만성 통증에 대한 구성개념화: 만성 통증 환자들의 구성개념적 대안주의?
The Construing of Chronic Pain: The constructive Alternativism of the Chronic Patients?
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본 연구는 만성 통증 환자들의 통증에 대한 구성개념화를 알아보기 위하여 개인적 구성개념 심리학의 Rep Grid 기법으로 검증하였다. 40명의 만성통증 환자들을 대상으로 12 구성개념 × 12 요소 Rep Grid, 통증 질문지, 단축형 McGill 통증 질문지 및 한국판 CES-D를 사용하였으며, INGRID 프로그램으로 분석하였다. 주요 결과는 다음과 같다: 첫째, 만성 통증 환자들에게 통증은 상부구성개념이다. 둘째, 만성통증 환자들은 통증이 있는 현재의 나에 보다 더 큰 의미를 두고 있다. 셋째, 만성통증환자들은 자신과 주변 사람들에게 분노와 우울 및 민감을 잘 표현하지 못하거나 억제하고 있다. 끝으로, 결과들을 선행연구와 앞으로의 연구방향과 관련지어 논의하였다.
Abstract
The present study was designed to test the chronic patients' construing of pain by means of the Rep Grid technique from Personal Construct Psychology. The subjects were 40 chronic pain patients. The instruments were the 12 constructs × 12 elements Rep Grid, Pain Questionnaire, SF McGill Pain Questionnaire, and Korean CES-D. The data were analysed by the INGRID Program. The main results were as follows: First, for chronic pain patients the pain was superordinate construct. Second, for chronic pain patients, self now with pain offered the more implications than other elements. Third, chronic pain patients had difficulty in expressing or inhibited anger, depression, and sensitivity toward themselves and others. Finally, the results were discussed with reference to the literature and suggestions are made for future research areas.
참고문헌 (46)
- 나철, "만성 동통의 원인과 기전", 정신신체의학, 3(1), pp.81~90 (1995), 한국정신신체의학회
- 손정락, "개인적 구성개념의 변화예기 의미성 및 분화가 자기변화에 미치는 영향 사 회과학연구 전북대학교 사회과학 연구소", pp.149~165 (1985)
- 손정락, "정신분열증 형태 사고 장애 환자의 이완 구성개념화", pp.97~115 (1989)
- 손정락, "만성통증에 대한 구성개념화: Rep Gird기법으로 본 만성요통 환자의 심리 적 구조", 4(1), pp.123~139 (1999)
- 이배환, "실험 및 임상 장면에서의 동통 측정법에 관한 고찰", 15(1), pp.163~188 (1996)
- 전겸구, "한국판 CES-D 개발연구 1", 11(1), pp.65~76 (1992)
- 전겸구, "통합적 한국판 CES-D 개발", 6(1), pp.59~76 (2001)
- 현명호, "동통의 정신 생리학적 연구 성격 및 개인차 연구", pp.115~131 (1992)
- 현명호, "통증 강도의 과대예측과 통증통제의 과소기대가 통증 반응에 미치는 영향", 2(1), pp.186~208 (1998)
- Bannister, "Measures of superordinary" (1967), Unpublished study
- Blumer,D, "Chronic pain as a variant of depressive disease:The pain-prone disorder", 170, pp.381~406 (1982)
- Bowers, "Journal of Consulting and Clinical Psychology", pp.596~602 (1968)
- Bradley, "Multivariate analysis of the MMPI profiles of low back pain patients Journal of Behavioral Midicine", pp.253~272 (1978)
- Roots, "Management of patients with chronic pain", pp.11~20 (1983), Pain control facilities
- Cairns,D.,, "Comparison of verbal reinforcement and feedback in the operant treatment of disability due to chronic low back pain", 8, pp.621~630 (1977)
- Dolce,J.J.,, "Neuromuscular activity and electromyography in painful backs:Psychological and biomechanical models in assessment and treatment", 97, pp.502~520 (1985)
- Fordyce, "Behavioral methods for chronic pain and illness" (1976), Mosby
- Fordyce, "A control-group comparison of behavioral vs Journal of Behavioral Medicine", pp.127~140 (1986)
- Fransella,F, "Personal change and reconstruction:Research on a treatment of stuttering" (1972), Academic Press
- & Bannister, "A manual for repertory grid technique" (1977), Academic Press
- Fransella, F, "A manual for Repertory Grid technique" (2004), Wiley
- Gatchel, R, J, "Psychological factors in pain: Critical perspectives" (1996), Guilford Press
- Humphrey, "The problem of low back pain Contributions to medical psychology" (1980)
- Jankowicz, D, "The easy guide to Repertory Grids" (2004), Wiley
- Keefe,F.,, "Behavioral concepts in the analysis of chronic pain syndromes", 54, pp.776~783 (1986)
- Keefe, "Cognitive-behavioral approaches to assessment and treatment Seminars in Anesthesia", pp.117~126 (1977)
- Kelly, G. A, "The Psychology of personal constructs" (1995), Norton
- Legg, J. M, "The INGRID thought processor" (2005)
- Linton,S.,, "Controlling pain reports through operant conditioning", 60, pp.427~437 (1985)
- Lynn, "Tolerance for pain", pp.161~162 (1961)
- Melzack,R, "The short-form McGill Pain Questionnare", 30, pp.191~197 (1987)
- Melzack,R.,, "Pain mechanisms:A new theory", 150, pp.971~979 (1965)
- & Wall, "The challenge of pain" (1982), Penguin Books
- Nouwen,A.,, "The effectiveness of EMG biofeedback training in low back pain", 4, pp.103~111 (1979)
- Rowe,D, "Poor prognosis in a case of depression as predicted by Repertory Grid", 118, pp.297~300 (1971)
- ., , 2006, ~, pp.국일미디어
- , 1997, ~, pp.영림카디널
- Slater, "The measurement of intrapersonal space by Grid technique" (1977)
- A, "Traits of pain patients", pp.226~229 (1973)
- Turk, "Handbook of pain assessment" (1992)
- Turner,J.A.,, "Psychological interventions for chronic pain:A critical review", 12, pp.1~21 (1982)
- Wall, P. D, "Comments after 30 years of the gatre control theory", 5(1), pp.12~22 (1996)
- White,B.,, "Differential effects on pain mood in chronic pain patients with time versus painc-contingent medication delivery", 16, pp.28~38 (1985)
- Winter, "Repertory Grid technique in the evaluations of therapeutic outcome Applications in clinical and evaluational settings" (1985)
- Wolff,B.B.,, "Cultural factors and the response to pain:Review", 70, pp.494~501 (1968)
- Wolff,B.B.,, "Cultural factors and the response to pain:Review", 70, pp.494~501 (1968)