상담의 상대적 효과성 연구에서 충성도의 문제
The Problems on the relative efficacy research and allegiance in counseling
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
본고에서는 상담연구와 실제의 중요한 과제라 할 수 있는 상대적 효과성 연구의 대표적 두 가지 방법인 1차 비교연구와 메타분석 연구들을 살펴보았다. 그리고나서 이 과정에서 연구결과를 오염시키는 대표적 문제로서 충성도의 문제를 검토하였다. 먼저, 실험집단을 무처치통제집단과 비교하는 방법과 두 개 이상의 상담처치를 실시하고 그 효과를 비교하는 방법을 비판적으로 검토하였다. 그런 다음, 1차 연구의 문제점들을 극복하는 방법으로서, 무처치통제집단 비교연구들에 대한 메타분석과 직접비교연구들에 대한 메타분석을 살펴보았다. 다음으로 상담자와 연구자의 충성도가 어떻게 발생하며 연구성과에 어떻게 영향을 주는지를 선행연구를 통해 검토하였다. 마지막으로, 우리나라의 상대적 효과성 연구의 발전을 위해 충성도를 통제할 방안들을 구체적으로 제시하였다. 그 외, 학계와 연구자들의 측면에서 개선이 필요한 부분과 바람직한 추후연구를 제안하였다.
Abstract
The purpose of this study is to develop Korea's relative efficacy research. In this study, primary studies and meta-analysis studies as two representative methods of exploring relative efficacy were examined. Then, in this process, the problem of allegiance was reviewed as a representative problem that contaminates the research results. First, the method of comparing the experimental group with the no treatment control group and the method of comparing the effects of two or more counseling treatments were reviewed critically. Then, the meta-analysis method, which is a method of overcoming the problems of the primary study, was divided into meta-analysis for comparative studies in the untreated control group and meta-analysis for studies with direct comparison design. Next, how the allegiance of the counselor and the researcher occurs and how it affects the research were reviewed through previous studies. Finally, for the development of Korea's relative effectiveness research, a plan to control allegiance was presented in detail. In addition, areas that need improvement from the perspective of academia and researchers, and desirable future studies were suggested.
참고문헌 (35)
- 김애경, "상담자의 반복적 부정경험에 대한정서수용과 자기자비훈련이 정서와 공감에 미치는 효과", 박사, pp.2020
- 오윤석, "신혼기 부부 예방적 단기상담에서 PREPARE", ENRICH-CV 활용 상담과 통합적 부부상담의 효과와 내담자 경험 비교 연구, 2020, pp.28(2), 231~258[DOI]
- 유채은, "개별접근 집단상담과 가족접근 집단상담의 효과 비교 -가정폭력 노출아동의 적응향상을 중심으로-", 상담학연구, 9(4), pp.1625~1640 (2008), 한국상담학회[DOI]
- 임성택, "도덕적 문제의 상담에서 정의지향적접근법과 배려지향접근법의 효과비교", 상담학연구, 2(2), pp.345~358 (2001)
- 조주성, "부적응 병사를 위한 인지행동치료 및 수용전념치료 집단상담 프로그램 개발 및 효과 검증", 융합정보논문지, 10(11), pp.224~231 (2020), 중소기업융합학회[DOI]
- 최연주, "긍정심리치료 기반 진로상담과 인지행동치료 기반 진로상담의 효과 : 긍정정서와우울증상의 조절효과", 석사, pp.2021
- 최은미, "스마트폰 중독 대학생을 위한 동기강화중심 집단상담과 인지행동 집단상담의 효과 연구", 상담학연구, 17(3), pp.169~185 (2016), 한국상담학회[DOI]
- 홍경자, "메타분석을 통한청소년의 자아존중감 향상을 위한 인본주의적 집단상담과 인지․행동적 집단상담간의효과비교", 상담학연구, 2(1), pp.23~44 (2001)
- Borkovec, T. D., "Efficacy of applied relaxation and cognitive-behavioral therapy in the treatment of generalized anxiety disorder", Journal of Consulting and Clinical Psychology, 61(4), pp.611~619 (1993)
- Butler, G., "Comparison of behavior therapy and cognitive behavior therapy in the treatment of generalized anxiety disorder", Journal of Consulting and Clinical Psychology, 59(1), pp.167~175 (1991)
- Clark, D. M., "A comparison of cognitive therapy, applied relaxation, and imipramine in the treatment of panic disorder", British Journal of Psychiatry, 164(6), pp.759~769 (1994)
- DeRubeis, R. J., "Determinants of change in cognitive therapy for depression", Cognitive Therapy and Research, 14(5), pp.469~482 (1990)
- Elkin, I., "Handbook of psychotherapy and behavior change", pp.114~139 (1994), Wiley
- Ericsson, K. A., "The Cambridge Handbook of Expertise and Expertise Performance", pp.4~9 (2006), Cambridge University Press
- Falkenström, F., "Can psychotherapists function as their own controls? Meta-analysis of the crossed therapist design in comparative psychotherapy trials", Journal of Clinical Psychiatry, 74(5), pp.482~491 (2013)
- Feeley, M., "The temporal relation of adherence and alliance to symptom change in cognitive therapy for depression", Journal of Consulting and Clinical Psychology, 67(4), pp.578~582 (1999)
- Foa, E. B., "Treatment of post-traumatic stress disorder in rape victims : A comparison between cognitive behavioral procedures and counseling", Journal of Consulting and Clinical Psychology, 59(5), pp.715~723 (1991)
- Gaffan, E. A., "Researcher allegiance and meta-analysis : the case of cognitive therapy for depression", Journal of Consulting and Clinical Psychology, 63(6), pp.966~980 (1995)
- Heppner, P. P., "Research design in counseling", pp.2008, Thomson Brooks
- Hill, C. E., "Applying the Collaborative Study Psychotherapy Rating Scale to rate therapist adherence in cognitive-behavior therapy, interpersonal therapy, and clinical management", Journal of Consulting and Clinical Psychology, 60(1), pp.73~79 (1992)
- Jacobson, N. S., "To be or not to be behavioral when working with couples: What does it mean?", Journal of Family Psychology, 4(4), pp.436~445 (1991)
- Kazdin, A. E., "Research design in clinical psychology" (2002), Allyn & Bacon
- Kivlighan Jr, D. M., "Where is the relationship in research on the alliance? Two methods for analyzing dyadic data", Journal of Counseling Psychology, 54(4), pp.423~433 (2007)
- Leichsenring, F., "Psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder : A multicenter randomized controlled trial", The American Journal of Psychiatry, 170(7), pp.759~767 (2013)
- Luborsky, L., "The researcher’s own therapy allegiances : A"wild card"in comparisons of treatment efficacy", Clinical Psychology : Science and Practice, 6(1), pp.95~106 (1999)
- Munder, T., "Testing the allegiance bias hypothesis : A meta-analysis", Psychotherapy Research, 21(6), pp.670~684 (2011)
- Robinson, L. A., "Psychotherapy for the treatment of depression : A comprehensive review of controlled outcome research", Psychological Bulletin, 108(1), pp.30~49 (1990)
- Rosenzweig, S., "Some implicit common factors in diverse methods of psychotherapy: “At last the Dodo said, ‘Everybody has won and all must have prizes’.”", American Journal of Orthopsychiatry, 6(3), pp.412~415 (1936)
- Smith, M. L., "The benefits of psychotherapy" (1980), The Johns Hopkins University Press
- Snyder, D. K., "Behavioral versus insight-oriented marital therapy : Effects on individual and interpersonal functioning", Journal of Consulting and Clinical Psychology, 57(1), pp.39~46 (1989)
- Snyder, D. K., "Long term effectiveness of behavioral versus insight oriented marital therapy : A 4-year follow-up study", Journal of Consulting and Clinical Psychology, 59(1), pp.138~141 (1991)
- Vos, S. P. F., "A randomized clinical trial of cognitive behavioral therapy and interpersonal psychotherapy for panic disorder with agoraphobia", Psychological Medicine, 42(12), pp.2661~2672 (2012)
- Wampold, B. E., "The great psychotherapy debate: The evidence for what makes psychotherapy work" (2015), Routledge
- Wampold, B. E., "The placebo is powerful : Estimating placebo effects in medicine and psychotherapy from clinical trials", Journal of Clinical Psychology, 61(7), pp.835~854 (2005)
- Wampold, B. E., "A meta-analysis of outcome studies comparing bona fide psychotherapies: Empirically, “All must have prizes.”", Psychological Bulletin, 122(3), pp.203~215 (1997)
