다문화적 관점에서 바라본 장애와 심리상담 = Disability and Psychological Counseling from a Multicultural Perspective

국문 초록 (Abstract)

최근 한국사회는 장애인 인구가 증가하고 있지만 이에 부응하는 장애인 상담체계는 부족한 상황이다. 장애는 하나의 문화로 간주될 수 있으므로 장애인 상담은 다문화적 관점으로 접근해 나가는 것이 적절하다. 다문화적 장애인 상담은 개인의 고유한 경험과 장애인으로서의 정체성 경험 그리고 사회․정치적 맥락을 함께 조망한다. 따라서 본 연구에서는 다문화적 관점에서 장애인 상담을 조망하여 상담자로서 갖추어야 하는 자각, 지식, 기술 및 태도를 살펴보고자 한다. 국외 선행연구를 토대로 다문화적 장애인 상담을 위한 상담자 윤리, 문화적 유능성과 문화적 겸손, 실제 상담 지침들에 관해 고찰하였다. 상담자 윤리는 다문화적 접근과 맥을 같이 하며, 문화적 유능성은 다양한 문화 집단과 효율적으로 작업하는데 있어서의 자각, 지식, 기술을 의미하며, 문화적 겸손은 다양한 문화 집단에 대해 가지는 마음가짐을 뜻한다. 본 연구는 상담자가 장애 문화에 대한 유능성과 문화적 겸손을 갖추는데 근간이 되는 장애인 상담의 주요 지침들을 설명했으며 아울러 국내 장애인 상담의 적용가능성에 대한 제언을 제시했다. 이는 다문화적 관점에서의 한국의 장애인 상담과 상담자 교육 및 수련과정에 기초자료로서 의의가 있다.

다국어 초록 (Multilingual Abstract)

The psychological counseling system in South Korea has struggled to keep up with the needs of the increasing number of individuals with disabilities seeking counseling services. Because disability can be regarded as a culture, it may be appropriate to approach counseling for people with disabilities from a multicultural perspective. Multicultural disability counseling considers individual and identity experiences, and social and political contexts. This study aimed to examine the awareness, knowledge, skills and attitudes of counselors regarding people with disabilities from a multicultural perspective. Guided by similar studies in foreign countries, the authors examined counseling ethics, cultural competence, cultural humility, and practical counseling guidelines for multicultural disability counseling. The results of this study can serve as the basis for improving counselor education and training to increase the effectiveness of counselors in South Korea working with clients with disabilities by using a multicultural perspective.

참고문헌 (Reference)

1 이주영, "특수아 상담교과 수강을 통한 상담전공 학부생들의 장애인에 대한 인식 및 태도 변화와 영향요인 분석" 한국상담학회 19 (19): 123-140, 2018

2 최은주, "지적장애학생의 장점에 대한 초등특수교사의 인식 분석" 한국지적장애교육학회 14 (14): 171-191, 2012

3 김성희, "지적장애 아동 상담 유경험자의 지적장애에 대한 인식 연구" 한국재활심리학회 24 (24): 203-219, 2017

4 국윤경, "중증장애인들의 학대경험과 대처행동에 대한 현상학적 사례연구" 사단법인 아시아문화학술원 10 (10): 1559-1574, 2019

5 박경미, "중고령 여성장애인의 삶: 포토보이스 방법의 적용" 한국가족사회복지학회 (56) : 39-68, 2017

6 박성현, "전문상담교사의 장애 상담 지원 실태 및 인식" 한국정서행동장애학회 29 (29): 341-360, 2013

7 김태용, "장점강화활동이 지적장애 초등학생의 수업참여행동에 미치는 영향" 특수교육연구소 12 (12): 107-132, 2013

8 김영희, "장애학생의 장점 중심 발달재활 심리지원 서비스에 관한 실행연구" 특수교육재활과학연구소 57 (57): 219-240, 2018

9 송현종, "장애학생 통합교육을 위한상담교사의 준비와 역할수행 실태 분석" 한국상담학회 9 (9): 755-769, 2008

10 한국장애인 인권포럼, "장애청년정책욕구조사 연구보고서"

11 보건복지부, "장애인현황 통계정보 보고서"

12 이동석, "장애인학대 발생 원인에 관한 연구 - 염전지역 피해자를 중심으로 -" 한국장애인복지학회 (31) : 267-295, 2016

13 이동석, "장애인 인권 현황 및 정책과제" 247 : 24-38, 2017

14 이상진, "장애와 재활" 학지사 2018

15 조영숙, "장애아동의 학대와 예방" 2 : 1-13, 2011

16 정민정, "장애아동 특성에 따른 재활치료 서비스 현황 및 욕구조사에 관한 연구 - 바우처 사업 수혜자를 중심으로 -" 한국아동가족복지학회 15 (15): 157-173, 2010

17 이은진, "장애대학생의 대학생활을 통한 변화과정" 한국상담심리학회 23 (23): 1083-1115, 2011

18 한국상담심리학회, "윤리강령"

19 김흥수, "사회복지시설 종사자의 인권의식과 학대행위의 관계" 6 (6): 1-19, 2014

20 김현주, "부모의 양육스트레스가 장애아동 학대에 미치는 영향-사회적 지지의 조절효과를 중심으로-" 한국장애인재활협회 부설 재활연구소 18 (18): 113-134, 2014

21 김요섭, "부모를 통하여 본 통합교육 상황 장애학생 상담실태 및 활성화 방안" 한국특수교육문제연구소 19 (19): 97-119, 2018

22 왕영선, "발달장애아동 가족의 탄력성 강화를 위한 인지행동치료 프로그램의 개발 및 효과: 발달장애아동 어머니와 비장애형제를 대상으로" 한국상담심리학회 25 (25): 773-794, 2013

23 신희천, "도시 지역 다문화 가정의 부부관계 고찰을 위한 질적 연구" 한국상담심리학회 23 (23): 299-322, 2011

24 이은진, "관계-문화적 이론(RCT: Relational-Cultural Theory)의 이해와 국내 상담의 적용가능성에 대한 고찰" 한국상담학회 14 (14): 2585-2620, 2013

25 유영준, "가족중심실천이 장애인가족의 강점기능에 미치는 영향 - 장애인의 긍정적 기여의 매개효과 검증 -" 한국장애인재활협회 부설 재활연구소 20 (20): 27-48, 2016

26 강미경, "가족중심실천이 아동의 자기효능감에 미치는 영향－가족강점의 매개효과 분석－" 한국아동복지학회 (40) : 285-322, 2012

27 Mason, J., "‘Diagnostic overshadowing’ amongst clinicians working with people with intellectual disabilities in the UK" 17 (17): 85-90, 2004

28 Nosek, M. A., "Welner’s guide to the care of women with disabilities" Lippincott, Williams, & Wilkins 333-345, 2004

29 Nosek, M. A., "Vulnerabilities for abuse among women with disabilities" 19 (19): 177-189, 2001

30 Pardeck, J. T., "Using the Americans With Disabilities Act(ADA)as a tool for helping social work faculty develop cultural competence in the area of disability" 20 : 113-125, 2001

31 Chung, R. C. Y., "Use of ethnographic fiction in social justice graduate counselor training" 52 : 56-69, 2013

32 Harrawood, L. K., "Use of autobiographies to teach concepts in addiction : A narrative approach to instruction" 8 (8): 470-482, 2013

33 Pell, S. D., "Use of assistive technology by people with physical disabilities in Australia" 21 (21): 56-60, 1999

34 Gill, C. J., "Transforming psychological practice and society : Policies that reflect the new paradigm" 58 (58): 305-312, 2003

35 Dykens, E. M., "Toward a positive psychology of mental retardation" 76 : 185-193, 2006

36 Owen, J., "Therapists’ multicultural orientation : Client perceptions of cultural humility, spiritual/ religious commitment, and therapy outcomes" 42 (42): 91-98, 2014

37 Ivey, A. E., "Theories of counseling and psychotherapy: A multicultural perspective: a multicultural perspective" Sage 2011

38 Fowers, B. J., "The virtue of multiculturalism : Personal transformation, character, and openness to the other" 61 : 581-594, 2006

39 Hall, J. G., "The school counselor and special education : Aligning training with practice" 5 (5): 217-, 2015

40 Cannella, A., "The relationship of school counselors’ disabilities competence with self-efficacy and pre-service training and the influence of experience, training, and self-efficacy on disabilities competence" Montclair State University 2015

41 Mason, J., "The provision of psychological therapy to people with intellectual disabilities : An investigation into some of the relevant factors" 51 (51): 244-249, 2007

42 Olkin, R., "The personal, professional and political when clients have disabilities" 22 (22): 87-103, 1999

43 Falender, C. A., "The importance of competency-based clinical supervision and training in the twenty-first century: Why bother?" 42 (42): 129-137, 2012

44 Middleton, R. A., "The historical and political context of the civil rights of persons with disabilities : A multicultural perspective for counselors" 27 : 105-120, 1999

45 Hughes, C., "The elephant in the room : Poverty, disability, and employment" 35 : 5-14, 2010

46 Wendell, S., "The disability studies reader" Routledge 260-278, 1997

47 Moe, J., "Teaching group work with the great debaters" 53 : 204-218, 2014

48 Prilleltensky, I., "Synergies for wellness and liberation in counseling psychology" 31 : 273-281, 2003

49 Leigh, I. W., "Survey of psychological services to clients with disabilities : The need for awareness" 49 (49): 48-54, 2004

50 Wright, G. W., "Strengthening cultural sensitivity in mental health counseling for deaf clients" 43 (43): 275-287, 2015

51 Goodley, D., "Storying disability and impairment : Retrospective accounts of disabled family life" 16 (16): 630-646, 2006

52 Blotzer, M. A. E., "Sometimes you just want to feel like a human being: Case studies of empowering psychotherapy with people with disabilities" Paul H. Brookes 1995

53 Nota, L., "Self-determination, social abilities and the quality of life of people with intellectual disability" 51 (51): 850-865, 2007

54 DePoy, E., "Rethinking disability: Principles for professional and social change" Thomson/Brooks/Cole 2004

55 Siu, F. W., "Rehabilitation counselors : What we should know about domestic violence" 13 (13): 43-46, 2005

56 Norcross, J. C., "Psychotherapy relationships that work: Therapist contributions and responsiveness to patients" Oxford University Press 2002

57 Marini, I., "Psychosocial aspects of disability: Insider perspectives and strategies for counselors" Springer Publishing Company 2018

58 Vash, C. L., "Psychology of disability" Springer 2004

59 Shogren, K. A., "Promoting self-determination in health and medical care : A critical component of addressing health disparities in people with intellectual disabilities" 3 (3): 105-113, 2006

60 Milsom, A., "Preparing school counselors to work with students with disabilities" 43 (43): 86-95, 2003

61 Cornish, J. A. E., "Perspectives on ethical practice with people who have disabilities" 39 (39): 488-497, 2008

62 Dunn, D. S., "Person-first and identity-first language : Developing psychologists’ cultural competence using disability language" 70 (70): 255-264, 2015

63 Vereen, L., "Perceptions of multicultural counseling competency : Integration of the curricular and the practical" 30 (30): 226-236, 2008

64 LoBianco, A. F., "Perceptions of disability as related to medical and social factors" 37 (37): 1-13, 2007

65 Nezu, C. M., "Outpatient psychotherapy for adults with mental retardation and concomitant psychopathology : Research and clinical imperatives" 62 (62): 34-42, 1994

66 Reeve, D., "Oppression within the counseling room" 2 (2): 11-19, 2002

67 Sue, D. W., "Multidimensional facets of cultural competence" 29 : 790-821, 2001

68 Modood, T., "Multiculturalism: A civic idea" Polity Press 2007

69 Bryan, W. V., "Multicultural aspects of disabilities: A guide to understanding and assisting minorities in the rehabilitation process" Charles C Thomas 2007

70 Smart, J. F., "Models of disability : Implications for the counseling profession" 84 (84): 29-40, 2006

71 Davis, D. E., "Microaggressions and perceptions of cultural humility in counseling" 94 (94): 483-493, 2016

72 Strike, D. L., "Mental health professionals’ disability competence : Measuring self-awareness, perceived knowledge, and perceived skills" 49 (49): 321-327, 2004

73 Longmore, P. K., "Making disability an essential part of American history"

74 Hulnick, M. R., "Life's challenges : Curse or opportunity? Counseling families of persons with disabilities" 68 (68): 166-170, 1989

75 Holzbauer, J. J., "Issues in vocational evaluation and testing related to the Americans with Disabilities Act" 32 (32): 83-96, 1999

76 Thomas, K. A., "Intersections of harm and health : A qualitative study of intimate partner violence in women's lives" 14 (14): 1252-1273, 2008

77 Powers, L. E., "Interpersonal violence and women with disabilities : Analysis of safety promoting behaviors" 15 (15): 1040-1069, 2009

78 Hauser, P. C., "Internship accessibility issues for deaf and hard-of-hearing applications : No cause for complacency" 31 (31): 569-574, 2000

79 Chapin, M. H., "Integrating positive psychology techniques into rehabilitation counselor education" 24 : 25-34, 2010

80 Kemp, N. T., "Impact of professional training on case conceptualization of clients with a disability" 27 (27): 378-385, 1996

81 López, S. R., "Handbook of psychotherapy supervision" Wiley 570-588, 1997

82 Altman, B., "Handbook of disability studies" Sage 97-122, 2001

83 Gill, C. J., "Handbook of disability studies" Sage Publication 351-372, 2001

84 American Psychological Association, "Guidelines for assessment of and intervention with persons with disabilities" 67 (67): 43-62, 2012

85 Chaplin, J, "Feminist counselling in action" Sage 1988

86 Woolfson, L., "Family well-being and disabled children : A psychosocial model of disability-related child behaviour problems" 9 (9): 1-13, 2004

87 Ehrmann, L. A., "Family intervention training : A course proposal for rehabilitation counselor education" 19 (19): 235-244, 2005

88 Power, P. W., "Families living with chronic illness and disability: Interventions, challenges, and opportunities" Springer 2004

89 Rolland, J. S., "Facilitating family resilience with childhood illness and disability" 18 (18): 527-538, 2006

90 Shakespeare, T., "Exploring the divide: Illness and disability" Disability Press 94-113, 1996

91 Olkin, R., "Evidence-based practices in mental health: Debate and dialogue on the fundamental questions" American Psychological Association 353-359, 2006

92 American Psychological Association, "Ethical principles of psychologists and code of conduct" 57 : 1060-1073, 2002

93 Keith, L., "Encounters with strangers: Feminism and disability" Women’s Press 69-88, 1996

94 Houtenville, A. J., "Economics of disability research report #2: Estimates of employment rates for persons with disabilities in the United States by state, 1980 through 1998" Cornell University 2000

95 Pledger, C., "Discourse on disability and rehabilitation issues : Opportunities for psychology" 58 : 279-288, 2003

96 Nosek, M. A., "Disability, psychosocial, and demographic characteristics of abused women with physical disabilities" 12 (12): 838-850, 2006

97 Smith, D. L., "Disability, gender and intimate partner violence : Relationships from the behavioral risk factor surveillance system" 26 (26): 15-28, 2008

98 Wilson, S., "Disability, counseling, and psychotherapy" Palgrave 2003

99 Andrews, E. E., "Disability in psychology training : Where are we?" 9 (9): 210-216, 2015

100 Pope, A. M., "Disability in America: Toward a national agenda for prevention" National Academies Press 1991

101 Scotch, R. K., "Disability as the basis for a social movement : Advocacy and the politics of definition" 44 (44): 159-172, 1988

102 Artman, L. K., "Disability and psychotherapy practice : Cultural competence and practical tips" 41 (41): 442-448, 2010

103 Murray, P., "Disability and psychology" Palgrave 34-41, 2006

104 Jopp, D. A., "Diagnostic overshadowing reviewed and reconsidered" 106 (106): 416-433, 2001

105 Arthur, N., "Developing multicultural counseling competencies through experiential learning" 42 (42): 2-14, 2002

106 Tormala, T. T., "Developing measurable cultural competence and cultural humility : An application of the cultural formulation" 12 (12): 54-61, 2018

107 McNeil, J. M., "Current population report, household economic studies: Americans with disabilities" U.S. Department of Commerce, Economics and Statistics Administration 1997

108 Groce, N., "Culture and disability" Sage 1-13, 2005

109 SooHoo, S., "Culturally responsive methodologies" Emerald Group Publishing Limited 199-219, 2013

110 Hook, J. N., "Cultural humility: The cornerstone of positive contact with culturally different individuals and groups?" 70 : 661-662, 2015

111 Abbott, D. M., "Cultural humility and the teaching of psychology" 5 (5): 169-181, 2019

112 Hook, J. N., "Cultural humility and racial microaggressions in counseling" 63 (63): 269-277, 2016

113 Hook, J. N., "Cultural humility : Measuring openness to culturally diverse clients" 60 (60): 353-366, 2013

114 Mosher, D. K., "Cultural humility : A therapeutic framework for engaging diverse clients" 2 (2): 221-233, 2017

115 Lomay, V. T., "Cultural considerations when providing rehabilitation services to American Indians" 51 (51): 36-42, 2006

116 Whaley, A. L., "Cultural competence and evidence based practice in mental health services : A complementary perspective" 62 : 563-574, 2007

117 Balcazar, F. E., "Cultural competence : Development of a conceptual framework" 31 (31): 1153-1160, 2009

118 Korinek, L., "Counselors and exceptional students : Preparation versus practice" 32 (32): 3-11, 1992

119 Rivas, M., "Counselor trainees' experiences counseling disability : A phenomenological study" 57 (57): 116-131, 2018

120 Sue, D. W., "Counseling the culturally diverse: Theory and practice" Wiley 2012

121 Olkin, R., "Could you hold the door for me? Including disability in diversity" 8 (8): 130-137, 2002

122 Chan, J., "Combating violence & abuse of people with disabilities : a call to action" 35 (35): 48-49, 2010

123 Fuertes, J. N., "Clients' ratings of counselor multicultural competency" 8 (8): 214-223, 2002

124 Owen, J., "Client perceptions of therapists’ multicultural orientation : Cultural(missed)opportunities and cultural humility" 47 (47): 30-37, 2016

125 Olkin, R., "Can disability studies and psychology join hands?" 58 (58): 296-304, 2003

126 Katz, I., "Attitudes toward persons with disabilities" Springer 47-57, 1988

127 McLeod, J., "An introduction to counselling" Open University Press 1998

128 Feather, K. A., "An initial investigation of individual instructors’ self‐perceived competence and incorporation of disability content into cacrep‐accredited programs : Rethinking training in counselor education" 47 (47): 19-36, 2019

129 Hayes, P. A., "Addressing cultural complexities in practice: A framework for clinicians and counselors" American Psychological Association 2001

130 Hassouneh-Phillips, D., "Abuse of women with disabilities : State of the science" 45 (45): 96-104, 2002

131 McFarlane, J., "Abuse assessment screen-disability (AAS-D): Measuring frequency, type, and perpetrator of abuse toward women with physical disabilities" 10 (10): 861-866, 2001

132 Dunn, D. S., "APA handbook of multicultural psychology, Vol. 1: Theory and research" American Psychological Association 43-58, 2014

133 American Counseling Association, "ACA code of ethics" American Counseling Association 2014

134 Castillo III, J. H., "A multivariate analysis of school counselor engagement with students with disabilities" Syracuse University 2016

135 Woo, H., "A content analysis of research on disability : American counseling association journals between 2003 and 2013" 44 : 228-244, 2016

136 Guiffrida, D., "A constructive approach to help counselors work with clients who express discriminatory views" 97 (97): 105-112, 2019

137 보건복지부 한국보건사회연구원, "2017년 장애인실태조사"