E-ISSN : 2733-4538
The purpose of this study was to examine whether social skills training using videos of social cognitions for schizophrenic in-patients would be more effective on social functioning and relationships than traditional social skills training group therapy. The social skills training group using videos of social cognitions consisted of ten participants, and the traditional behavioral social skills training group had 13. All subjects participated in a total of ten once-weekly sessions for ten weeks. The social skills training using videos of social cognitions program was a combination of traditional behavioral social skills training and training for enhancing social cognitions. The subjects’ behaviors were assessed during the pre- and post-programs in order to examine the effects of the social cognitions and the development of social skills. The scales used in this study included the Picture Arrangement of Korean-Wechsler Adult Intelligence Scale and the Relationship Change Scale(RCS). The results were as follows. First, schizophrenics who had completed the program which used videos of social cognitions significantly improved with respect to Picture Arrangement of Korean-Wechsler Adult Intelligence Scale. Second, they also improved with respect to total scores on the RCS and showed more improvement in the subscales of the RCS including satisfaction, communication, sensibility, openness, and consideration. Further, this group significantly improved with respect to performance in communication and sensibility on the RCS. Finally, the clinical implications and limitations of this study and direction of future research have been discussed.
김성직, 한양순 (1997). 만성정신분열증의 사회적 기능과 인지적 변인 및 증상과의 관계. 한국심리학회지: 임상, 16(1), 27-40.
문선모 (1980). 인간관계훈련 집단상담의 효과에 관한 일 연구. 경상대 논문집, 19, 195-204.
박상규, 손명자 (2000). 조망적 사회기술훈련이 정신분열병 환자의 사회기술 향상에 미치는 효과. 한국심리학회지: 임상, 19(4), 629 -643.
손애리, 김지웅, 황순택, 최은애, 김은애, 김성은 (2004). 정신분열병 환자의 표정 정서 적절성 판단과 의도 파악 능력. 한국심리학회지: 임상, 23(2), 327-336.
염태호, 박영숙, 오경자, 김정규, 이영호 (1992). K-WAIS 실시요강. 서울: 한국가이던스.
이수정, 안석균 (2000). 정신분열병 환자들의 정서조절과정에 있어서의 특징. 한국심리학회지: 임상, 15(3), 1-11.
이만홍, 이희상, 조현상, 현명호, 안석균, 유상우, 박지환, 한승진, 현용호, 구민성, 손석한, 김세주, 이현주, 박소라, 송선미, 안혜리, 최정아, 남궁기, 유계준 (1998). 정신분열병 환자에 대한 통합심리치료의 효과. 신경정신의학회지, 37(6), 1074-1086.
장희경 (2005). 가상현실기법을 이용한 사회기술훈련프로그램의 적용에 관한 연구: 정신분열병 환자를 대상으로. 이화여자대학교 대학원 석사학위 논문.
조수진, 이선미, 은현정, 권혁철 (2004). 정신분열병 환자에 대한 인지재활훈련이 신경인지기능과 사회적 기능에 미치는 효과. 한국심리학회지: 임상, 23(3), 559-575.
진복수, 배정규 (1998). 양성 및 음성 정신분열병 환자의 얼굴표정 지각. 사회과학연구, 5(4), 61-72. (대구대학교 사회과학연구소).
진복수, 최이순, 손명자 (1998). 정신분열병 환자의 얼굴표정에 나타난 정서지각. 한국심리학회지: 임상, 17(1), 197-209.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (DSM-IV). 4th ed. Washington, DC: Author.
Anthony, W. A., Cohen, M. R., & Farkas, M. D. (1990). Psychiatric Rehabilitation. Boston University, Center for Psychiatric Rehabilitation.
Bazin, N., Perruchet, P., Hardy-Bayle, M. C., & Feline, A. (2000). Context-dependent information processing in patients with schizophrenia. Schizophrenia Research, 45(1-2), 93-101.
Bellack, A. S., Morrison, R. L., & Mueser, K. T. (1989). Social problem solv-ing in schizophrenia. Schizophrenia Bulletin, 15, 101 -106.
Bellack, A. S., & Mueser, K. T. (1993). Psychosocial treatment for schizo- phrenia. Schizophrenia Bulletin, 19(2), 317-336.
Borod, J. C., Martin, C. C., Alpert, M., Brozgold, A. et al. (1993). Perception of facial emotion in schizophrenic and right brain-damaged patients. Journal of Nervous and Mental Disease, 181(8), 494-502.
Corrigan, P. W., & Addis, I. B. (1995). The effect of cognitive complexity on a social sequencing task in schizophrenia. Schizophrenia Research 16, 137–144
Davison, G. C., Neale, J. M., & Kring, A. (2004). Abnormal Psychology. 9th Edition. J. Wiley & Sons, Inc.
Eckman, P., & Friesen, W. V. (1976). Pictures of Facial Affect. Consulting Psychologists Press, Palo Alto, CA.
Feinberg, T. E., Rifkin, A., Schaffer, C., & Walker, E. (1986). Facial discrimination and emotional recognition in schizophrenia and affective disorders. Archives of General Psychiatry, 43(3), 276-279.
Gaebel, W., & Wölwer, W. (1992). Facial expression and emotional face recognition in schizophrenia and depression. European Archives of Psychiatry and Clinical Psychology, 28, 19-29.
Halford, W. K., & Hayes, R. (1991). Psychological rehabilitation of chronic schizophrenic patients: Recent findings on social skills training and family psychoeducation. Clinical Psychology Review, 11(1), 23-44.
Heimberg, C., Gur, R. E., Erwin, R. J., Shtasel, D. L., Gur, R. C. (1992). Facial emotion discrimination:Ⅲ. Behavioral findings in schizophrenia. Psychiatry Research, 42, 253-265.
Liberman, R. P., Derisi, W. J., & Mueser, K. T. (1989). Social skills training for psychiatric patients. NY: Pergamon Press. (김철권, 변원탄 역, 1996, 정신과 환자를 위한 사회기술훈련, 서울: 신한.)
Morrison, R. L., Bellack, A. S., & Bashore, T. R. (1988). Perception of emotion among schizophrenic patients. Journal of Psychopathology and Behavioral Assessment, 10, 319-332.
Mueser, K. T., Bellack, A. S., Douglas, M. S., & Morrison, R. L. (1991). Prevalence and stability of social in schizophrenia. Schizophrenia Research, 5, 167-176.
Peer, Jason E., Kupper, Zeno, Long, Jeffrey D., Brekke, John S., & Spaulding, William D. (2007). Identifying mechanisms of treatment effects and recovery in rehabilitation of schizophrenia: Longitudinal analytic methods. Clinical Psychology Review, 27, 696–714.
Penn, D. L., Combs, D. R., Ritchie, M., Francis, J., Cassisi, J., Morris, S., & Townsend, M. (2000). Emotion recognition in schizophrenia: Further investigation of generalized versus specific deficit models. Journal of Abnormal Psychology, 109(3), 512-516.
Penn, D. L., Corrigan, P. W., Bentall, R. P., Racenstein, M., & Newman, L. (1997). Social cognition in schizophrenia. Psychological Bulletin, 121, 114-132.
Penn, D. L., Ritchie, M., Francis, J., Combs, D. & Martin, J. (2002). Social perception in schizophrenia: The role of context. Psychiatry Research, 109(2), 149-159.
Smith, T. E., Bellack, A. S., & Liberman, R. P. (1996). Social skills training for schizophrenia: Review and future direction. Clinical Psychology Review, 16(7), 599-617.
Walker, E., McGuire, M. & Bettes, B. (1984). Recognition and identification of facial stimuli by schizophrenics and patients with affective disorders. British Journal of Clinical Psychology, 23(1), 37-44.