정신과적 응급위기개입 출동 경험이 있는 정신건강전문요원의 심리적 외상에 관한 질적 사례연구 = Qualitative case study on psychological trauma among mental health professionals deployed for psychiatric emergency crisis interventions

다국어 초록 (Multilingual Abstract)

Qualitative case study on psychological trauma among mental health professionals deployed for psychiatric emergency crisis interventions

This study thoroughly examined the nature of psychological trauma among mental health professionals with experience in psychiatric emergency crisis intervention. Purposive sampling was used to select six mental health professionals with a minimum of two years of experience in psychiatric emergency crisis response. Data collection was conducted approximately two months between August and September 2024, involving in-depth interviews. Data analysis occurred concurrently with the data collection.
A total of 12 subcategories and five themes emerged from the case analysis. The five themes were “standing alone in a crisis and the wound in my heart,” “in the chasm of responsibility, the wound reopens,” “challenges and doubts about professionalism,” “the lonely road to recovery,” and “food for professional growth.” “Standing alone in a crisis and the wound in my heart” is about the various psychiatric emergencies and psychological traumas that mental health professionals are exposed to in the course of their work. This category included the subcategories “pillar of fear in a storm,” “sense of mission beyond safety,” and “numbing emotions in the face of repeated crises.” “In the chasm of responsibility, the wounds reopen” explores the range of emotions and challenges mental health professionals face in the aftermath of psychological trauma and the confusion of healing and recovery. The subcategories of “fear of the shadow of retribution,” “pain of forced flashbacks,” and “helplessness over lost lives” were expressed in this category. The third, “challenges and doubts about professionalism,” expressed the frustration of being a professional without authority in emergency psychiatric crisis intervention. This category included the subcategories of “different sets of eyes with overlapping role responsibilities” and “the weight of accurate assessments weighing on the mind.” Next, “the lonely road to recovery” was the lack of a real support system for mental health professionals with experience in psychological trauma and the helplessness of having to manage the scars of trauma alone. Subcategories within this category include “falling through the cracks” and “the stress is all on me.” The last one is to “food for professional growth.” This category was described as “the fellowship that came in a moment of brokenness” and “the gentle comfort that seeps into the person's recovery.”
The study is significant as it examines the characteristics and responses to psychological trauma among mental health professionals with experience in emergency psychiatric crisis intervention, while also highlighting relevant case studies. The study discusses ways in which the situation of mental health professionals with expertise in psychological trauma in emergency psychiatric crisis intervention can be improved and supplemented to help them cope with the experience of psychological trauma.

목차 (Table of Contents)

• 제1장 서론 1
• 제1절 연구의 필요성 1
• 제2절 연구의 목적 및 연구 문제 5
• 제2장 문헌 고찰 6
• 제1절 정신과적 응급위기개입 출동의 개요 6
• 1. 정신과적 응급상황의 정의 및 특성 6
• 2. 정신과적 응급상황 대응체계와 현장출동 현황 8
• 제2절 정신건강전문요원의 역할 14
• 1. 지역사회 정신건강전문요원의 역할과 책임 14
• 2. 정신과적 응급위기개입 출동에서 정신건강전문요원의 주요 업무 17
• 제3절 정신건강전문요원의 심리적 외상 19
• 1. 심리적 외상의 정의 19
• 2. 정신건강전문요원이 겪는 심리적 외상의 특성 23
• 제3장 연구 방법 28
• 제1절 질적 사례연구 28
• 제2절 연구 대상 및 자료수집 31
• 1. 연구참여자 선정 31
• 2. 자료수집 방법 및 절차 33
• 제3절 자료 분석 방법 34
• 제4절 연구의 윤리성 35
• 1. 연구자의 준비 35
• 2. 연구 참여자에 대한 윤리적 고려 36
• 3. 연구의 엄격성 38
• 제4장 연구결과 40
• 제1절 사례 내 분석 40
• 제2절 사례 간 분석 47
• 제5장 결론 및 제언 64
• 참고문헌 72
• 1. 국내문헌 72
• 2. 국외문헌 79