정신질환자에 대한 집단음악치료 연구 = A Study of Group Music Therapy in Psychiatric Patients

국문 초록 (Abstract)

약 5주간에 걸쳐 정신질환자 12명을 대상으로 즉흥적 음악요법과 부분적인 Guided Imagery and Music(GIM)을 실시하였다. 집단음악요법이 정신질환자의 증상호전과 예후 판정에 어느 정도 도움을 줄 것인가에 흥미를 갖고 본 연구를 시도하였다. 그 결과 정신질환자들이 음악요법에서 얻은 음악적 활동의 호전은 정신병적 호전과 거의 병행하여 나간다는 사실을 확인하였다.

다국어 초록 (Multilingual Abstract)

I have had a trial of the group music therapy in 12 psychiatric patients who admitted in Seoul Paik Hospital since Feb 1992. I observe the on going process of patient's status in group MT, and so can summarize the findings. Resistance which the patients feel about the therapist can be relieves gradually with the supportive and encouraged acceptance through the music process. Also improvisational music play offers the organization and the coordination which remove defensive resistance, and contributes to relieve the symptom. I find that patients can judge the one's self behavior and then change it through the music process. The use of music as a tool of group therapy offers to the members being in the process of group therapy, the experiences of 'here and now' which helps patients learning a technical interpersonal relationship. Conclusively, First, the music therapy is effective as adjunctive method of the psychotherapy. Second, the music therapy would make be easy to observe the thought, behavior and feelings of patients for a psychiatrist or a music therapist. Third, the music therapy would be of benefit for assessing the prognosis of the social adaptation and symptomatological improvement of the patients. Forth, the music therapy would be benefit for establishing the rapport of the doctor·patient relationship. Fifth, the music therapy would of benefit for converting the nonverbal communication such as the depressive mood, social withdrawal and mutistic behavior of the patients to verbal communication. Sixth, the music therapy and dancing therapy would be helpful for the chronified patient who would be required the long term admission for treatment to refresh themselves. Finally, although I have had a few cases, the music therapy may be helpful for the patients who were relatively improved in acute negative symptom such as, negativism, autistic behavior, social withdrawal by antipsychotic medications.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.음악적 치료 방법
• 1.즉흥적 음악요법
• 2.Guided Imagery & Music
• Ⅲ.증례
• 〈증례 1〉
• 〈증례 2〉
• 〈증례 3〉
• 〈증례 4〉
• 〈증례 5〉
• 〈증례 6〉
• 〈증례 7〉
• Ⅳ.고찰
• Ⅴ.요약 및 결론