인지행동치료의 제 3 동향 = The Third Wave of Cognitive-Behavioral Therapy

다국어 초록 (Multilingual Abstract)

Recently, a third wave of cognitive-behavioral therapies has emerged, emphasizing acceptance of private experiences. This approaches focus on changing individual's relationship to the thoughts and feelings, rather than attempting to modify their content. The change of the context is focused, that is acceptance of private experiences. For the acceptance of private experiences, the principle of Oriental mindfulness is usually applied. Acceptance involves an active process of thinking thoughts as thoughts, feeling feelings as feelings, the shift in cognitive set known as decentering, and allows choices and committed action. The purpose of this study is to review and introduce the new wave. In this article, the background and current development of the third wave of cognitive-behavioral therapies are explored. And the foundation of the theory, therapeutic techniques and outcomes of empirical studies of Acceptance-Commitment Therapy, one of the primary exemples of this third wave, is reviewed. Finally, the implications of this evolutionary wave and the necessity of further research, program development, and application in Korea is discussed.

국문 초록 (Abstract)

근래 인지행동치료의 전통 내에서 심리적 수용에 역점을 두는 치료법들이 출현하면서 제 3의 흐름을 형성하고 있다. 이 접근들에서는 생각이나 감정과 같은 사적 경험(private experience)의 내용을 바꾸기보다 그에 대한 관계를 변화시키는 데에 역점을 둔다. 즉, 경험의 수용이라는 맥락의 변화를 강조하는데, 이를 위해 동양심리학의 알아차림(mindfulness) 원리를 흔히 활용한다. 심리적 수용의 촉진을 통해 생각을 생각으로, 감정을 감정으로 자각하여 탈중심화(decentering) 되고 선택한 행동에 전념하도록 돕는다. 본 연구의 목적은 인지행동치료 내의 새로운 흐름을 고찰하고 개관하는 것이다. 본고에서는 인지행동치료의 제 3 동향이 출현하게 된 배경과 전개 과정을 검토하고, 그 중심부에서 활발히 발전하고 있는 수용-전념치료(Acceptance-Commitment Therapy)의 이론적 기초와 치료기법 및 경험연구 결과들을 살펴보았다. 끝으로, 인지행동치료의 새로운 흐름이 지니는 시사점과 국내에서 연구개발 되고 활용될 필요성에 대하여 논의하였다.

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