人形劇의 治療的 利用에 관한 豫備的 硏究

Therapeutic Trial of the Marionnettes in Remitted Schizophrenics

Marionnettees is a mode of occupational therapy now performed in many psychiatric institutions in Europe. Marionnettees therapy was introduced to six schizophrenic inpatient from Feb.-7， 1980 to March-27, 1980 for 25 sessions at the department of Neuropsychiatry in Seoul National University Hospital as a part of their rehabilitation program. This is the first trial of Marionnettees therapy in Korea according to out literatural review. The five of the six patients showed increased spontaneity and improved interpersonal relationship as the treatment progressed. However, one patient who was still in overt psychotic stage demonstrated an aggravation of anxiety and delusional symptoms. It appears that catharsis through emotional expression reintegration of the unconscious material through group process, increased group cohesiveness are psychotherapeutic components of the marionnettees therapy and provocation of unconscious process has negative effect, and the authors feel that cautious selection of patients is necessary to prevent this unwanted result. Conclusively, the marionnettees therapy is a kind of effective group therapy that has combined elements of art therapy, occupational therapy and roleplaying, and it can be utilized as a treatment for many chronically instituted psychotic patients, particularly in remitted stage or in recovery phase for their rehabilitation.