상담과정에서 실제관계의 변화 형태와 상담자와 내담자 애착 효과

최한나,이은주,김민희 한국상담학회 2015 상담학연구 Vol.16 No.6

This study examined to verify change pattern of real relationship over the course of counseling process and effect of counselor's and client's attachment styles on the individual differences in these changes. In this study, data were collected from 47 counselor/client dyads, they completed measures(KRRI-T, KRRI-C) assessing real relationship after first, 3rd, 5th, and 8th session of counseling. They also completed an adult attachment measure(ECR-R) at the beginning of counseling. For the analysis, multi-level modeling(HLM 7.0) was used. The results are as follow. First, the perceived real relationship of the counselors' and the clients' both increased significantly for the course of sessions. Second, the clients' adult attachment-anxiety appeared to have a negative effect on the initial status of the clients' perceived real relationship. Third, the counselors' adult attachment-avoidance negatively influenced to the rate of change in counselors' perceived real relationship. Fourth, the interaction between the counselors' attachment-anxiety and the clients' attachment-avoidance had a positive influence to the rate of change in the counselors' perceived real relationship, while had a negative influence in the case of the clients'. Finally, the implication and limitation of this study were discussed. 본 연구는 상담 과정 중의 상담자와 내담자가 인식하는 실제관계의 변화 형태를 추정하고 그 변화에 있어서 개인차에 대한 상담자와 내담자 애착 효과를 검증하였다. 연구대상은 상담자, 내담자 47쌍으로 실제관계를 측정하기 위해 1, 3, 5, 8회기가 끝난 후 실제관계 검사(KRRI-T, KRRI-C)를 실시하였고, 상담이 시작될 때 성인애착 검사(ECR-R)를 실시하였다. 분석을 위해 다층성장모형(HLM 7.0)을 사용하였다. 연구 결과는 다음과 같다. 첫째, 상담자와 내담자가 인식한 실제관계는 회기가 진행됨에 따라 모두 유의하게 증가했다. 둘째, 내담자의 애착 불안은 내담자가 인식한 실제관계 초기치에 부적인 영향을 미치는 것으로 나타났다. 셋째, 상담자의 애착 회피는 상담자가 인식한 실제관계 변화율에 부적인 영향을 미치는 것으로 나타났다. 넷째, 상담자의 애착 불안과 내담자의 애착 회피의 상호작용은 상담자가 인식한 실제관계의 변화율에 정적인 영향을 미치는 반면, 내담자가 인식한 실제관계의 변화율에는 부적인 영향을 미치는 것으로 나타났다. 연구결과에 기초하여 시사점 및 후속 연구를 위한 제안을 논의하였다.

저소득층 노인의 유헬스 서비스 이용경험

최한나,김정은 한국지역사회간호학회 2014 지역사회간호학회지 Vol.25 No.4

Purpose: The purpose of the study was to understand low-income elders’ experiences of community-based u-Healthservices. Methods: Qualitative data were collected from 11 participants. All interviews were recorded and transcribedverbatim. The transcribed data were analyzed using qualitative content analysis. Results: Three themes and eightsub-themes emerged as a result of analysis. The three main themes were ‘recovered confidence and health condition,’‘trial and error in change,’ and ‘hope.’The eight sub-themes were ‘the burden and efforts to overcome it inusing bio-signal device,’ ‘ambivalence due to changing lifestyle,’ ‘increase of care time, decrease of pressure’,‘conflict under environmental constraints,’ ‘difficulty in prioritizing health management,’ ‘discouragement in handlingnew devices,’ ‘desire not to be a burden to their children-gradual fulfillment of learning needs,’ and ‘long for broadeningcoverage range of services.’ Conclusion: The findings of this study demonstrate that low-income elders amongthe participants have different needs in using u-Health services. Therefore, health professionals need to give personalizededucation to deal with their conflicts and requirements, especially emotional and environmental support inorder for them to successfully accept the u-Health services for self-care.

개념도 방법을 통한 여자대학생이 인식하는 효 의식

최한나 한국효학회 2010 효학연구 Vol.0 No.12

본 연구의 목적은 개념도(concept mapping) 방법을 통해 효에 대한 여자대학생들의 인식을 확인하는 것이다. 이를 위해 연구자는 선행연구를 바탕으로 효의 13가지 개념을 구성하여 문항을 만들고 20명의 여자대학생들이 13가지 효의 개념을 두 개씩 짝지어서 유사성을 평정하였다. 연구 참여자들의 유사성 평정자료를 가지고 다차원 척도분석과 위계적 군집분석을 실시하였으며, 분석결과를 바탕으로 효에 대한 여학생들의 인식을 탐색한 개념도를 도출하였다. 또한 183명의 여자대학생들이 13개 효의 개념에 대해 중요도를 평정하였다. 연구결과를 살펴보면, 여자대학생들은 효에 대한 의미를 크게 정서적 측면에서의 효와 행동적 측면에서의 효로 구분하여 인식하는 것으로 확인되었다. 또한 13가지 효에 대한 중요도 평정 결과, ‘부모에 대한 사랑 및 애정을 표하는 것’, ‘부모님을 즐겁게 하는 것’, ‘부모님에게 존경을 표하는 것’과 관련된 정서적 측면에서의 효를 중요하게 인식하는 것으로 나타났다. 본 연구의 결과를 효의식과 효의 내용과 관련된 선행연구의 결과와 비교하여 논의를 제시하였다. The purpose of this study was to explore female college students' perception of filial piety by multidimensional scaling and hierarchical cluster analysis and to analyze the importance of filial piety. 20 female college students conducted a paired-comparison rating on 13 contents of filial piety and 183 students rated the importance of each statement describing filial piety. Results were as follows: First, filial piety were perceived by two primary dimensions: emotion-focused versus behavior-focused. Second, filial piety was categorized as 'caring', 'respect', and 'supporting. Third, participants rated 'caring', 'respect' more important than 'supporting'. Implication for research and practice were discussed.

호도약침이 만성견비통에 미치는 임상적 연구

최한나,박선미,박가영,장선희,박재흥,손인석,장경전,윤현민 대한침구의학회 2010 대한침구의학회지 Vol.27 No.3

Objectives : The purpose of this study is to examine the effect of Juglandis Semen Herbal Acupuncture Therapy on Chronic Shoulder Pain. Methods : Clinical studies on shoulder pain were carried out on 34 patients who were treated at Department of Acupuncture & Moxibusition, Samse Oriental Hospital from June 1, 2009 to October 15, 2009. Subjects were divided into two groups: Experimental group(Group A, n=17) and Control group(Group B, n=17). Group A were treated by common acupuncture therapy, cupping therapy and Juglandis Semen Pharmacopuncture Therapy and Group B were treated by common acupuncture therapy & cupping therapy. All patients in both groups were treated three times a week over 3 weeks. For evaluating change of pain, we used Shoulder Pain and Disability Index(SPADI), Visual Analogue Scale(VAS), Degree of feeling inconvenient in everyday life and Degree of subjective symptoms of shoulder pain. Evaluations were made at baseline and after one week, two weeks and three weeks of treatment. Results : Both group showed chronic shoulder pain decrease after 3 weeks of treatment. But Group A showed better effect on decreasing SPADI, VAS, Degree of feeling inconvenient in everyday life and Degree of subjective symptoms of chronic shoulder pain than Group B. Conclusions : According to the above-mentioned results, it seems that Juglandis Semen Pharmaco- puncture Therapy could be applied as the effective method for reducing shoulder pain.

모락셀라수막뇌염: 증례와 문헌고찰

최한나,김동욱,윤동주,고영채,장상현,윤수진,오건세,이수주 대한신경과학회 2012 대한신경과학회지 Vol.30 No.3

Moraxella is an aerobic, Gram-negative coccobacillus, which is rarely associated with serious and invasive infections. Because of its rarity, the clinical significance and appropriate therapy for infections due to Moraxella are not well understood. We report a case of meningoencephalitis caused by Moraxella. The patient presented with fever and confusion and was successfully treated with beta-lactam and aminoglycoside antibiotics. We also review 8 previously published cases of Moraxella meningitis or meningoencephalitis.

한우에서 육량특성에 대한 성별 간 차이

최한나,전호광,이정훈,김종복 강원대학교 동물생명과학연구소(구 강원대학교 동물자원공동연구소) 2006 동물자원연구 Vol.17 No.-

작업동맹과 상담성과의 관계에 대한 메타분석(1990-2014)

최한나,권윤주,강귀옥 한국상담학회 2015 상담학연구 Vol.16 No.3

The purpose of this study was to analyze the relationships between working alliance and counseling outcome through meta-analysis and investigate whether the relationship is moderated by evaluator of the working alliance, the age of the clients, and the type of measurements. 39 Korean studies of working alliance and counseling outcome were selected for this meta-analysis, which were conducted in 1990-2014. These data sets included a total of 8,262 participants. The results showed working alliance positively correlated with counseling outcome(r=.573). Furthermore, in the subgroup analyses, the effect size of counselors' ratings was .603 and that of clients' ratings was .572. In the analyses for measurement types of working alliance, the effect size of WAI, WAI-s, and TAS was .531, .608, and .281 respectively. In the analyses for cliental age groups, the effect size of adults was and .587 and that of adolescents was .431. Lastly, in the analyses for measurement types for counseling outcome, the effect size of session evaluation, counseling satisfaction, and outcome questionnaire was .587, .634, and .495 respectively. However, there were no statistically significant differences by the four moderators. The implication, limitation of this study and recommendations for the future studies were discussed. 본 연구는 1990년부터 2014년까지 국내에서 이루어진 작업동맹과 상담성과 간의 관계를 보고한 연구들을 메타분석하여 정리하였다. 뿐만 아니라 작업동맹과 상담성과와의 관계에 영향을 줄 수 있는 조절변인들(측정도구의 평정자, 내담자 연령대, 작업동맹과 상담성과의 측정도구)의 효과를 검증함으로써 작업동맹과 상담성과와의 관계를 보다 명확히 이해하고자 하였다. 본 연구에서는 총 15편의 논문(39개의 개별분석)이 분석에 포함되었으며 표본 크기는 총 8,262명이었다. 메타분석 결과 작업동맹과 상담성과는 중간크기의 유의한 상관(r=.573)이 있음을 확인했다. 조절변인의 효과를 확인하기 위해 하위집단별로 메타분석을 실시한 결과 상담자가 평가한 작업동맹과 상담성과와는 .603, 내담자가 평가한 작업동맹과 상담성과와는 .572의 효과크기를 보였다. 사용된 척도별로 보면 WAI와 상담성과와는 .531, WAI-S와 상담 성과와는 .608, TAS와 상담성과와는 .281의 상관을 나타냈다. 상담 대상자별로 살펴볼 때, 성인을 대상으로 한 연구들에서는 .587, 청소년을 대상으로 한 연구들에서는 .431로 확인되었다. 마지막으로 상담성과 척도별로 구분하였을 때, 작업동맹과 회기평가 간에는 .587, 상담만족도와는 .634, 그리고 성과질문지와는 .494의 효과크기를 보였다. 그러나 이러한 조절변인에 따라 구분된 하위집단의 효과크기는 통계적 추정치를 고려할 때 유의한 차이를 보이지는 않았다. 본 연구의 결과에 기초하여 논의 및 제한점과 함께 향후 연구를 위한 방향을 제언하였다.

A Study on the Public Awareness Towards Children’s Rights to Live in Better Environments - Based on the Analysis of Decision Cases of the National Human Rights Commission of Korea

최한나,김민철 숭실대학교 법학연구소 2020 法學論叢 Vol.47 No.-

International Convention on Children is a guide to child human rights in the international community. In addition, the NHRC's decision on children's human rights implies social changes in children's human rights, and such legal and policy changes can lead to changes in people's perceptions and lead to real human rights improvements for children when they spread. The purpose of this study is to apply integrated thinking to this problem and contribute to the improvement of children's rights through the use of original policies. The international community and South Korea's National Human Rights Commission are giving guidelines on child human rights through various conventions and precedents. The decisions of the International Convention and the Human Rights Commission imply a change in the perception of children's human rights. In the case of corporal punishment, the child's body infringement was judged from a consistent position. In the case of hairstyle restrictions, the Human Rights Commission ruled that it was an infringement of personal rights under the Constitution. Furthermore, it was found to infringe on the right to express and self-determination of Individuality. In terms of discipline in schools, procedural child human rights, which were easily ignored in the past, were also emphasized. It should not infringe upon the right to learn or guarantee opportunities for argument when investigating violent issues. According to the research, various policy improvement measures, such as the recommendation of the NHRC and introduction of acceptance indexes, were not effective in cases involving children's human rights. Rather, it is necessary to educate children and parents on the basis of human rights. In addition, the NHRC believes that it is also important to focus on laying the foundation for improving the awareness of the human rights such as completing human rights education, rather than merely administrative measures when cases of child human rights violations occur. In terms of child human rights, the National Human Rights Commission of Korea should also become an institution that realizes the principle of banning intrusions under Article 37(2) of the Constitution. In order to actively guarantee children's human rights, it is also expected that the National Human Rights Commission's recommendation for correction can be a corrective order for the Ministry of Justice. There was a correction order from the NHRC on issues that did not give the perpetrator of school violence an opportunity to state his opinion. The latest issue, which has changed the district court's ruling, is meaningful. Changes in international standards on child human rights are meaningful in that they can be reflected in the domestic laws, although there are some declarative aspects. It should also be noted that the National Human Rights Commission's decision on child human rights will bring about changes in public perception and actively reflect in court rulings.

기업분할과 주가의 관계에 대한 연구

최한나,신정순 한국자료분석학회 2016 Journal of the Korean Data Analysis Society Vol.18 No.5

Split-up means a company separates a certain business unit and makes an independent organizations. It allows companies to enhance the value of the remainder by reinforcing its expertise of each business units. Companies often get abnormal returns when there is a public announcement on the split-up, because the market participants tend to expect positive consequences after that. There are two types of split-up in Korea, one is the physical division, spin-off, and the other is demerger. This study focuses on demerger which severs as a link between the parent company and the subsidiary, thus corresponds more to the original meaning of split-up. This study identified not only the statistical significance of the abnormal returns around a disclosure of demerger, but also the factors influence the abnormal returns among various variables by regression analysis. The results show that there exists statistical significance on abnormal returns around disclosures of demerger, and PD (propensity to dividend) has correlation with the abnormal returns. 기업분할은 기업합병과 반대되는 개념으로 기업이 특정 사업부문을 분리해 독립된 조직으로 만드는 것을 의미한다. 이를 통해 사업 부문별 전문성을 높이거나 성과가 좋지 않은 부문을 떼어내 존속기업의 기업 가치를 제고할 수 있다. 기업분할 결정이 공시되면 해당 기업의 주가가 시장 대비 초과수익을 나타내는데 이는 사업의 전문화 및 집약화를 통해 기업 가치가 높아질 것이라는 시장 참여자들의 기대가 반영된 결과다. 우리나라에서 기업분할은 분할 이후 신설기업의 주식이 어디에 속하는지에 따라 물적분할과 인적분할로 구분된다. 본 연구는 기업분할의 두 유형 가운데 기업구조조정과 지주회사 설립 등의 수단으로 많이 활용되며 모회사와 자회사의 관계가 완전히 단절돼 기업분할의 원론적인 의미에 좀 더 부합하는 인적분할 방식에 초점을 맞췄다. 인적분할 공시 전후 나타나는 초과수익의 통계적 유의성을 확인하고 나아가 기업 활동의 여러 변수들 가운데 초과수익에 영향을 미치는 변수가 무엇인지 회귀분석을 통해 파악했다. 분석 결과, 인적분할 공시 전후 통계적으로 유의한 양(+)의 초과수익이 관찰됐다. 또한 여러 변수들 중 기업이 창출한 수익에서 주주들에게 얼마나 배분하는지를 나타내는 배당성향이 분할 공시 후 양(+)의 초과수익과 상관성을 갖는 것으로 나타났다.

유방암 환자의 항암화학요법 과정에 따른 증상 궤적 양상: 후향적 연구

최한나,오의금,최모나,김정연 한국간호과학회 2022 한국간호과학회 학술대회 Vol.2022 No.10