새로운 기술혁명 시대의 임상심리학 -최근 연구 동향을 중심으로-
Clinical Psychology in the Age of in the new technology -focusing on the recent studies trends-
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초록
소위 4차 산업혁명은 인공지능, 기계학습과, 빅데이터와 같은 기존에 존재하지 않았던 새로운 기술로 시작되는 혁명이며 임상심리학은 4번째 산업혁명이라는 인류 역사에 중요한 분기점이 되는 거대한 패러다임 변화에 직면해 있다. 본 연구에서는 먼저 4차 산업혁명과 관련된 비인간화를 중심으로 인간과 사회 변화를 살펴보았다. 이어 최근 5년 연구 중심으로 임상심리학의 주요 영역인 심리평가와 심리치료에서 인공지능을 비롯한 새로운 기술들이 어떠한 영향을 미치고 있는지 탐색해 보았다. 더불어 다양한 신기술이 집약되어 있는 기능성 게임 기반 심리평가와 심리치료에 대한 최근 연구들을 탐색하였다. 마지막으로 여러 신기술들 중에서 한국임상심리학자들이 특별한 관심을 가지고 전문 영역에 적용할 필요가 있는 공유데이터와 개인정보 보호에 대한 최근 경향과 의견을 제시하였다.
Abstract
The Fourth Industrial Revolution is a revolution that begins with new technologies that never existed, such as machine learning, big data, and artificial intelligence. Consequently, clinical psychology should face a huge paradigm shift that is an important turning point in human history. First, this paper briefly introduced human and social changes focusing on dehumanization associated with the Fourth Industrial Revolution. Primarily, it reviewed based on recent 5 years studies how new technologies are influencing on psychological assessment and psychotherapy in the field of clinical psychology. In addition, recent researches on serious game-based psychological assessment and psychotherapy, which are concentrated on various new technologies, were explored. Lastly, it presented current trends and opinions related to the data sharing and the privacy protection which Korean clinical psychologists should pay attention to special interest among the new technologies.
참고문헌 (89)
- 김헌영, "가상현실 노출치료가 여대생의 발표불안에 미치는 효과", 한국심리학회지: 건강, 22(4), pp.833~847 (2017), 한국건강심리학회[DOI]
- 류창현, "청소년 및 성인 ADHD 생체신호분석 기반 분노조절가상현실치료(VRT) 개발의 함의: 묻지마범죄 예방 및 억제기술 중심으로", 한국중독범죄학회보, 8(2), pp.43~73 (2018), 한국중독범죄학회[DOI]
- 목광수, "보건의료 빅데이터의 윤리적 활용을 위한 방안모색: 동의가 아닌 합의 모델로의 전환", 한국의료윤리학회지, 22(1), pp.1~19 (2019), 한국의료윤리학회[DOI]
- "불평등은 지갑에만 있지 않다. 건강, 죽음, 섹스는 또 얼마나 불평등한가?" (2014)[URL]
- 방은별, "점진적 가상현실 노출치료가 여대생의 발표불안 및 자기초점적 주의에 미치는 효과", 한국심리학회지: 건강, 24(2), pp.293~309 (2019), 한국건강심리학회[DOI]
- 신경은, "가상현실 게임이 노인 뇌졸중 환자의 우울, 대인관계, 삶의 만족도에 미치는 효과", 재활복지, 21(4), pp.101~118 (2017), 한국장애인재활협회 부설 재활연구소[DOI]
- 양노열, "체감형 가상현실 훈련(Joystim)이 뇌졸중 환자의 인지기능과 일상생활활동에 미치는 효과", 재활복지공학회논문지, 12(1), pp.10~19 (2018), 한국재활복지공학회[DOI]
- 유정선, "인지행동치료기법을 활용한 청소년의 우울 정서 측정 및 관리 어플리케이션 설계 및 구현", 디지털콘텐츠학회논문지, 18(3), pp.443~455 (2017), 한국디지털콘텐츠학회[DOI]
- 이아라, "상담 이론 기반의 심리 상담 챗봇을 활용한 내담자 경험 연구", 대한인간공학회지, 38(3), pp.161~175 (2019), 대한인간공학회[DOI]
- 임명지, "실제 얼굴표정과 이모티콘 표정인식 차이에 따른 대인관계능력: 중학생 대상 모바일 앱 기반 연구", 정서·행동장애연구, 35(2), pp.265~284 (2019), 한국정서행동장애학회[DOI]
- 정경미, "ASD 아동 및 청소년을 위한 앱 기반 얼굴인식 및 사회성 증진 프로그램(Look At Me)의 효과성 검증: 예비 연구", 자폐성장애연구, 18(1), pp.35~56 (2018), 한국자폐학회[DOI]
- 조비안, "스마트폰 기반 신경 심리 평가배터리 구현 및 효과 탐색", 석사, pp.2019
- Abt, C. C., "Serious Games" (1970), The Viking Press
- Achenbach, T. M., "Manual for the ASEBA School-Age Forms &Profiles", University of Vermont, Research Center for Children, Youth, & Families, ~ (2001)
- Ahn, W. Y., "Neuroscience for Addiction Medicine: From Prevention to Rehabilitation - Methods and Interventions" (2016), Elsevier
- Ahn, W., "Rapid, precise, and reliable phenotyping of delay discounting using a bayesian learning algorithm", bioRxiv, pp.567412~ (2019)[DOI]
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Association
- Belchior, P., "Older adults' engagement during an intervention involving off-the-shelf videogame", Games for Health Journal, 5(3), pp.151~156 (2016)
- Bikic, A., "A double-blind randomized pilot trial comparing computerized cognitive exercises to Tetris in adolescents with attention-deficit", hyperactivity disorder, 2017, pp.71(6), 455~464
- Bouchard, S., "Virtual reality compared with in vivo exposure in the treatment of social anxiety disorder: a three-arm randomised controlled trial", The British Journal of Psychiatry, 210(4), pp.276~283 (2017)
- Bower, K. J., "Clinical feasibility of interactive motion-controlled games for stroke rehabilitation", Journal of Neuroengineering and Rehabilitation, 12(1), pp.63~ (2015)
- "2015 Annual Report" (2015)[URL]
- Bul, K. C., "Behavioral outcome effects of serious gaming as an adjunct to treatment for children with attention-deficit", hyperactivity disorder: a randomized controlled trial, 2016, pp.18(2), e26~
- Cailois, Roger, "Les jeux et les hommes" (1957), Gallimard
- Coles, C. D., "A Metacognitive Strategy for Reducing Disruptive Behavior in Children with Fetal Alcohol Spectrum Disorders: G o FAR Pilot", Clinical and Experimental Research, 39(11), pp.2224~2233 (2015)
- Tom KJ Craig, "AVATAR therapy for auditory verbal hallucinations in people with psychosis: a single-blind, randomised controlled trial", The Lancet Psychiatry, 5(1), pp.31~40 (2018), Elsevier BV[DOI]
- David, O. A., "Is REThink therapeutic game effective in preventing emotional disorders in children and adolescents? Outcomes of a randomized clinical trial", European Child & Adolescent Psychiatry, 28(1), pp.111~122 (2019)
- de Vries, M., "Working memory and cognitive flexibility‐training for children with an autism spectrum disorder : A randomized controlled trial", Journal of Child Psychology and Psychiatry, 56(5), pp.566~576 (2015)
- de Wit, S., "Individual prediction of long-term outcome in adolescents at ultra-high risk for psychosis: Applying machine learning techniques to brain imaging data", Human Brain Mapping, 38(2), pp.704~714 (2017)[DOI]
- Domitrovich, C. E., "Individual and school organizational factors that influence implementation of the PAX good behavior game intervention", Prevention Science, 16(8), pp.1064~1074 (2015)
- Dovis, S., "Improving executive functioning in children with ADHD: Training multiple executive functions within the context of a computer game. A randomized double-blind placebo controlled trial", PloS ONE, 10(4), pp.e0121651~ (2015)
- du Sert, O. P., "Virtual reality therapy for refractory auditory verbal hallucinations in schizophrenia:a pilot clinical trial", Schizophrenia Research, 197, pp.176~181 (2018)
- Dyson, F., "Imagined worlds : The Jerusalem-Harvard lectures" (1985), Harvard University
- Eggenberger, P., "Does multicomponent physical exercise with simultaneous cognitive training boost cognitive performance in older adults? A 6-month randomized controlled trial with a 1-year follow-up", Clinical Interventions in Aging, 10, pp.1335~ (2015)
- Fernandez-Aranda, F., "The use of videogames as complementary therapeutic tool for cognitive behavioral therapy in bulimia nervosa patients", Cyberpsychology, Behavior, and Social Networking, 18(12), pp.744~751 (2015)
- Florian Ferreri, "How New Technologies Can Improve Prediction, Assessment, and Intervention in Obsessive-Compulsive Disorder (e-OCD): Review", JMIR Mental Health, 6(12), pp.e11643~ (2019), JMIR Publications Inc.[DOI]
- Amelia Fiske, "Your Robot Therapist Will See You Now: Ethical Implications of Embodied Artificial Intelligence in Psychiatry, Psychology, and Psychotherapy", Journal of Medical Internet Research, 21(5), pp.e13216~ (2019), JMIR Publications Inc.[DOI]
- Franklin, J. C., "A brief mobile app reduces nonsuicidal and suicidal self-injury: evidence from three randomized controlled trials", Journal of Consulting and Clinical Psychology, 84(6), pp.544~ (2016)
- Russell Fulmer, "Using Psychological Artificial Intelligence (Tess) to Relieve Symptoms of Depression and Anxiety: Randomized Controlled Trial", JMIR Mental Health, 5(4), pp.e64~ (2018), JMIR Publications Inc.[DOI]
- Fusar-Poli, P., "Clinical-learning versus machinelearning for transdiagnostic prediction of psychosis onset in individuals at-risk", Transl Psychiatry, 9, pp.259~ (2019)[DOI]
- Giudici P., "Likelihood-ratio tests for hidden Markov models", Biometrics, 56, pp.742~747 (2000)[DOI]
- Gollub, R. L., "The MCIC collection: a shared repository of multi-modal, multi-site brain image data from a clinical investigation of schizophrenia", Neuroinformatics, 11(3), pp.367~388 (2013)[DOI]
- Gujjar, K. R., "Efficacy of virtual reality exposure therapy for the treatment of dental phobia in adults : A randomized controlled trial", Journal of Anxiety Disorders, 62, pp.100~108 (2019)
- Kyunghee Ham, "Preliminary Results From a Randomized Controlled Study for an App-Based Cognitive Behavioral Therapy Program for Depression and Anxiety in Cancer Patients", Frontiers in Psychology, 10 (2019), Frontiers Media SA[DOI]
- Horsch, A., "Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study", Behaviour Research and Therapy, 94, pp.36~47 (2017)
- Richard Horton, "Offline: The secrets of a healthy society", The Lancet, 387(10016), pp.325~ (2016), Elsevier BV[DOI]
- Hur JW, "A Scenario-Based Cognitive Behavioral Therapy Mobile App to Reduce Dysfunctional Beliefs in Individuals with Depression: Pilot Randomized Controlled Trial", Telemedicine and e-Health, 24(9), pp.710~716 (2018)
- Iliescu, D, "The Impact of Technology on Psychological Testing in Practice and Policy: What Will the Future Bring", European Journal of Psychological Assessment, 35, pp.151~155 (2019)[DOI]
- Zac E. Imel, "Technology-enhanced human interaction in psychotherapy.", Journal of Counseling Psychology, 64(4), pp.385~393 (2017), American Psychological Association (APA)[DOI]
- Iyadurai, L., "Preventing intrusive memories after trauma via a brief intervention involving Tetris computer game play in the emergency department: a proof-of-concept randomized controlled trial", Molecular Psychiatry, 23(3), pp.674~ (2018)
- Jander, A., "Effects of a web-based computer-tailored game to reduce binge drinking among Dutch adolescents: a cluster randomized controlled trial", Journal of Medical Internet Research, 18(2), pp.e29~ (2016)
- "VR for education in the $160 B market and how 350 students developed their first VR" (2019)[URL]
- Christoph W. Korn, "Amygdala Lesions Reduce Anxiety-like Behavior in a Human Benzodiazepine-Sensitive Approach–Avoidance Conflict Test", Biological Psychiatry, 82(7), pp.522~531 (2017), Elsevier BV[DOI]
- Kühn, S., "Taking control! Structural and behavioural plasticity in response to game-based inhibition training in older adults", NeuroImage, 156, pp.199~206 (2017)
- Laamarti, F., "An Overview of Serious Games", International Journal of Computer Games Technology, 2014, pp.1155~ (2014)[DOI]
- Lado-Codesido, M., "Improving emotion recognition in schizophrenia with “VOICES”: An on-line prosodic self-training", PloS ONE, 14(1), pp.e0210816~ (2019)
- Lee, G. J., "A comparison of the effects between 2computerized cognitive training programs, Bettercog and COMCOG, on elderly patients with MCI and mild dementia: A single-blind randomized controlled study", Medicine, 97(45) (2018)
- Li, A. Y. L., "Development and Validation of a arent-Based Program for Preventing Gaming Disorder: The Game Over Intervention", International Journal of Environmental Research and Public Health, 16(11), pp.1984~ (2019)
- "2015County-level analysis of U.S. licensed psychologists and health indicators" (2016)[URL]
- Loucks, L., "You can do that?!:Feasibility of virtual reality exposure therapy in the treatment of PTSD due to military sexual trauma", Journal of Anxiety Disorders, 61, pp.55~63 (2019)
- Sabela C. Mallo, "Neuropsychiatric symptoms as predictors of conversion from MCI to dementia: a machine learning approach", International Psychogeriatrics, pp.1~12 (2019), Cambridge University Press (CUP)[DOI]
- Martone ME, "VandenBos GR. Data sharing in psychology", American Psychologist, 73(2), pp.111~125 (2018)[DOI]
- Minas, R. K., "A prime a day keeps calories away: The effects of supraliminal priming on food consumption and the moderating role of gender and eating restraint", Appetite, 105, pp.494~499 (2016)
- Morris, R. R., "Efficacy of a Web-Based, Crowdsourced Peer-To-Peer Cognitive Reappraisal Platform for Depression:Randomized Controlled Trial", Journal of Medical Internet Research, 17(3), pp.e72~ (2015)
- Nieh, H. P., "Effects of a Collaborative Board Game on Bullying Intervention: A Group‐Randomized Controlled Trial", Journal of School Health, 88(10), pp.725~733 (2018)
- Nikolaou, I., "Exploring the Relationship of a Gamified Assessment with Performance", The Spanish Journal of Psychology, 22 (2019)
- Jason E Owen, "mHealth in the Wild: Using Novel Data to Examine the Reach, Use, and Impact of PTSD Coach", JMIR Mental Health, 2(1), pp.e7~ (2015), JMIR Publications Inc.[DOI]
- Park, S. Y., "The effects of a virtual reality treatment program for online gaming addiction", Computer Methods and Programs in Biomedicine, 129, pp.99~108 (2016)
- Poppelaars, M., "A randomized controlled trial comparing two cognitive-behavioral programs for adolescent girls with subclinical depression: a school-based program (Op Volle Kracht) and a computerized program (SPARX)", Behaviour Research and Therapy, 80, pp.33~42 (2016)
- Powell J, "Trust Me, I’m a Chatbot: How Artificial Intelligence in Health Care Fails the Turing Test", Journal of Medical Internet Research, 21(10), pp.e16222~ (2019)[DOI]
- Qian, X., "Brain-computer-interface-based intervention re-normalizes brain functional network topology in children with attention deficit", hyperactivity disorder, 2018, pp.8(1), 149~
- "A survival guide for the fourth industrical revolustion" (2018)[URL]
- Savulich, G., "Cognitive training using a novel memory game on an iPad in patients with amnestic mild cognitive impairment (aMCI)", International Journal of Neuropsychopharmacology, 20(8), pp.624~633 (2017)
- Scherf, K. S., "Improving sensitivity to eye gaze cues in autism using serious game technology:study protocol for a phase I randomised controlled trial", BMJ Open, 8(9), pp.e023682~ (2018)
- "The Fourth industrial Revolution: what it means, how to respond" (2016)[URL]
- Sen, M., "Examination of a board game approach to children’s involvement in family-based weight management vs. traditional family-based behavioral counseling in primary care", European Journal of Pediatrics, 177(8), pp.1231~1238 (2018)
- Smeijers, D., "Testing the effects of a virtual reality game for aggressive impulse management (VR-GAIME): study protocol", Frontiers in Psychiatry, 10, pp.83~ (2019)
- Natalie Stein, "A Fully Automated Conversational Artificial Intelligence for Weight Loss: Longitudinal Observational Study Among Overweight and Obese Adults", JMIR Diabetes, 2(2), pp.e28~ (2017), JMIR Publications Inc.[DOI]
- Therborn, G., "불평등의 킬링필드" (2014), 문예춘추사
- Tullo, D., "Training with a three‐dimensional multiple object‐tracking (3D‐MOT)paradigm improves attention in students with a neurodevelopmental condition: a randomized controlled trial", Developmental Science, 21(6), pp.e12670~ (2018)
- Turing, A M., "Computing machinery and intelligence", _Mind_, 59 (1950)
- Jake Ursenbach, "Scoring algorithms for a computer-based cognitive screening tool: An illustrative example of overfitting machine learning approaches and the impact on estimates of classification accuracy.", Psychological Assessment, 31(11), pp.1377~1382 (2019), American Psychological Association (APA)[DOI]
- van de Weijer, S. C., "The Parkin’Play study : protocol of a phase II randomized controlled trial to assess the effects of a health game on cognition in Parkinson’s disease", BMC Neurology, 16(1), pp.209~ (2016)
- Weizenbaum J, "ELIZA-a computer program for the study of natural language communication between man and machine", Commun ACM, 9(1), pp.36~35 (1966)
- Weizenbaum J, "Computer power and human reason, from judgment to calculation" (1976), WH. Freeman
- White, S. F., "Neural correlates of the propensity for retaliatory behavior in youths with disruptive behavior disorders", American Journal of Psychiatry, 173(3), pp.282~290 (2015)
- Sabine Wilhelm, "Cognitive-Behavioral Therapy in the Digital Age: Presidential Address", Behavior Therapy, 51(1), pp.1~14 (2019), Elsevier BV[DOI]
- "International classification of diseases for mortality and morbidity statistics (11th Revision)" (2018)[URL]
- Yang, J, "Development and evaluation of a multimodal marker of major depressive disorder", Human Brain Mapping, 39, pp.4420~4439 (2018)
