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유아 애착외상 증상회복을 위한 ARC 중심 부모-자녀 놀이치료 프로그램 개발과 효과

Development and efficacy of an ARC-centric parent-child play therapy program for the amelioration of symptoms pertaining to childhood attachment trauma

최은영|주미선
한국아동심리재활학회|2023.12|놀이치료연구 (THE JOURNAL OF PLAY THERAPY)|제27권 제3호|pp. 29-47|DOI https://doi.org/10.32821/JPT.27.3.29

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키워드

애착외상attachment trauma학대와 방임신경생물학적 변화애착외상 증상 회복ARC 부모-자녀 놀이치료 프로그램neurobiological changesattactmen trauma symptoms ameliorationabuse and neglectARC parent-child play therapy program

초록

본 연구의 목적은 유아 애착외상 증상 회복을 위한 ARC 중심 부모-자녀 놀이치료 프로그램을 개발하고 그 효과를 검증하는 것이다. 이를 위해 먼저 프로그램 개발을 위해 기획, 설계, 구안의 단계를 거쳤다. 또한 효과 검증을 위해, 애착외상 경험과 증상이 있는 유아와 그 부모가 만 18세 이전 애착외상을 경험하고 애착, 자기조절(정서조절), 역량(자기체계) 손상이 있으며, 본 연구 참여 의사를 밝히고 동의한 14쌍의 부모와 유아를 선정하였다. 프로그램은 2022년 8월 1일부터 8월 26일까지 총 8회기 주 2회, 80분씩 진행하였다. 유아 애착외상 증상 회복에 대한 양적, 질적 분석 결과, ARC 중심 부모-자녀 놀이치료 프로그램은 유아 애착외상 증상 회복에 효과적이었다 이러한 연구결과는 부모의 학대와 방임으로 유발된 뇌의 부정적인 신경생물학적 변화를 긍정적으로 회복하는데, 본 연구자가 개발한 ARC 중심 부모-자녀 놀이치료 프로그램이 매우 효과적임을 시사한다.

Abstract

The primary objective of this research was to devise an ARC-centric parent-child play therapy program aimed at the alleviation of symptoms associated with childhood attachment trauma, and to subsequently substantiate its effectiveness. The program's developmental stages were thoughtfully structured into planning, design, and drafting phases, premised on the program development. To verify the effectiveness of the final ARC-centered Parent-Child Play Therapy program, 14 pairs of parents and children were selected who had experienced attachment trauma, exhibited symptoms of attachment trauma, suffered damages to attachment, self-regulation (emotion regulation), and competency (self-system), and voluntarily agreed to participate in this study. Quantitative and qualitative analysis of the recovery from childhood attachment trauma symptoms showed that the ARC-centered Parent-Child Play Therapy program was effective in reducing symptoms of childhood attachment trauma and enhancing mother-child attachment These research results suggest that the ARC-centric parent-child play therapy program developed by this researcher is very effective in positively recovering negative neurobiological changes in the brain caused by parental abuse and neglect.

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