심리 신경생리학적 관점에서 살펴본 분노, 공감 그리고 마음치유

국문 초록 (Abstract)

인간의 마음에 대한 이해는 동서를 초월하여 항상 인류의 뜨거운 논점으로 존재해 왔다. 특히, 육체와 마음을 잇는 점점이 어디에 존재하는지 대한 의문은 현재까지도 수많은 견해가 있다. 심신의학에 접근하는 대다수 보완ㆍ대체 의학자들은, 마음과 몸 사이에 서로 영향을 주는 통합된 과정이 있다고 생각한다. 심신이 서로 영향을 주는 통합 과정이라면 우리의 몸과 마음을 연결하는 접점은 어디에 있을까? 본 연구는 몸과 마음을 잇는 접점을 정서로 보고, 마음이 뇌 기능을 통해 나타나는지를, 마음이론에 근거해서 분노조절에 대한 공감의 치료적 의미를 살펴보았다. 마음이론 능력은 인간의 행동을 예측하고 설명할 수 있는 능력이고 의사소통을 가능하게 하며 인간관계를 유지하는데 필수적 능력이다. 마음이론 능력을 담당하는 신경 기제가 있는 곳은 뇌의 전전두엽이다. 전두엽의 내측 전전두엽이라고 부르는 곳에서 공감을 우선으로 관장한다. 마음이론이 발달하지 않는 사람들은 이 부위에 장애가 있어 공감을 비롯한 다른 사람들과 상호작용의 핵심을 경험할 수 없다. 공감 능력의 실조를 경험한 아동은 성장과 발달에 중대한 영향을 끼치며 불안, 우울, 공격성, 분노 등 심리적, 정신적으로 심각한 장애를 야기한다.
분노 조절에서 전전두엽을 이용한다는 것은 바로 분노를 느끼는 데에서 분노에 대해 생각하는 것으로 관점을 옮김으로써 가능하다. 전전두엽의 영향을 받는 사람의 뇌는 공감을 통해 다른 사람과의 가치와 신뢰 영역을 공유할 수 있다. 분노 조절은 참거나 폭발하는 것이 아니라 공감을 통해 분노를 해체해 가는 것이다. 본 연구에서 제시한 분노 조절에 대한 과학적 고찰은 분노 조절 연구 동향을 파악할 수 있게 할 뿐만 아니라, 다양한 분노 조절 프로그램의 개발과 효과 검증을 위한 과학적 이론 근거를 제공할 수 있을 것이다.

다국어 초록 (Multilingual Abstract)

Understanding of human mind has always existed as mankind"s hot controversial point across east and west. Especially, there is a number of opinions about the contact point where physical body and mind are connected until now. Majority of complementary and substitutive medical scientists approaching psychosomatics think that there is an integrated process mutually influencing between mind and body. If body and mind are an integrated process mutually influencing each other, where are contact points is connecting our body and mind? In particular, this study is reviewed anger of emotion from the viewpoint of psycho-neurophysiology, assuming contact point connecting body and mind as emotion. It was studied whether mind appears through brain function, with healing meaning of empathy for anger control based on mind theory. Capability of mind theory is could predict and explain human action, allow communication, and is an indispensable capability for human relationship. Pre-frontal region of brain is neural mechanism to controlling of mind theory is. empathy is managed in where is called as pre-frontal region Inside of frontal lobe. People without their mind theory can not experience the main point of other people"s interaction including empathy because this part has disability. Children who experienced loss of empathy capability greatly influence growth and development and cause psychologically and mentally serious disability such as anxiety, depression, aggression, and anger. It is possible to use pre-frontal region in anger control by changing from feeling anger to thinking anger. It is possible to use prefrontal cortex anger control by changing from feeling anger to thinking anger. Brain of people being influenced by pre-frontal region could share area of value and confidence with other people through empathy. Anger control is not to emotion suppress or exploding. It is to defusing of anger through empathy. Scientific analysis of anger control have presented in this study, will make study trend of anger control analyzed and can provide scientific theoretical base to verify development and effect verification of various anger control programs.

목차 (Table of Contents)

• 〈국문초록〉
• 1. 서론
• 2. 본론
• 3. 마무리
• 참고문헌
• Abstract

참고문헌 (Reference)

1 진영수, "통합의학에서 본 심신의학" 한양 메디컬리뷰 30 (2) : 84 ~ 90, 2010

2 이현수, "웰빙의 심리학" 大旺社 대왕사, 2005

3 오진아, "어머니의 성인애착 및 공감능력에따른 부모-자녀 관계 연구" 숙명여자대학교 대학원, 2007

4 박민, "마음이론의 신경기초" 한국심리학회지:일반 26 (2) : 39 ~ 62, 2007

5 이영돈, "마음" 예담, 2006

6 장현갑, "격리성장과 행동장애: 생쥐를 대상으로 한 생리심리학적 연구" 영남대출판부, 1984

7 Brüe, M., "Theory of mind-evolution, ontogeny, brain mechanisms and psychology" Neuroscience and biobehavioral Review 30 (4) : 437 ~ 455, 2006

8 Baron-Cohen, S., "The “Reading the Midd in the Eyes” Test revised version: a study with normal adults, and adults with Asperger syndrome or high- functioning autism" J Child Psychol Psychiatry 42 : 241 ~ 251, 2001

9 Friedman H. S., "The ‘disease-prone personality’: A Meta- analytic view of the construct" Am Psychol 42 : 539 ~ 555, 1987

10 Pert, C. B., "The psychosomatic network: foundation of mind-body: foundation of mand-body medicine" Alter There Health Med 4 (4) : 30 ~ 41, 1998

11 Baron-Cohen, S., "The empathy quotient : an investigation of adults with Asperger syndrome of high-functioning autism, and normal sex differences" Journal of Autism and Developmental Disorders 34 : 164 ~ 175, 2004

12 Harrington, A, "The cure Within: A History of Mind- Body Medicine" Norton & Co, Inc, 2008

13 Cannon WB, "The Wisdom of the Body" Norton, 1932

14 Fonagy P, "The Imaginative Body" Whurr Publishers : 60 ~ 86, 1994

15 Blakenmore, S., "Social cognitive neuroscience: Where are we heading?" Trends in Cognitive Sciences 8 (5) : 216 ~ 222, 2004

16 Blair R. J, "Responding to the emotion of others: Dis sociating forms of empathy through the study of typical and psychiatric populations" Conscious Cognition 10 : 1 ~ 21, 2005

17 Guerney, B. G., "Relationship enhancement : Skill-training programs for therapy, problem prevention, and enrichment" Jossey Bass, 1977

18 Spielberger C. D., "Professional manual for the Stat- Trait Anger Expression Inventory" Psychological Assessment Resources, Inc, 1988

19 Carlson, N. R., "Physiology of Behavior" Allyen & Bacon, 1998

20 Feshbach. N. D., "Parent empathy: A key element in the mother-child relationship" Advances in Early Education and Day Care 7 : 3 ~ 26, 1995

21 Pert, C. B., "Molecule of Emotion: The Science Behind Mind- Body Medicine" Touchstone, 1999

22 Little, S, "Mind-Body Medicine" Journal of Counseling and Development 86 (1) : 37 ~ 68, 2007

23 Findlay, L. C., "Links between empathy, social behavior, and understanding in early childbood" Early Childhood Research Quaterly 21 : 347 ~ 359, 2006

24 Lane R. D, "Levels of emotional awareness: a cognitivedevelopmental theory and its application to psychopathology" Am Journal Psychiatryαtry 144 : 122 ~ 143, 1987

25 Blaustein, Tuber S, "Knowing the unspeakable: Somatization as an expression of disruptions in affective-relational functioning" Bull Menninger Clin 62 (3) : 351 ~ 365, 1998

26 Scott S. K., "Impaired auditory recognition of fear and anger following bilateral amygdal lesions" Nature 385 : 254 ~ 257, 1997

27 Fredrickson B. L., "Hostility predicts magnitude and duration of blood pressure response to anger" Journal of Behavior Med 23 : 229 ~ 243, 2000

28 Batson, C. D., "Handbook of positive psychology" Oxford University Press, 2002

29 Walsh, R., "Essential Spirituality" John Wiley & Sons, Inc, 1999

30 Cialdni, R. R., "Empathy-based helping: Is it selflessly or selfishly motivated?" Journal of Personality and Social Psychology 52 : 749 ~ 758, 1987

31 Premack D, "Does the chimpanzee have a “theory of mind?”" Behave Brain Science 4 : 515 ~ 526, 1978

32 Baron-Cohen, S., "Does the autistic child have a “theory of mind?" Cognition 21 : 37 ~ 46, 1985

33 Maylor, E. A, "Does performance on theory of mind tasks decline in old age" British Journal of Psychology 93 (4) : 465 ~ 486, 2002

34 Joseph Aaron Shrand, M. D., "Defusing" 더퀘스트, 2013

35 Adolphs R, "Cognitive neuroscience of human social behaviour" Nat Rev Neurosci 4 : 165 ~ 178, 2003

36 Fava M, "Cardiovascular risk factors in depression. The role of anxiety and anger" Psychosom 37 : 31 ~ 37, 1996

37 Greenfield, S, "Brain Story. UK: BBC Worldwide Limited. Harlow HF. 1959Love in infant monkeys" Science Am 200 : 68 ~ 74, 2000

38 장갑수, "Brain Science" 열린 과학, 2009

39 Fonagy P, "Attachment and reflective function: their role m self-organization" Development Psychopathology 9 : 679 ~ 700, 1997

40 Siegman, A. W., "Anger, hostility, and heart" Lawrence Erlbaum, 1994

41 Okifuji A, "Anger in chronic pain: investigations of anger targets and intensity" Journal of Psychosom Res 47 : 1 ~ 12, 1999

42 Batson, C. D., "Altruism and helping behavior: Social, personality, and developmental perspectives" Erlbaum, 1981

43 Hyer L, "Alexithymia among Vietnam veterans with post traumatic stress disorder" Journal of Clinic Psychiatry 51 : 243 ~ 247, 1990

44 Linnoila V. M. I., "Aggression, suicidality and serotonin" J Clin Psychiatry 53 (10 suppl) : 46 ~ 51, 1992

45 Pardini, M., "Age-related decline in metalizing skills across adult life span" Experimental Aging Research 35 (1) : 98 ~ 106, 2009

46 Spielberger C. D., "Advances in personality assessment, Vol. 2" Elbaum, 1993

47 Todarello O, "AIexithymia in essential hypertensive and psychiatric outpatients: a comparative study" Journal of Psychosom Res 39 (8) : 987 ~ 994, 1995

48 Davis, M, "A multidimensional approach to individual differences in empathy" Catalog of Selected Documents in Psychology 10 : 85 ~, 1980

49 Allen J. G, "A guide to self-understanding" American Psychiatric Press, 1995

50 Asberg M, "5-HIAA in the cerebrospinal fluid. A biochemical suicide predictor?" Arch Gen Psychiatry 33 : 1193 ~ 1197, 1976