영상관법이 공황장애의 증상 감소에 미친 효과: 단일사례 연구를 중심으로

The Effects of Reflected Image Meditation on the Reduction of Symptoms of Panic Disorder: With a Single Case Study

Purpose: This study is to investigate the effects of RIM influencing symptom reduction of panic disorder, and to explore whether the effects stand up or not after finishing the therapy. Methods: This study combined single case-study and qualitative case-study, while conducting 4 sessions for interview, 13 sessions for counselling, 4 months for follow-up once a week. On collection and analysis of materials, the baseline and criterion scales were measured to conduct time series analysis, and the quotations, meditation worksheet, and other materials collected through sessions were analysed by qualitative analysis to investigate interrelationship between the mental events and the physical symptoms. Results: The main symptoms were panic attack, preliminary anxiety, catastrophic thoughts, physical symptoms and hypochondria, the causes of symptoms were revealed such as personal characteristics, communication problems, environmental problems, the traumatic event experienced in childhood and the dysfunctional child-rearing attitudes of parents. The factors of changes were confirmed such as the increase of mindful sight by RIM, the active practices, and therapeutic relation. Conclusion: RIM was effective in symptom reduction of the participant and was a kind of meditation practice keeping the effects going. This study has the meaning in the way that it proved RIM helped the participant understand the relation between mental events and physical symptoms, diminish symptoms and maintain healthy life, through realizing, staying with and observing repetitively arising experiences in everyday life. In addition, this study could be used as reference to understand deeply the clients like this participant in the clinical settings.