범(汎)불안 증상을 가진 기혼여성의 치유경험 : 영상관법을 활용한 내러티브 연구 (2)[韩语论文]

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This study aims to deeply understand the experiences, causal coherence, and distinctive features of married women with Generalized Anxiety. The mediation course takes the Reflected Image Meditation (RIM), a part of meditation psychotherapy, as a main ...

This study aims to deeply understand the experiences, causal coherence, and distinctive features of married women with Generalized Anxiety. The mediation course takes the Reflected Image Meditation (RIM), a part of meditation psychotherapy, as a main therapy strategy to search for the changes they experienced. This study aims to inquire profoundly into anxiety experiences, causal contexts and the features of two married women who are suffering pan-anxiety symptoms. As a process of the counseling, of which main treatment strategy is the RIM, the changes the participants experience are analyzed. The participants were provided with the RIM based on Connsiousness-Only Buddhism repeatedly. A narrative research procedure was conducted as a qualitative study to understand their lives in depth. The research motive is for patients with heartache caused by anxiety to have hopeful experiences as the researcher has already experienced a very positive curative experience through RIM. Six potential participants who wanted individual counseling in the meditation counseling center run by the researcher went through BAI (Beck Anxiety Inventory), ASI (Anxiety Sensitivity Inventory), and thirty minutes of interview. Finally, two participants were selected as their anxiety experiences need curative interference. Selected participants Ivy and Sooae were provided with individual counseling, each consisting of two sessions of curative interview, ten sessions of counseling including RIM, and one interview asked by another researcher one month after the counseling is closed. A session of interview and counseling took average 1.30 to 2 hours. The interview by another researcher was given for 20 minutes. With the participants' consent, data was collected from 14th February 2014 to 24th May 2014. The data included field , recordings, and counseling journal. Afterward, supplementary data for participants' confirmation and amendment was collected until 25th August 2016. Listening and responding to the participants who want their anxiety to be eased, the researcher applied the meditation technique of the RIM. The result of narrative study about their healing experience was restructured as four categories: technical, descriptive, curative, and alternative narratives. The technical narrative provided the big picture of the life with intense, generalized anxiety by narrating accumulated wounds and stories of anxiety. The descriptive narrative commanded multilateral views of the causes of the anxiety, classifying them into developmental context, characteristic context, and social context. In addition, the researcher inquired into Ivy and Sooae's characteristic anxiety-causing mechanisms in their detailed life stories, identifying characteristics of anxiety related to Generalized Anxiety Disorder(GAD) based on DSM-5. The curative and alternative narrative described their positive changes occurred during ten sessions of the Reflected Image Meditation(RIM) and those changes and practices maintained for one month after the counseling ended. The curative process through the RIM for both patients was put in order as five steps: forming a curative relationship, reflecting the images, facing, making up a new story of acceptance and insight, and positive changes in behaviors. Ivy and Sooae, who have hidden their anxious stories from others for a long time, unveiled their experiences to the researcher who showed active sympathy and support. They repeated to reflect images of unsettled problems, overcoming avoidance responses that they have habitually repeated when experiencing intense anxiety. They faced the moment of awareness and insight through objective observation. Ivy looked at the external sense-data, eliminating her obsessive thoughts through the RIM. She experienced the scope of her thinking expanded, being free from her past and feeling comfortable. She gained an insight into her process of thinking that catastrophizing was the cause her anxiety was maintained and repeated. Sooae had a healing time, expressing and abreacting her internal desires pent up from the childhood, by actively facing traumatic incidents between her and her father. In spite of having to feel anxiety and fear, she was willing to go through the RIM. During the process, she improved the power of acceptance, and gained an insight into that her vision was fixed to that of little Sooae in exceeding fear, which was the reason why her fear and anxiety maintained in many different situations. The participants worked together with the researcher to make positive changes in their behaviors, facing their old anxiety and wounds and understanding themselves better. They turned their overly limited narratives into new narratives of courage and hope. To catch changes in anxiety symptoms of the participants, the process was divided into three stages: Stage A for three sessions of interview before applying the RIM, as baseline; Stage B for ten sessions of counseling to apply the RIM as a main curative strategy, as treatment; and Stage A for four sessions of follow-up after the RIM is pulled down and counselling is closed. During the process, changes in results of the checklist for each symptom of Generalized Anxiety, BAI, and ASI. According to the time series analysis by the ABA design, the distinct decrease in anxiety was confirmed. Results of the pretest and the posttest through the PAI (Personality Assessment Inventory) displayed positives changes such as decrease in depression and suicidal ideation. In conclusion, the experiental therapy of the Reflected Image Meditation(RIM) contributed for the two married women with Generalized Anxiety to ease symptoms of anxiety, have positive changes, and make up meaningful narratives. Since there is little narrative studies to actively apply and organize the RIM, which is a prominent insight meditation, this study will be able to be a significant research source for the field of counseling to be helpful in understanding patients with heartache due to intense, chronic anxiety and finding practical methods to interfere.

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