학술논문
치료적 공동사회의 한 변형 一1년간의 추적 ᅳ
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- 영문명
- An Illustration of a Modified Therapeutic Community in Korea 一It’s One Year Follow-up—
- 발행기관
- 대한신경정신의학회
- 저자명
- 이만흥 정영기
- 간행물 정보
- 『신경정신의학』제22권 제3호, 375~383쪽, 전체 9쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1983.08.31
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국문 초록
영문 초록
The authors presented a an illustration of the modified therapeutic community, which was organized
in Aug. 1981, as a psychiatric inpatient unit of Wonju Christian Hospital, Yonsei University, and
was located in one of the strongly culture-bound district in Korea (Kangwon-Do, W o nju). It was an
active therapy unit as well as a teaching facility for medical students and nursing students, and was
a mixed milieu consisted of 22 to 26 inpatients with heterogenous diagnostic entities.
Organization and vicissitude of the therapeutic community was presented in terms of therapeutic
team, therapeutic strategies, patient previlige system, and ward activities including community meeting,
intensive group psychotherapy family accompanied admission programme, ward round, occupational
programme, staff sensitivity meeting etc. Based on the one-year follow-up experience compared
with western ones, the authors’ discussion was focused on the predicted modification how the concepts
and strategies of therapeutic community could be applied and changed in accordance with the sociocultural
characteristics of our country, and several problems were suggested to be examined further,
as follows; (1) the patient’s heterogeneity seemed to be rather contributory to increasing therapeutic
effect in the mixed milieu, but where, organic brain syndrome, compensation neurosis and antisocial
personality disorder seemed to be contraindicated.
(2) the patient priviliege system was successfully applicable to our therapeutic community as an
organized democracy and several patient’s requirement tasks were developed spontaneously and informally
in each step of priviliege system.
(3) the patient value system and culture of therapeutic community should be scrutinized in accordance with
our sociocultural background. The mostly fiequently confronting and conflict-provoking issues of our
therapeutic community were patient’s difficulty in expression of aggression, unresolving strong ambivalence
toward the authority figure, and the need for new type of leadership for it’s resolution.
(4) the counter-transference reaction seemed to be final problem to be successfully dealt with in the therapeutic community just as in individual psychotherapy, and that was analyzed in 3 system-levels;
counter-transference reaction originated from the therapists’ intrapsychic conflict, the one from the
interaction between therapists’ subgroups, and the one from the therapeutic community organization
as a whole.
목차
서 론
치료적 공동사회의 시작과 변형
결과 및 고찰
결 론
REFERENCES
키워드
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