의과대학생을 위한 정신치료의 교육적 적용 : 정신치료 교육의 지침서 개발 = Educational Applications of Psychotherapy for the Medical Students: Development of Psychotherapy Education Model

다국어 초록 (Multilingual Abstract)

Objectives We have been providing psychotherapy training for medical students enrolled in the course of ‘Clinical Practice.’ The aim of this study is to introduce the psychotherapy education developed in this process, conceptualize objective education methods, and check the impact of educational applications of psychotherapy for medical students. Methods Psychotherapy was applied to the medical students during their clerkship in psychiatry. 221 medical students participated in this program from 2017-2019, which consisted of 2-3 people in a group. One was in charge of clients, and the other was an observer. Their clerkship was based on psychodynamic psychotherapy, especially Taopsychotherapy. Before and after the practice, participants completed a self-reporting questionnaire about ego identity, self-concealment, and professional help-seeking attitudes. Statistical analysis using a two-way repeated measure analysis of variance was conducted. Results Participants learned of the nuclear feelings associated with the current problem and were surprised to find a connection with past experiences, but accepted the connection. Selfidentity decreased in the client role students (p=0.001), and professional help-seeking attitude increased in both client and observer role students (p=0.001). Conclusion In the general course of psychotherapy, patients are reminded of their first interpersonal relationships, like parents, and in the beginning, they only think of positive aspects under repressed emotions. However, they gradually recalled negative emotions. The above practical course featured this same pattern. As they recognized negative emotions that were repressed, self-identity decreased in client role students.

목차 (Table of Contents)

• 서 론 방 법 결 과 고 찰

참고문헌 (Reference)

1 박용천, "한국에서 정신치료 수련의 경험" 대한신경정신의학회 49 : 36-41, 2010

2 오홍석, "한국에서 우울증의 비약물학적 치료의 현황과 요구도" 대한생물정신의학회 14 (14): 21-27, 2007

3 이후경, "집단정신치료 : 이론과 실제" 대한신경정신의학회 41 (41): 2002

4 신연희, "전문적 도움 추구 행동에서 접근요인과 회피요인의 상대적 중요성 고찰" 한국상담심리학회 17 (17): 177-195, 2005

5 김주미, "전문적 도움 추구 행동에 영향을 미치는 심리적, 문화적 요인" 한국상담심리학회 14 (14): 991-1002, 2002

6 박미란, "자기은폐 척도개발 및 타당화" 한국상담학회 9 (9): 1547-1565, 2008

7 김진희, "의과대학생들의 정신건강 및 이들의 자존감 유지전략이 정신건강에 미치는 영향" 한국의학교육학회 23 (23): 295-304, 2011

8 장은영, "사회비교와 주관안녕：문화 비교 연구" 한국사회및성격심리학회 23 (23): 157-169, 2009

9 최무덕, "사관생도 자아정체감 확립 프로그램 개발과 효과 검증" 한국상담학회 8 (8): 1377-1390, 2007

10 손진희, "내담자의 자기은폐(self-concealment) 수준에 따른 상담회기, 작업동맹 평가 및 상담자-내담자의 언어적 상호작용 분석: 초심 상담자를 대상으로" 한국상담심리학회 16 (16): 327-345, 2004

11 박아청, "‘한국형 자아정체감검사’의 타당화 연구" 한국교육심리학회 17 (17): 373-392, 2003

12 "index.go.kr" Statistics Korea

13 Kushner MG, "The relationship of treatment fearfulness and psychological service utilization : an overview" 22 : 196-203, 1991

14 Reuben F, "The history of psychoanalysis" Columbia University Press 1979

15 Lee YS, "The effects of self-stigma, self-concealment and social network orientation on attitude towards seeking professional help: mothers in counseling and mothers in non-counseling groups" Sookmyung Women’s University 2010

16 Lee WW, "The attitudes and concepts toward mental illness of medical students’ and nursing students’: effects of psychiatric clerkship" 6 : 166-176, 2001

17 Rhee DS, "Taopsychotherapy: beyond Freud and Jung" Hangangsu 2008

18 Larson DG, "Self-concealment: conceptualization, measurement, and health implications" 9 : 439-455, 1990

19 Korean Association of Medical College, "Report of national medical students’ mental health" Korean Association of Medical College 2007

20 Cabaniss DL, "Psychodynamic psychotherapy: a clinical manual" Hakjisa 2015

21 Cabaniss DL, "Psychodynamic psychotherapy: a clinical manual" Wiley-Blackwell Press 2010

22 Cabaniss DL, "Psychodynamic formulation" Hakjisa 2019

23 Park YC, "Psychoanalytic studies of medical students’ emotion" 27 : 43-48, 2008

24 Hatcher RL, "Patients’ view of the alliance of psychotherapy: exploratory factor analysis of three alliance measures" 64 : 1326-1336, 1996

25 Fischer EH, "Orientations to seeking professional help: development and research utility of an Attitude Scale" 35 : 79-90, 1970

26 Yun HK, "On the effects of the integrative group counseling" 1 : 63-71, 1995

27 Kim JM, "Influence of psychological distress, self-concealment, socialnetwork orientation and individualism-collectivism on attitudes toward seeking professional help among Koreans" Ewha Womans’ University 2002

28 Park JH, "Gender role conflict and willingness to seek counseling in male university students: the mediating roles of social stigma, selfstigma and attitudes toward counseling" Ewha Womans’ University 2008

29 Dignan MH, "Ego identity and maternal identification" 1 : 476-483, 1965

30 Seo YS, "Effects of self-growth group counseling program on self-esteem, ego-identity, and communicative competence of nursing students" 5 : 925-935, 2017

31 Hwang JY, "Counseling motivation and expectations about counselor affected by ego-strength and self-concealment" Catholic University 2002

32 Min SK, "Comparison of quality of life between medical students and general college students" 39 : 1054-1060, 2000

33 Kwak DI, "A study on the stress, copying and general well-being of medical students" 12 : 227-239, 2000