바로가기메뉴

본문 바로가기 주메뉴 바로가기

ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

logo

자기체계의 손상으로 본 복합외상증후군

Conceptualizing Complex Posttraumatic Stress Syndrome as the Disruption of Self-System

한국심리학회지: 일반 / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2009, v.28 no.2, pp.283-301
안현의 (이화여자대학교)
장진이 (이화여자대학교)
조하나 (이화여자대학교)
  • 다운로드 수
  • 조회수

초록

본 연구는 복합외상 증상 발현의 기저에 있는 심리적 기제 및 역동에 대한 탐색을 위하여 복합외상 경험자들이 호소하는 다양한 심리적 후유증을 자기체계(self-system) 손상이라는 관점에서 논의하고자 한다. 주체적 자기, 대상적 자기, 자기지속성, 자기통합성, 부정적인 자의식적 정서, 자기처벌적 행동 등 자기(self)와 관련된 구성 개념들을 포괄하고 있는 자기체계의 손상이라는 관점은 성격적 변화와 대인관계 양식의 변화가 동반되는 복합외상의 증상들을 보다 전체론적인 시각에서 이해할 수 있게 할 뿐 아니라, 애착, 생리, 정서조절, 해리, 행동 조절, 인지, 자기개념의 영역들을 포괄하는 상위개념으로 복합외상증후군을 이해하게 함으로써 기존의 접근방식보다 체계적인 사례개념화와 효과적 치료방법을 모색할 수 있는 기초적 틀을 제시하고자 하였다.

keywords
Self-system, Complex Posttraumatic Stress Syndrome, Self-Agency, Me-self, Self-coherence, Self-affects, Self-punitive behaviors, 자기체계, 복합외상증후군, 주체적 자기, 대상적 자기, 자기지속성, 자기통합성

Abstract

Conceptualizing the Complex Posttraumatic Stress Syndrome as a severe disruption of one's self-system is suggested in order to understand its complicated psychological mechanism and dynamic process. Understanding complex posttraumatic stress syndrome as traumatization in such self-related domains as self-agency(I-self), self as an object(Me-self), self-coherence, self-affects, and self-punitive behaviors can be helpful in understanding its individual symptoms from a holistic perspective since the lack of systematic theoretical grounds for the complex posttraumatic stress syndrome has often been a barrier in research and clinical settings that aimed to study and treat the survivors of complex trauma.

keywords
Self-system, Complex Posttraumatic Stress Syndrome, Self-Agency, Me-self, Self-coherence, Self-affects, Self-punitive behaviors, 자기체계, 복합외상증후군, 주체적 자기, 대상적 자기, 자기지속성, 자기통합성

참고문헌

1.

안현의 (2007). 복합외상(complex trauma)의 개념과 경험적 근거. 한국심리학회지: 일반, 26(1), 105-119.

2.

Allen, J. (2005). Coping with trauma: Hope through understanding. American Psychiatric Publishing, Inc.

3.

Beeghly, M., Carlson, V., & Cicchetti, D. (1986). Child maltreatment and the self: The emergence of internal state language in low SES 30 month olds. Paper presented at the International Conference on Infant Studies, Beverl Hills, CA.

4.

Bleiberg, E. (1984). Narcissitic disorders in children. Bulletin of the Menninger Clinic, 48, 501-517.

5.

Briere, J. (1988). The long-term clinical correlates of childhood sexual victimization. In R. A. Prentky & v. L. Quinsey. (Eds.) Human sexual aggression: Current perspectives. New York: New York Academy of sciences. 327-334.

6.

Briere, J. (1989). Therapy for adults molested as children. New York: Springer.

7.

Briere, J. (1992). Child abuse trauma: Theory and treatment of the lasting effects. Newbury Park, CA: Sage.

8.

Bryer, J. B., Nelson, B. A., Miller, J. B., & Krol, P. A. (1987) Childhood sexual and physical abuse as factors & in adult psychiatric illness. American Journal of Psychiatry, 144, 1426-1430.

9.

Cicchetti, D. (1989). How research on child maltreatment has informed the study of child development: Perspectives from developmental psychology. In D. Ciccheti & V. Carson. (Eds.) Child maltreatment: Theory and research on the causes and consquences of child abuse and neglect. New York: Cambridge University Press. 309-350.

10.

Cicchetti, D., Beeghly, M., Calson, V., & Toth, S. (1990). The emergence of the self in atypical populations. In D. Cicchetti & M. Beeghly. (Eds.) The self in transition; Infancy to childhood. Chicago: University of Chicago Pr. 309-344.

11.

Cook A. & Spinazzola, J. (2005). Complex Trauma in children and adolescents. Psychiatric Annals, 35, 390-398.

12.

Cooley, C. H. (1992). Human nature and the social order. New York: Chales Scribner's Sons.

13.

Crittenden, P.M., & DiLalla D. L. (1988). Compulsive compliance: the development of an inhibitory coping strategy in infancy. Journal of Abnormal Child Psychology, 16, 585-599.

14.

Edwall, G. E., Hoffman, N. G., & Harrison, P. A. (1989). Psychological correlates of sexual abuse in adolescent girls in chemical dependency treatment. Adolesence, 24, 279-288.

15.

Fischer, K. W. (1980). A theory of cognitive development: The control and construction of hierarchies of skills. Psychological Review, 87, 477-531.

16.

Fischer, K. W., & Ayoub, C. (1994). Affective splitting and dissociation in normal and maltreatment children: Developmental pathways for self in relationships. In D, Cicchetti & S. Toth. (Eds.) Rochester Symposium on Developmental Psychopathology: Disorders and dysfunctions of the self. Rochester, NY: University of Rochester Press. 149-222.

17.

Fischer, K. W., & Pipp, S. L. (1984). Development of the structures of unconscious thought. In K. Bowers & D. Meichenbaum. (Eds.), The unconscious reconsidered. New York: Wiley. 88-148

18.

Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. New York: Other Press.

19.

Fonagy P., & Target, M. (2006). The Mentalization-focused approach to self pathology. Journal of Personality Disorders, 20, 544-576.

20.

Gralinsky, J., Fesbach, N. D., Powell, C., & Derrington, T. (1993). Self-understanding: Meaning and measurement of maltreated children's sence of self. Paper presented at the meeting of the Society for Research in Child Development, New Orleans, LA.

21.

Harter, S. (1999). The construction of the self: A developmental perspective. New York: The Guilford Press.

22.

Herman, J. L., & Hirschman, L. (1981). Families at risk for father-daughter incest. American Journal of Psychiatry, 138, 967-970.

23.

Herman, J. L. (1992). Complex PTSD: A syndrome in survivors of prolnged and repeated trauma. Journal of Traumatic Stress, 5, 377-391.

24.

Herman, J. L. (1997), Trauma and Recovery: The Aftermath of Violence, New York: Basic Books.

25.

Howe, M. L., & Courage, M. L. (1993). On resolving the enigma of infantile amnesia. Psychological Bulletin, 113, 305-326.

26.

James, W. (1892). Psychology: The briefer course. New York: Henry Holt.

27.

Kinniburgh, K. J., Blaustein, M., & Spinazzola, J. (2005). Attachment, self-regulation, and competency. Psychiatric Annals, 35, 424-439.

28.

Livesley (2006). Introduction to special feature on self and identity. Journal of Personalty Disorders, 20(6), 541-543.

29.

Luxenberg, T., Spinnazzola, J., & van der Kolk, B. A. (2001). Complex trauma and disorder of extreme stress (DESNOS) diagnosis, part one: assessment. Directions Psychiatry, 21, 363-392.

30.

McCann, I. L., & Pearlman, L. A. (1992). Psychological trauma and the adult survivor. New York: Brunner/Mazel.

31.

Pelcovitz, D., van der Kolk, B., Roth, S., Mandel, F., Kaplan, S., & Resick, P. (1997). Development of a criteria set and a structured interview for disorders of extreme stress (SIDES). Journal of Traumatic Stress, 10, 3-16.

32.

Putnam, F. M. (1989). Diagnosis and treatment of multiple personality disorder. New York: Guilford Press.

33.

Putnam, F. M. (1990). Disturbance of self in victim of childhood sexual abuse. In R. P. Kluft. (Ed.) Incest-related syndromes of adult psychopathology. Washington, DC: American Psychiatric Press. 113-132.

34.

Putnam, F. M. (1993). Dissociation and disturbances of the self. In D, Cicchetti & S. Toth. (Eds.), Rochester Symposium on Developmental Psychopathology: Disorders and dysfunctions of the self. Rochester, NY: University of Rochester Press. 251-266.

35.

Rubin, L. (1985). Just friends: The role of friendship in our lives. New York: Harper.

36.

Salo J., Punamaki R-L., & Qouta S. (2004). Association between self and other representations and posttraumatic adjustment among political prisoners. Anxiety, Stress, and Coping, 17, 421-439.

37.

Shneidman, E. S. (1992). A conspectus of the suicidal scenario. In R. W. Maris, A. L. Berman, J. T. Maltsberger, & R. I. Yufit.(Eds.), Assesment and prediction of suicide. New York: Guilford Press. 50-64.

38.

Stern, D. (1985). The interpersonal world of the infant. New York: Basic Books.

39.

van der Kolk B. A. (2005). Developmental trauma merits DSM diagnosis, experts say. Clinical & Research News, Psychiatr News, 42.

40.

Wagner, A. W., Linehan, M. M., & Wasson, E. J. (1989). Parasuicide: Characteristics and relatio nship to childhood sexual abuse. Poster presented at the annual meeting of Assocation or Advancement of Behavior Therapy, Washington, DC.

41.

Westen, D. (1993). The impact of sexual abuse on self on self structure. In D. Cicchetti & S. Toth. (Eds.), Rochester Symposium on Developmental Psychology: Disorders and dysfunction of the self. Rochester, NY: University of Rochester Press. 223-250.

42.

Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema Therapy: A practitioner's guide. New York: The Guilford Press.

한국심리학회지: 일반