사이코패스의 전두엽 집행기능 및 정서인식력 손상기전
Frontal Lobe Executive Function and Emotional Recognition Ability of Psychopathic Inmates
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초록
본 논문에서는 사이코패스(psychopaths)의 손상된 인지기능과 정서인식능력을 설명하는 전두엽기능손상가설(Frontal lobe dysfunction hypothesis)과 폭력억제 메커니즘 모델(Violence inhibition mechanism model)을 바탕으로 국내 유 사집단에 있어서도 동일한 형태의 신경심리학적 손상이 나타나는지 살펴보고자 하였다. 교정시설의 수용자 38명을 표집한 후 이들에게 한국판 PCL-R의 검사를 실시하여 사이코패스 집단과 비사이코패스 집단으로 분류하였다. 이 들 두 집단의 전두엽 집행기능을 살펴보기 위해서는 스트룹 검사(Stroop Test)와 위스콘신카드분류검사(Wisconsin Card Sorting Test)를 시행하였으며, 정서인식능력을 측정하기 위해서는 ERT-R(Emotional Recognition Test -Revised)을 시행하였다. 통제변수로서 피검자의 지능수준을 지정하였는데, 지능을 측정하기 위해서는 한국판 웩슬 러 지능검사(K-WAIS)를 실시하였다. 실험 결과, 사이코패스 집단과 비사이코패스 집단 간에는 지능에 있어 유의미 한 차이가 존재하지 않는 반면 전두엽 집행기능에서는 유의미한 차이가 발견되었다. 정서인식력 검사에서는 두 집단 간에 유의미한 차이가 발견되지 않았다. 본 논문의 사이코패스로 분류된 범죄자들의 집행기능이 통제집단에 비하여 상대적으로 더 낮다는 연구결과는 서구의 실증연구들과 일맥상통하는 결과로서 국내의 형사사법체계 내에서도 일부 범죄자들의 신경학적 손상 치료를 위한 차별화된 치료 및 처우 프로그램의 개발이 시급하다는 사실을 시사해 준다.
Abstract
This article is based on the frontal lobe dysfunction hypothesis and integrated emotion system model related to executive function and emotional recognition abilities of the psychopath and investigates whether the same types of frontal lobe dysfunction and damage to emotional recognition abilities occur in similar groups within the country. For specific research design, PCL-R was conducted with inmates in prisons and based on the results, psychopathic criminals and non-psychopathic criminals were classified. In order to investigate the executive function and emotional recognition in each of two groups, the Wisconsin Card Sorting Test, Stroop Test, and a revised version of Emotional Recognition Test were administered. As for the control variable, intelligence of the subjects was measured by Korean-Wechsler Adult Intelligence Scale. As a result of the three tests, there were differences between groups, as we expected. Psychopathic criminals showed lower performance ability than did the non-psychopathic group in terms of executive function. However, there was no significant difference in the Emotional Recognition Test. In conclusion, the result that psychopath criminals were showed relatively lower executive function means a specific treatment program are needed to care some criminals who have neurological dysfunction, in the Criminal Justice System.
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