교양수업의 단편소설 강독 사례

최선령 한국문화융합학회 2022 문화와 융합 Vol.44 No.9

이 논문은 서양고전의 현대적 이해라는 일반교양 강좌에서 이루어진 실제 수업을 모델로 삼아 서양고전을 읽는 대 학생들의 이해능력 및 관심사들을 20 검토함으로써 교양 수업이 나아갈 바람직한향방을 모색하고자 하는 목적을 가지고 있다. 이공계 학생들을 대상으로 한 학기 동안 이루어진 2 학점의 일반교양 강좌에서 8편의 영어 단편소설을 읽은 수업 내용 가운데서 이 글에서 특별히 주목한 것은 D.H. 로렌스의 단편 흔들목마 승리자 에 대한 논의들이다. 이 단편은 앤솔로지에 종종등장하는 유명한 작품이지만, 로렌스의 좀더 전형적인 다른 단편들에 비해서 다소 이질적인 측면이 있고 알레고리적 요소도 강하다. 그러나 많은 학생들이 이 작품에 특별한 관심과 흥미를 표현했는데, 여기에는 흔들목마 승리자 의 중심 주제라 할 ‘운’이라든가 ‘돈’의 문제가 이 시대 젊은이들의 절박한 관심사라는 사실도 작용한다. 더 많은 돈에 대한 욕망을 결코 사그라들지 못하게 만드는 자본주의 문명 및 문화의 부정성에 대한 비판, 사랑을 결여한 모성이 아이를 죽음으로 몰아가는 과정이 긴박감 있게 펼쳐지는 이 단편은 교양수업의 자료로서 학생들에게 재미와 의미를 모두 전달할 수 있는 좋은 예이다.

The paradoxical effect of aldosterone on cardiovascular outcome in maintenance hemodialysis patients

최선령,Lee Young-Ki,Park Hayne Cho,김도형,조아진,Kim Juhee,윤규상,노정우,강민경 대한신장학회 2022 Kidney Research and Clinical Practice Vol.41 No.1

Background: Patients with end-stage kidney disease face increased risk of cardiovascular events, and left ventricular diastolic dysfunction (LVDD) contributes to the high occurrence of cardiovascular mortality (CM). Although a high serum aldosterone (sALD) level is involved in the development of cardiovascular complications in the general population, this association is unclear in patients undergoing hemodialysis. We aimed to determine the impact of sALD on LVDD and CM among hemodialysis patients (HDPs).Methods: We performed a prospective cohort study of maintenance HDPs without cardiovascular disease. The patients were divided into two groups according to the median level of sALD. All patients underwent baseline echocardiography to evaluate diastolic dysfunction (E/e´ ratio > 15). The LVDD and CM rates were compared between the high and low aldosterone groups.Results: We enrolled a total of 60 adult patients (mean age, 57.9 ± 12.1 years; males, 30.0%). The low aldosterone group had an increased left ventricular diastolic dimension compared with the high aldosterone group (52.2 ± 8.4 mm vs. 50.3 ± 5.2 mm, respectively; p = 0.03). Low log-aldosterone (odds ratio [OR], 0.40; 95% confidence interval [CI], 0.19–0.86) and large left atrial dimension (OR, 1.31; 95% CI, 1.11–1.54) were independent risk factors for LVDD at baseline. In addition, Cox regression analysis demonstrated that low sALD was an independent predictor of CM in HDPs (hazard ratio, 0.46; 95% CI, 0.25–0.85; p = 0.01) during follow-up.Conclusion: Low sALD was not only associated with LVDD but was also an independent predictor of CM among HDPs regardless of their interdialytic weight gain.

로렌스의 유령 이야기: 「국경선」과 「유쾌한 유령들」을 중심으로

최선령 한국로렌스학회 2012 D.H. 로렌스 연구 Vol.20 No.2

Focusing on “The Border-Line” and “Glad Ghosts”, this paper aims to examine and reevaluate D. H. Lawrence’s ghost stories that have attracted relatively little critical attention. Lawrence’s ghost stories were written in the late phase of his literary career when the images of death were frequent in his short stories. Two overlapping backgrounds are behind this: the First World War was synonymous with death, and the devastated post world-war European countries were all engulfed by the tide of death; and around the same time, suffering from tuberculosis, Lawrence had to face the shadow of death hung upon his own life. Lawrence’s ghost stories were also inspired by the English ghost story tradition which achieved great popularity between 1850 and 1930. However, Lawrence radically deconstructed the fundamental hypothesis of this genre where the ambiguity of the ghost, that is, whether it really exists or it’s just a symptomatic phenomena of an unsettled and disturbed psyche, plays an pivotal role in arousing tension and suspense. Most of Lawrentian ghosts return without giving fear or suspense and with the purpose of fulfilled relationship between them and the living people who expect and even wait for their return. Both “The Border-Line” and “Glad Ghosts” partly fall a little short of the principles of successful short story such as condensed atmosphere, economy in narrative, dramatic climax, and final reversal. However, “The Border-Line” presents a new concept of ghost, and “Glad Ghosts” goes beyond the spirit-body dichotomy and continues to search for more complex layers in the meaning of the ghost. Creating a subtle “varied tone” in the narrative, and interweaving the ghost theme with other realistic or exotic motifs like class and swapping, “Glad Ghosts” is highly probably an attractive Lawrentian ghost story.

한국 아내학대자의 학대행동감소를 위한 인지행동모델 적용에 관한 연구

최선령 한국가족사회복지학회 2001 한국가족복지학 Vol.- No.7

본 연구는 한국의 아내 학대자들에게 인지행동 집단모델을 적용하여 학대행동감소에 대한 효과성을 확인하고 한국의 아내학대자들의 비합리적 인지구조와 변화과정상 특성을 탐색하여 임상사회사업 실천에 적용 가능한 기초자료를 제시하는데 있다. 연구방법은 단일집단 전후비교설계 방법과 질적 사례분석을 병행하였다. 아내학대자들의 인지변화를 알아보기 위하여 성역할 태도와 내외통제 척도, 그리고 자기통제기술 척도를 사용하였고, 학대행동의 감소를 측정하기 위하여 프로그램 실시 전과 프로그램 종결 6개월 후에 사후지도 시 연구의 타당도를 높이기 위해 배우자를 대상으로 갈등관리기술 척도를 사용하여 측정하였다. 양적 자료분석을 위하여 Wilcoxon 검정을 하였다. 연구의 결과 성역할 태도와 자기통제 기술에서 긍정적 변화가 나타남으로써 인지변화의 효과성이 확인되었고 학대행동 변화에 있어서는 경미한 폭력과 심각한 폭력 모두에서 현격한 감소를 나타내 인지행동 모델이 아내 학대자들의 학대행동 감소에 효과가 있음이 확증되었다. 질적 사례분석을 통하여는 한국의 아내학대자들의 인지적 특성과 4 단계의 변화과정, 그리고 4 가지 반응유형외에 몇 가지 임상적 발견이 제시되었다. 이에 따라 한국에서의 아내학대자들을 위한 인지행동집단을 실시하는데 임상적 제안이 제시되었다. The purpose of this study is to apply cognitive behavioral model to Korean wife abusers and verify its effectiveness as well as to suggest the findings of this study for Korean clinical practioners to help Korean wife abusers. Reserch design used in this study is pretest-posttest design. To measure the effectiveness of group intervention, cognitive changes were measured utilizing Osmond and Martin's Sex Role Attitude Scale, Rotter's Internal-External Control Scale, and Rosenbaum's Self-Control Scale. Behavioral change was measured by Straus's Conflict Tactics Scale after 6 months following group intervention. The effectiveness of the group interventions was analyzed with statistical procedures of Wilcoxon Test. In addition, cross case analysis as a qualitative research was conducted. Major findings are as follows: First, as a cognitive change, Sex Role Attitude Scale and Self-Control Scale except Internal-External Control Scale showed a significant increase showing positive change. Second, as a behavioral change, the group showed significant improvement in both minor and serious levels of physical violence. Thus the cognitive-behavioral model was proved to be effective to the Korean wife abusers. From the qualitative research, the group shows 4 changing process stages(①Denial Stage, ②Accepting Stage, ③Responsibility Building Stage, ④Behavioral Changing Stage), and 4 different responding types(①Helpless Type, ②Blaming Type, ③Approval Seeking Type, ④Change Oriented Type). Some clinical implications are also discussed.

가을의 逆說

崔鮮玲 세계평화교수협의회 1980 廣場 Vol.87 No.-

「눈 먼 남자」 : "보이지 않는", "하나의 온전한 세계" 속에서의 길 찾기

최선령 한국로렌스학회 2007 D.H. 로렌스 연구 Vol.15 No.3

"The Blind Man" is a story of a man who got to be awakened to a new perception of life by his accidental loss of sight Certainly this story reflects Lawrence's critical view of the typical modern mode of perception, that of "visualizing everything," and his radical reevaluation of the sense of 'touch' as evoked in the impressive opening description of Maurice's newly found powerful life and "a wonderful and unspeakable intimacy" between him and his wife Isabel Yet it could hardly be seen as a stereotyped story that exemplifies the notorious Lawrencian priori of blood consciousness over mental consciousness, nor as one that leads to some placid balance between them What this paper tries to bring into focus is the subtlety with which Lawrence dramatizes the tensions and ambiguities involved in Maurice's search for intimacy based on blood consciousness For this purpose, this paper closely analyses both Maurice's relationship with Isabel, the fecundity of which is undermined by her latent desire to possess him, and his problematic relationship with Bertie in which Maurice's turbulent ecstasy overrides Bertie's perplexity and abhorrent feeling As a result, "The Blind Man" will come out as a richly nuanced work informed by the author's acute sense of the complications in developing human intimacy through "sheer immediacy of blood contact" that is in its nature beyond language and articulation

아동기 학대피해 여성의 가족치료 사례연구

최선령 한국가족치료학회 2007 가족과 가족치료 Vol.15 No.1

Bowen Systemic Family Therapy with a Severely Abused Woman Choi, Sunryung (Profamily Service Center) This case study demonstrates the use of Bowen Systemic Family Therapy with a woman whose father had severely abused her in childhood and who subsequently experienced difficulties in familial and social relationships. Over a period of seven months, the therapist conducted 14 individual sessions, focusing on anxiety reduction, studying family systems, and identifying the client's own role in the system. Initially, she was experiencing low self esteem, anger, hostility, loneliness, and fear. Utilizing a genogram, the therapist explored the father’s emotional cut off from his own family of origin and helped the client gain insight about dysfunctional triangulation. Through de-triangulation, I-position, relationship experiments, and coaching, the client was able to increase her level of differentiation and both plan and make therapeutic changes. Keywords : Bowen Systemic Family Therapy, genogram, de-triangulation, differentiation. 본 연구는 아동기 학대피해로 인해 부모와의 관계와 사회적 관계에서 어려움을 가진 성인여성의 문제를 Bowen의 가족치료모델을 적용한 사례에 관한 연구이다. 본 사례의 내담자는 원가족 정서적 단절로 인하여 미분화된 아버지로부터 심각한 언어적, 정서적, 신체적 폭력의 피해를 경험하면서 낮은 자존감과 분노, 적개심, 불안, 공포, 관계문제 등을 경험하였다. 내담자 아버지의 학대행동은 원가족 정서체계에서 단절과 거부를 경험한 아버지가 할머니, 어머니, 내담자, 내담자의 동생과 상호 맞물린 삼각관계를 만들어내고 내담자와 융해된 관계에서 가족투사가 일어난 결과로서 감정 반사적 행동이라고 할 수 있다. 상담의 목표는 보웬의 체계적 가족치료모델을 적용하여 내담자에게 가계도를 통하여 역기능적인 핵가족 정서과정에 대한 통찰을 돕고 체계적 관점에서 가족 문제를 바라보고 탈삼각화와 자기입장 지키기, 관계 실험, 코칭을 통하여 내담자의 분화수준을 향상시키는데 두었다. 상담기간은 총 14회기로 7개월 동안 진행되었으며 주로 내담자를 개별 면담하여 불안감소, 가족체계이해, 체계 내 자기위치와 역할 확인, 변화행동계획 및 변화노력 등의 단계를 거쳐 변화과정이 이루어졌다. 본 사례연구에서 학대피해자에게 장기적 피해영향으로 나타나는 심리사회적 증상이 보웬의 가족치료이론을 통하여 개선되는 과정을 분석함으로써 향후 학대피해자들의 다양한 증상에 활용할 수 있을 것으로 기대된다.

로렌스와 메를로 뽕띠의 세잔론

최선령 한국로렌스학회 2022 D.H. 로렌스 연구 Vol.30 No.2

This paper aims to explore some similarities between Maurice Merleau-Ponty and D.H. Lawrence in terms of their evaluation of historical achievements of Paul Cézanne. Merleau-Ponty holds the basic view that human perception arises from the interaction between the human body and the object, not from the Cartesian cogito. In “Cézanne’s Doubt,” he also points out that Cézanne is faithful to the phenomenon itself and takes the actual perceptual point of view. Merleau-Ponty sees reality as something active and inexhaustible, and argues that Cézanne made his lifelong struggle to grasp and represent reality as it is. Similarly, Lawrence says that Cézanne’s apple realizes the “appleyness” because it is presented just like it “really exists” breaking away from scientist, objectivist, or anthropocentric assumptions of the apple. Lawrence and Merleau-Ponty also have something in common in that they emphasize that human body inextricably intervenes in the act of perception. Nevertheless, unlike Merleau-Ponty, Lawrence relatively devalues the achievement of Cézanne’s later watercolor paintings, and this is because Lawrence is mainly committed to criticizing idealism in “The Introduction to These Paintings.” While Merleau-Ponty’s arguments are fundamentally based on the theoretical researches of the “primordial perception,” Lawrence directly goes into the kernel of Cézanne as a man and painter, and makes us keenly feel his struggle and appreciate the rarity of his achievement. In spite of these differences, Lawrence’s view that imagination is basically “physical and intuitive perception,” obviously has a significant affinity with Merleau-Ponty’s phenomenological approach which demands a return to “living experience.”

광주민중항쟁 피해자들과 그 가족들의 심리사회적 문제에 대한 사회사업적 접근 : 사례를 중심으로

최선령 목포대학교 여성문제연구소 1996 여성연구 Vol.4 No.-

갑상선 안구병증과 동반된 경막 동정맥루에 의한 일측성 안구돌출 1예

최선령,이성진,이해리,강준구,류옥현,김철식,이병완,홍은경,김현규,김두만,유재명,임성희,최문기,유형준 대한내분비학회 2008 Endocrinology and metabolism Vol.23 No.1

Thyroid-associated ophthalmopathy is associated with thyroid dysfunction, particularly Graves' disease, and is manifested as eye signs, including proptosis. In cases of unilateral exophthalmos with thyroid-associated ophthalmopathy, other causes such as orbital neoplasm, carotid-cavernous fistula, cavernous sinus thrombosis, and dural arteriovenous malformation (AVM) should be excluded. Dural AVM, an abnormal dural arteriovenous connection, is a rare neurovascular entity that mimics thyroid-associated ophthalmopathy. When eye involvement is unilateral or asymmetric, dural AVM can be considered in the differential diagnosis of thyroid-associated ophthalmopathy. A twenty-six year-old woman presented with unilateral exophthalmos in Graves' disease. By orbital magnetic resonance imaging and cerebral angiography, thyroid-associated ophthalmopathy and dural AVM were diagnosed. The unilateral exophthalmos improved after coil embolization of the dural AVM. In summary, we report the first case of a dural AVM with Graves' disease and thyroid-associated ophthalmopathy. (J Kor Endocr Soc 23:51~55, 2008)