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정신장애인을 위한 약물, 증상 관리교육 프로그램의 효과연구
손명자 한국임상심리학회 2004 Korean Journal of Clinical Psychology Vol.23 No.4
This study investigated the impacts of medication/symptom management education program on persons with psychiatric disorder. Participants for the study were 21 clients with chronic mental illness(the experimental group 10, a control group with no treatment 11). Psychoeducation program were administered two times weekly, total 19 sessions and tested pre, post, and 6 months after. The results showed that first, clients assigned to psychoeducation program had more favorable knowledge scores than controls in feature of mental illness, medication and symptom management test. Second, the experimental group also showed lowered tendency on total SCL 90-R scores than the control group, significantly being reduced in obsessive- compulsiveness, anxiety and phobic symptom. Third, the monitoring change readiness revealed that education gained both contemplation stage and maintenance stage scores. And in the number of person in stages over time, while the number of person within a precontemplation stage increased in controls, persons within a action stage increased in experimentals. It implies that psychoeducation program develops change readiness and also keeps clients from retrogressing themselves into lower stages of change readiness. Finally suggestions about medication/symptom education service delivered in clinical practice were discussed.
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정신장애자 재활을 위한 사회기술훈련 및 직접기술 가르치기
손명자 啓明大學校 행동과학연구소 1995 啓明行動科學 Vol.8 No.1
Summary and conclusion The Chinese steel industry reflects, to a certain extent, the significance of the Chinese economy in the world economy. In 1993, China produced 88.7 million tons of crude steel, becoming the world’'s second 1argest steel producer. China was the wor1d's 1argest consumer and importer of steel in 1993. Its apparent steel consumption was 126million tons in 1993. China imported 30 million tons of finished steel in 1993. The growth of the Chinese steel industry can be attributed to several factors. First economic growth increases physical capital stocks through saving and investment, which is conducive to expanding steel production. Second, efficiency in the Chinese steel industry has improved over the past fifteen years as a consequence of economic reforms. Third, technical innovation, international cooperation and technology transfer have 1ed to improvements in production technology. Fourth, specialization and use of imported raw material have allowed China to allocate its resource more efficiently. Fifth,expansion of demand has contributed to growth of production through various ways. Overall, successful policies in promoting high economic growth has been the key. In the rest of this century, China will maintain a favorable development of the national economy, and it is no doubt that the steel industry, as a major supplier of basic material, will keep continous growth. The steel production target in 2,000 has been set at 100-120 million tons, which the industry has been requested to put forth great effort to improve product quality, inσease varieties and save energy to more efficiently satisfy the growing and stricter demand. The Chinese steel industry will re1y main1y on modernizing existing plants, meanwhi1e, it is necessary to have a few up-tσ-date new plants of different kinds to be built. The Baoshan Iron and Steel Complex, the country's most modern steel giant, has started its third phase of construction recently. Baoshan is expected to he1p meet the critical domestic demand for steel products, including tinplate and silicon-steel sheet used in manufacturing automobiles and electric appliance. When completed in 1998, Baoshan will have an annual production capacity of10.75 million tones of crude steel. The anticipated large increase in steel demand and production in China, over the next decade or two, will have a considerable impact on international markets for steel, raw materials, and possibly energy. This suggests the desirability of promoting international or regional cooperation in the steel industry. One specific step that could be taken would be to establish some kind of international or regional steel community to address issues relevant to the international or regional steel industry. Such a community could be able to meet the challenges of large scale increases in steel demand in the process of rapid industrialization in China, and more broadly in East Asia. Huge investment deIn treatment of psychiatric disorder the field of community support and rehabilitation are established and new programs are developed. Because psychosocial rehabilitation has different concept from traditional biomedical model, the service settings have got to move to community. Recently psychosocial treatment was introduced to Korea. Thus the issue of service setting is expected to be discussed. Social skill training and direct skill training are the representing programs of rehabilitation, and former is based on hospital setting, latter based on community. The differences and similarities between both programs are presented. It is recommended that program service be continued from institution to community. mand, technologies, and environmental issues will be better addressed by such a community.
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손명자 한국임상심리학회 2006 Korean Journal of Clinical Psychology Vol.25 No.1
The true recovery of persons with psychiatric disability can be achieved only through work. Thus vocational rehabilitation services have been widely recognized as critical elements of both therapy and rehabilitation in the advanced countries. Most of persons with psychiatric disability desire to perform competitive jobs and also are able to do so with reasonable supports. However, the reality is that social prejudices and systematic restrictions exist as main obstacles to psychiatric vocational rehabilitation. Now it has arrived at the point that mental heath professionals including clinical psychologist have to provide the vocational rehabilitation. The aim of this article is to urge to be delivered vocational rehabilitation in mental health field of this country. First, the importance of work was highlighted in terms of the benefits work can provide uniquely for persons with psychiatric disability. Also theoretical and practical issues in the approaches of vocational rehabilitation were discussed to find an effective vocational programming. In addition, discussion was made about whether clinical psychologists should and could make a vocational rehabilitation professionals as their career. Finally, several impending tasks necessary for developing vocational rehabilitation for persons with psychiatric disability were suggested.
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