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범죄소년을 위한 분노조절 가상현실 인지행동치료(VR-CBT) 프로그램 개발과 함의

The Implications of Recent Developments of Anger Management Virtual Reality Cognitive Behavioral Therapy (VR-CBT) Program for Juvenile Offenders

연성진|류창현
아시아교정포럼 (Asian Forum for Corrections)|2015.12|교정담론 (Korean Journal of Correctional Discourse)|제9권 제3호|pp. 191-228

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참고문헌

키워드

분노조절Anger Management인지행동치료(CBT)가상현실(VR)범죄소년Virtual Reality (VR)뇌가소성Juvenile Offender가상현실치료(VRT)한국형 상태특성분노표출척도 2Cognitive Behavioral Therapy (CBT)Neural PlasticityVirtual Reality Therapy (VRT)Korean State-Trait Anger Expression Inventory 2.

초록

가상현실치료(VRT)의 장점들로는 몰입형 VR(Immersive VR, 헤드 마운티드 디스플레이(Head Mounted Display, HMD)), 데스크탑 VR(Desk-Top VR), 홀로그래픽 VR (Holographic VR) 등을 활용한 가상환경에서 가상현실치료 프로그램을 진행하기 때문에 정서적･정신적･신체적인 재활에 있어서, 주어진 가상현실이나 가상환경에 외에는 주변을 의식할 필요가 없기에 내담자만의 독립적인 가상공간이 제공되어 더 높은 주의력, 몰입과 더불어 자기노출과 뇌가소성의 효과를 초래한다. 최근 가상현실 인지행동치료(VR-CBT)는 다양한 분야에서 독립적 연구와 프로젝트가 활발히 진행되고 있다. 반면에, 국내외 분노조절의 임상적인 가상현실 관련 연구는 매우 미흡한 실태이다. 따라서 본 연구는 범죄소년을 위한 분노조절 가상현실 인지행동치료(VR-CBT) 프로그램을 개발하는데 그 목적이 있다. 본 임상적 가상현실연구의 구체적인 목적은 분노조절 가상현실 인지행동치료(VR-CBT) 프로그램으로, 1) 부모와 청소년 자녀들 간, 친구와 동료 간의 3회 분노유발상황 비디오 시나리오, 2) 합리정서행동치료(REBT)와 인지행동치료(CBT)에 기초한 합리적･건설적･창의적･중립적 사고(인지재구조화), 문제해결, 대처능력, 사회대인관계기술 비디오 시나리오, 3) 분노조절을 위한 근육이완, 복식호흡 웃음치료, 마음챙김명상(MBSR), 자연치유영상과 향기치료 (유자향))과 한국형 상태-특성 분노표출척도 2(K- STAXI 2) 등의 개발과 타당도 검사에 초점을 두었다. 개발된 분노조절 가상현실 인지행동치료(VR-CBT) 프로그램은 향후 효과적이고, 편리하고, 저렴한 가격으로 가정, 학교, 군대, 교도소에 근거한 임상적 분노치료와 중독재활의 미래를 안내하고 지원할 것이다. 끝으로, 본 연구의 함의와 더불어 향후 연구에 대한 제안들을 제시하였다.

Abstract

The purpose of this study was to develop the anger management virtual reality cognitive behavioral therapy (VR-CBT) program for juvenile offenders. It is well known that the advantages of virtual reality therapy in emotional-mental- physical rehabilitation, independent virtual space, high self-disclosure, effects of neural plasticity, and positive change have been proven by using Immersive Virtual Reality (VR), Head Mounted Display (HMD), and Holographic Virtual Reality (VR). While there is a growing accumulation of independent studies to show the efficacy of various virtual reality therapy CBT programs in the treatment of such problems as cocaine, alcohol, smoking, gambling, ADHD, autism, paranoid, depression, obsessive compulsive disorder, burn dressing, obesity, PTSD, acrophobia, flight phobia, arachnophobia, social phobia, social skills training, self-regulation of stress, emotional regulation, pain management, dental surgery, and oncology impatient, there is a dearth of clinical virtual reality trials on the therapeutic effects of anger management in these areas of domestic and international research. Hence, the specific aim of this clinical virtual reality research was focused on the devolvement and validation of anger management virtual reality cognitive behavioral therapy (VR-CBT) program: (1) three anger provoking situations video scenarios between parents and their youths and among friends and peers; 2) rational, constructive, creative, and neutral thoughts (cognitive restructuring), problem solving, coping ability, and social interpersonal skills video scenarios based on the REBT and CBT; 3) muscle relaxation for anger management, abdominal laughter therapy, mindfulness based stress reduction (MBSR), and nature healing scenes video scenarios, including the healing fragrance “Sea Breeze YuZu” and Korean State-Trait Anger Expression Inventory 2. Additionally, virtual reality therapy can add value over traditional assessment and approaches for mental health therapy, motor skills rehabilitation, cognitive assessment and clinical skills training. According to what Dr. Albert Skip Rizzo predicted, “clinical studies using virtual reality are producing results that will reshape the future of inpatient, outpatient and home-based medical rehabilitation.” Henceforward the anger management virtual reality cognitive behavioral therapy (VR-CBT) program will be utilized in order to guide and support the future of home, school, military, and prison-based clinical anger therapy and addiction rehabilitation in more an effective, convenient and affordable way. The implications of this study were discussed along with the suggestions for future studies as well.

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