Character Design Research Pertaining to Kidult Culture

Lee,Chan Hoo (사)한국디지털디자인협의회 2006 (사)한국디지털디자인협의회 conference Vol.2006 No.2

요중 N-acetyl-β-D-glucosaminidase 활성치를 이용한 신발제조업 근로자들의 만성 신기능 장애 평가

김돈균,이수일,조병만,이지호,이후락,박종욱 大韓産業醫學會 1993 대한직업환경의학회지 Vol.5 No.1

부산지역 신발제조업 근로자중 유기용제에 폭로되고 있는 150명을 폭로군으로 하고, 일반사무직 근로자 53명을 대조군으로 하여 인적특성, 직업에 대한 만족도, 자각증상, 작업과 관련된 스트레스의 정도를 조사하고, 유기용제 폭로량의 지표가 되는 요중 마뇨산 및 근로자 건강진단 항목인 혈중 요소질소, 혈청 크레아티닌 그리고 조기 신기능 장애의 지표로 알려진 요중 NAG 활성치를 측정하여 얻은 바를 아래와 같이 요약한다. 1. 요중 NAG 활성치는 폭로군에서 4.63U/g creatinine, 대조군에서 2.95U/g creatinine로 폭로군에서 높게 측정되었고(p<0.05), 유기용제 폭로에 의한 신기능 변화에 민감한 결과를 보였다. 2. 설문조사에서 직업에 대한 불만족, 이직을 원하는 경우, 건강에 대한 염려, 직업과 관련된 스트레스 및 유기용제 폭로와 관련된 증상호소가 대조군에 비해 폭로군에서 유의하게 증가되어 있어(p<0.05), 유기용제에 폭로되고 있는 신발제조업 근로자들의 보건관리는 산업보건학적 측면에서 매우 중요한 것으로 나타났다. 3. 폭로군중 근무기간 5년 이상인 대상자에서 요중 NAG 활성치는 5.92U/g creatinine, 근무기간 5년 미만인 경우 4.34U/g creatinine으로, 유기용제 폭로 기간이 길어짐에 따라 요중 NAG활성치는 통계학적으로 유의하게 증가되어 있었다(p<0.05). 4. 요중 NAG활성치는 근무기간을 가중한 톨루엔 총 폭로량과 유의한 정의 상관관계를 보여(p<0.05), 용량-반응관계를 보여 주었다. 이상의 결과에서, 복합유기용제에 만성적으로 폭로되는 근로자들에 공통적으로 발생할 수 있는 조기 신기능 장애를 감시하기 위하여, 요중 NAG활성치를 측정한 자료를 이용하면 유기용제 폭로 근로자들의 보건관리를 위하여 자료를 제공할 수 있을 것으로 생각된다. Personal characteristics, degree of satisfaction for work, subjective symptoms, and stress related to working condition were investigated from 150 workers exposed to organic solvents in shoe factories and 53 official workers in Pusan area, and urinary hippuric acid concentration which represented the amount of exposed organic solvents, BUN and serum creatinine which were renal function tests for worker's health examination and urinary N-acetyl-β-D-glucosaminidase activity were measured. The results obtained were summarized as follows. 1. The mean value of urinary NAG activity of exposed group was higher than that of control group(p<0.01), and subjects whose NAG activities were over refrence range in exposed group were far more than in control group(p<0.05), therefore urinary NAG activity was a sensitive test for the change of renal function due to exposure of organic solvents. 2. Unsatisfaction for occupation, want to change occupation, worry about health, stress related to job and symptoms related to exposure of organic solvents investigated by questionnaire were higher in exposed group than in control group, therefore the health management for workers exposed to organic solvents in shoe factories was important in the viewpoint of occupational medicine. 3. The mean value of urinary NAG activity in the subjects whose working duration were over 5 years was higher than in the subjects whose working duration were over 5 years was higher than in the subjects whose working duration were under 5 years, therefore the longer exposured duration was, the higher urinary NAG activity was. 4. Urinary NAG activity had positive correlation with time weighted amount of total toluene exposure therefore dose-response relationship was suspected. As above results, it will be very useful to apply the data of urinary NAG activity to the health management of workers exposed to orgaic solvents in order to monitoring of early renal dysfunction which was common in the workers chornically exposed to mixed organic solvents.

비행청소년을 위한 대집단 사이코드라마의 치료요인

이후경,현지은,윤성철,김선재 대한신경정신의학회 2000 신경정신의학 Vol.39 No.6

연구목적 : 본 연구는 초범 및 경범인 비행청소년을 위한 대집단 사이코드라마(이하 사이코드라마라 함)를 개발하여 실시하고, 치료요인을 중심으로 비행청소년 사이코드라마의 효과 및 특징을 조사하여, 사이코드라마를 비행청소년을 위한 효과적, 효율적인 치료프로그램으로 활용할 수 있는 기반을 마련하고자 하는 목적으로 실시되었다. 방 법 : 연구대상은 1998년 7월부터 12월까지 서울시립청소년수련관의 사랑의 교실에 참여한 비행청소년 827명(남자759명, 여자 68명)이었으며, 나이는 평균 15.92세였다. 비행청소년에 적용되는 사이코드라마 개발을 위해 정신과전문의를 중심으로 한 치료팀을 구성하였고, 기초작업으로는 1998년 1월부터 6월까지 사이코드라마를 시행하면서 ①warming-up(소집단모임), ③action(상황극과 본극), ③sharing(공유)으로 이루어진 기본구조를 만들었으며, 진행의 기본목표와 기본원칙을 설정하였다. 사이코드라마시행한 후 매 회마다 13가지 치료요인 척도로 치료요인을 조사하고, 사이코드라마 평가 설문지로 사이코드라마에 대한 유익도, 흥미도, 참여도를 조사하였다. 결 과 : 본 사이코드라마에 대한 평가 결과를 보면 47.4%가 유익한 것으로 평가하였고 이에 비해 12.1%만이 유익하지 않았다고 하였으며, 49.2%가 재미있었다고 하였고 이해 비해 16.0%만이 재미없었다고 하였다. 전체 대상자들의 치료요인을 보면 실존적 인자가 최상위를 차지하였으며, 다음으로 보편성, 치료자와 동일시, 희망의 고취가 순서대로 상위순위를 차지하였다. 전체 대상자를 순수관객, 상황극 참가자, 보조자아, 공유참가자의 4집단으로 나누어 치료요인을 비교해 보면, 순수관객의 치료요인 순위는 대체로 전체 집단의 치료요인 순위와 유사하였으며, 상황극 참가자의 경우 다른 구성원들에 비해 카타르시스가 약간 높은 순위를 차지하였고, 보조자아의 경우 다른 구성원들에 비해 구성원의 조언과 치료자의 조언이 상대적으로 높은 순위를 차지하였으며, 공유 참가자의 경우에는 다른 구성원들에 비해 집단응집력이 비교적 높은 순위를 차지하였다. 결 론 : 비행청소년의 수는 나날이 증가하고 있으나 예산 문제와 전문가의 부재 등으로 인해 이들을 위해 적절한 치료프로그램을 시행하기 어려운 실정이다. 본 사이코드라마는 대집단으로 시행되므로 비용면에서 경제적이며, 치료자가 한번에 많은 비행청소년에게 접근할 수 있어 시간적으로 효율적이라 할 수 있다. 그러므로 본 사이코드라마를 비행청소년을 위한 치료프로그램으로 적극적으로 활용할 필요가 있을 것으로 생각된다. Objectives : This study is designed to develop a large group phychodrama for light delin-quent adolescents (hereinafter called as "Psychodrama") thereby determining therapeutic factors for dealing with them. Methods : The study was conducted in the program of Seoul Metropolitan Youth Centre called "the class of love" during the period of July through December, 1998. The subjects consisted of a total of 827 young delinquents(759 boys and 68 girls, with the average age of 15.9 years old). To develop "this psychodrama", after we composed of therapeutic team centered by psychiatrists, we prepared from January to June, 1998 by practicing psychodrama with delinquent adolescents and by analyzing the results. "This psychodrama" has three basic steps: ① warming-up(small group meeting), ② action(situation drama and main drama), ③ sharing. A survey of treatments, from a pool of participating adolescents, based on evaluation sheets and 13 therapeutic factors scale followed every session of this psychodrama. Results : "This psychodrama" was helpful for 47.4%, interesting for 49.2%, not helpful for 12.1% and not interesting for 16%. In the whole group of subjects, the important therapeutic factors were existential factor, universality, identification with the therapist and the instillation of hope in the order of rank. When categorized in four different groups(audience, participants in situation drama, auxiliary egos, participants in sharing) the 4 groups displayed different results to one another. First, the therapeutic factors of audience were similar to that others. Third, auxiliary egos were leading in the guidance of members and therapists. Fourth, participants in sharing displayed higher group cohesiveness. Conclusion : As it is getting harder to find program's suitable for the treatment of increasing number of delinquents due to limited budget and experts, this psychodrama could be more cost-effective than any other measures.

입원환자 집단정신치료 모델: 주치의 중심의 통합적인 모델

이후경,윤성철 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.2

Group psychotherapy is an important therapy for inpatient treatment. A lot of studies proved the effect of inpatient group psychotherapy. Therefore it is necessary to use group psychotherapy actively for inpatient treatment There are many models of inpatient group psychotherapy made in foreign countries. But it is difficult to apply those models themselves directly in Korean inpatient unit, and so it is an urgent issue to make an inpatient group psychotherapy model that fits Korean inpatient unit setting. According to this need we made our paper in order to introduce an effective model of group psychotherapy for Korean inpatients in detail, and then to provide opportunity for effective inpatient treatment. The characteristics of this inpatient group psychotherapy model are as follows. 1) This model of group psychotherapy give a field in which a therapist encounter inpatients as a human being. 2) This model is easy to perform generally, and helpful to a comprehensive therapeutic approach for inpatients. 3) In this model heterogeneous inpatients participate in a same one group, therefore this model is able to apply various inpatients. 4) This model makes the basis of continuous outpatient treatment or day hospital treatment, and the basis of outpatient group psychotherapy or individual psychotherapy. 5) Group functions as a social microcosm, and so reveals patient's interpersonal relationship and gives the opportunity to treat it. Therefore group helps patients to be adapted well to inpatient unit and society. 6) In this model, social workers, nurses, or students in practice play a role of healthy egos or observers, and so they can activate group psychotherapy. And this model can be used as a practical and useful tool of the education for psychiatric residents, medical students, social workers, and other students. Psychiatrists seem to be less interested in group psychotherapy than other mental heath practitioners. But it may be appropriate for well trained psychiatrists to use group psychotherapy with individual psychotherapy.

최대운동부하후 펜싱선수들의 심폐기능 분석

이금남,박후성,고향순 朝鮮大學校 스포츠科學硏究所 2006 스포츠科學硏究 Vol.17 No.-

This research got result following conclusion that analyze there is difference that keep in mind maximum oxygen intake amount, maximum heart rate, exercise continuance time connected with heart exhaust ability executing maximum department of athletics low class test by Bruce method using Teuredeumil to total 20 fencers'(Player10peoples, non-athletics lOpeoples) to search high school fencers' heart exhaust ability. 1. There was no difference that maximum oxygen intake amount(V02max), heart rate(HRmax), change of exercise continuance time between two experiment groups note at maximum department of athletics low class test (P <.05). 2. Change(VO_(2)) of oxygen intake amount appeared high in Fencer between two experiment groups at maximum department of athletics low class test but there was no difference that keep in mind (P <.05). 3. Heart rate change(HR) between the two experiment houses appeared more or less high in non-athletes gioup at maximum department of athletics low class test but there was no difference that keep in mind (P <.05) 4. At exercise continuance recorded 14minutes 89seconds in Fencer, and 12minutes 57seconds in non-athletes group fencer compare to non-athletes and keeps in mind as long appear (P <.05). 5. athlete players about all step of exercise appeared more or less high in step oxygen intake amount(VO_(2)) at all-out, and Fencers' appeared by 64.5±2.23(㎖ /㎏/min) and appeared from non-athletes to 52.6±2.40(ni(㎖ / ㎏/min) (P <.05).

光化學反應 微分照射熱量法에 의한 L-α-Lecithin으로 재구성된 Bacteriorhodopsin Vesicle계에서 Methylene Blue의 회합효과에 의한 상전이 연구

李弘,李厚卨 圓光大學校 基礎自然科學硏究所 1993 基礎科學硏究誌 Vol.12 No.2

유기색소분자들이 수용액하에서 색소분자의 일정농도 범위에서 색소분자의 농도의 증가에 따라 색소분자들이 자체 분자회합(self-association)을 형성하거나 1-5, 친수성 표면을 가지는 인지질 vesicle 수용액에서 분자회합6 및 음이온성 고분자 전해질 존재하에서의 색소분자들에 분자회합에 기인한 흡수spectra의 특성적인 변화현상 7-15 을 총괄하여 metachromasy 현상이라고 한다. 이와 같은 색소분자의 회합현상을 본 연구진은 친수성을 가지는 인지질 vesicle 소용액 존재하에서 metachromatic dye인 Methylene blue(MB)가 나타내는 특성적인 metachromasy을 연구한바 있으며16, 또한 bacteriorhodopsin(BR)으로 재구성된 인지질 vesicle(InBR) 존재하에서도 MB의 분자회합 효과네 관한 보고를 한바 있다.

왕정 복고이전의 Heroic Tragedy 에 대한 비평적 연구

李厚志 상명대학교 논문집 1988 상명대학교논문집 Vol.21 No.-

Few literary forms seem more remote than heroic drama in the age of the anti-hero and the common man, yet no age is truly against heroes, however distrustful it may be of heroic rhetoric. What is admired today, however, differs considerably from what was admired in the years when heroic drama flourished. Therefore, any account of this form must be based on an understanding of the characteristics considered heroic at that time. When Sir. William Davenant dedicated The Siege of Rhodes to the Earl of Clarendon in 1663 he referred to the continuing Puritan opposition to drama as a reason for seeking protection for his play. "These vertuous enemies deny heroique plays to the gentry···" he wrote, "nor have I wanted care to render the ideas of greatness and vertue pleasing and familiar." Heroic play was a logical companion to terms like 'heroic poem,' a familiar designation of epic, or 'heroic virtue,' the extraordinary strength and integrity of a Hercules-of the proper subject of heroic poem. Davenant clearly assumes that a heroic play would dramatize the 'ideas of greatness and vertue' associated with the feroic. Epic, chansons de geste, and chivalric romance were regarded as the models for heroic drama. As the fundamental chivalric virtues prowess, loyalty, courtesy, and liberality ('largesse') were required for the ideal knights. One more must be added, which is not so much a virtue in itself as an indication of virtue-namely, the desire for glory, fame and honour. A final aspect of chivalry, conspicuously absent from classical epic and even from the chansons de geste, is the warrior's obligations to ladies, the idealized love. Through the implied conflict between the values of warrior and lover the re-acquisition of the manly virtues leads to the restoration of love. Under the inflence of the chivalric ideals inherited from chivalric literature, heroism, love and honour were subject of the heroic plays from the early Elizabethan period to Restoration. Lastly, in this article a discussion of Pierre Corneille was added. No account of heroic drama in England would be complete without him because his relationship to English drama is unique.

문제행동 청소년을 위한 대인관계 집단치료 효과

이후경,안현주,김선재,윤성철,봉수연 大韓神經精神醫學會 2003 신경정신의학 Vol.42 No.5

Objectives : Fast change and confusion of the value system in society affect the identity formation of adolescents. So Adlescents' behavioral problems seem to be increasing yearly. It is known that the interpersonal group therapy is the most effective treatment modality among many group programs for adolescents with behavioral problems. Objectives of this study are as follows ; first, evaluate therapeutic effects of the interpersonal group therapy for adolescents with behavioral problems second, examine the therapeutic factors ; third, analyze the group process : fourth, orgamize the group therapy for adolescents with behavioral problems as an applicable treatment modality. The types of group therapy performed in this study are small, closed, homogeneous, outpatient, timelimited, and adolescent group. Methods : This study was carried out at one of the adolescents mental health services in Uiwang Mental Health Center, from April to June and from September to November in 2000. The subjects were 2nd grade students in K middle school with behavioral proplems. The experimental groups were composed of 4 groups including 2 male groups and 2 female groups (male 11, female 17), and the control groups matched the same conditions as the experimental groups (male 10, female 19). The group therapy was performed weekly in CA (club activity) time, and it took 60-70 minutes at one time. They met total 10 sessions including preparatory meeting and termination meeting. Before and after this program, self-rating scales (behavioral problems, aggression, and impulsivity) were applied for subjects, and the teacher rating scales (behavioral problems, aggression and impulsivity) were performed by teachers in charge. After each session, Yalom's 13 therapeutic factors scale was perfbrmed. At the last meeting, total assessment questionnaire was compleled. Results : The mean scores of all self-rating scales (behavioral problem, aggression, and impulsivity) were lower in the experimental groups (both male and female group) than the control groups, but not significant statistically except the behavioral problem scale of female students. The mean scores of all teacher rating scales (behavioral problem, aggression, and impulsivity) were lower in the experimental groups (both male and female group) in comparison with the control groups, all significant statistically. As faras the therapeutic factors are concerned ; first, the mean scores of all therapeutic factors in female students were higher than in male students and the mean scores of all therapeutic factors in the later half sessions were higher than the former half sessions ; second, catharsis and existential factor were high in all students and sessions ; third, identification with therapist factor was high in all students and sessions : fourth, during the later half sessions, interpersonal input was relatively high in male students and socializing technique was relatively high in female students. Its forthe total assessment questionnaires ; 100% of male students and 88.2% of female students reported that they were helped by this group therapy ; 100% of male students and 82.4% of female students reported that they would participate willingly if future opportunity of the same group therapy is given for them. Conclusion : Adolescents with behavioral problems who participated in this study showed the decrease of behavioral problems and the change of aggressive and impulsive attitudes in comparison with the control groups although they had some differences between male and female students. The group therapy with adolescents would be practiced more broadly and extensively though there are several accompanied problems including the difficulty of structuring, the deficit of motivation, and financial problem.

입원환자를 대상으로 한 대집단 싸이코드라마의 치료요인 연구

이후경,김선재,윤성철,이규항,홍향희,함웅 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.2

연구목적 : 본 연구는 개인정신치료와 집단정신치료의 훈련을 받은 정신과 의사라면 누구든지 쉽게 이용할 수 있는 우리나라 입원환자에게 적합한 대집단 싸이코드라마의 모델을 개발하고, 이를 입원환자에게 적용한 후 치료요인을 조사하여, 입원환자 치료에 도움이 되고자 하는 목적으로 본 연구를 시행하였다. 방 법 : 본 연구는 1998년 3월부터 1998년 9월까지 계요병원 입원환자 싸이코드라마에 참가한 모든 환자들과, 보조자아로 참석한 모든 치료팀을 대상으로 하였다. 대상자는 환자가 346명(남자 152명, 여자 194명)이었고, 치료팀은 총 60명이었다. 환자에게는 13가지 치료요인 척도, 싸이코드라마에 대한 일반적인 태도 척도, 도움이 되었던 점에 대해 기술하도록 한 설문지를 사용하였으며, 치료팀에게는 13가지 치료요인과 환자에게 도움이 되었던 점에 대해 기술하도록 한 설문지를 사용하였다. 환자집단은 관객, 보조자아의 역할을 한 환자, 공유(sharing)시간에 참여한 환자, 주인공으로 나누어 치료요인을 비교하였다. 결 과 : 먼저, 환자의 관점에서 본 치료요인은 다음과 같다. 1) 싸이코드라마에서의 역할에 관계없이 거의 대부분의 환자집단에서 실존적 인지와 일차가족집단의 교정적 감정경험을 매우 중시하였다. 2) 주인공, 보조자아의 역할을 한 환자, 공유시간에 참여한 환자와 같이 어떤 형태로든 싸이코드라마에 직접적으로 참여한 환자들은 사회화 기술의 발달을 중시하였으며, 보다 직접적인 형태인 행동으로 참가한 주인공이나 보조자아의 경우 카타르시스를 중시하였다. 3) 주인공을 제외한 모든 환자들은 희망의 고취를 중시하였다. 4) 관객의 경우 치료자와 환자에 대한 동일시와 보편성을 중시하였다. 환자와의 동일시는 공유에 참가한 환자의 경우 특히 중시하였고, 보편성은 보조자아로 참가한 환자의 경우 또한 중시하였다. 다음으로 치료팀이 평가한 치료요인을 환자들이 평가한 치료요인과 비교하면, 치료팀은 환자들보다 집단응집력을 더 중시하였으며, 반면 환자들이 중시한 사회화 기술의 발달과 치료자나 환자에 대한 동일시는 매우 낮게 평가하였다. 결 론 : 환자들의 역할에 따라 세분화하여 조사한 치료요인을 통해 입원환자 대집단 싸이코드라마의 특성과 환자의 역할에 따른 치료요인의 특성을 파악할 수 있었다. 본 모델은 입원환자 치료에 쉽게 적용될 수 있었으며, 전체적으로 많은 환자들에게 도움이 되었다. Objectives : This study was performed to make a model of large group psychodrama suitable for Korean inpatients and easy for psychiatrists trained in the individual psychotherapy and the group psychotherapy to use, to investigate the therapeutic factors after applying this model to inpatients, and then to contribute to the treatment of inpatients. Methods : The study subjects were all the inpatients and the therapists(the auxiliary ego's) who participated in psychodrama from March 1998 to September 1998. The subjects were composed of 346 inpatients (152 males, 194 female) and 60 therapists. To the inpatients 13-Therapeutic Factors Scale, Scale of General Attitude to Psychodrama, and the Questionnaire describing helpful things in psychodrama were administerd. To the therapists 13-Therapeutic Factors Scale and the Questionnaire describing helpful things in psychodrama were administered. The inpatient group were divided into 4 groups(the audience, the auxiliary ego's, the participants in sharing, the protagonists). The therapeutic factors among 4 groups were compared. Results : First, the therapeutic factors described by the inpatients group were as follows : 1) Most inpatients made great account of ‘existential factor’ and ‘the corrective recapitulation of the primary family group’ regardless of their roles in psychodrama. 2) The inpatients who participated in psychodrama directly as the protagonists, the auxiliary ego's, or the participants in sharing made much account of ‘development of socializing techniques’. The inpatients who participated in psychodrama more directly as the protagonists or the auxiliary ego's made much account of ‘catharsis’. 3) All the inpatients except the protagonists made much account of ‘instillation of hope’. 4) The audience made much account of 'identification' and 'universality'. Especially,'identification with members' was much accounted of by the participants in sharing. ‘Universality’ also was much accounted of by the auxiliary ego's. Next, when we compared the therapeutic factors in the inpatient group with those in the therapist group, the therapist group made much account of ‘group cohesiveness’ which the inpatient group made little account of. And the therapist group made no account of ‘development of socializing techniques’which the inpatient group made much account of. Conclusion : By dividing the inpatient group according to their roles, we found the characteristics of the inpatient large group psychodrama and of the therapeutic factors according to the roles of the inpatients. This model could be applied to the treatment for the inpatients easily and was helpful to many inpatients on the whole.

만성정신병환자의 재활치료를 위한 주간보호 모델

이규항,김한오,이후경,윤성철,성상경,함웅,윤배중 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

목 적 : 본 연구는 전문병원 위탁형 정신보건센터에서 실시한 주간보호의 전체적인 체계, 운영, 프로그램에 관한 모델을 소개하고, 이 모델을 주간보호에서 시행한 후 그 결과와 시행과정에서 나타난 특징을 분석하여, 우리 실정에 맞는 주간보호 모델을 발전시켜 만성정신병환자의 생활유지와 재활을 촉진시키기 위한 목적으로 실시되었다. 방 법 : 본 주간보호 모델(이하 본 모델이라 함)을 1997년 3월부터 1998년 2월까지 의왕시 정신보건센터에서 총 23명의 환자를 대상으로 실시하였다. PANSS, Quality of Life, 삶의 만족 척도를 주간보호 전과 주간보호 실시 3개월 이후에 조사하였다. 프로그램 유익성 척도, 13가지 치료요인 척도를 주간보호 1개월째와 주간보호 실시 3개월 이후에 조사하였다. 결 과 : 1) 본 모델은 만성정신병환자의 증상을 감소시키고 삶의 질을 향상시켜, 환자의 생활유지 및 재활에 도움을 주었다. 2) 본 모델은 다양한 형태의 집단치료들을 사용하여 만성정신병환자에게 유익을 주었으며, 특히 예술치료와 활동치료가 환자의 신체적, 심리적, 사회적 기능회복을 위해 중요한 역할을 하였다. 3) 본 모델에 작용하는 치료요인의 특징을 보면 주간보호 초기와 후기에 모두 중시된 치료요인은 치료자와의 동일시, 치료자의 조언, 일차가족집단의 교정적 감정경험이었다. 주간보호 초기에 중시된 치료요인은 집단응집력, 이타심이었으며, 주간보호 후기에는 희망의 고취가 중시되었다. 4) 본 모델은 여러 분야의 치료자들과 다양한 치료방법들을 전체적으로 통합하여 사용하는데 유용하였다. 결 론 : 본 모델은 만성정신병환자의 생활유지와 재활을 위해 우리 나라에서 효과적이면서 효율적으로 적용될 수 있을 것으로 생각된다. Objectives : The purpose of this study was to present general system, operation, and program of a day care model managed by a psychiatrist, to evaluate the results of performing this model, and thus to develop a day care model applied to Korean situation appropriately for promoting maintenance and rehabilitation of chronic psychotic patients. Methods : We performed this day care model(hereinafter called as this model) from March 1997 to February 1998. The subjects were composed of 23 psychotic patients. PANSS, Quality of Life Scale, Life Satisfaction Self-Rating Scale were used before beginning this model and after three months of performing this model. Program Helpfulness Scale, 13 Therapeutic Factors Scale were used at one months of day care and after three months of day care. Results : 1) This model helped maintenance and rehabilitation of chronic psychotic patients through reducing their symptoms and increasing quality of life. 2) This model used the various group therapy, especially creative art therapy and activity therapy, played an important role for recovering physical, psychological, and social functions. 3) Important therapeutic factors at early and late period of this model were identification with therapists, guidance of therapists, and the corrective recapitulation of the primary family group. Important therapeutic factors at early period were group cohesiveness and altruism, and at late period instillation of hope. 4) This model was useful for integrating the multidisciplinary therapeutic team and the various therapeutic methods. Conclusion : This model would be applied to day care in this country effectively and efficiently for maintenance and rehabilitation of chronic psychotic patients.