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빈곤가구의 심리적 디스트레스(Distress) 경험에 대한 질적 연구
하경희,강병철 한국사회복지질적연구학회 2013 한국사회복지질적연구 Vol.7 No.2
This is a qualitative research to deeply understand various psychological distresses which poor households experienced. With the recorded material of 29 households in the low-income bracket among the respondents participating in the Korea Welfare Panel Qualitative Research, topic analysis was conducted. According to the analysis results, the poor households showed various distresses such as everyday life stress, anger, anxiety about the future, depression, and suicidal impulse, damage on self-esteem, isolation, family conflict. and guilty feeing for family. Financial difficulty worked as a crucial triggering factor. However, they cannot cope with it actively, and only take their heart with comfort from people around and religion. Through this study results, this paper suggests that it is needed to support the poor households for their psychological and emotional difficulties as well, and for this, case management is crucial. 본 연구는 빈곤가구가 경험하는 다양한 심리적 디스트레스를 깊이 있게 이해하기 위한질적 연구이다. 한국복지패널 질적연구에 참여한 응답자 중 저소득층 29가구의 녹취자료를 대상으로 주제 분석을 실시하였다. 분석결과 빈곤가구에서는 일상적 스트레스, 분노,미래 불안감, 우울, 자살충동, 자존감 저하, 고립, 가족갈등, 가족에 대한 죄책감 등 다양한 심리적 디스트레스를 경험하고 있었다. 하지만 디스트레스에 적극적으로 대처하지 못하였으며 주변으로부터 위안을 구하거나 스스로 마음을 다잡으며 견디고 있었다. 이러한 연구 결과를 통해 빈곤가구에 대한 물질적 측면뿐만 아니라 심리 정서적 어려움에 대한 지원이 함께 이루어져야하며, 이를 위해 사례관리가 중요함을 제언하였다.
하경희 한국사회복지질적연구학회 2019 한국사회복지질적연구 Vol.13 No.1
Recently, the recovery paradigm is emphasized as a process of rebuilding a meaningful life beyond treatment for symptoms in the mental health field. The purpose of this study is to perform in-depth analysis on the self-awareness, which is suggested to be the most important factor in the recovery process. To this end, we conducted in-depth interviews with 14 people with psychiatric disabilities and analyzed the contents. The results showed that after the onset of the illness, self-awareness had been overwhelmed by the identity with a ‘mental illness’. but through the recovery process, it concentrates more on the self that they truly desire and integrates into a whole entity. These changes are made internally through self-understanding, positive thinking, and the meaning of life, further interconnected with the control over illnesses, supportive relationships, and growth experiences. The results of this study suggest the importance of relationships with society, family, peers, and recovery-oriented practices. 최근 정신건강영역에서는 증상치료를 넘어 의미 있는 삶을 다시 만들어나가는 과정으로서 회복 패러다임이 강조되고 있다. 본 연구는 회복에서 가장 중요한 요소로 제시되고 있는 자아인식에 대해 깊이 있게 분석하고자 하는 목적을 가진다. 이를 위해 14명의 정신장애인을 대상으로 심층면담을 하여 주제 분석을 실시 하였다. 분석결과, 발병 후 ‘정신질환자’로서의 정체성에 압도된 자아인식은 회복과정을 통해 정신질환이 아닌 자신이 원하는 진짜 모습에 보다 집중하게 되고 온전한 자아로 통합되어간다. 이러한 변화는 증상통제, 지지관계, 성취경험을 통해 자기이해, 주체의지, 삶의 의미를 발견해나가는 과정으로 이루어졌다. 연구결과를 바탕으로 정신장애인의 자아인식에 상호영향을 미치는 사회, 가족, 동료와의 관계와 회복지향실천의 중요성을 제안하였다.
해양치유관광 활성화 방안 연구 -해양치유관광객 요구 및 현황분석을 중심으로-
하경희 한국해양관광학회 2019 해양관광학연구 Vol.12 No.2
WHO(World Health Organization) defines health as the state of being physically, psychologically, socially, and mentally happy and sound. Accordingly, human health can be improved by being in a psychologically, socially and mentally sound relationship with others. Because of this change in the perspective on health, social changes due to aging, and stress resulting from highly civilized societies, people in modern society have begun to recognize the importance of preventing mental and physical illnesses and begun to pay attention to mental cure. As aging is becoming an important social issue, medical costs needed to address geriatric illnesses are sharply rising and social costs are also rising, which is due to mental and psychological illnesses such as stress, depression, and sociophobia common in the rapidly changing modern society. To address these problems, the government has presented the concept of healing as one of the core government projects. Despite these government efforts, the marine healing tourism, to which many provincial governments have recently paid attention, has not taken shape in its concept and scope. This study provides an understanding of the concept and background of marine healing tourism which is drawing attention in the midst of the changes in tourism industry. This study also intends to provide ways to invigorate marine healing tourism by providing analyses of resources for marine healing tourism, marine healing tourists’ needs, marine healing tourism-related policies and marine healing tour programs. -
하경희 한국관광산업학회 2011 Tourism Research Vol.32 No.-
The oriental medicinal tourism is characteristic medical tourism of Korea and distinctive from the western medical tourism. The oriental medicinal tourism catches a lot of attentions because of the low dangerousness of the medical malpractice and the long term stay to have competitiveness in the medical tourism field. The strategies by the SWOT analysis according to the present situation are as follows to activate the oriental medicinal tourism which satisfy the wellness needs and well-being trend. First, the publicity activities of the oriental medicine are necessary to inform of the oriental medical superiority and to enhance the oriental medical reliability. The Korean-Wave can solve this assignment according to informing the oriental medical value with the Korean traditional culture. Second, we should offer dishes to the wellness tourist by using the medicinal herbs and korean traditional food according to the oriental medical diagnosis. Third, the connection of the oriental medicine clinic and the accommodation for the rest is necessary to cover the needs of stay longer than the western medicine. Forth, the cluster of the oriental medicine clinic and the tourist attractions are needed to satisfy the oriental medicinal tourist who want to experience the various activities for a long time.
하경희 한국장애인재활협회 2007 재활복지 Vol.11 No.3
본 연구는 임파워먼트가 가지는 맥락성과 차원성을 고려하여 정신장애인의 임파워먼트에 영향을 미치는 요인들을 분석하였다. 즉 개인적 차원에서는 정신장애관련요인을, 조직적 차원에서는 정신보건 서비스관련요인을, 그리고 사회적 차원에서는 지역사회관련요인으로 모형을 설정하였다. 연구를 위해 지역사회 정신보건서비스를 이용하고 있는 정신장애인 372명에게 설문조사를 실시하고 자료를 수집하여 다중회귀분석을 실시하였다. 분석결과 본 연구의 모형은 통계적으로 유의미하며 표본에 존재하는 변량의 40% 정도를 설명하는 것으로 나타났다. 또한 정신장애인의 임파워먼트에 통계적으로 유의미한 영향을 미치는 요인으로는 정신과적 증상정도, 임파워먼트 실천수준, 지역사회 참여와 자원접근인 것으로 나타났다. 연구결과에 기반하여 정신보건서비스 체계에서의 임파워먼트 실천을 위한 몇 가지 제언을 하였다. The purpose of this study is to analyze the factors affecting psychological empowerment of the mentally disabled, based on the dimension and context of the empowerment theory. In this study, a model is set by mental disability related factors in a personal dimension, metal health service related factorsin an organizational dimension, and community related factors in a social dimension. Data for analysis was collected from 372mentally disabled people using the community mental health service, and multiple regression analysis was used. As a result of the analysis, this model was found to be statistically significant and to explain about 40% of the variance that was present in the sample. Further it was found that factors affecting psychological empowerment of the mentally disabled were psychiatric symptoms, empowerment practice level, community participation, and access. Based on this analysis results, this article provides some suggestions for an empowerment practice in the community metal health system.