본 연구는 수용-전념 치료 프로그램이 아동기 정서적 학대 경험이 있는 대학생의 정서인식과 표현, 정서표현갈등 및 부정적 신념에 미치는 효과를 알아보기 위한 것이다. 연구에는 서울 소재 D여자대학교에 재학 중인 학생 중 아동기 정서적 학대 경험이 있는 18명이 실험집단과 통제집단에 각각 9명씩 무선배정 되었다. 수용-전념 치료 프로그램은 총 8회기로 구성되었고, 매 회기 90분씩 실시되었으며, 프로그램의 효과 검증을 위해 사전․사후평가가 실시되었다. 연구결과 수용-전념 치료 프로그램 실시 후 실험집단에서는 정서인식과 정서표현이 유의하게 증가하였고, 정서 표현 갈등과 부정적 신념은 유의하게 감소하였으며 통제집단에서는 변화가 없었다. 이와 같은 결과는 수용에 기초한 접근이 정서적 학대 경험자의 정서인식을 향상시키고 정서표현에 대한 갈등과 부정적 신념을 감소시켜 정서표현을 향상시키는 데에 효과적으로 작용할 수 있음을 시사한다. 끝으로 본 연구의 제한점과 후속연구에 대하여 제언하였다.
The purpose of this study was to examine the effects of Acceptance and Commitment Therapy on emotional identification, emotional expressiveness, ambivalence over emotional expressiveness, and negative belief of university students with an experience of childhood emotional abuse. Eighteen female participants at D female university, who had experienced childhood emotional abuse, were selected and randomly assigned to one of the experimental and control groups, respectively in half. Acceptance and Commitment Therapy consisted of a total of 8 sessions. Each session was conducted weekly for ninety minutes for a period of 8 weeks. For the effect analysis, both the treatment group and control group were given pre-treatment and post-treatment assessments on emotional identification, emotional expressiveness, ambivalence over emotional expressiveness, and negative belief. Results showed that an experimental group reported a significantly higher emotional identification and emotional expressiveness, and lower ambivalence over emotional expressiveness and negative belief than the control group. These results suggest that Acceptance and Commitment Therapy is effective in improving emotional expressiveness by increasing emotional identification and decreasing ambivalence over emotional expressiveness and negative belief. Finally, limitations of the present study as well as suggestions were discussed.
고성혜 (1992). 아동학대 개념규정 및 아동학대에 대한모. 자녀의 지각형성. 서울대학교 박사학위 청구논문.
김가영 (2008). 청소년의 학대경험과 자살생각 및 감정표현불능증과의 관계. 숙명여자대학교 석사학위 청구논문.
김미하, 손정락 (2011). 수용전념 집단치료가 발달장애아동 어머니의 심리적 안녕감과 우울에 미치는효과. 한국심리학회지: 임상, 30(1), 207-223
김혜인(2007). 아동기 정서적 학대 경험과 성인기 심리적 부적응간의 관계. 아주대학교 석사학위 청구논문.
라영선(2009). 아동기 정서의 학대와 복합 PTSD 경향성의 관계: 용서와 조절효과를 중심으로. 중앙대학교 석사학위 청구논문.
문현미(2005). 인지행동치료의 제 3동향. 한국심리학회지: 상담 및 심리치료 17(1), 15-33
문현미 (2006). 심리적 수용 촉진 프로그램의 개발과 효과; 수용 전념 치료 모형을 중심으로. 가톨릭대학교 박사학위 청구논문.
이수정, 이훈구 (1997). Trait Meta-Mood Scale의 타당화에 관한 연구: 정서지능의 하위 요인에 대한탐색. 한국심리학회지: 사회 및 성격, 11(1),95-116
이승미, 오경자 (2006). 정서인식불능, 정서표현에 대한양가감정, 정서표현성이 중년 기혼 여성의 심리적 부적응에 미치는 영향. 한국심리학회지:임상, 25(1), 113-128
이주일, 황석현, 한정원, 민경환 (1997). 정서의 체험 및표현성이 건강과 심리적 안녕에 미치는 영향.한국심리학회지: 사회 및 성격, 11(1), 117-140
장수진 (2002). 직장인의 정서 자각, 표현과 정신건강의관련. 성신여자대학교 석사학위청구논문.
최해연, 민경환 (2005). 정서표현에 대한 부정적 신념의구조와 기능, 한국심리학회지: 일반, 24(1),239-257
한정원 (1997). 정서표현성이 건강 및 주관적 안녕에 미치는 영향. 서울대학교 석사학위청구논문.
Allen, J. G. (1995). Coping with Trauma: A Guide to Self-Understanding. American Psychiatric Press. Washington DC.
Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of consulting and Clinical Psychology, 70, 1129-1139
Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulate in acceptance and commitment therapy. Journal of Clinical Psychology, 57, 243-255
Bowlby, J. (1998). A secure base: Parent-child Attachment and Healthy Human Development. New York: Basic Books.
Briere, J., & Runtz, M. (1998). Multivariate correlates of childhood psychological and physical maltreatment among university women. Child Abuse & Neglect: The International Journal, 12, 331-341.
Chu, T. A., & Dill, D. L. (1990). Dissociative symptom in relation to childhood physical and sexual abuse. American journal of psychiatry, 147, 887-892
Claussen, A. H., & Crittenden, P. M. (1991). Physical and psychological maltreatment: Relations among types of maltreatment. Child Abuse and Neglect, 15, 5-18
Emmons, R. A., & Colby, P. M. (1995). Emotional conflict and well-being: Relation to perceived availability, daily utilization, and observer reports of social support. Journal of Personality and Social psychology, 68, 947-959
Feldner, Zvolensky, Eifert & Spira (2003). Emotional avoidance: An experimental test of individual differences and response suppression during biological challenge, Behaviour Research and Therapy, 41, 403-411
Gibb, B. E. (2002). Childhood maltreatment and negative cognitive styles. A quantitative and qualitative review. Clinical Psychology Review, 22(2), 223-246
Goldsmith, R. E., & Freyd, J. J. (2005). Effects of emotional abuse in family and work environment, Journal of Emotional Abuse, 5(1), 95-123
Gross, A. B., & Keller, H, R. (1992). Long-term consequences of childhood physical and psychological maltreatment. Aggressive Behavior, 18, 171-185
Harkness, K. L., & Wildes, J. E. (2002). Childhood adversity and anxiety versus dysthymia co-morbidity in major depression. Psychological Medicine, 32, 1239-1249.
Hayes, S. C. (2004). Acceptance and commitment therapy and the new behavior therapies. In S. C. Hayes., V. M. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance (pp. 1-29). New York: Guilford Press.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. new York: Gulford.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G., Bissett, T., Pistorello, j., Toarmino, D., Polusny, m. A., Dykstra, T. A., Batten, S. V., Bergan, J., Stewart, S. H., Zvolensky, M. J., Eifert, G. H., Bond, F. W., Forsyth, J. P., Karekla, M., & Mccurry, S, m. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553-578
Johnson, J. G., Cohen, P., Smailes, E. M., Skodol, A. E., Brown, J., & Oldham, J, M, (2001). Childhood verbal abuse and risk for personality disorders during adolescence and early adulthood. Cornprehensive Psychiatry, 42, 6-23.
Joseph, S., Williams, R., Irwing P., & Cammock T.(1993). The preliminary development ofmeasure to assess attitudes towardsemotional expression. Personality andIndividual difference. 13. 869-875
Katz, I. M., & Campbell, J. D. (1994). Ambivalence over emotional expression and well-being: Nomothetic and idiographic tests of the stress-buffering hypothesis. Journal of Persnality and Social Psychology, 67, 513-524
King, L. A., & Emmons, R. A. (1990). Conflict over emotional expression: Psychological and physical correlates. journal fo Personality and Social Psychology, 58, 864-877
Krause, E. D., Mendelson, T., & Lynch, T. R. (2003). Childhood emotional invalidation and adult psychological distress: the mediating role fo emotional inhibition. Child abuse & Neglect, 27, 199-213
Kring, A. M., Smith, D. A., & Neale, J. M. (1994). Individual differences in dispositional expressiveness: Development and validation of the Emotional Expressivity Scale. Journal of personality and social Psychology, 66, 934-949.
Meston, C. M., Heiman, J. R., & Trapnell, P. D.(1999). The relation between early abuse andadult sexuality. Jounal of Sex Reseatch, 36,385-395.
Pennebaker, J. W. (1985). Traumatic experience and psychosomatic disease: Exploring the roles of behavioral inhibition, obsession and confiding. Canadian psychology. 26, 82-95
Sackett, L. A., Saunders, D. G. (1999). The impact of different forms of psychological abuse on battered women. Violence Vict, 14, 105-17
Sloan, D. M. (2004). Emotion regulation in action: emotional reactivity in experiential avoidance. Behaviour Research and Therapy, 42(11), 1257-1270
Steele, B. J., & Pollock, C. B. (1974). A psychiatric study of parents who abuse infants and small children. In R. Helfer & C. H. Kempe(Eds.), The Battered Child(2nd ed.). Chicago: University of Chicago press.
Strosahl, K. D., Hayes, S. C., Wilson, K. G., & Gifford, E. V. (2004). An ACT Primer: Core Therapy Processes, Intervention Strategies, and Therapist Competencies. In S. C. Hayes, K. D. Strosahl (Eds.). A Practical Guide to Acceptance and Commitment Therapy (pp.31-58). Springer Science Business Media, Inc.
Swinkels, a., & Guiliano, T. A. (1995). The measurement and conceptualization of mood awareness: Attention directed toward one's mood states. Personality and social Psychology Bulletin, 21, 934-949
Szur, R. (1987). Emotional abuse and neglect. In P. Maher(ed.), Child Abuse: The Educational Perspective. Oxford: Blackwell.