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Theory Review for Understanding Flow Experience in Occupational Therapy

작업치료에서 몰입경험 이해를 위한 이론적 고찰

  • Lee, Jeong-Hoon (Dept. of Occupational Therapy, Rehabilitation Medicine, Eunpyeong St. Mary's Hospital, Catholic University) ;
  • Park, Ji-Hyuk (Dept. of Occupational Therapy, College of Software Digital Healthcare Convergence, Yonsei University)
  • 이정훈 (가톨릭대학교 은평성모병원 재활의학과 작업치료실) ;
  • 박지혁 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)
  • Received : 2020.08.05
  • Accepted : 2021.06.15
  • Published : 2021.08.31

Abstract

Introduction : The purpose of this article was to introduce the theory of flow experience to occupational therapy for various therapeutic interventions to improve the subject's physical function, activity, and participation. Review : To understand the flow experience in occupational therapy, this study summarized the concept and characteristics of the flow experience, the stages and the scientific characteristics of the brain, measurement methods, and related studies through a review of domestic and foreign literature. In occupational therapy, the subject's flow experience can be defined as 'a psychological state in which the subject is completely flow in the therapeutic activity he is doing while forgetting the passage of time'. Subjects perceived a clear goal for the task and experienced engagement when the challenge was balanced with a high level of skill. In a previous study, positive changes in attention and concentration, executive function, upper extremity function, and performance of daily living activities were confirmed in subjects who encountered the flow experience. Conclusion : If the subject's flow experience in various therapeutic interventions in domestic occupational therapy is considered, the treatment effects will be further promoted.

서론 : 본 연구는 대상자의 신체기능과 활동 및 참여를 위해 다양한 치료적 중재를 실시하는 작업치료 분야에 몰입경험 이론의 소개를 목적으로 한다. 본론 : 작업치료 영역에서의 몰입경험 이해를 위해 국내·외 문헌고찰을 통한 몰입경험의 개념과 특징, 단계와 뇌과학적 특성, 측정방법 및 관련 연구들을 정리하였다. 작업치료에서 대상자의 몰입경험은 '시간이 흐르는 것을 잊으면서 하고 있는 치료 활동에 완전하게 빠져드는 심리적 상태'로 정의할 수 있다. 대상자는 과제에 대한 명확한 목표를 인식하며, 도전과 기술 수준이 높은 상태로 균형을 이룰 때에 몰입을 경험하게 된다. 선행 연구에서 몰입을 경험한 대상자는 주의 및 집중, 집행 기능, 상지기능, 일상생활활동 수행 증진과 긍정적인 경험에 긍정적 변화가 있음을 확인하였다. 결론 : 국내 작업치료 영역에서 다양한 치료적 중재에 대상자의 몰입경험이 고려된다면 치료 결과의 효과는 보다 촉진될 것이라 생각되어진다.

Keywords

References

  1. Chen, H., Wigand, R. T., & Nilan, M. S. (1999). Optimal experience of web activities. Computers in Human Behavior, 15(5), 585-608. doi:10.1016/S0747-5632(99)00038-2
  2. Csikszentmihalyi, M. (1975). Beyond boredom and anxiety: Experiencing flow in work and play. San Francisco, CA: Jossey-Bass
  3. Csikszentmihalyi, M. (1996). Flow and the psychology of discovery and invention (Vol. 56). New York, USA: Harper Collins.
  4. Csikszentmihalyi, M. (2013). Flow: The psychology of happiness. New York, USA: Random House.
  5. Csikszentmihalyi, M., & Csikzentmihaly, M. (1990). Flow: The psychology of optimal experience (Vol. 1990). New York, USA: Harper & Row.
  6. Csikszentmihalyi, M., & LeFevre, J. (1989). Optimal experience in work and leisure. Journal of Personality and Social Psychology, 56(5), 815-822. doi:10.1037//0022-3514.56.5.815
  7. Davis, M. S., & Csikszentmihalyi, M. (1977). Beyond boredom and anxiety: The experience of play in work and games. Contemporary Sociology, 6(2), 197-199. doi:10.2307/2065805
  8. Dietrich, A. (2004). Neurocognitive mechanisms underlying the experience of flow. Consciousness and Cognition, 13(4), 746-761. doi:10.1016/j.concog. 2004.07.002
  9. Hirao, K. (2014). Prefrontal hemodynamic responses and the degree of flow experience among occupational therapy students during their performance of a cognitive task. Journal of Educational Evaluation for Health Professions, 11, 1-5. doi:10.3352/jeehp.2014.11.24
  10. Jackson, S. A., & Marsh, H. W. (1996). Development and validation of a scale to measure optimal experience: The flow state scale. Journal of Sport and Exercise Psychology, 18(1), 17-35. doi:10.1123/jsep.18.1.17
  11. Kihlstrom, J. F. (1996). Perception without awareness of what is perceived, learning without awareness of what is learned. In M. Velmans (Ed.), The science of consciousness (1st ed., pp. 23-46). London, England: Routledge
  12. Kim, H., Kwon, H. C., Kim, J. H., Lee, S. M., Lee, S. W., & Hong, S. P. (2016a). Study on the development and effectiveness of the flow-based therapy for stroke patients. Journal of Special Education & Rehabilitation Science, 55(3), 451-469. doi:10.15870/jsers.2016.09.55.3.451
  13. Kim, J. H., & Kim, H. (2015). Effects of the functional occupational therapy using flow on upper extremity function and activities of daily living for stroke patients. Journal of Special Education & Rehabilitation Science, 54(4), 71-88. doi:10.15870/jsers.2015.12.54.4.71
  14. Kim, S. I., & Oh, H. O. (2007). Social science : The effect of aged participants' in exercise program of leisure flow experience on depression and self-esteem. Korea Sports Research, 18(2), 259-270. doi:10.15870/jsers.2015.09.54.3.427
  15. Kim, Y. J., Kim, M. Y., & Lee, J. H. (2016b). Effectiveness of occupational therapy for improving participation: A systematic review. Korean Journal of Occupational Therapy, 24(1), 89-108. doi:10.14519/jksot.2016.24.1.08
  16. Lim, J. H., Shin, J. H., & Ahn, Y. J. (2015). The effects of the group art therapy using flow on high school students' learning motivation and academic self-efficacy. Journal of Special Education & Rehabilitation Science, 54(3), 427-448. doi:10.15870/jsers.2015.09.54.3.427
  17. Massimini, F., & Carli, M. (1988). The systematic assessment of flow in daily experience. In M. Csikszentmihalyi, & I. S. Csikszentmihalyi (Eds.), Optimal experience: Psychological studies of flow in consciousness (1st ed., pp. 266-278). Cambridge, England: Cambridge University Press.
  18. Nakamura, J., & Csikszentmihalyi, M. (2014). The concept of flow. In M. Csikszentmihalyi (Ed.), Flow and the foundations of positive psychology (1st ed., pp. 239-263). Dordrecht, Netherlands: Springer.
  19. Novak, T. P., Hoffman, D. L., & Yung, Y. F. (1996). Modeling the structure of the flow experience. Retrieved from http://papers.cumincad.org/data/works/att/3105.content.pdf
  20. Rebeiro, K. L., & Polgar, J. M. (1999). Enabling occupational performance: Optimal experiences in therapy. Canadian Journal of Occupational Therapy, 66(1), 14-22. doi:10.1177/000841749906600102
  21. Reynolds, F., & Prior, S. (2006). Creative adventures and flow in art-making: A qualitative study of women living with cancer. British Journal of Occupational Therapy, 69(6), 255-262. doi:10.1177/030802260606900603
  22. Robinson, K., Kennedy, N., & Harmon, D. (2012). The flow experiences of people with chronic pain. OTJR: Occupation, Participation and Health, 32(3), 104-112. doi:10.3928/15394492-20111222-01
  23. Wright, J. J., Sadlo, G., & Stew, G. (2006). Challenge-skills and mindfulness: An exploration of the conundrum of flow process. OTJR: Occupation, Participation and Health, 26(1), 25-32. doi:10.1177/153944920602600104
  24. Yoshida, K., Asakawa, K., Yamauchi, T., Sakuraba, S., Sawamura, D., Murakami, Y., & Sakai, S. (2013). The flow state scale for occupational tasks: Development, reliability, and validity. Hong Kong Journal of Occupational Therapy, 23(2), 54-61. doi:10.1016/j.hkjot.2013.09.002
  25. Yoshida, K., Sawamura, D., Inagaki, Y., Ogawa, K., Ikoma, K., & Sakai, S. (2014a). Brain activity during the flow experience: A functional near-infrared spectroscopy study. Neuroscience Letters, 573, 30-34. doi:10.1016/j.neulet.2014.05.011
  26. Yoshida, K., Sawamura, D., Ogawa, K., Ikoma, K., Asakawa, K., Yamauchi, T., & Sakai, S. (2014b). Flow experience during attentional training improves cognitive functions in patients with traumatic brain injury: An exploratory case study. Hong Kong Journal of Occupational Therapy, 24(2), 81-87. doi:10.1016/j.hkjot.2015.01.001