자기표현력 향상을 위한 미술치료가 선택적 함묵증 아동의 우울·불안 및 위축행동 개선에 미치는 영향

다국어 초록 (Multilingual Abstract)

1. ABSTRACT

The Effect of Art Therapy For Improvement in the Ability to Express Oneself on Improvement in the Depression, Anxiety and Withdrawal Behavior of Children with Selective Mutism

Eun-Seon Jang,
Major in Art Therapy Education
at Graduate School of Education,
Kwandong University
Academic Adviser: Wan-Yong Park

Most children with selective mutism show the symptoms of depression, anxiety and withdrawal, and problem behavior such as failure to express themselves.
In this regard, the study was conducted to see the effect of art therapy towards children with selective mutism.

In this study, art therapy targeted children in the third grade of elementary school who met the diagnostic criteria of selective mutism such as DSM-Ⅳ and turned out in need of clinical treatment in the K-CBCL test.
The art therapy program consisted of three steps: the first step to form intimacy and relieve tension, the second step to express desire and increase the self-expression of self-awareness, and the last step to form positive self-concept and improve self-regard by enhancing the ability to express oneself.
The research findings are as follows.

First, art therapy has a positive effect on improvement in the self-expression of children with selective mutism. This is because active linguistic expression has been increased as a result of comparing behavior observation records written before and after the experiment.
Second, art therapy has a positive effect on change in the depression and anxiety of children with selective mutism. Their T score droped by 29 points in depression and anxiety as a result of the pre-post comparison of the K-CBCL.
Third, art therapy has a positive effect on the withdrawal behavior of children with selective mutism. Their T score droped by 21 points in withdrawal as a result of the pre-post comparison of the K-CBCL.

Such research findings show that art therapy to improve self-expression is effective in enhancing the depression, anxiety and withdrawal behavior of children with selective mutism, and that its application to those children is likely to make a greater contribution in the future.

목차 (Table of Contents)

• 1. 목 차
• Ⅰ. 서 론 1
• 1. 연구의 필요성 및 목적 1
• 2. 연구 문제 3
• 3. 용어 정의 3
• Ⅱ. 이론적 배경 5
• 1. 선택적 함묵증 6
• 가. 선택적 함묵증 정의 6
• 나. 선택적 함묵증 진단의 기준 선택 6
• 다. 선택적 함묵증 원인 7
• 라. 선택적 함묵증에 수반되는 행동 특징 8
• 2. 문제행동 8
• 가. 우울과 불안 9
• 나. 위축 10
• 3. 선행연구 고찰 11
• Ⅲ. 연구방법 13
• 1. 연구대상 13
• 가. 대상 아동의 특징 13
• 나. 연구자가 본 대상아동의 사전 수준 14
• 2. 연구 도구 16
• 3. 미술치료 프로그램 및 실시절차 20
• 4. 연구절차 23
• Ⅳ. 연구결과 및 해석 24
• 1. 아동․청소년 행동평가 척도(K-CBCL) 에 의한 변화 24
• 2. 선택적 함묵증 아동의 문제행동관찰지에 의한 행동의 변화 27
• 3. K-HTP 검사의 사전·사후 변화 28
• 4. 회기별 진행과정의 변화 31
• Ⅴ. 결론 및 제언 37
• 참고문헌 40
• ABSTRACT 45
• 부 록 47