불안장애 아동의 장기 놀이치료 사례연구 (A Case Study on the Effects of Long-term Play Therapy for a 7-year-old Girl with an Anxiety Disorder)

서지정보

· 발행기관 : 한국놀이치료학회
· 수록지 정보 : 한국놀이치료학회지 / 15권 / 1호 / 127 ~ 152페이지
· 저자명 : 이지선

초록

본 연구는 불안을 주호소로 내원한 아동의 놀이치료 사례연구이다. 연구대상은 접수당시 만 7세의 여아이며, 치료과정은 3년 5개월 동안 총 81회의 장기치료로 진행되었다. 접수당시 아동은 극심한 불안과 혼란감을 호소하였는데, 이는 신체화나 환청, 환시와 같은 증상으로 나타나기도 하였으며, 현실에서의 적응문제를 야기하고 있었다. 치료과정은 아동의 극심한 불안과 두려움을 자연스럽게 드러낼 수 있는 비지시적인 아동중심 놀이치료를 기반으로 진행되었으며, 아동은 치료자와의 신뢰롭고 안정적인 관계 속에서 놀이를 통해 자신의 억압된 감정들을 자유롭게 표출하였다. 본 연구에서는 불안증상을 보이는 아동이 놀이치료과정에서 나타낸 놀이주제의 특징을 탐색하고 그 치료적 효과를 살펴보았다. 연구결과, 아동은 주로 역할놀이를 선택하여 자신의 불안을 상징적으로 표현하고, 반복하며 스스로 해결하는 모습을 보여주었다. 3년 5개월 동안 진행된 놀이치료의 긴 여정을 통해, 초기의 매우 불안정하고 비현실적인 감정이 해소되었고, 아동 자신을 주인공으로 등장시킨 상징놀이 안에서, 불안의 근원에 직면하여 스스로 해결방법을 찾아가고 성장하는 모습을 보여주었다.

영어초록

This research is a case-study focusing on a child suffering from an anxiety disorder, The sample used in this case-study was a 7 year old girl. Play therapy sessions were held in a play therapy center for 3 years and 5 months, for a total of 81 sessions. At the first interview, the client seemed to be extremely anxious and confused, sometimes experiencing somatization, having delusions and hallucinations, which were caused by extreme anxiety and confusion and she had problems with an inability to adapt as well. The progress of treatment was non-directed child-centered play therapy which can help reveal her severe anxious and confused feelings in a natural manner, through the trust and stable relationships built up over the course of treatment between the client and the play therapist. During the play therapy sessions, she was able to release her pent-up feelings. Through this study, it was possible to closely observe the therapeutic effects and the more effective play themes upon this anxious child. As a result of this research, she mostly favored pretend play and through symbolic representation, the child exhibited her more anxious feelings and was able to solve her problems by herself. During the early sessions she presented very unstable and unrealistic emotions, however, through the long therapeutic process, lasting over 3 years and 5 months, she was able to resolve these emotions. During the pretend play in which she was involved as the main character, she came face to face with the basis of her anxiety and could begin the search for a method to resolve these problems by herself. Profound growth and change were the ultimate results of this study.

참고자료

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