Korean Journal of Psychology : General

끉臾 寃깋

Korean Journal of Psychology : General - Vol. 37 , No. 4

[ Review Article ]
THE KOREAN JOURNAL OF PSYCHOLOGY : GENERAL - Vol. 37, No. 4, pp.471-502
ISSN: 1229-067X (Print)
Print publication date 25 Dec 2018
Received 22 Jul 2018 Revised 27 Aug 2018 Accepted 11 Oct 2018
DOI: https://doi.org/10.22257/kjp.2018.12.37.4.471

안전기반치료(Seeking Safety)의 한국 적용방안에 대한 제언: 개관연구
이은아
경일대학교 심리치료학과

Application of Seeking Safety to Trauma and Addiction Counseling in Korea
Eun A Lee
Kyungil University
Correspondence to : 이은아, 경일대학교 심리치료학과, 경상북도 경산시 하양읍 경일대학교 교수연구동(3동) 204호 Tel: 053-600-5702, E-mail: euna@snu.ac.kr


초록

안전기반치료(Seeking Safety)는 트라우마와 중독의 공존병리에 유일하게 효과적인 경험적 근거기반(strong evidence based treatments)을 가진 PTSD치료법이다. 국내에서 주로 활용하고 있는 기존의 트라우마치료기법들과는 다르게, 안전기반치료는 트라우마치유의 3단계 중, 안전단계에 집중하고 과거 트라우마사건의 노출을 지양하는 현재중심기법이다. 또한 안전기반치료는 인지행동주의에 기반을 둔 정교한 치료자용 매뉴얼과 방대한 내담자용 활동지를 제공하며 치료자의 자격요건에 큰 제약을 두지 않으며 고가의 장기적 훈련비용이 들어가지 않는다는 점에서, 트라우마치유가 낯선 상담가나 다양한 학제배경과 전문가발달단계에 위치한 조력전문가들(helping professionals)이 적시성과 즉시성의 장점을 가지고 현장에서 활용할 수 있는 기법이다. 또한 안전기반치료의 장점은 외상사건이나 중독의 유형, 증상의 심각도에 제한받지 않고 활용가능하다는 점이다. 본 연구는 국내에 처음으로 안전기반치료를 소개하였다는 측면에서 그 의의를 가진다. 실제 트라우마 현장에서 바로 적용할 수 있도록 적용가능방안도 함께 제시하여 안전기반치료에 대한 관심을 고취하고자 한다.

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

Acknowledgments

이 논문은 2016년 한국상담학회 연차학술대회 포스터 발표와 2017년 ICER(International Conference on Education Research) 포스터 발표된 내용을 기반으로 작성한 원고임.


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