속성경험적 역동심리치료(AEDP) 단일사례 연구: 상담 첫회기에 나타난 내담자 상태변화를 중심으로 = Accelerated Experiential Dynamic Psychotherapy (AEDP) Single Case Study: Focusing on Changes in the Client's Condition during the First Counseling Session

국문 초록 (Abstract)

본 연구는 극심한 우울감과 무기력을 호소하는 대학생 내담자를 AEDP 원리를 적용하여 상담한 첫 회기에서 내담자 변화 경험을 탐색하였다. 의도적 표본추출에 따른 단일사례 연구 방법을 적용하여 AEDP 치료 과정의 현상을 가장 잘 나타낸다고 생각되는 사례를 선정하였고, Fosha(2021)가 제시한 ‘AEDP 4가지 상태 변형 과정의 현상학’을 적용했을 때, 내담자 변화 경험이 어떻게 나타나고 있는지 분석하였다. 연구 결과 AEDP 4가지 각 상태에 해당하는 뚜렷한 내담자 변화 경험이 나타났다. 구체적 내용을 살펴보면 상태 1은 ‘과거에서 나오고 싶음’으로 내담자는 마음의 짐을 덜고 싶음, 앞으로 나가고 싶음, 상담자가 함께하고 있음을 경험하였다. 상태 2는 ‘붉은색 뜨거운 분노’로 가슴 통증, 오열, 감정이 압도됨, 가슴속의 뜨겁고 답답한 붉은색 분노, 가해자를 죽이고 싶은 강력한 분노, 후련함의 경험을 나타냈다. 상태 3은 ‘자기 애도와 커진 나’로 내담자는 자기연민과 감정적 아픔, 조금 더 커진 나, 머리에서의 냉정하고 이성적인 힘, 가해자에 대한 턱 걸리는 느낌이 해소됨, 가벼워짐의 경험을 보고했다. 마지막 상태 4는 ‘넓은 들판의 시원함과 따듯하게 감싸짐’으로 내담자는 가슴속의 초록색 넓은 들판, 개운하고 시원함, 상담자와의 관계로 든든함, 따듯하게 감싸짐의 경험을 보고했다. 본 연구의 의의는 AEDP 기반 상담의 첫 회기에 나타난 내담자 경험에 대한 구술을 통해 내담자 상태 변화 현상을 확인하고 의미를 해석함으로써 AEDP 치료 원리에 대한 이해와 적용 가능성을 넓힌 데 있다.

다국어 초록 (Multilingual Abstract)

This study explored the client's experience of change during a counseling session applying AEDP principles to a college student who complained of extreme depression and helplessness. By applying a single case study method based on purposive sampling, Researchers selected cases that were thought to best represent the phenomenon of the AEDP treatment stage, and 'phenomena of the AEDP 4-stage state transformation process' according to the treatment stage presented by Yeung(2022). When applied, we analyzed how the client's experience of change appeared. The results of the study revealed distinct client change experiences corresponding to each state transformation process in the AEDP treatment phase. Looking at the specific details, state 1 is ‘wanting to come out of the past’, and the client experienced that he wanted to relieve the burden on his mind, that she wanted to move forward, and that the counselor was with her. State 2 was ‘red hot anger’, which showed chest pain, sobbing, feeling overwhelmed, hot and stuffy red anger in the chest, strong anger that made one want to kill the assailant, and an experience of relief. State 3 was ‘self-mourning and a bigger me’, and the client reported the experience of self-pity and emotional pain, a slightly bigger me, cool and rational strength in the head, the feeling of being held captive by the offender was resolved, and feeling lighter. The final state 4 was ‘the coolness of a wide field and being warmly enveloped,’ and the client reported the experience of a large green field in the heart, refreshing and cool, feeling reassured by the relationship with the counselor, and being warmly enveloped. The significance of this study is to expand the understanding and applicability of AEDP treatment principles by confirming the phenomenon of changes in the client's condition and interpreting the meaning through oral statements about the client's experience during AEDP-based counseling sessions.

참고문헌 (Reference)

• 1 Fosha, D., "속성경험적역동심리치료 AEDP" 학지사 2022
• 2 김수진 ; 채수은, "사이코드라마를 통한 불안정애착 유형 대학생들의 변화경험" 19 (19): 15-32, 2016
• 3 라수현 ; 김창대, "교정적 관계 경험 사례연구 : 우울하고 적대-순종 유형인 내담자의 상담자에 대한 경험과 대인관계 변화에 대한 인식" 7 (7): 1-30, 2022
• 4 Schore, A. N., "감정의 치유력" 눈출판그룹 135-166, 2013
• 5 Pilieiro, S., "Working with trauma in accelerated experiential dynamic psychotherapy. Specific Treatment for Specific Populations Video Series #4310019" American Psychological Association 2020
• 6 Medley, B., "Undoing aloneness &the transformation of suffering into flourishing: AEDP 2.0" American Psychological Association 217-240, 2021
• 7 Fosha, D., "Undoing aloneness & the transformation of suffering into flourishing: AEDP 2.0" American Psychological Association 416-417, 2021
• 8 Fosha, D., "Transforming emotional suffering into flourishing : Metatherapeutic processing of positive affect as a trans-theoretical vehicle for change" 32 : 563-572, 2019
• 9 Fosha, D., "The transforming power of affect : A model for accelerated change" Basic Books 2000
• 10 Markin, R. D., "The process of change in accelerated experiential dynamic psychotherapy(AEDP) : A case study analysis" 28 (28): 213-232, 2018
• 11 Gonzalez, N. V., "The merits of integrating accelerated experiential dynamic psychotherapy and cultural competence strategies in the treatment of relational trauma: The Case of “Rosa,”" 더퀘스트 14 : 1-57, 2018
• 12 Stake, R. E., "The art of case study research" sage 1995
• 13 Iwakabe, S., "The Effectiveness of Accelerated Experiential Dynamic Psychotherapy(AEDP)in Private Practice Settings : A Transdiagnostic Study Conducted Within the Context of a Practice-Research Network" 15 (15): 260-275, 2020
• 14 Fried, M., "Textbook of psychoanalysis" American Psychiatric Publishing, Inc 2012
• 15 Prenn, N. C., "Supervision essentials for accelerated experiential dynamic psychotherapy" American Psychological Association 2017
• 16 Russell, E., "Restoring Resilience : Discovering Your Clients' Capacity for Healing" W. W. Norton 2015
• 17 Fosha, D., "Metatherapeutic processing supports the emergence of flourishing in psychotherapy"
• 18 Iwakabe, S., "Introduction to Special Issue" 11 : 2023
• 19 Johansson, R., "Internet-based affect-focused psychodynamic therapy for social anxiety disorder : A randomized controlled trial with 2-year follow-up" 54 : 351-360, 2017
• 20 Fosha, D., "How to be a transformational therapist: AEDP harnesses innate healing affects to re-wire experience and accelerate transformation" 204-219, 2017
• 21 Fosha, D., "Healing trauma: Attachment, mind, body, and brain" Norton 221-281, 2003
• 22 Kellerman, P. F., "Focus On Psychodrama : The Therapeutic Aspects of Psychodrama" Jessica Kingsley 1992
• 23 Stober, D. R., "Evidence Based Coaching Handbook: Putting Best Practices to Work for Your Clients" John Wiley & Sons 355-366, 2006
• 24 Fosha, D., "Emotion in psychotherapy: Affect, cognition, and the process of change" Guilford Press 282-306, 1997
• 25 Fosha, D., "Emotion and recognition at work : Energy, vitality, pleasure, truth, desire & the emergent phenomenology of transformational experience" 2 : 28-51, 2013
• 26 Fosha, D., "Comprehensive handbook of psychotherapy: Psychodynamic/object relations(Vol. 1)" John Wiley & Sons, Inc 309-343, 2002
• 27 Kipper, D., "Classical and contemporary psychodrama: a multifaceted, action oriented psychotherapy" 50 : 99-107, 1997
• 28 Yin, R. K., "Case study research: Design and methods" Sage Publications 2009
• 29 Elliott, R., "Bergin &Garfield‘s Handbook of psychotherapy and behavior change" Wiley 495-538, 2013
• 30 Ronen-Setter, I. H., "Becoming"Teletherapeutic" : Harnessing Accelerated Experiential Dynamic Psychotherapy(AEDP)for Challenges of the Covid-19 Era" 50 : 265-273, 2020
• 31 Idit H, R., "Becoming"Teletherapeutic" : Harnessing Accelerated Experiential" 50 : 265-273, 2020
• 32 Yeung, D, "Awakening the Power of Transformance. L1 Immersion Course" Trademark of AEDP institute 2022
• 33 Johansson, R., "Affect-focused psychodynamic psychotherapy for depression and anxiety through the Internet: A ran-domized controlled trial" 1 : e102-, 2013
• 34 Kranz, K., "AEDP 2.0: Undoing aloneness & the transformation ofsuffering into flourishing" APA Books 53-79, 2021