디지털융복합연구 (Journal of Digital Convergence)

  • 제16권11호
  • /
  • Pages.521-533
  • /
  • 2018
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

조현병을 가진 사람의 삶에 대한 현상학적 연구

Phenomenological Study on the Life of People with Schizophrenia

  • 박미원 (창원정신건강복지센터) ;
  • 엄태완 (경남대학교 사회복지학과)
  • 투고 : 2018.08.17
  • 심사 : 2018.11.20
  • 발행 : 2018.11.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구의 목적은 조현병을 가진 사람의 삶의 경험에 내재되어 있는 의미와 본질이 무엇인지를 이해하는 것이었다. 이를 위하여 현상학적 연구방법으로 접근하였으며, 연구참여자들은 조현병으로 진단을 받은 지 5년이 경과하고 20세 이상인 성인 10명이었다. 연구결과, 4개의 본질주제인 '내 인생의 나락, 정신질환', '어쩔 수 없는 받아들임과 내려놓음', '어둠속에서도 나를 일으킴', '평범한 일상 살아가기'를 발견하였다. 조현병은 연구참여자들을 상처와 고통 속의 삶으로 내던지는 특별한 굴레였지만 그럼에도 불구하고 이들의 일상은 자신의 감정과 욕구를 바탕으로 유지되고 있었다. 본 연구를 통해 조현병을 가진 사람은 병리적 결과물인 '환자'가 아니라 한 명의 '인간'이라는 관점에서 이해하고 접근해야 한다는 의미를 확인하였다.

This study aimed to understand the meaning and essence inherent in the life experiences of people with schizophrenia. We approached with phenomenological method, and the research participants were 10 adults, aged 20 or older, who were diagnosed with schizophrenia. As a result, we found four essential themes. The participants with schizophrenia lived a life with special constraints of being thrown to the reality in which they experienced continuing suffering. Nevertheless, their daily lives were maintained on the basis of their own feelings and needs. In this study, we confirmed that they should be understood and treated in the mental health field with the perspective that they are not 'patients' nor a pathological outcome, but a 'human' with schizophrenia.

키워드

참고문헌

  1. S. H. Schultz, S. W. North & C. G. Shields. (2007). Schizophrenia: A review. American Family Physician, 75(12), 1821-1829.
  2. E. Shorter. (1998). A history of psychiatry: From the era of the asylum to the age of prozac. New York: John Wiley & Sons, Inc.
  3. B. Kirkpatrick, R. W. Buchanan & D. E. Ross. (2001). A separate disease within the syndrome of schizophrenia. Archives of General Psychiatry, 58, 165-1710. DOI : 10.1001/archpsyc.58.2.165
  4. W. D. Spaulding, M. E. Sullivan & J. S. Poland. (2003). Treatment and rehabilitation of severe mental illness. New York: Guilford Press.
  5. J. Lloyd, H. Lloyd, R. Fitzpatrick & M. Peters. (2017). Treatment outcomes in schizophrenia: Qualitative study of the views of family carers. BMC Psychiatry, 17, 266-277. DOI : 10.1186/s12888-017-1418-8
  6. S. Shepherd, C. A. Depp, G. Harris, M. Halpain, L. A. Palinkas & D. V. Jeste. (2012). Perspectives on Schizophrenia Over the Lifespan: A Qualitative Study. Schizophrenia Bulletin, 38(2), 295-303. https://doi.org/10.1093/schbul/sbq075
  7. C. Loughland, K. Cheng, G. Harris, B. Kelly, M. Cohen, H. Sandhu, M. Varmos, T. T. Levin, C. Bylund, Y. Landa & S. Outram. (2015). Communication of a schizophrenia diagnosis: A qualitative study of patients' perspectives. International Journal of Social Psychiatry, 61(8), 729-734. DOI : 10.1177/0020764015576814
  8. G. M. Khandaker, J. H. Barnett, I. R. White & P. B. Jonesa. (2011). A quantitative meta-analysis of population-based studies of premorbid intelligence and schizophrenia. Schizophrenia Research, 132, 220-227. DOI : 10.1016/j.schres.2011.06.017
  9. L. Krabbendam & A. Aleman. (2003). Cognitive rehabilitation in schizophrenia: A quantitative analysis of controlled studies. Psychopharmacology, 169, 376-382. DOI : 10.1007/s00213-002-1326-5
  10. Y. S. Hann, I. H. Yang, C. E. Kim & Y. C. Chung. (1992). The perceived stress in schizophrenic patient. Inje Medical Journal, 13(1), 97-104. DOI : 10.4040/jkan.2014.44.3.339
  11. M. Y. Kim & S. S. Jun. (2012). Factors affecting internalized stigma of patient with schizophrenia, J Korean Acad Psychiatr Ment Health Nurs, 21(2), 108-117. DOI : 10.12934/jkpmhn.2012.21.2.108
  12. S. A. Park & K. M. Sung. (2014) Development of a measurement of stress for hospitalized schizophrenic patient. J Korean Acad Nurs, 44(3), 339-349. DOI : 10.4040/jkan.2014.44.3.339
  13. M. Y. Kim, S. J. Ha & S. S. Jun. (2015). Factors related to suicidal ideation in patients with chronic schizophrenia, depressive disorder, or bipolar disorder. J Korean Acad Psychiatr Ment Health Nurs, 24(4), 217-225. DOI : 10.12934/jkpmhn.2015.24.4.217
  14. J. S. Kim. (2018). Schizophrenic patients impact on quality of life. Journal of Convergence for Information Technology, 8(1), 53-38. DOI : 10.22156/CS4SMB.2018.1.053
  15. C. S. Noh & J. H. Han. (2015) A study on the psychological counseling experience of non-institutionalized patients with chronic schizophrenia. Korean Journal of Christian Counseling, 26(3), 9-49.
  16. M. S. Yoon & H. S. Jeong. (2012). Life experiences of older people with mental disorder. Journal of Rehabilitation Research, 16(1), 59-85.
  17. M. Y. Kim, Y. S. Kim, N. H. Lee, B. Y. Jung & H. M. Jo. (2013). The Experience of Schizophrenic's Employment Retention, J Qual Res, 14(2), 145-157. DOI : 10.22284/qr.2013.14.2.145
  18. C. S. Nor & J. H. Han. (2015). A Study on the Psychological Counseling Experience of Non- Institutionalized Patients with Chronic Schizophrenia, Korean Journal of Christian Counseling, 26(3), 9-49.
  19. N. I. Lee. (2004). Phenomenology and hermeneutics. Seoul: Seoul National University Press.
  20. P. E. Colazzi. (1978). Psychological research as the phenomenologist view it existential phenomenology. New York: Oxford University Press.
  21. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, Virginia: American Psychiatric Association.
  22. J. Corcoran & J. Walsh. (2009). Mental health in social work: A casebook on diagnosis and strengths-based assessment. Boston, MA: Pearson Education, Inc.
  23. A. H. Maslow. (1979). The journals of A. H. Maslow. R. J. Lowry(ed.). Monterey, CA: Brooks/Cole.
  24. T. W. Eom. (2016). Review of policies on mentally disabled people: Focused on a theory of justice by J. Rawls. Journal of Critical Social Policy, 50, 241-283.
  25. H. A. Moon. (2017). An Analysis on the Change of the Status of Korean Women in Marriage and the Constitution Court Rulings on the Adultery Law. Woman and History, 27, 193-217.
  26. W. D. Spaulding, M. E. Sullivan & J. S. Poland. (2003). Treatment and rehabilitation of severe mental illness. New York: Guilford Press.
  27. Y. J. Oh & H. D. Kim. (2018). A study on predictive factors of Elderly Suicidal Ideation. Journal of Convergence for Information Technology, 8(2), 1-9. DOI : 10.22156/CS4SMB.2018.8.2.001
  28. J. Wronka. (2008). Human rights and social justice: Social action and service for the helping and health professions. Thousand Oaks, CA: Sage Publications.