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ISSN : 1229-067X

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Vol.28 No.2
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복합 비애(Complicated Grief)의 개념과 진단

An Empirical Review of Complicated Grief

한국심리학회지: 일반 / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2009, v.28 no.2, pp.303-317
장현아 (고려대학교)
장현아. (2009). 복합 비애(Complicated Grief)의 개념과 진단. 한국심리학회지: 일반, 28(2), 303-317.
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초록

복합 비애(Complicated Grief, 이하 CG)란 사별 후 나타나는 정상적이고 문화적으로 받아들여지는 애도 과정을 벗어나 지속적인 심리적․신체적 부적응을 야기하는 비애 반응을 말한다. 지금까지는 비애 반응이 주로 우울장애나 외상후 스트레스 장애와 같은 기존의 진단체계 내에서 이해되곤 하였으나, 여러 연구결과들을 통해 기존의 진단으로는 CG에서 나타나는 독특한 증상을 반영하지 못한다는 지적이 계속되어 왔다. 이에, 본 연구에서는 CG라는 새로운 개념, CG를 기존의 진단 체계로 분류하려고 할 때의 제한점, CG가 PTSD 진단만으로 부족한 이유, 독립적인 CG 진단의 필요성 및 경험적 근거들, 잠정적으로 합의된 진단 기준과 CG 진단이 치료적으로 어떤 중요한 의미를 갖는지를 개관하여 소개함으로써 아직까지 우리나라에서는 본격적으로 논의된 바가 없는 CG에 대한 관심을 고취하고자 한다.

keywords
복합비애, 연장된 비애 장애, 사별, 애도, Complicated grief, Prolonged grief disorder, Bereavement, Grief

Abstract

Complicated grief is defined as a deviation from the normal symptoms of grief. CG has been subsumed under major depressive disorder or posttraumatic stress disorder. However, there has been a broad consensus that existing diagnoses are not sufficient for CG. A number of research groups have shown that how complicated grief is distinguished from those disorders and demonstrated that CG constitutes a distinct psychopathological diagnostic entity. The purpose of this study is to review current concepts of CG and empirical evidences of CG, and its related issues.

keywords
복합비애, 연장된 비애 장애, 사별, 애도, Complicated grief, Prolonged grief disorder, Bereavement, Grief

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