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자기체계의 손상으로 본 복합외상증후군

Conceptualizing Complex Posttraumatic Stress Syndrome as the Disruption of Self-System

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초록

본 연구는 복합외상 증상 발현의 기저에 있는 심리적 기제 및 역동에 대한 탐색을 위하여 복합외상 경험자들이 호소하는 다양한 심리적 후유증을 자기체계(self-system) 손상이라는 관점에서 논의하고자 한다. 주체적 자기, 대상적 자기, 자기지속성, 자기통합성, 부정적인 자의식적 정서, 자기처벌적 행동 등 자기(self)와 관련된 구성 개념들을 포괄하고 있는 자기체계의 손상이라는 관점은 성격적 변화와 대인관계 양식의 변화가 동반되는 복합외상의 증상들을 보다 전체론적인 시각에서 이해할 수 있게 할 뿐 아니라, 애착, 생리, 정서조절, 해리, 행동 조절, 인지, 자기개념의 영역들을 포괄하는 상위개념으로 복합외상증후군을 이해하게 함으로써 기존의 접근방식보다 체계적인 사례개념화와 효과적 치료방법을 모색할 수 있는 기초적 틀을 제시하고자 하였다.

Abstract

Conceptualizing the Complex Posttraumatic Stress Syndrome as a severe disruption of one's self-system is suggested in order to understand its complicated psychological mechanism and dynamic process. Understanding complex posttraumatic stress syndrome as traumatization in such self-related domains as self-agency(I-self), self as an object(Me-self), self-coherence, self-affects, and self-punitive behaviors can be helpful in understanding its individual symptoms from a holistic perspective since the lack of systematic theoretical grounds for the complex posttraumatic stress syndrome has often been a barrier in research and clinical settings that aimed to study and treat the survivors of complex trauma.

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