선 한국사회복지학회 2018 한국사회복지학회 학술대회 자료집 Vol.2018 No.4

        본 연구는 아동학대 사망사건과 관련하여 2014년 1월「아동학대범죄의 처벌 등에 관한 특례법」이 제정된 이후 아동학대로 인한 사망사건에 대한 판결이 어떻게 변하고 있는지에 대해 살펴보고 아동학대 특례법의 개선방안에 대해 연구하는데 그 취지가 있다. 이를 위해 본 연구에서는 아동학대 특례법 제정 이전인 2000년에서 2013년까지의 아동학대 사망사건(46건)과 동법의 제정 이후인 2014년에서 2016년 아동학대 사망사건(20건)에 대한 국내의 양형을 비교하여 분석하였다. 분석결과 특례법 제정이후에 양형의 기준이 확연히 엄격해 졌음을 살펴 볼 수 있었다. 양형분석에서는 행위요소에 따른 형량변화 분석, 행위자 요소에 따른 형량변화 분석, 마지막으로 판사의 재량적 요소에 의한 형량변화 분석으로 나누어 살펴보았다. 그 결과 양형기준의 엄격성이 특례법 조문 기준에 의한 것 이라기보다는 판사의 재량적 기준과 사회적 이슈에 의한 것임을 알 수 있었다. 이상의 연구결과를 통해 앞으로 특례법에 처벌 기준을 명확히 제시할 수 있도록 특례법 개정의 필요성 및 재판에서 유엔아동권리협약(United Nations Convention on the Rights of the Child)이 직접적으로 적용될 필요를 언급하였다. 그러나 본 연구는 공개된 판례에 한정하여 선별적으로 분석할 수밖에 없는 한계점이 존재하고 있음을 밝힌다.

      • KCI등재

        Thyroid Nodules with Macrocalcification: Sonographic Findings Predictive of Malignancy

        박연주,김정아,손은주,육지현,김은경,곽진영,박정수 연세대학교의과대학 2014 Yonsei medical journal Vol.55 No.2

        Purpose: To analyze which sonographic features of thyroid nodules with macrocalcificationswere predictable of thyroid malignancy. Materials and Methods: We reviewed sonographic findings of 854 macrocalcified thyroid nodules in patients who underwent fine needle aspiration biopsy between December 2009 and January 2011. There were 171 non-diagnostic aspirations, 34 nodules with category 3, 4, 5 based on Bethesda system, which were not confirmed by surgery, and these nodules were excluded from the analysis. Sonographic characteristics of the macrocalcificationsincluding its thickness, interruption, and existence of soft tissue rim outside the macrocalcification were analyzed. Other sonographic characteristics of nodules such as shape, margin, composition, echo pattern, vascularity, and underlying parenchymalechogenicity were also evaluated. The correlation of sonographic featureswith cytopathologic results and the diagnostic performance of sonographic features for the prediction of malignancy were analyzed. Results: Among 649 nodules,179 (27.6%) nodules were malignant and 470 (72.4%) nodules were benign. Among the features of the macrocalcification, interruption, irregular thickness, or the presence of soft tissue outside calcification rim were associated with malignancy(p<0.001). A high sensitivity and negative predictive values for the prediction of malignancy was found in sonographic characteristics of irregular thickness (92.2% and 91.0%, respectively) and the presence of soft tissue (88.5% and 88.8%, respectively). Conclusion: Sonographic characteristics of macrocalcification such as interruption,irregular thickness and the presence of soft tissue rim were associated with malignancy in thyroid nodules with macrocalcifications.

      • 목표설정 유형이 체육학습 성취에 미치는 영향

        박연주,윤명희 한국교원대학교 학교체육연구소 2004 학교체육연구소지 Vol.11 No.1

        The purpose of this study was to examine whether or not there were any gaps in motor skills, physical education knowledge acquisition, participation attitude and learning interest between learners who set up their own goals in light of their abilities and

      • KCI등재

        Comparison of hormonal receptor and HER2 status between ultrasound-guided 14-gauge core needle biopsy and surgery in breast cancer patients

        박연주,육지현,손은주,권혜미,김정아 대한초음파의학회 2014 ULTRASONOGRAPHY Vol.33 No.3

        Purpose: To evaluate the concordance of estrogen receptor, progesterone receptor, and humanepidermal growth factor receptor 2 (HER2) statuses between ultrasound (US)-guided 14-gauge coreneedle biopsy (CNB) and surgery and to analyze whether the clinicopathological and imaging featuresincluding those from mammography and ultrasonography can predict the concordance in breastcancer patients. Methods: The concordance of receptor status between CNB and surgery was assessed for 55 breastcancers in 55 women who underwent CNB before treatment. The clinicopathological and imagingfeatures and the concordance rates were compared between the non-neoadjuvant chemotherapy(non-NAC) group and the NAC group according to the initial treatment. The concordance rates wereanalyzed according to the clinicopathological and imaging features, by using the chi-square or Fisherexact test and McNemar test for the categorical and the independent t-test for continuous variables. Results: Among 55 women, 22 women (40%) were part of the non-NAC group and 33 women (60%)were part of the NAC group. The concordance rates were 0.86-1.00 in the non-NAC group and0.76-0.88 in the NAC group. In all three receptors, the difference in the concordance rate betweenthe two groups was not significant. In the NAC group, the absence of axillary lymph node metastasis(1.00, P=0.02) and visibility of cancer on mammography (0.93, P=0.04) showed the higherconcordance of the HER2 status. Conclusion: Concordance of the receptor status between surgery and US-guided 14-gauge CNB wasfeasible in breast cancer patients. The absence of axillary lymph node metastasis after NAC and thevisibility of cancer on mammography prior to NAC may be helpful for predicting the concordance ofHER2 in breast cancer patients.

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