정신보건관련시설 입원(소)자의 주요 정신장애 유병률 : 전국 20개 시설의 입원(소)자를 대상으로

조성진,조맹제,서동우,함봉진,홍진표,배재남,이준영,이동우,박종익,전홍진,김성주,김용익 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.6

Objectives : One of the objectives of this study is to estimate the prevalence rates of psychiatric diagnoses in the combined populations of psychiatric hospitals, psychiatric nursing facilities and homeless asylums using the Korean version of the Composite International Diagnostic Interview (K-CIDI), which is a comprehensive and fully standardized interview schedule to assess psychiatric disorders for diagnosis. The Other objective is to compare with previously studied prevalence rates of Psy-chiatric diagnoses using the results of this study. Methods : The study subjects, aged from 181o 64 years, were randomly selected from 64,582 institutionalized population of psychiatric hospitals, Psychiatric nursing facilities and homeless asylums as of 30, June, 2001. Twelve trained interviewers administered the K-CIDI to the selected respondents. A total of 1,875 respondents (male 1,194, female 681) completed the interview. Results : The lifetime and one year prevalences of any diagnosis excluding nicotine dependence · withdrawal, anxiety disorder, eating disorder, somatoform disorder were 88.2% (male 88.1%, female 88.3%), and 65.8% (male 62.7%, female 73.7%), respectively. The lifetime and one year prevalences of schizophrenia and other psychotic disorders were 78.5% (male 75.3%, female 83.7%), and 56.8% (male 51.9%, female 64.8%), respectively. The lifetime and one year prevalences of alcohol use disorder (dependence/abuse) were 26.7% (male 37.9%, female 8.3%), and 8.7% (male 12.8%, female 2.1%), respectively. The lifetime and one year prevalences of mood disorder were 18.1% (male 13.5%, female 25.8%), and 10.4% (male 7.2%,female 16.9%), respectively. The lifetime and one year prevalences of schizophrenia and other psychotic disorders were comparable with the 2001 community survey by 1.19% to 1.32%, and 0.51% to 0.61%, respectively. The lifetime and one year prevalences of schizophrenia were also comparable by 0.16% to 0.28%, and 0.16% to 0.25%, respectively. There were no significant changes of prevalence rates when correction were applied to other psychiatric diagnosis. Conclusion : The results of this study could be used for evaluating the distribution of psychiatric diagnoses in mental health related facilities and for planning mental health policies.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

시뮬레이션을 이용한 역사적 전투사례의 승패요인 분석

조성진(Sung-jin Cho) 한국경영과학회 2010 經營 科學 Vol.27 No.1

Purpose of the War history's study is getting instruction by analyzing victory and defeat factor. This study is studied by qualitative form in war study mainly. In case recording literature is full, victory and defeat factor analysis is easy, but occasionally definite analysis that recording literature is feeble is difficult. Also, when it is battle result that escape common sense, about victory and defeat factor, various estimations are brought. As such example, there is Myeong-Ryang sea-battle at Japanese Invasion of Korea in 1592 and Korea(Cho-Sun) naval forces did big victory in 13 vs. 133 numerical inferiorities. This study presented method of study that using agent based simulation model for quantitative analysis of these victory and defeat factor.

한국인의 우울증 진단기준의 특성

장성만,손지훈,이준영,최지환,조성진,전홍진,함봉진,이동현,조맹제 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.5

목적 국내의 여러 역학 조사에 따르면 한국인은 서구에 비하여 우울증의 유병률이 낮은 것으로 보고되고 있다. 낮은 유병률에 대하여 서구에서 정의하는 우울증의 진단 기준이 한국인의 문화에 맞지 않다는 진단 기준의 오류를 제시하거나, 실제로 유병률이 낮다는 설명을 시도하기도 하였다. 본 연구는 DSM-IV에서 제시하는 우울증의 진단 기준에 대하여 한국인의 반응 특성을 알아보고자 한다. 방법 2001년 KECA 연구에 응답한 만 18세 이상 65세 미만의 6,275명을 대상으로 하였다. 한국어판 CIDI (K-CIDI)를 통해 정신장애의 이환을 진단하였으며, K-CIDI 내의 우울장애 진단 기준만을 추출하여 분석하였다. 분석은 문항반응이론(Item Response Theory)을 적용하였다. 결과 한국인에서 DSM-IV의 주요우울장애 진단 기준의 오류는 없었으나, 진단 기준의 역치는 높았다. 한국인이 호소하는 우울증상으로서 "피로감"과 "집중력 저하", "수면 변화"는 진단되는 우울증의 초기부터 잘 나타나는 증상 들이며, "정선운동변화", "죽음/자살사고", "무가치함/죄책감"은 보다 심한 우울증에서 잘 나타나는 증상들이었다. 결론 DSM-IV가 제시하는 주요우울장애 진단 기준은 한국인의 우울증을 평가하는 데 있어 타당하기는 하나, 진단 기준의 역치가 높다. 우울증의 중증도에 따라 호소하는 증상들이 달랐다. Baekgrounds : Many Korean epidemiologic studies reported lower prevalence rates of depression than those of Western countries. For the low prevalence, it is explained that there's something wrong in the direct application of diagnostic criteria of depression to Korean culture, i.e. categorical fallacy, or it may be truly low-prevalent. We will analyze diagnostic criteria for depression detined by Western. Methods : Six thousand and two hundred seventy-five cummunity dwelling subjects, aged 18-64 years were interviewed by using Korean version of Composite International Diagnostic Interview (K-CIDI). Diagnostic criteria for depression defined by DSM-IV were analyzed using the item response theory. Rcsults : We could not find any fallacies of diagnostic critcria tbr depression defined by DSM-IV when assessing depre-ssion among Koreans. Fatigue, concentration difficultics, and sleep disturbance appeared more fequently in mild depression, while psychomotor change, death/suicide, and worthlessness/guilt did not appear until severe depression. Cunclusion : The diagnostic criteria for depression defined by DSM-IV arc appropriate for the Koreans. There are different responding levels, i.e. threshold, of depressive criteria according to severities of depression. Koreans with depression are more likely to complain of appetite change, but less of worthless or guilty feelings than Western people.

녹동균 세포외막 단백질 백신 CFC-1-101의 안정성 및 면역원성 검토 : 임상 제 Ⅰ/Ⅱa상 시험

장인진,김익상,유경상,임동석,김형기,신상구,장우현,박완제,이나경,정상보,안동호,조양제,안보영,이윤하,김영지,남성우,김현수 대한감염학회 1998 감염 Vol.30 No.3

목적 : 제일제당에서는 녹농균의 세포외막 단밸질을 유효성분으로 하는 백신인 CFC-101을 개발하였으며, 동물시험에서 이 백신의 안전성과 유효성을 입증하였다. 본 연구에서는 이 녹농균 백신의 인체에 대한 안전성과 면역원성을 평가하는 동시에 인체 접종시의 최적 투여 용량을 결정하기 위하여 제 I/Ⅱa상 임상시험을 수행하였다. 방법 : 건강한 성인 남자를 피험자로 선별하여 각 용량군에 백신투여자 6명, 위약투여자 2명을 배정하였다. 백신 투여군은 0.25mg, 0.5mg 또는 1.0mg 용량의 녹농균 백신을 7일 간격으로 3회에 걸쳐 근육주사 하였으며, 위약 투여군에게는 세포외막 단백질을 제외한 동일한 성분을 투여하였다. 백신접종 후 국소적 또는 전신적인 반응의 발생여부를 관찰하고, 혈액시료를 체취하여 백신의 역가와 유효성을 검정하였다. 결과 : 녹농균 백신 CFC-101은 모든 접종자에서 양호한 내약성을 보였다. 또한 0.5mg 과 1.0mg 백신 투여군에서는 100%의 항체양전율을 나타내었다. 생성된 항체는 녹농균 세포외막단백질에 특이성을 보였고, 녹농균 감염에 대해 방어효능이 있었다. 결론 : 이와같은 결과로부터 이 녹농균 백신은 인체에 안전하게 투여할 수 있으며, 높은 항체 생성능으로 감염방어 효능을 보이고 0.5mg과 1.0mg이 최적용량인 것으로 판단되었다. Background : We developed a Pseudomonas aeruginosa outer membrane protein(OMP) vaccine CFC-101, and the prophylactic efficacy of which has been demonstrated in animal models. In order to evaluate the safety and immunogenicity of the P. aeruginosa vaccine, we carried out a phase I/Ⅱa clinical trial in healthy male volunteers. Methods : Groups of eight volunteers, including two placebo subjects, were vaccinated intramuscularly with three doses of 0.25, 0.5 or 1.0 mg of the vaccine at one week intervals. Sings of systemic and local reactions observed after vaccination were recorded for each vaccinee for 5 days. Physical examinations were performed on days 0, 1, 7, 8, 14, 15, 21, and 42, and clinical laboratory tests were done on days 0, 3, and 21. Blood samples for assay of serum antibody levels were obtained up to 42 days after the first vaccination. Results : The vaccine was generally well tolerated by all vaccinees, showing no significant side effects. In the three dosage groups, all vaccinees, except one receiving the 0.25 mg dose, showed significant elevation in serum IgG antibody titers against the vaccine proteins, indicating 100% seroconversion in 0.5 and 1.0 mg groups. The human antibodies induced by the vaccine were specific for P. aeruginosa OMPs, as confirmed by western blot analysis and immunoprecipitation assays. The capacity of the human antisera to enhance opsonophagocytic killing activity by polymorphonuclear leukocytes and to confer protection against P. aeruginosa infections indicates that the antibodies elicited by the vaccine have protective efficacy. Conclusion : We conclude that the P. aeruginosa OMP vaccine is safe and effective for human use and its optimal dose to be 0.5 or 1.0 mg.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

시뮬레이션을 이용한 역사적 전투사례의 승패요인 분석

조성진(Cho Sung-jin) 한국경영과학회 2009 한국경영과학회 학술대회논문집 Vol.2009 No.10

War history’s study purpose is getting instruction by analyzing victory and defeat factor. This study is studied by qualitative form in war study mainly. In case recording literature is full, victory and defeat factor analysis is easy, but occasion definite analysis that recording literature is feeble is difficult. Also, when it is battle result that escape common sense, about victory and defeat factor, various estimations are brought. As such example, there is Myeong-Ryang sea-battle at Japanese Invasion of Korea in 1592 and Korea(Cho-Sun) naval forces did big victory in 13 vs. 133 numerical inferiorities. This study presented method of study that using agent based simulation model for quantitative analysis of these victory and defeat factor.

재무분석가의 낙관주의가 walkdown에 미치는 영향과 예측어려움의 조절효과

곽상진(Kwak, Sang-Jin),조용언(Cho, Yong-Eon),하순금(Ha, Soon-Gum) 한국경영교육학회 2020 경영교육연구 Vol.35 No.5

[연구목적] 본 연구는 재무분석가의 낙관주의 동기 유인이 예측 walkdown에 미치는 영향을 인지심리적 측면에서 검증하고 예측어려움이 높을수록 재무분석가의 낙관주의 동기유인이 예측 walkdown을 보다 강화하는지를 분석하였다. [연구방법] 이를 위해 재무분석가의 낙관주의 동기 유인과 예측어려움과 관련된 국내외 선행연구에 관한 문헌을 바탕으로 실증분석에 필요한 가설을 설정하였다. 가설 검증에 사용된 표본은 2011년부터 2016년까지 유가증권 시장의 상장기업 중 820개의 기업-연도표본이다. 재무분석가 이익예측자료와 재무자료는 Kis-Value에서 수집하였다. 수집된 자료를 바탕으로 Bradshaw et al.(2016)가 제시한 연구모형에 대한 회귀분석을 실시하였다. [연구결과] 본 연구의 분석결과는 첫째, 재무분석가의 낙관주의 동기 유인이 클수록 예측walkdown이 커지는 것으로 나타났다. 둘째, 예측어려움이 높을수록 재무분석가의 낙관주의 동기 유인이 예측walkdown을 강화하는 것으로 나타났다. 이는 재무분석가의 지향성 있는 결론에 대한 낙관주의 동기 유인이 클수록 매출액과 영업이익의 walkdown이 커지며, 이 과정에서 예측어려움이 조절작용을 하고 있음을 의미한다. [연구의 시사점] 본 연구는 낙관적 예측 편의가 존재하는 재무분석가의 보고서를 이용하는 시장참여자들이 합리적 판단을 할 수 있는 근거를 제공하고 재무분석가의 낙관적 예측편의에서 파생되는 시장의 부정적인 영향을 사전에 차단할 수 있는 정책수립의 근거를 제공하는데 시사점을 준다. [Purpose] This study examines the pattern of analysts’ forecasts within a fiscal year, which begins with optimism and declines as the earnings announcement date approaches, and also does that one factors, forecasting difficulty, interact with analysts’ incentives for optimism to induce cross-sectional variation in the steepness of forecast walkdown. [Methodology] As follows are univariate t-test and multivariate regressions results from a sample of 820 firm-years listed in Korea Exchange between 2011 and 2016. [Findings] The general association between analysts’ incentives for optimism and forecast walkdown is supported by empirical evidence. In addition, it is supported that as difficulty is higher, forecast walkdown becomes steeper. [Implications] This result means that analysts begin with optimism to react to motivation for a directional conclusion at the beginning of the year, adjust downward their forecast to react to motivation for accuracy as the earnings announcement date approaches. In addition, this means forecasting difficulty is in the highest at longer forecast horizons, it declines with the release of information during the year. Then, based on Kunda’s(1990) work, the biased accessing of information to support optimistic forecasts declines, leading to a forecast walkdown.

설화그림카드를 활용한 자기성장 집단 문학치료 프로그램 사례연구 : <해와 달>그림카드를 중심으로

배진형(Bae, Jin Hyoung),조은상(Cho, Eun Sang) 한국독서치료학회 2020 독서치료연구 Vol.12 No.2

이 연구에서는 자기성장을 원하는 참여자들이 설화 <해와 달이 된 오누이>와 <해와 달이 된 오누이>설화 그림카드를 활용한 ‘다시쓰기’ 활동을 하고, 이를 집단 문학치료프로그램에서 나누는 과정을 통해 ‘부모로부터의 심리적 독립’을 탐색해볼 수 있도록 하였다. 설화 선정은 참여자들이 <해와 달이 된 오누이>에 대해 ‘부모로부터의 심리적 독립’의 이야기로 읽고 반응한다는 기존 연구를 근거로 이루어졌다. 연구 결과는 다음과 같다. 첫째, 연구 참여자 대부분은 자신이 부모에게 바라는 욕구에 대해 알아차릴 수 있었다. 둘째, 참여자들은 부모와의 관계를 탐색하거나 재조정해보는 통찰을 얻을 수 있었다. 셋째, 설화뿐 아니라, 제시된 설화 그림카드는 참여자들이 정서적 갈등을 투사하고 촉진하도록 도울 수 있었다. 넷째, ‘다시쓰기’ 전과 후, 설화 그림카드 작업들은 참여자들이 이야기의 방향과 줄거리, 주인공을 선정하는 데에도 효과적인 역할을 하였다. 문학치료에서 이야기를 재구성하는 과정이 자신의 내면을 탐색하는 데 있어 효과적이라는 것은 조은상의 이전 논문에서 검증된 결과이나, 설화 그림카드를 개발하여 활용하는 것은 아직 연구 중에 있다. 추후 지속적인 연구를 통해 설화 그림카드의 유용성과 효과성에 대한 검증이 이루어져야 하겠지만, 이 연구를 통해 설화 그림카드를 설화와 함께 사용하는 것이 참여자들이 내면에 있는 갈등을 투사하는 데에 효과적이고, 보다 명확히 자신의 내면을 표현할 수 있도록 도움을 주었음이 밝혀졌다는 점이 이 연구의 의의라 하겠다. In this study, participants wanting to mature, engaged in ‘re-writing’ activities using a folktale “The Brother and Sister Who Became the Sun and the Moon” and folktale picture cards <The Brother and Sister Who Became the Sun and the Moon>, and explored their psychological independence from their parents through sharing their stories in a group setting. This specific folktale was selected based on existing research where participants read and responded to “The Brother and Sister Who Became the Sun and the Moon” as a story of psychological independence from parents. The results of the study are as follows. Firstly, most of the participants in the study were able to recognize what they need from their parents. Secondly, participants were able to gain insights necessary for exploring or readjusting the relationship with their parents. Thirdly, the suggested folktale picture cards along with the folktale were useful for the participants to project and examine their emotional conflicts. Lastly, before and after re-writing activities, the folktale picture card work played an effective role in participants choosing the direction, plot, and protagonists of their stories. Even though the effectiveness of reconstructing stories in literary therapy to explore one’s inner self has been researched in previous studies, such as Cho Eun Sang’s papers, the topic of developing and utilizing folktale picture cards is still being explored. This study examined the ways in which using folktale picture cards in a literary therapy group helped participants project their inner conflicts and express themselves more clearly and effectively. This study also suggests that future studies will verify the usefulness and effectiveness of folktale picture cards.