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EMDR 부모-자녀 놀이치료가 복합외상 아동의 모-자 애착과 정서조절에 미치는 효과

The effect of complex trauma child to mother-child attachment and emotion regulation using EMDR parent-child play therapy

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참고문헌

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초록

본 연구는 부모 방임과 가정폭력 및 부모이혼의 목격 그리고 신체, 언어, 정서적인 학대를 입은 복합외상아동의 모-자 애착과 정서조절을 향상하기 위해 EMDR 통합 놀이치료의 효과를 조사하는데 그 목적이 있다. 이 연구를 위해 복합외상 아동과 모 1쌍이 참여하였고, 총 8회기, 주 2회, 1회기 당 80분(본 활동 60분, 자유놀이 20분)으로 프로그램을 구성하였다. 모-자 애착 사전·사후 변화를 측정하기 위해 구조화된 부모-자녀 상호작용 평가 척도를 사용하였고, 아동의 정서조절 사전·사후 변화를 측정하기 위해 아동의 정서 조절 능력 척도(ERC)를 사용하였다. 그리고 모-자 애착과 아동의 정서조절 행동 변화를 분석하기 위해 매 회기 자유놀이 20분을 녹화하여 행동 관찰 기준에 따라 분석하였다. 그 결과 다음과 같은 결론을 얻었다. 첫째, EMDR 통합 놀이치료가 복합외상 아동 모-자의 애착을 향상시켰다. 둘째, EMDR 통합 놀이치료가 복합외상 아동의 정서조절을 향상시켰다. 본 연구의 결과를 통해 EMDR 통합 놀이치료가 복합외상 아동의 모-자 애착과 정서조절에 효과가 있음을 알 수 있었다.

Abstract

The purpose of the study is to examine what effects the EMDR parent-child play therapy has on improving mother-child attachment and emotion regulation of complex trauma child by parent’s neglect, witness of domestic violence, parents’divorce and body, language, emotion abuse. To this study, children with complex trauma and his mother, 1pairs participated in the program. This program is composed of total 8 sessions, twice a week, 80 minutes per 1 session. To measure pre-post change of mother-child used for structured parent-child interaction scale. also, to measure that of child used for emotion regulation scale of child. As a result, I have concluded as follows: First, the EMDR parent-child play therapy improved mother-child attachment of complex trauma child. Second, the EMDR parent-child play therapy improved the emotion regulation of complex trauma child. Through the results of the research, it is certain that the EMDR parent-child play therapy has a great effectiveness on mother-child attachment and child emotion regulation.

참고문헌 (47)

  1. Adler-Tapia, R., "Child Psychotherapy: Integrating development theory into clinical practice" (2013), Springer Publishing Company, LLC
  2. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Association
  3. Arvidson, J., "Treatment of complex trauma in young children : Developmental and cultural considerations in application of the ARC intervention model", Journal of Child & Adolescent Trauma, 4(1), pp.34~51 (2011)
  4. Atwood, S., "Childhood experiences of trauma and loss have different relations on maternal unresolved and hostile-helpless states of mond on the AAI", Attachment & Human Development, 5(4), pp.330~352 (2003)
  5. Blaustein, M. E., "Treating traumatic stress in children and adolescents: How to foster resilience through attachment, self- regulation, and competency" (2010), The Guilford Press
  6. Bowlby, J., "Attachment and loss, vol. 2: Separation, anxiety and anger" (1973), Hogarth Press
  7. Bretherton, I., "Assessing internal working models of the attachment relationship: An attachment story completion task for 3-year-olds" (1990)
  8. "Father-absent homes: Implications for criminal justice and mental health professionals" (2013)[URL]
  9. Brown, S., "EMDR in the treatment of borderline personality disorder", Clinical Case Studies, 5, pp.403~420 (2006)
  10. Cicchetti, D., "Emotion regulation among school-age children : The development and validation of a new criterion Q-sort scale", Developmental Psychology, 33, pp.906~916 (1997)
  11. Corbin, J. R., "Reactive attachment disorder : A biopsychosocial disturbance of attachment", Child Adolescent Social Work Journal, 24, pp.539~552 (2007)
  12. Courtois, C. A., "Complex trauma, complex reactions: Assessment and treatment", Psychiatric: Theory, Research, Practice, Training, 41(4), pp.412~425 (2004)
  13. De Robertis, G. M., "Deriving a third force approach to child development from the works of Alfred Adler", Journal of Humanistic Psychology, 51, pp.492~515 (2010)
  14. Lemerise, E. A., "International Handbook of Anger", pp.219~229 (2010)
  15. Forsythe, L. P., "Attachment style is associated with perceived spouse responses and pain-related outcomes", Rehabilitation Psychology, 57(4), pp.290~300 (2012)
  16. Fraley, R. C., "An item-response theory analysis of self-report measures of adult attachment", Journal of Personality and Social Psychology, 78, pp.350~365 (2000)
  17. Ferriegel, M., "Somatic expressions of trauma in experiential play therapy", Family Psychology, 1, pp.138~152 (2012)
  18. Gomez, A. M., "EMDR therapy and adjunct approaches with choldren" (2013), Springer Publishing Company
  19. Greenwald, R., "Assessment of posttraumatic symptoms in children : development and preliminary validation of parent and child scales", Research on Social Work Practice, 9, pp.61~75 (1999)
  20. Gupta, M., "Use of eye movements desensitization and reprocessing(EMDR)in the treatment of dermatologic disorders", Journal of Cutaneous Medicine and Surgery, 6, pp.416~421 (2002)
  21. Heim, C., "Lower CSF oxytosin concentration in woman with a history of child abuse", Molecular Psychiatry, 14, pp.954~958 (2009)
  22. Herman, J. L., "Complex PTSD : A syndrome in survivors of prolonged and repeated trauma", Journal of Traumatic Stress, 5, pp.377~391 (1992)
  23. Holmes, J., "An attachment model of depression : Integrating finding from the mood disorder laboratory", Journal of Psychiatry, 76(1), pp.68~86 (2013)
  24. Jarero, I., "The EMDR integrative group treatment protocol : Application with adults during ongoing geopolitical crisis", Journal of EMDR Practice and Research, 4(4), pp.148~155 (2010)
  25. Jernberg, A., "Reciprocity in parent- infant relationships" (1991), The Theraplay Institute
  26. Jernberg, A., "The marschak interaction method preschool and school age manual" (1991), The Theraplay Institute
  27. 주미선, "EMDR 통합 놀이치료가 ADHD 아동의 불안, 분노, 자존감에 미치는 효과", 놀이치료연구, 18(2), pp.53~72 (2014), 한국아동심리재활학회
  28. Kim, S. H., "Adaption of the experience in close relationship-revised scale into Korean: Confirmatory factor analysis and item response theory approaches", master, pp.2004
  29. Kim, J. Y., "The effects of preschooler’s temperament, marital conflict and preschooler’s emotion regulation on problem behavior", master, pp.2007
  30. Korn, D. L., "EMDR and the treatment of complex PTSD : A review", Journal of EMDR Practice and Research, 3(4), pp.264~278 (2009)
  31. Laub, B., "Eye movement desensitization and reprocessing(EMDR) scripted protocols: Basic and special situations", pp.292~ (2009), Springer
  32. Lee, J. S., "Preschool children’s representation of attachment: Associations with teacher-child relationship and social competence", doctor, pp.2001
  33. Lee, K. M., "Reliability and validity of the Korean version of the Child Report of Post-traumatic Symptoms(CROPS) and the Parent Report of Post-traumatic Symptoms(PROPS)", master, pp.2011
  34. Perry, B. D., "The boy who was raised as a dog" (2006), Basic Books
  35. Riggs, S. A., "Childhood emotional abuse and attachment processes in the dyadic adjustment of dating couples", Journal of Counseling Psychology, 58(1), pp.126~138 (2011)
  36. Rodriguez, C. M., "Behind the cycle of violence, beyond abuse history : A brief report on the association of parental attachment to physical child abuse potential", Violence and Victims, 26(2), pp.246~256 (2011)
  37. Schneider, J., "EMDR in the treatment of chronic phantom limb pain", Pain Medicine, 9, pp.76~82 (2008)
  38. Shapiro, F., "Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures" (1995), Guilford Press
  39. Shapiro, F., "Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures" (2001), Guilford Press
  40. Shapiro, F., "Getting pase your past : Take control of your life with self-help techniques from EMDR therapy" (2012), Rodale
  41. Shiakou, M., "Representations of attach-ment patterns in the family drawings of maltreated and non-maltreated children", Child Abuse Review, 21, pp.203~218 (2011)
  42. 송영혜, "부모-아동 자유놀이 상호작용 평가 모형", 놀이치료연구, 6(1), pp.29~44 (2002), 한국아동심리재활학회
  43. 송영혜, "구조화된 부모-아동 상호작용 평가 모형", 놀이치료연구, 6(1), pp.45~58 (2002), 한국아동심리재활학회
  44. Steele, H., "Attachment representations in adolescence : Further evidence from psychiatric residential settings", Attachment & Human Development, 3(3), pp.259~268 (2001)
  45. Terr, L., "Unchained memories: True stories of traumatic memories, lost and found" (1994), Basic Books
  46. Van der Kolk, B., "A randomized clinical trial of eye movements desensitization and reprocessing(EMDR), fluoxetine, and pill placebo in the treatment of post-traumatic stress disorder : Treatment effects and long-term maintenance", Journal of Clinical Psychiatry, 68, pp.1~10 (2007)
  47. Wanders, F., "EMDR versus CBT for children with self-esteem behavioral problems : A randomized controlled trial", Journal of EMDR Practice and Research, 2, pp.180~189 (2008)

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