성폭행 경험과 섭식장애를 가진 우울증 내담자의 상담과정과 사례분석 = A Case Study of a Depressed Client Experienced Sexual Abuse and Accompanied with Eating Disorder

다국어 초록 (Multilingual Abstract)

This is the case study of a client attending women's university who had experienced sexual violence in her childhood, and has been suffered from eating disorders and depression such as binge eating, Bulimia anorexia nervosa and vomiting. Expressed problems by herself are described as the followings: eating disorder, difficulties in the interpersonal relations, learning disability and uneasiness for her future in terms of carrier. A sense of guilt, anger, inferiority feeling, depression and anxiety are her emotional symptoms. Not only she has been preoccupied by irrational thought, but also physiologically suffered by such as stomachache, gastric reflux and amenorrhoea.
The thought, emotion and behavior of the client are closely connected with the accident of sexual violence. Her parent's response intensified the client's personal and psychological disorder. In a family dynamics and developmental process, the influences of parents were significant to forming her behaviour.
In the process of counselling, counselor emphasized and integrated Person-Centered therapy, Rational Emotive Behavioral Therapy (REBT), Gestalt therapy, and Reality therapy.
After a definite procedure of counselling, the client distinctively demonstrated her transformed behaviour and emotion. A kind of liberated feeling has been overflowing from her daily life. It means that she finally get out of her sense of guilt, anger, and anxiety through the spouting of her oppressed emotions. Through the control of eating disorders, she has recovered her interpersonal relations as well as self-esteem. More than that she willingly able to prepare her future life by herself.
One of the most significant findings of this case study, seems to me, is to apply several counselling theories all together at the same time could be more meaningful to get more intensive effect than to apply a single theory. So often a theory is produced by and applied to a particular phenomenon. However client's real life is so complicated with many different problems in corresponding divers problems and difficulties that it should be applied with various theories and methods. Then it is logically and experimentally true that the counselling must be constructed and practiced in a synthetic structure including various problems of client altogether. This case study is reported to suggest a model for a such an approach could be more effective in an intensive counselling.

목차 (Table of Contents)

• Ⅰ. 서론
• Ⅱ. 상담 과정 분석
• Ⅲ. 상담 진행 과정 및 상담 내용
• Ⅳ. 상담 과정 요약
• Ⅴ. 결론
• 참고문헌
• ABSTRACT