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Korean Journal of Psychology: General

Application of Seeking Safety to Trauma and Addiction Counseling in Korea

Korean Journal of Psychology: General / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2018, v.37 no.4, pp.471-502
https://doi.org/10.22257/kjp.2018.12.37.4.471

Abstract

Seeking Safety (SS) is the only PTSD treatment with strong evidence based that are effective for trauma and addiction. Unlike mainly used trauma treatments in Korea, SS is present-centered that focuses on the safety among the three stages of trauma and avoids unsafe exposure of past trauma. In addition, SS is theoretically based on cognitive behavior therapy, provides step-by-step manuals for therapists and vast worksheets for clients, does not place significant constraints on therapist's qualifications, and does not include long-term expensive training costs. Thus, it can be useful to work in the field with the advantage of timeliness and immediacy for counselors who have unfamiliar to trauma therapy and helping professionals who have various interdisciplinary backgrounds and developmental stages as experts. The benefits of SS can be applied to all types of trauma and addictive disorders. And it can also be used for out-of-the-box cases that have experienced trauma that does not fit the PTSD diagnostic system and various severity of the symptoms. The purpose of this study is to introduce SS for the first time in Korea and to suggest the possibility of applying it in the field of trauma.

keywords
안전기반치료, 트라우마, 중독, PTSD, 안전, 치료법, Seeking Safety, Trauma, Addiction, PTSD, Safety, Treatment

Reference

1.

권선중, 김교헌 (2007). 외상 수준의 스트레스 경험과 성격 변화 그리고 중독 증후군 Ⅰ. 한국심리학회 학술대회 자료집, 2007(1), 530-531.

2.

권영섭, 정순둘 (2009). 재해구호 자원봉사활동의 지속성에 영향을 미치는 요인. 한국방재학회 논문집, 9(3), 75-79.

3.

권정혜 (2018). 한국 임상심리전문가의 역할과활동. Korean Journal of Clinical Psychology, 37, 4-12.

4.

김청택, 김동일, 박중규, 이수진 (2002). 인터넷중독 척도 개발 연구. 서울: 한국정보문화

5.

진흥원. 김형수, 안지영, 김동일 (2015). 국가적 재난발생 대응에 대한 상담자의 경험적 합의- 재난상담 수행 경험 및 상담자 요구. 상담학연구, 16(3), 495-512.

6.

박병강 (2007). 알코올 중독과 스트레스. 스트레스硏究, 15(4), 307-313.

7.

보건복지부 (2017. 4. 13). 2016년 정신질환실태조사. http://www.mohw.go.kr/frontnew/jb/sjb030301vw.jsp에서 검색.

8.

보건복지가족부, 한양대학교 산학협력단 (2010). 아동․청소년치료센터 효율적 설치운영방안 연구. 서울: 보건복지가족부.

9.

양기근 (2008). 재난심리지원 서비스 전달체계에 관한 연구. 한국위기관리논집, 4(1), 50-62.

10.

윤경아, 심우찬 (2015). 원조전문직 직무관련삶의 질 수준과 관련요인에 관한 국외 문헌연구. 사회과학연구, 54(1), 195-230.

11.

윤명숙, 이희정 (2014). 직장인의 외상 후 스트레스 장애(PTSD)와 음주. 정신보건과 사회사업, 42(4), 115-142.

12.

윤명숙, 조혜정 (2012). 남성가구주의 음주가배우자 음주에 미치는 영향. 한국사회복지학, 64(2), 111-131.

13.

이나빈, 심기선, 한상우, 이강욱, 심민영, 채정호, 안현의 (2015). 세월호 참사 후 재난심리지원 실무자들의 경험을 통해 본 국내재난심리지원체계의 한계 및 개선방안. 정신보건과 사회사업, 43(4), 116-149.

14.

이상민, 김은하, 김지연, 선혜연 (2018). 상담심리학의 현재와 미래과제. 한국심리학회지:상담 및 심리치료, 30(3), 463-474.

15.

이은아, 고은영 (2017). 범죄피해케어전문가의핵심역량모형개발을 위한 탐색적 연구. 아시아교육연구, 18(3), 513-537.

16.

이은애, 김선정, 배천직, 권영섭 (2005). 재해구호자원봉사활동의 이론과 실제: 자원봉사센터 실무자와 자원봉사리더 활동매뉴얼. 전국재해구호협회.

17.

최양희 (2010). 인재정책의 방향과 기본과제. 한국인적자원연구센터 포럼 발표자료집.

18.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th Edition). American Psychiatric Association, Washington. D.C.

19.

Anderson, M. L., & Najavits, L. M. (2014). Does seeking safety reduce PTSD symptoms in women receiving physical disability compensation?. Rehabilitation Psychology, 59(3), 349.

20.

Beck, A. T., Wright, F. D., Newman, C. F., Liese, B. S., & Stein, D. J. (1995). Cognitive therapy of substance abuse. New York: Guilford.

21.

Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162(2), 214-227.

22.

Brady, K. T., Killeen, T., Saladin, M. E., Dansky, B., & Becker, S. (1994). Comorbid substance abuse and posttraumatic stress disorder:Characteristics of women in treatment. The American Journal on Addictions, 3(2), 160-164.

23.

Brown, S. (1985). Treating the alcoholic: A developmental model of recovery (Vol. 109). New York: Wiley-Interscience.

24.

Carroll, K. M., Rounsaville, B. J., & Keller, D. S. (1991). Relapse prevention strategies for the treatment of cocaine abuse. The American Journal of Drug and Alcohol Abuse, 17(3), 249-265.

25.

Carver, C. S., Johnson, S. L., & Joormann, J. (2008). Serotonergic function, two-mode models of self-regulation, and vulnerability to depression: what depression has in common with impulsive aggression. Psychological Bulletin, 134(6), 912-943.

26.

Carver, C. S., Johnson, S. L., & Joormann, J. (2013). Major depressive disorder and impulsive reactivity to emotion: Toward a dual‐process view of depression. British Journal of Clinical Psychology, 52(3), 285-299.

27.

Chu, J. A. (2008). Ten traps for therapists in the treatment of trauma survivors. Personality Disorder: The Definitive Reader, 210-228.

28.

Clark, A. H., & Foy, D. W. (2000). Trauma exposure and alcohol use in battered women. Violence Against Women, 6(1), 37-48.

29.

Cloitre, M., Courtois, C. A., Ford, J. D., Green, B. L., Alexander, P., Briere, J., & Van der Hart, O. (2012). The ISTSS Expert Consensus Treatment Guidelines for Complex PTSD in Adults. Retrieved from http://www.istss.org

30.

Duckworth, M. P., & Follette, V. M. (2012). Retraumatization: assessment, treatment, and prevention. New York: Routledge.

31.

Epstein, S. (1994). Integration of the cognitive and the psychodynamic unconscious. American Psychologist, 49(8), 709.

32.

Evans, K., & Sullivan, J. M. (1995). Treating Addicted Survivors of Trauma. NY: Guilford Press.

33.

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1994). Structured clinical interview for Axis I DSM-IV disorders. New York: Biometrics Research.

34.

Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: exposure to corrective information. Psychological bulletin, 99(1), 20-35.

35.

Frankl, V. E. (1985). Man's search for meaning. New York: Simon and Schuster.

36.

Fullilove, M. T., Fullilove, R. E., Smith, M., Winkler, K., Michael, C., Panzer, P. G., & Wallace, R. (1993). Violence, trauma, and post-traumatic stress disorder among women drug users. Journal of Traumatic Stress, 6(4), 533-543.

37.

Han, D. H., Bolo, N., Daniels, M. A., Arenella, L., Lyoo, I. K., & Renshaw, P. F. (2011). Brain activity and desire for Internet video game play. Comprehensive Psychiatry, 52(1), 88-95.

38.

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.

39.

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

40.

Herman, J. L. (1997). Trauma and recovery: The aftermath of violence from domestic abuse to political terror. New York: Basic Books.

41.

Hope, D. A., Heimberg, R. G., & Bruch, M. A. (1995). Dismantling cognitive-behavioral group therapy for social phobia. Behaviour Research and Therapy, 33(6), 637-650.

42.

Jacobsen, L. K., Southwick, S. M., & Kosten, T. R. (2001). Substance use disorders in patients with posttraumatic stress disorder: a review of the literature. American Journal of Psychiatry, 158(8), 1184-1190.

43.

Kassel, J. D., Jackson, S. I., & Unrod, M. (2000). Generalized expectancies for negative mood regulation and problem drinking among college students. Journal of Studies on Alcohol, 61(2), 332-340.

44.

Kaufman, E. (1989). The psychotherapy of dually diagnosed patients. Journal of Substance Abuse Treatment, 6(1), 9-18.

45.

Kaufman, E., & Reoux, J. (1988). Guidelines for the successful psychotherapy of substance abusers. The American Journal of Drug and Alcohol Abuse, 14(2), 199-209.

46.

Keane, T. M. (1995). The role of exposure therapy in the psychological treatment of PTSD. National Center for PTSD Clinical Quarterly, 5(4), 1-6.

47.

Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52(12), 1048-1060.

48.

Kramarae, C. (2006). Muted group theory. A First Look at Communication, 499-506.

49.

Killian, K. D. (2008). “Helping till It hurts? A multimethod study of compassion fatigue, burnout and self-care in clinicians working with trauma survivors”, Traumatology, 14, 32-44.

50.

Langeland, W., & Hartgers, C. (1998). Child sexual and physical abuse and alcoholism: a review. Journal of Studies on Alcohol, 59(3), 336-348.

51.

Lazarus, R. S. (1966). Psychological stress and the coping process. NY: McGraw-Hill.

52.

Lee, E. A. (2010). Features of adult internet addicts with interpersonal trauma in childhood. 서울대학교 박사학위논문.

53.

Levine, P. A. (2008). Healing trauma: A pioneering program for restoring the wisdom of your body. Boulder, CO: Sounds True.

54.

Levine, P. A. (2010). In an unspoken voice: How the body releases trauma and restores goodness. Berkley, CA: North Atlantic Books.

55.

Linehan, M. M. (1993) Cognitive behavioral treatment of borderline personality disorder. New York:Guilford.

56.

Lipsky, S., Caetano, R., Field, C. A., & Larkin, G. L. (2005). Psychosocial and substance-use risk factors for intimate partner violence. Drug and Alcohol Dependence, 78(1), 39-47.

57.

Nace, E. P. (1988). Posttraumatic stress disorder and substance abuse clinical issues. In Recent developments in alcoholism (pp. 9-26). Springer, Boston, MA.

58.

Najavits, L. M. (2002). 안전기반치료. Seeking safety: A treatment manual for PTSD and substance abuse. Guilford Press. New York. (이은아 역). 서울: 하나의학사.

59.

Najavits, L. M. (2013). Creating change: A new past-focused model for PTSD and substance abuse. In: P. Ouimette & JP Read(Eds.). Handbook of trauma, PTSD and substance use disorder comorbidity. (pp. 281-303) Washington, DC: American Psychological Association Press.

60.

Najavits, L. M., Gastfriend, D. R., Barber, J. P., Reif, S., Muenz, L. R., Blaine, J., ..., & Weiss, R. D. (1998a). Cocaine dependence with and without PTSD among subjects in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study. American Journal of Psychiatry, 155(2), 214-219.

61.

Najavits, L. M., & Johnson, K. M. (2014). Pilot study of Creating Change, a new past focused model for PTSD and substance abuse. The American journal on addictions, 23(5), 415-422.

62.

Najavits, L. M., Schmitz, M., Gotthardt, S., & Weiss, R. D. (2005). Seeking safety plus exposure therapy: An outcome study on dual diagnosis men. Journal of Psychoactive Drugs, 37(4), 425-435.

63.

Najavits, L. M., Smylie, D., Johnson, K., Lung, J., Gallop, R. J., & Classen, C. C. (2013). Seeking safety therapy for pathological gambling and PTSD: A pilot outcome study. Journal of Psychoactive Drugs, 45(1), 10-16.

64.

Najavits, L. M., Weiss, R. D., & Shaw, S. R. (1997). The link between substance abuse and posttraumatic stress disorder in women: A research review. The American Journal on Addictions, 6(4), 273-283.

65.

Najavits, L. M., Weiss, R. D., & Shaw, S. R. (1999). A clinical profile of women with posttraumatic stress disorder and substance dependence. Psychology of Addictive Behaviors, 13(2), 98-104.

66.

Najavits, L. M., Weiss, R. D., Shaw, S. R., & Muenz, L. R. (1998b). “Seeking safety”:Outcome of a new cognitive-behavioral psychotherapy for women with posttraumatic stress disorder and substance dependence. Journal of Traumatic Stress, 11(3), 437-456.

67.

Ogden, P. (2009). Emotion, mindfulness and movement: Expanding the regulatory boundaries of the window of tolerance. In D. Fosha, D. Siegal & M. Solomon (Eds.), The healing power of emotion: Perspectives from affective neuroscience and clinical practice. New York:W.W. Norton.

68.

Ouimette, P. C., Ahrens, C., Moos, R. H., & Finney, J. W. (1998). During treatment changes in substance abuse patients with posttraumatic stress disorder: The influence of specific interventions and program environments. Journal of Substance Abuse Treatment, 15(6), 555-564.

69.

Phoenix, B. J. (2007). Psychoeducation for survivors of trauma. Perspectives in Psychiatric care, 43(3), 123-131.

70.

Porges, S. W. (2007) The polyvagal perspective. Biological Psychology, 74(2), 116-143.

71.

Resick, P. A., & Schnicke, M. K. (1993). Cognitive processing therapy for sexual assault victims: A treatment manual. Newbury Park CA: Sage Publications.

72.

Rothschild, B. (2000). The body remembers. New York: WW Norton & Company.

73.

Rothschild, B. (2010). Treatment essentials: the go-to guide. New York: W.W. Norton.

74.

Ruzek, J. I., Polusny, M. A., & Abueg, F. R. (1998). Assessment and treatment of concurrent posttraumatic stress disorder and substance abuse. In V. M., Follette, J. I. Ruzek, & F. R. Abueg (Eds.), Cognitive-behavioral therapies for trauma. (pp. 226-255). Guilford Press.

75.

Saxe, G. N., Ellis, B. H., & Kaplow, J. B.(2011). 아동․청소년 위기 상담: 트라우마 체계 치료. Trauma systems therapy: TST. (김동일 등 역). 서울: 학지사.

76.

Sexton, T. L., & Whiston, S. C. (1994). The status of the counseling relationship: An empirical review, theoretical implications, and research directions. The Counseling Psychologist, 22(1), 6-78.

77.

Shapiro, F. (1995). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures. New York: Guilford Press.

78.

Siegel, D. J. (1999). The developing mind: How relationships and the brain interact to shape who we are. Guilford Press: New York, London.

79.

Society of Clinical Psychology. (2018). PostTraumatic Stress Disorder. Retrieved from http://www.div12.org/psychological-treatments/di sorders/post-traumatic-stress-disorder/

80.

Solomon, S. D., Gerrity, E. T., & Muff, A. M. (1992). Efficacy of treatments for posttraumatic stress disorder: An empirical review. Journal of American Medical Association, 268(5), 633-638.

81.

Stewart, S. H., Pihl, R. O., Conrod, P. J., & Dongier, M. (1998). Functional associations among trauma, PTSD, and substance-related disorders. Addictive Behaviors, 23(6), 797-812.

82.

Stewart, S. H., & Devine, H. (2000). Relations between personality and drinking motives in young adults. Personality and Individual Differences, 29(3), 495-511.

83.

Terr, L. (1991). Childhood traumas: an outline and overview. American Journal of Psychiatry, 148, 10-20.

84.

Wampold, B. E., & Budge, S. L. (2012). The 2011 Leona Tyler Award Address: The relationship-And its relationship to the common and specific factors of psychotherapy. The Counseling Psychologist, 40(4), 601-623.

85.

Weiss, N. H., Tull, M. T., Viana, A. G., Anestis, M. D., & Gratz, K. L. (2012). Impulsive behaviors as an emotion regulation strategy:Examining associations between PTSD, emotion dysregulation, and impulsive behaviors among substance dependent inpatients. Journal of Anxiety Disorders, 26(3), 453-458.

86.

Young, K. S. (1996). Psychology of computer use: XL. addictive use of the internet: A case that breaks the stereotype. Psychological Reports, 79(3), 899-902.

87.

Zayfert, C. (2012). Cognitive behavioral conceptualization of retraumatization. Retraumatization: Assessment, Treatment, and Prevention, 9-32.

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