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CCRT를 사용한 내담자 대인관계 패턴의 측정 : 소사례 종단 연구

Clients' Interpersonal Relationship Patterns Measured by CCRT Method - Time-series Multiple Case Study -

초록

본 연구에서는 내담자의 부적응적인 대인관계 패턴과 그 변화과정을 측정할 수 있는 Luborsky(1986)의 Core Conflictual Relationship Theme(CCRT)와 그 분석방법을 소개하였다, 또한 이 도구를 사용하여 내담자의 대인관계 패턴의 내용을 파악하고 상담의 진행에 따른 패턴의 변화를 시계열적으로 분석하였다. 상담 성과가 높은 사례들과 성과가 낮은 사례들을 대비시켜서 각 사례에서 내담자의 대인관계 패턴이 변화하는 양상을 종단적으로 비교 분석하였다. 분석방법으로는 주로 클러스터 분석법과 시각적 분석법이 사용되었다.

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Abstract

The present study was performed to introduce the Luborsky's Core Conflictual Relationship Theme method(1986) to investigate the contents of clients' interpersonal relationship pattern, and the changing process of the contents. The data were gathered at the Counseling Center, Seoul National University. From a sample pool of the 12 dyad, two cases that were highest in the outcome (Target Complaints Scale) and two cases lowest in the outcome were selected. All of the 40 session records were transcribed into verbatims. Three coders trained in CCRT coding system selected Relationship Episodes(RE) from each transcript. Then three other coders analyzed Wish(W), Response of Others(RO), Response of Self(RS) from the REs. To analyze the obtained data, the cluster analysis was used. As the result of the cluster analysis, all the 4 cases showed their unique interpersonal relationship patterns. And these patterns cl .an explain the clients' symptoms and problems in the context of interpersonal aspects. In the successful cases, in the early phases, there were shown negative and conflicting patterns between the wishes and responses. But in the later phases, the conflicts were resolved. In unsuccessful cases, it appeared that there were consistent conflicting interpersonal patterns regardless of the stage of the counseling. Some point suggested by the result of the study were discussed.

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