내담자의 자살에 대한 정신건강 전문가의 정서적 경험과 보호요인: 개념도 연구법을 활용하여 = Surviving client suicide: A concept mapping approach to mental health professionals’ emotional experiences and protective factors

국문 초록 (Abstract)

본 연구는 국내 정신건강 전문가의 내담자 자살경험을 개념도 연구법(concept mapping method)을 활용하여 연구함으로써 국내 정신건강 전문가가 내담자의 자살로 인하여 어떠한 어려움들을 경험하고, 이러한 어려움들로부터 회복하는데 중요한 보호요인들은 무엇이 있는지를 알아보고자 하였다. 내담자의 자살을 경험한 국내 정신건강 전문가 8명을 대상으로 개별면접을 실시하였고, 내담자의 자살에 대한 정신건강 전문가의 정서적 경험과 관련한 핵심문장들과 보호요인과 관련한 핵심문장들을 각각 57개씩 추출하였다. 핵심문장들에 대해 다차원척도법(Multidimensional Scaling)과 위계적 군집분석(Hierarchical cluster analysis)을 실시한 결과 내담자의 자살에 대한 정신건강 전문가의 정서적 경험과 보호요인들은 각각 2차원의 군집 7개와 5개로 분류되었다. 정신건강 전문가의 정서적 경험의 2개 축은 각각 ‘내담자관련-정신건강 전문가관련’차원과 ‘일차적 반응-이차적 반응’차원으로, 보호요인의 2개 축은, ‘문제행동 중심-인지 중심’차원과 ‘개인내적-대인관계적’차원으로 구성되었다. 각각의 군집은 충격, 죄책감, 불안, 애도, 후회, 무능감, 우울 증상과 사회적지지, 한계 수용, 관점 변화, 행동적 대처, 유가족 대처로 명명되었다. 본 연구는 국내 정신건강 전문가의 내담자 자살에 대한 정서적 경험과 보호요인이 가지는 구조적 특성과 기저차원을 경험적으로 검증하였다는 함의가 있다.

다국어 초록 (Multilingual Abstract)

The study investigated the experiences that Korean mental health professional encountered after client's suicide by using a concept mapping approach. Eight mental health professionals were interviewed, and 57 core items of the emotional experiences and the protective factors were obtained. The results of multidimensional scaling and hierarchial cluster analysis yielded seven clusters of the emotional experiences on two dimensions and five clusters of protective factors on two dimensions. Dimensions of the emotional experiences were ‘client related-mental health professional related’ and, ‘primary-secondary response.’ Its protective factors were ‘problem/behavior oriented-cognition oriented’ and, ‘intrapersonal-interpersonal.’ Clusters of the experiences were shock, guilt, anxiety, grief, regret, sense of incompetence, and depressive symptom. Its protective factors were social support, acceptance of limitations, perspective change, behavioral coping, and helping the bereaved. The study empirically investigated the structure and the underlying dimensions of the emotional experiences which Korean mental health professionals after client's suicide and their protective factors.

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