아스퍼거장애 유아의 집단놀이치료 프로그램 사례연구

A case study on group theraplay for Asperger's disorder children

본 연구는 아스퍼거장애로 진단받은 6세 남아들에게 정서활성화에 중점을 둔 집단놀이치료프로그램을 적용한 후 아동의 변화를 살펴본 사례연구이다. 연구대상 아동들에게 주 1회, 16회기 동안 정서활성화에 중점을 둔 집단놀이치료를 실시하였고, 부모집단 상담이 4회 병행되었다. 회기 내 구성은 운동성과 감각활동, 음률성에 중점을 두고 구조화된 이완활동(10분)과 아동특성에 맞춘 구조화된 주의집중활동(10분)으로 착석하기, 출석부르기, 시간과 장소알기, 그리고 정서활성화에 중점을 둔 역할․게임․신체․표현놀이로 구성된 본 활동(30분)과 종료활동(10분)으로 매회기 60분간 진행하였다. 연구결과 첫째, 정서인지가 향상되었으며 특히 자기인식과 타인인식, 표현에서의 향상이 두드러졌다. 둘째, 또래와의 대화가 많아졌고 주변인들과 함께하고자 하는 시간이 많아졌으며 사회성이 증가되었다. 셋째, 인지가 향상되었으며 주의집중력과 이해의 폭에서 가장 많은 향상을 보였다.

This is a case study to investigate the change of children with group theraplay program. For the study, group theraplay program was applied focusing on emotional vitality for 6 year-old boys who had Asperger's disorder. The children participated in group theraplay once a week, total 16 times. At the same time, parents' group counselling was conducted 4 times. The construction of program consisted of relaxation activities(10 min.), attention activities(10 min.), the main activities(30 min.) and ending activities(10 min.). First, relaxation activities were organized focusing on movement, sensory activity and rhythm. Second, attention activities were constructed conforming to children's characters. The main activities were made up of taking a seat, calling the names, recognizing time and place and role․game․body․expression focused on emotional vitality. Therefore total 60 min. was spent for the program including ending activities. First, the result showed that emotional recognition was improved, and especially, they significantly improved in self-recognition, person recognition and expressing. Second, conversation with other children increased and they spent more time with people around them. Additionally, sociality was raised. Third, recognition was improved and especially, there was considerable improvement in attention ability and understanding.