난화상호이야기법을 활용한 부모 갈등으로인한 틱장애 아동의 치료 사례

The case study of tic disorder with child under parental conflicts by using the mutual scribble story making

난화상호이야기법이 부부 갈등으로 인한 틱장애 아동의 틱반응과 짜증행동에 미치는 영향을 알아보고자 한 사례 연구이다. 본 사례 연구의 대상은 틱장애로 진단을 받은 초등학교 2학년 여아로, 빈도법을 사용하여 매회기마다 틱반응 횟수를 측정하였으며, 짜증행동은 부모 관찰 보고를 통해 측정하였다. 난화상호이야기법이 아동의 틱반응과 짜증행동에 미친 영향은 다음과 같다.첫째, 난화상호이야기법의 실시가 아동의 틱반응 소거에 긍정적 영향을 미쳤다. 둘째, 난화상호이야기법의 실시가 아동의 짜증행동의 감소에 긍정적 영향을 미친 것으로 나타났다. 따라서 본 연구의 난화상호이야기법은 틱장애 아동의 틱반응과 짜증행동에 효과적인 것으로 나타났다.

The purpose of this case study was to examine the effect of the mutual scribble story making on the tic disorder with child by parental conflict. There were 16 sessions and each sessions lasted approximately 45minutes. The child was 9-year-old and second year of the elementary school. That treatment consisted of the mutual scribble story making. Drawing the kinetic house-tree-person and the kinetic family drawing were used for pre-post test. And tic reflection of subject was described in each session by using tic reflection frequency method and the petulance behavior was examined by the observant report of parent. The findings of this study were as follows: First, the mutual scribble story making contributed to eliminate tic disorder from subject.Second, the mutual scribble story making brought a positive effect on the decrease in petulance behavior.Therefore, this case study is found that the mutual scribble story making is effective in tic reflection and petulance behavior.