open access
메뉴ISSN : 1229-0688
본 연구에서는 아동의 성별, 모-자 관계 표상 및 문제행동이 상담 초기단계에서 아동과 상담자가 지각한 치료적 관계와 어떤 관련이 있는지 알아보았다. 정서, 행동 및 사회성과 관련한 문제로 개인상담을 받고 있는 상담 초기단계(2~10회기)의 4, 5, 6학년 아동상담사례를 수집하였다. 모-자 관계 표상은 아동이 평가하였고, 아동의 문제행동은 아동과 어머니가 각각 평가하였으며, 치료적 관계는 아동과 상담자가 각각 평가하였다. 아동의 모-자 관계 표상과 치료적 관계에 대한 평가는 서로 영향을 받지 않도록 전후 회기에 나뉘어 실시되었다. 아동내담자-어머니-상담자 51조의 자료가 분석에 사용되었다. 아동의 경우, 모-자 관계 표상이 부정적일수록 상담자와의 관계에서 긍정적인 감정을 덜 느끼고, 아동 스스로 문제행동의 정도가 심각하다고 볼수록(특히, 외현화 문제가 많다고 보고할 때) 자신이 상담에 더 협력적이라고 보고하였다. 상담자는 여아가 남아 보다, 그리고 아동 스스로 외현화 문제가 많다고 보고할수록 상담에 더 협력적이라고 지각하였다. 어머니가 지각한 아동의 문제행동의 정도 및 외현화와 내재화 문제는 아동과 상담자가 지각한 치료적 관계와 관련이 없었다.
This study aimed to investigate how children's gender, maternal representation, and behavior problems affect the therapeutic relationship perceived by both children and therapists in the early stage of counseling. Fifty-one sets of child client - his/her mother - therapist were analyzed. As for children, the more negative their maternal representation was, the less likely they revealed positive feelingstoward their therapists. The children reporting more severe behavior problems were more cooperative in counseling. The therapists reported that female children were more cooperative in counseling than their male counterpart,and that the children reporting more externalizing behavior problems were more cooperative. The severity of the children's behavior problemsperceived by their mother had no significant effect on the therapeutic relationship perceived by children and therapists.
구정은 , (1999) 내담자의 애착유형과 상담자의 발달 수준이 작업동맹에 미치는 영향,
김순영, (1999) 내담자의 부모 유대 및 성인 애착 능력이 상담 작업 동맹에 미치는 영향,
김영아 , (2000) 아동 및 청소년의 우울증상에 대한 대인표상의 매개효과,
방은령 ; 최명선, (2004) 아동과 치료자간의 치료적 관계 척도의 타당화 연구, 한국심리학회지: 발달
오경자, (1997) 아동․청소년 행동평가척도(K-CBCL), 중앙적성연구소
오경자, (2001) K-YSR 청소년 자기행동평가척도, 중앙적성연구소
윤미경 , (1999) 아동의 또래수용과 우정관계의 질에 대한 연구,
이정화 , (1999) 내담자의 애착유형과 작업동맹에 관한 연구,
정은주 , (2005) 놀이치료 내담아동이 지각한 부모와의 애착이 치료관계에 미치는 영향,
최명선 , (2005) 놀이치료의 치료관계와 치료성과,
김광웅 ; 최명선, (2005) 아동과 치료자간 치료관계에 대한 연구, 한국심리학회지: 상담 및 심리치료
김광웅 ; 최명선 ; 한현주, (2005) 치료자의 전문적 경험과 공감능력이 내담아동이 지각한 치료관계에 미치는 영향, 한국심리학회지: 상담 및 심리치료
하은혜, (1998) 문제행동에 대한 청소년 자신과 부모 평가간의 관계: K-CBCL과 YSR의 하위요인 구조 비교, 소아·청소년 정신의학
황옥경, (2002) 내담자의 애착유형 및 지각된 사회적 지지와 작업동맹과의 관계,
Achenbach, T. M, (1983) Manual for the child behavior checklist and revised child behavior profile, Burlington, Vt: University of Vermont, Department of Psychiatry
Achenbach, T. M, (1987) Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations of situational specificity Psychological Bulletin,
Bowlby, J, (1977) The making and breaking of affectional bonds: Aetiology and psychopathology in the light of attachment theory, British Journal of Psychiatry
Bowlby, J, (1988) A Secure base: Parent-child attachment and healthy human development , New York: Basic Books
Casey, R. J, (1985) The outcome of psychotherapy with children, Psychological Bulletin
Digiuseppe, R, (1996) Developing the therapeutic alliance in child-adolescent psychotherapy, Applied & Preventive Psychology
Eltz, M. J, (1995) Alliance formation and treatment outcome among maltreated adolescents, Child Abuse and Neglect
Freud, A, (1928) Introduction to the technique of child analysis, New York: Nervous and Mental Disease Publishing
Freud, A, (1965) Normality and pathology in childhood, New York: International Universities Press
Hilliard, R. B, (2000) An interpersonal model of psychotherapy: Linking patient and therapist developmental history, therapeutic process, and types of outcome, Journal of Consulting and Clinical Psychology
Horvath, A. O, (1991) Relation between working alliance and outcome in psychotherapy: A meta-analysis, Journal of Consulting and Clinical Psychology
Kazdin, A. E. , (1995) Bridging child, adolescent, and adult psychotherapy: Directions for research, Psychotherapy Research
Kazdin, A. E, (1990) Empirical and clinical focus of child and adolescent psychotherapy research, Journal of Consulting and Clinical Psychology
Kazdin, A. E, (1990) Drawing on clinical practice to inform research on child and adolescent psychotherapy: Survey of Practitioners, Professional Psychology: Research and Practice
Klein, M. , (1932) The psycho-analysis of children, London: Hogarth Press
Kronmüller, K. T, (2003) Die therapeutische beziehung in der kinder und jugendlichen-psychotherapie: Evaluation einer deutschen version der therapeutic alliance scales for children, Zeitschrift für Klinische Psychologie und Psychotherapie
Leblanc, M, (2001) A meta-analysis of play therapy outcomes, Counselling Psychology Quarterly
Martin, D. J, (2000) Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review , Journal of Consulting and Clinical Psychotherapy
Mallinckrodt, B. , (1991) Clients' representations of childhood emotional bonds with parents, social support, and formation of the working alliance, Journal of Counseling Psychology
Mallinckrodt, B, (1995) Working alliance, attachment memories, and social competencies of women in brief therapy, Journal of Counseling Psychology
Mallinckrodt, B, (1991) Counselor training level and formation of the psychotherapeutic working alliance, Journal of Counseling Psychology
Parker, J, (1993) Friendship and friendship quality in middle children: Links with peer group acceptance and feelings of loneliness and social dissatisfaction , Developmental Psychology
Rudolph, K. D, (1994) Depression vulnerability in children: The role of cognitive-interpersonal variables , Unpublished doctoral dissertation, University of California, Los Angeles
Russell, R. L, Child psychotherapy process research, Advances in Clinical Child Psychology
Satterfield, W. A, (1995) Client attachment and perception of the working alliance with counselor trainees, Journal of Counseling Psychology
Schaefer, C. E, (1993) Therapeutic powers of play, Northvale: Jason Aronson Inc.
Shirk, S. R, (2003) Prediction of treatment outcome from relationship variables in child and adolescent therapy: A meta-analytic review, Journal of Consulting and Clinical Psychology
Shirk, S. R, (1992) Clinical, empirical, and developmental perspectives on the therapeutic relationship in child psychotherapy. Special issue: developmental approaches to prevention and intervention, Development and Psychopathology
Smith-Acuna. S, (1991) Development of child psychotherapy process measures, Journal of Clinical Child Psychology
Weisz, J. R, (1987) Effectiveness of psychotherapy with children and adolescents: Meta-analytic findings for clinicians, Journal of Consulting and Clinical Psychology
Weisz, J. R, (1995) Effects of psychotherapy with children and adolescents revisited; A meta-analysis of treatment outcome studies, Psychological Bulletin