본문 바로가기
KERD
논문KCI 등재

정신장애인 동료지원가의 내재화된 낙인 경험

Internalized Stigma Experiences of Peer-Supporter with a Lived Experience in Korea

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

본 연구의 목적은 질적 연구방법을 사용하여 우리나라 정신장애인 동료지원가가 경험하는 내재화된 낙인을 심층적으로 파악하고, 동료지원가가 주도하는 내재화된 낙인 감소를 위한 심리사회적 개입의 개발에 필요한 기초 자료를 도출하는 것이다. 이를 위해 본 연구에서는 정신장애인 동료지원가 단체에 소속되어 있는 동료지원가를 대상으로 연구 참가자를 모집한 후, 연구대상자 10명을 두 개의 집단으로 나누어 포커스 그룹 인터뷰를 실시하고, 수집된 자료는 자르고 정렬하기 기법으로 분석하였다. 분석 결과, 5개의 상위범주와 13개의 하위범주가 도출되었으며, 5개의 상위범주는 ‘정신장애인 동료지원가가 경험한 사회적 낙인’, ‘정신장애인 동료지원가가 경험한 내재화된 낙인’, ‘정신장애인 동료지원가가 경험한 회복’, ‘정신장애인 동료지원가가 경험한 당사자 운동’, ‘내재화된 낙인에 영향을 미칠 수 있는 문화적 요인’으로 나타났다. 연구 결과를 바탕으로 정신장애인 동료지원가가 경험한 사회적 낙인과 내재화된 낙인의 특성 및 내재화된 낙인에 영향을 미치는 문화적 요인, 우리나라 맞춤형 내재화된 낙인 감소 프로그램의 필요성 등을 논의하고 본 연구 결과의 함의와 제한점을 제시하였다.

Abstract

This study used the qualitative research method to investigate the experience of internalized stigma in peer-supporter with a lived experience in Korea. We conducted focus group interviews with 10 volunteers with a lived experience and analyzed the collected data using cutting and sorting techniques. Five essential topics were identified for the experience of internalized stigma of participants with a lived experience. The five essential themes were “Public stigma experienced by peer-supporter with a lived experience,” “Internalized stigma experienced by peer-supporter with a lived experience,” “Recovery experienced by peer-supporter with a lived experience,” “The movement experienced by peer-supporter with a lived experience,” “Cultural factors influencing internalized stigma.” We explained these five essential topics and proposed the need to develop a customized internalized stigma reduction intervention in Korea. The implications and limitations were also discussed.

참고문헌 (53)

  1. 고진경, "마음챙김기반 스트레스완화 프로그램이 입원한 정신질환자의 지각된 스트레스, 내재화된 낙인 및 심리적 안녕감에 미치는 효과", 정신간호학회지, 32(3), pp.259~269 (2021)[DOI]
  2. 김나라, "현실치료 기법을 적용한 자기주장훈련이 조현병 환자의 자아존중감과 내재화된 낙인에 미치는 효과", 정신간호학회지, 28(1), pp.37~49 (2019)[DOI]
  3. 김미영, "조현병 환자의 내재화된 낙인 감소를 위한 인지행동 프로그램 개발 및 효과검증", Journal of Korean Academy of Nursing, 46(3), pp.349~363 (2016)[DOI]
  4. 김미영, "정신장애인의 내재화된 낙인 극복 경험", 정신간호학회지, 26(3), pp.238~247 (2017)[DOI]
  5. 맹혜영, "정신장애인의 자기낙인에 대한 국내 연구 동향 분석", 사회와 복지, 5(1), pp.51~82 (2023)[DOI]
  6. 유민봉, "한국사회의 문화적 특성에 관한 연구 : 문화합의이론을 통한 범주의 발견", 한국심리학회지 : 문화 및 사회문제, 19(3), pp.457~485 (2013)
  7. 이민화, "정신장애인이 주도하는 접촉프로그램의 반낙인 효과", 한국사회복지학, 70(1), pp.117~142 (2018)[DOI]
  8. 이우경, "입원하고 있는 만성 정신분열병 환자들의 낙인 극복을 위한 집단 프로그램의 효과성 연구", 신경정신의학, 49(5), pp.444~452 (2010)
  9. 제갈은주, "정신장애인 동료지원가 표준화 시범교육과정 평가", 박사, 심리학과, pp.2012
  10. 제철웅, "정신질환 당사자의 회복 지원을 위한 동료지원가 양성 학습매뉴얼" (2018), 율곡출판사
  11. 주은선, "한국 상담심리의 발전과정과 향후과제 : 역대 한국 상담심리학회장들의 포커스 그룹인터뷰를 중심으로", 교육문화연구, 24(4), pp.195~217 (2018)[DOI]
  12. 하경희, "정신장애인의 동료지지활동 경험에 관한 연구", 정신건강과 사회복지, 40(3), pp.175~201 (2012)
  13. 현명선, "정신 장애인의 낙인(stigma)경험", Journal of Korean academy of nursing, 42(2), pp.226~235 (2012)[DOI]
  14. 현명선, "정신장애인의 동료지원가 활동 경험 : 근거이론 접근", Journal of Korean Academy of Nursing, 52(2), pp.187~201 (2022)[DOI]
  15. Alvidrez, J., "Psychoeducation to address stigma in black adults referred for mental health treatment : A randomized pilot study", Community Mental Health Journal, 45, pp.127~136 (2009)[DOI]
  16. Angermeyer, M. C., "The stigma of mental illness : patients’ anticipations and experiences", International Journal of Social Psychiatry, 50(2), pp.153~162 (2004)[DOI]
  17. Best, M. W., "Be outspoken and overcome stigmatizing thoughts(BOOST) : a group treatment for internalized stigma in first-episode psychosis", Psychosis, 10(3), pp.187~197 (2018)[DOI]
  18. Clay, S., "On our own, together: Peer programs for people with mental illness" (2005), Vanderbilt University Press
  19. Corrigan, P., "How stigma interferes with mental health care", American Psychologist, 59(7), pp.614~ (2004)[DOI]
  20. Corrigan, P. W., "Empowerment and serious mental illness : Treatment partnerships and community opportunities", Psychiatric Quarterly, 73(3), pp.217~228 (2002)[DOI]
  21. Corrigan, P. W., "Reducing self-stigma by coming out proud", American Journal of Public Health, 103(5), pp.794~800 (2013)[DOI]
  22. Corrigan, P. W., "Diminishing the self-stigma of mental illness by coming out proud", Psychiatry Research, 229(1-2), pp.148~154 (2015)[DOI]
  23. "Coming out proud to eliminate the stigma of mental illness manual" (2012)[URL]
  24. Corrigan, P. W., "Challenging two mental illness stigmas : Personal responsibility and dangerousness", Schizophrenia Bulletin, 28(2), pp.293~309 (2002)[DOI]
  25. Davidson, L., "Phenomenological and participatory research on schizophrenia : Recovering the person in theory and practice", Journal of Social Issues, 53(4), pp.767~784 (1997)[DOI]
  26. Fung, K. M., "Self-stigma of people with schizophrenia as predictor of their adherence to psychosocial treatment", Psychiatric Rehabilitation Journal, 32(2), pp.95~ (2008)[DOI]
  27. Hofer, A., "Resilience, internalized stigma, self-esteem, and hopelessness among people with schizophrenia : Cultural comparison in Austria and Japan", Schizophrenia Research, 171(1-3), pp.86~91 (2016)[DOI]
  28. Jeakal, E., "Validation of the Brief Negative Symptom Scale in Korean patients with schizophrenia", Asia-Pacific Psychiatry, 12(3), pp.e12382~ (2020)[DOI]
  29. Jensen, L. W., "Mental health success stories : Finding paths to recovery", Issues in Mental Health Nursing, 28(4), pp.325~340 (2007)[DOI]
  30. Jung, H., "The impact of mental health literacy, stigma, and social support on attitudes toward mental health help-seeking", International Journal of Mental Health Promotion, 19(5), pp.252~267 (2017)[DOI]
  31. Kim, W. J., "Internalized stigma and its psychosocial correlates in Korean patients with serious mental illness", Psychiatry Research, 225(3), pp.433~439 (2015)[DOI]
  32. Link, B. G., "Conceptualizing stigma", Annual Review of Sociology, 27(1), pp.363~385 (2001)[DOI]
  33. Link, B. G., "On describing and seeking to change the experience of stigma", Psychiatric Rehabilitation Skills, 6(2), pp.201~231 (2002)[DOI]
  34. Livingston, J. D., "Correlates and consequences of internalized stigma for people living with mental illness : A systematic review and meta-analysis", Social Science & Medicine, 71(12), pp.2150~2161 (2010)[DOI]
  35. Lloyd-Evans, B., "A systematic review and meta-analysis of randomised controlled trials of peer support for people with severe mental illness", BMC Psychiatry, 14, pp.1~12 (2014)[DOI]
  36. Lucksted, A., "Ending self-stigma : pilot evaluation of a new intervention to reduce internalized stigma among people with mental illnesses", Psychiatric rehabilitation journal, 35(1), pp.51~ (2011)[DOI]
  37. Lysaker, P. H., "Insight and personal narratives of illness in schizophrenia", Psychiatry, 65(3), pp.197~206 (2002)[DOI]
  38. Lysaker, P. H., "Toward understanding the insight paradox : internalized stigma moderates the association between insight and social functioning, hope, and self-esteem among people with schizophrenia spectrum disorders", Schizophrenia Bulletin, 33(1), pp.192~199 (2007)[DOI]
  39. Lysaker, P. H., "Negative symptoms and concordant impairments in attention in schizophrenia : associations with social functioning, hope, self-esteem and internalized stigma", Schizophrenia Research, 110(1-3), pp.165~172 (2009)[DOI]
  40. Mellor, D., "Female preference in the context of male–male interactions in Maylandia zebra of Lake Malawi", Journal of Ethology, 30(1), pp.181~186 (2012)[DOI]
  41. Mosanya, T. J., "Self-stigma, quality of life and schizophrenia : An outpatient clinic survey in Nigeria", International Journal of Social Psychiatry, 60(4), pp.377~386 (2014)[DOI]
  42. Park, S., "Study on social integration of persons with mental illness", Journal of Social Research, 11(1), pp.79~108 (2010)
  43. Peebles, S. A., "Recovery and systems transformation for schizophrenia", Psychiatric Clinics of North America, 30(3), pp.567~583 (2007)[DOI]
  44. Roe, D., "Talking about life and finding solutions to different hardships : A qualitative study on the impact of narrative enhancement and cognitive therapy on persons with serious mental illness", The Journal of nervous and mental disease, 198(11), pp.807~812 (2010)[DOI]
  45. Rüsch, N., "Efficacy of Coming Out Proud to reduce stigma's impact among people with mental illness : pilot randomised controlled trial", The British Journal of Psychiatry, 204(5), pp.391~397 (2014)[DOI]
  46. Rüsch, N., "Self-stigma, group identification, perceived legitimacy of discrimination and mental health service use", The British Journal of Psychiatry, 195(6), pp.551~552 (2009)[DOI]
  47. Russinova, Z., "A randomized controlled trial of a peer-run antistigma photovoice intervention", Psychiatric Services, 65(2), pp.242~246 (2014)[DOI]
  48. Schulze, B., "Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals", Social Science & Medicine, 56(2), pp.299~312 (2003)[DOI]
  49. Sibitz, I., "Stigma resistance in patients with schizophrenia", Schizophrenia Bulletin, 37(2), pp.316~323 (2011)[DOI]
  50. Stewart, D. W., "Focus groups: Theory and practice (Vol. 20)" (2014), Sage publications
  51. Tsang, H. W. H., "Self-stigma and stages of change as predictors of treatment adherence of individuals with schizophrenia", Psychiatry Research, 180(1), pp.10~15 (2010)[DOI]
  52. Whitley, R., "Stigma, agency and recovery amongst people with severe mental illness", Social Science & Medicine, 107, pp.1~8 (2014)[DOI]
  53. Yanos, P. T., "Group-based treatment for internalized stigma among persons with severe mental illness : findings from a randomized controlled trial", Psychological Services, 9(3), pp.248~ (2012)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (5건)