7 research outputs found
λ°±μμ κ΅κ·Όμ 보ν΄λ¦¬λ λ μ A μ£Όμ¬ μ λ¨κΈ° λ° μ₯κΈ°κ°μ μν₯: λ©΄μμ‘°μ§νμ λ° μ΄λ―ΈμΈκ΅¬μ‘° μ°κ΅¬
νμλ
Όλ¬Έ (λ°μ¬)-- μμΈλνκ΅ λνμ : μΉμκ³Όνκ³Ό, 2016. 8. κΉνμ°.Introduction: In the head and neck area of human, botulinum toxin A (BTX) injections into the masticatory muscle are used for several indications such as trismus, bruxism, clenching, migraine, temporomandibular joint disorders or masseter hypertrophy. For more evidence-based applications of BTX injection into the masseter muscle, well-designed randomized clinical trials and basic studies about the responses and the recovery of muscle tissues for a long time after BTX injection are more needed. The purpose of this animal model study was to investigate the atrophy and recovery of masseter muscle following bilateral BTX injection using two different dose of BTX in the short and long term.
Materials and Methods: Mature male rats (n=30) were randomized into 3 groups. Rats of each group received saline (control group), 5 units of BTX (5 U BTX group) or 10 units of BTX (10 U BTX group) into the each masseter muscle bilaterally. The amount of daily food intake and body weight was measured until 12 weeks after the injection. The thickness of the masseter muscle was also measured using ultrasonography weekly. A half of animals were sacrificed at 2 weeks after the injection. The other animals were sacrificed at 12 weeks after injection. Specimens of the injected masseter muscle were processed for immunohistochemical determination of myosin heavy chain (MyHC) composition and ultrastructural analysis.
Results: There was no statistically significant difference among groups in the body weight and the amount of food consumption after 2 weeks. The maximal atrophy of masseter muscle after BTX injection was found at 6 weeks. A longer time than 12 weeks was required for BTX injected masseter muscle to recover completely. There was no significant difference in muscle thickness according to the injected dose of BTX. The expression level of MyHC type I and type IIa in the BTX treated masseter muscles was significantly increased at 2 weeks. However, the expression level of MyHC type I and type IIa was not different from that of the control group after 12 weeks regardless of the injected dose of BTX. Abnormalities of myofilaments were observed in both BTX treatment groups at 12 weeks. The mitochondrial swelling and alteration of cristae were prominent in the 10 U BTX group after 12 weeks.
Conclusions: BTX injection led to changes in the MyHC composition in the short term, but the MyHC composition was almost recovered after 12 weeks. BTX injection to the masseter muscle of rats with a high dosage might be associated with increased mitochondrial susceptibility to apoptosis as a delayed phenomenon.I. Introduction 1
II. Review of Literature 3
III. Materials and Methods 11
IV. Results 15
V. Discussion 19
VI. Conclusions 25
References 26
Figure 33
Table 44
κ΅λ¬Έ μ΄λ‘ 50Docto
Predictors of long-term stability in the early treatment of class III malocclusion
Thesis (master`s)--μμΈλνκ΅ λνμ :μΉμνκ³Ό μΉκ³Όκ΅μ νμ 곡,2004.Maste
A Biographical Study on Secondary Health Conditions of People with Disabilities
νμλ
Όλ¬Έ(λ°μ¬) -- μμΈλνκ΅λνμ : μ¬νκ³Όνλν μ¬ν볡μ§νκ³Ό, 2023. 2. κΉνλ.2017λ
γμ₯μ μΈ κ±΄κ°κΆ λ° μλ£ μ κ·Όμ± λ³΄μ₯μ κ΄ν λ²λ₯ γμ μν μ΄ν μ₯μ μΈμ 건κ°μ¦μ§μ κ°λ₯νκ² νλ μ λμ μλΉμ€κ° 본격μ μΌλ‘ ꡬμ±λκ³ μλ μν©μμ, λ³Έ μ°κ΅¬λ μ₯μ μΈμ΄ μ₯μ λ‘ μΈν΄ κ°μ§κ² λλ 건κ°μνμΈ μ΄μ°¨μ 건κ°μν κ²½νμ νꡬνκ³ μ νλ€. μ΄μ°¨μ 건κ°μνμ κ΄ν λ¬Ένμ λΆμνμ¬, μ₯μ μ μ°κ΄μ±μ κ°μ§λ©°, μ₯μ μ λ°μ μ΄ν μκ°μ±μ κ°μ§κ³ λνλ 건κ°μνλ‘, μ₯μ μΈμ μν ꡬ체μ μΈ μλ£μ Β·μ¬νμ κ°μ
μΌλ‘ μλ°©κ°λ₯ν μνλ‘ μ΄μ°¨μ 건κ°μνλ₯Ό μ μνμλ€. μ΄μ°¨μ 건κ°μνμ μ μκ° μ₯μ μμ μ°κ΄μ± λ° μκ°μ±μ μ€μ¬μΌλ‘ ꡬμ±λμ΄ μμμλ, μ΄μ°¨μ 건κ°μνλ₯Ό λ€λ£¬ μ νμ°κ΅¬λ€μ μ΄μ°¨μ 건κ°μνμ νλκ³Ό λμ²μ μμ΄ μ₯μ κ²½νκ³Όμ μ°κ΄μ±, κ°μΈμ μκ° λ° μμ¬μ μκ°μ λ³νμ μν₯μ μ£Όλͺ©νμ§ μμλ€. λ³Έ μ°κ΅¬λ μ΄λ¬ν νκ³λ₯Ό 보μνκΈ° μν΄ μμ κ³Όμ μ κ·Όμ μ μ©νμ¬, νκ΅ μ¬νμ μ λμ λ§₯λ½κ³Ό κ·Έ μκΈ°κ° μ₯μ μΈμ κ±΄κ° κ²½νκ³Ό κ΅μ°¨νλ μ§μ μ μ΄ν΄λ³΄κ³ μ νμλ€. λν μ λμ νλλ‘ μΈν λ³νκ° μ₯μ μΈμ΄ 건κ°μ λλ³΄κ² νλ μμμΌλ‘ μμ κ³Όμ λ΄μμ μ΄λ»κ² μΆμ λμλμ§, μ₯μ μΈμ μμ μ¬μμ μ΄λ»κ² μ₯κΈ°μ μ΄κ³ λμ μ μΈ μν₯λ ₯μ λ°ννλμ§λ₯Ό μνμ²΄κ³ κ΄μ μ λ μ¦λ‘ λ€μν μ°¨μμμ νꡬνκ³ μ νμλ€.
μ΄λ₯Ό νꡬνκΈ° μν΄ μ§μ μ°κ΅¬λ°©λ² μ€ μ΄μΌκΈ°λ μμ μ¬μ 체νλ μμ μ¬λ₯Ό ꡬλΆν΄ κ·Έ μ°¨μ΄λ₯Ό ν΅ν΄ μΆμ μ€μ¬μ±μ κ·λͺ
νλ λ΄λ¬ν°λΈ-μμ μ¬ λ°©λ²λ‘ μ μ μ©νμ¬ λΆμμ μ§ννλ€. μ΄μ°¨μ 건κ°μνμ μ μλ₯Ό λ§μ‘±νλ 건κ°μνλ₯Ό κ°μ§ 30μΈ μ΄μ 55μΈ λ―Έλ§μ μ₯μ μΈ 20λͺ
μ λνμ¬ μμ μ¬ μΈν°λ·°λ₯Ό μ§ννμμΌλ©°, κ·Έ μ€ μμ μ¬λ₯Ό λ΄λ¬ν°λΈλ‘ ꡬμ±νλ κ²μ λ₯μνλ©°, μμ μ¬μ μ λ λ³νμ κ΅μ°¨λ₯Ό λͺ
ννκ² λ³΄μ¬μ£Όλ μ°Έμ¬μ 10μΈμ μ¬μ μ νμ¬ μμ μ¬ μ¬κ΅¬μ±μ μ§ννμλ€. μ΄μ΄μ μ΄μ°¨μ 건κ°μν νλκ³Ό λμ²μ μν₯μ μ£Όλ μ¬ν 체κ³μ , κ΄κ³μ , μ λμ μν₯ μμΈμ λΆμνμλ€. μ°κ΅¬ λ¬Έμ μ λ°λΌ λμΆλ μ°κ΅¬μ κ²°κ³Όλ λ€μκ³Ό κ°λ€.
첫째, μ₯μ μΈμ μμ μ¬ λ΄λ¬ν°λΈλ₯Ό ν΅ν΄ μ¬κ΅¬μ±λ μ΄μ°¨μ 건κ°μν κ²½νμ μ΄λ€ λͺ¨μ΅μΈκ°? μ°Έμ¬μλ€μ μ₯μ μ 건κ°μ λν μμ μ¬λ₯Ό μ₯μ μ°¨λ³, μ¬νμ λ°°μ , μ₯μ μ μ§λ³μ λν μ μκ³Ό μμ, λΆλͺ¨μμ κ΄κ³ λ± λ€μν μ£Όμ λ€λ‘ ꡬμ±νμκ³ , μμ μ μ΄μΌκΈ°μ μλ‘ λ€λ₯Έ μμ μ¬μ μλ―Έλ₯Ό λΆμ¬νλ λͺ¨μ΅μ 보μλ€. λν μ°Έμ¬μλ€μ μμ μ΄ μμΉν λ―Έμμ 체κ³λ‘λΆν°λ§ μν₯μ λ°λ κ²μ΄ μλλΌ λ²κ³Ό μ λμ κ±°μμ μΈ λ³νλ‘λΆν° μν₯μ λ°λ λͺ¨μ΅μ 보μλ€. νΉν 2000λ
λ μ΄ν μ₯μ μΈμ μ΄λ, λ
Έλ, λλ΄, κΆλ¦¬ 보μ₯ λ± λ€μν μμμμ μΌμ΄λ κ΄λ²μν μ λμ μΈ λ³νκ° μ₯μ μΈμ μΆκ³Ό 건κ°μ μΌμ ν μν₯λ ₯μ λ°ννμλ€.
λμ§Έ, μ₯μ μΈμ μ΄μ°¨μ 건κ°μν νλκ³Ό λμ²μ μν₯μ μ£Όλ μ¬ν 체κ³μ , κ΄κ³μ , μ λμ μμΈμ 무μμΈκ°? λ¨Όμ μ¬ν 체κ³μ μμΈμ μ΄ν΄λ³Έ κ²°κ³Ό νκ΅, λ
Έλμμ₯, μλ£κΈ°κ΄, μ§μμ¬ν λ± μ₯μ μΈμ΄ μμΉν μνμ²΄κ³ λ΄μμ λ€μν νκ²½μ μ₯λ²½λ€κ³Ό λ§λ₯λ¨λ Έλ€. μλ£κΈ°κ΄μμ κ²½ννλ 물리μ μ₯λ²½, μ₯μ μ λν μ λ¬Έμ±μ΄ λΆμ‘±ν μλ£μ§μ μΈμ, μ₯μ μΈμ΄ μ κ·Όν μ μλ μ§μμ¬ν 체μ‘μμ€κ³Ό μ λ¬Έκ°μ λΆμ¬κ° μ΄μ°¨μ 건κ°μνλ₯Ό μΉλ£νκ³ μλ°©νλ κ²μ μ§μ μ μΈ μ₯λ²½μ΄ λμλ€. λν 건κ°μνμ λ¨Ό μμ μμ κ²½νν μ₯λ²½λ€, μ컨λ νκ΅μ λ
Έλμμ₯ λ΄ νΈμμ§μμ λΆμ¬κ° μ₯κΈ°μ μ΄κ³ κ°μ μ μΌλ‘ μ₯μ μΈμ 건κ°μ μ
νμν€λ λͺ¨μ΅μ 보μλ€. λν μ°Έμ¬μλ€μ΄ λ§λ₯λ¨λ¦° μ₯λ²½μ μ§μ μ μΌλ‘ μ΄μ°¨μ 건κ°μν κ΄λ¦¬λ₯Ό μ΄λ ΅κ² λ§λ€λΏ μλλΌ, λΆμ μ μΈ μΆμ νλλ₯Ό λ§λ€μ΄λ΄κΈ°λ νλ€. μ₯μ λ₯Ό κ°μ§ νμκ³Ό λ
Έλμμκ² μ μ ν μ§μμ μ 곡νμ§ μλ νκ΅μ λ
Έλμμ₯μμ, μ΄λ €μμ΄ λ₯μ³€μ λ νΌμ μ΄κ²¨λ΄κ³ μ νλ λμ² μμμ λ°μ μν€λ λͺ¨μ΅μ 보μλ€. μ΄λ κ² μ²΄νλ νλλ 건κ°μνλΌλ μκ²½κ³Ό λ§λ₯λ¨λ Έμ λμλ μμ μ μ ν μ§μμ μμ²νκΈ°λ³΄λ€ νΌμ κ°λ΄νκ³ μ΄κ²¨λ΄κ³ μ νλ νλλ‘ μ΄μ΄μ Έ 건κ°μ μ
νλ₯Ό μ΄λνμλ€.
λν, κ΄κ³μ μμΈμ μ΄ν΄λ³Έ κ²°κ³Ό κ°μ‘±κ³Ό μ₯μ λ€νΈμν¬μ μν₯λ ₯μ νμΈνμλ€. κ°μ‘±μ μΌμ°¨μ μΌλ‘ μ₯μ μλμ μμ‘νκ³ κ±΄κ°μ λ보λ μ§μ μ μν μ ν λΏ μλλΌ, μ±μΈκΈ°κΉμ§ μ΄μ΄μ§λ κ±΄κ° νλμ μΆμ νκ² νλ ν λκ° λμλ€. κ°μ‘± λ΄μμ μμ μ μΈ λλ΄μ μ 곡λ°μ κ²½μ° μΆμ μ ν΅μ νκ³ κ΅¬μ±νλ νμ κ°μ§κ³ μ±μ₯νλ λͺ¨μ΅μ 보μλ€. κ·Έλ¬λ μμ μ μΈ λλ΄μ νμμ±μ΄ κΉ¨μ§κΈ° μ¬μ΄ κ΄κ³μκΈ°μ, λΆμμ ν λλ΄μ λ°μ λΆμ μ μΈ κ²½νλ€μ΄ λμ λ κ²½μ° μ±μΈκΈ°μ λ³μμ λ¬Έν±μ λκΈ° μ΄λ ΅κ² λ§λλ νλλ₯Ό λ§λ€μ΄λλ€. μ΄λ¦° μμ λΆν° 체νλ λΆμ μ μΈ κ±΄κ° νλλ₯Ό λ³νμν€λ κ³κΈ°κ° λλ κ²μ μ₯μ λ€νΈμν¬ λ± μλ‘μ΄ κ΄κ³ νΉμ μλ‘μ΄ μν κ³Όμ κ²°ν©μ ν΅ν΄μμλ€. μ₯μ λ€νΈμν¬μ κ²°ν©νλ©° κ±΄κ° μ 보μ μ§μ, μ₯μ λ₯Ό κ°μ§ μ 체λ₯Ό λ μλͺ¨νλ μΆμ μ§νλ₯Ό μ΅λνκ² λμλ€. λν μΆμμ λ§λ₯λ¨λ €μλ μ₯λ²½μ΄ μμ μ λ¬Έμ κ° μλλΌ μ¬νμ μΈ μ μ½μμ κΈ°μΈνλ€λ μλ‘μ΄ νλλ₯Ό μΈμνκ² νμλ€. μ΄λ₯Ό ν λλ‘ μΆμ 주체μμμ λ°μ μμΌ κ±΄κ°κ΄λ¦¬μ μ£Όμ²΄λ‘ λ³νν΄ λκ°λ λͺ¨μ΅μ 보μλ€.
λ§μ§λ§μΌλ‘, μ λμ μμΈ, νΉν 2000λ
λ μ΄ν μ₯μ μΈμ μΆμ λλ¬μΌ λ€μν μμμμμ μ λ λ³νμ μν₯λ ₯μ νμΈνμλ€. λ¨Όμ 건κ°κ³Ό μ§μ μ κ΄λ ¨μ κ°μ§ μμλΏ μλλΌ, λ
Έλ, λλ΄, μ΄λ, κΆλ¦¬λ³΄μ₯ λ± λ€μν μμμ λ²μ μ μν₯μ λ°μλ€. μ₯μ κ΄λ ¨ λ²κ³Ό μ λμ νλκ° μ₯μ μΈμ μΆμ λ λ§μ μ νμ§μ μμ λ₯Ό λΆμ¬νμ¬, μ₯μ μΈμ΄ μ΄μ°¨μ 건κ°μνλ₯Ό ν¬ν¨νμ¬ μΆμ μ΄λ €μμ λμ²ν μ μλ μ μ¬μ μμλ€κ³Ό κ²°ν©ν μ μκ² νμλ€. κ·Έλ¬λ μ°Έμ¬μλ€μ΄ μ΄μ°¨μ 건κ°μν μ΄ν μΆμ ν볡ν μ μμλ κ²μ νλμ λ²λ₯ , νλμ μλΉμ€ μ μ μΌλ‘ κ°λ₯νλ κ²μ΄ μλμλ€. μΌλ ¨μ λ²κ³Ό μ λκ° μ λΉλ¨μ λ°λΌ μ΄λ, λλ΄, κ΅μ‘, κ³ μ© λ± μΆμ λ€μν μμμμ μμ¨μ±μ 보μ₯ λ°μ μ μλ μμλ€μ΄ μ¦κ°νμλ κ²μ΄λ€. μ΄λ‘ μΈν΄ μ 체μ μ μ½μ΄ μ»€μ§ μν©μμλ μΆμ λͺ¨μ΅μ μ μ§νκ³ , μμ μ΄ μ νν μΌμμ μ΄μκ°κ³ , κΆλ¦¬λ₯Ό μΉ¨ν΄λΉν κ²½μ° λ³νλ₯Ό μ΄κ΅¬ν μ μλ μΆμ μμ λ§μ κ°μ§κ² λμλ€. μ₯μ λ²κ³Ό μ λμ μ립과 κ°μ μ΄λΌλ λ³νλ μ΄μ°¨μ 건κ°μνμ λμ²νλ μμμ νλνκΈ°λ νμμ§λ§, μλ‘μ΄ ννμ μνμΌλ‘ μ΄μ΄μ§κΈ°λ νμλ€. μ₯μ μΈ λ
Έλμμ₯ μ°Έμ¬λ₯Ό μ¦μ§νλ λ²κ³Ό μ λμ μ λΉλ μ₯μ μΈμ΄ λ
Έλμμ₯ λ΄μμ μ§μ μ μΌλ‘ 건κ°μ μλͺ¨νκ² νλ μ₯λ²½λ€μ μ κ±°νμ§λ§, μ°¨λ³μ κΈ°μ κ° λ―Έμμ μΌλ‘ λ³ννλ©° μ₯μ μΈμ΄ λ
Έλμμ₯ λ΄μμ μ€μ€λ‘ μμ μ μλμ μ¦λͺ
ν΄μΌ νλ€λ μλ°μ κ°νμμΌ°λ€. μ₯μ μΈ νλμ§μμλΉμ€μ μ μ κ³Ό νμμ€ν λ±μ λ³νλ μ₯μ μΈμ΄ 건κ°κ΄λ¦¬μ μ£Όμ²΄λ‘ λ³ννκ² νμμ§λ§, λμμ μ§μμ¬νμμ μλ‘μ΄ κ±΄κ°μ μνλ€κ³Ό λ§λ₯λ¨λ¦¬κ² νμλ€.
λ³Έ μ°κ΅¬λ μ₯μ μΈμ μμ μ¬λ₯Ό ν λλ‘ μ΄μ°¨μ 건κ°μνλ₯Ό νꡬνλ©°, μ₯μ κ° μμκ³Ό νκ²½κ³Όμ μνΈμμ© μμμ ꡬμ±λλ κ²μ΄λ―, μ΄μ°¨μ 건κ°μν μμ μ₯μ λ₯Ό λλ¬μΌ νκ²½κ³Όμ μνΈμμ© μμμ ꡬμ±λ μνλΌλ μ¬μ€μ λλ¬λλ€. μ₯μ μΈμ μΆμμ μ₯μ λ₯Ό μκ±°ν μλ μμ§λ§, μ¬νμ λ
Έλ ₯μΌλ‘ μ₯λ²½μ΄ μλ νκ²½μ ꡬμ±νλ κ²μ κ°λ₯νκΈ°μ μ΄μ°¨μ 건κ°μνλ μλ°©κ°λ₯ν μνλ‘ μ μλ μ μλ κ²μ΄λ€.
μ°κ΅¬κ²°κ³Όλ₯Ό ν λλ‘ νμ¬ μ€μ²κ³Ό μ μ±
μμμ μ μΈμ λ€μκ³Ό κ°μ΄ μ μνμλ€. 첫째, μ₯μ μΈμ 건κ°μ¦μ§μ μνμ¬ λ€μ°¨μμ μΈ μ¬νμ λ
Έλ ₯μ μ΄κ΅¬ν΄μΌ νλ©°, μ₯μ μΈμ 건κ°μ 근거리μμ κ΄μ°°νκ³ μ μμ μ μ ν μΉλ£λ₯Ό κΆμ νλ μ₯μ μΈμ£ΌμΉμμ λκ° μ€ν¨μ± μκ² κ°μ λμ΄μΌ νλ€. λμ§Έ, μμ μ£ΌκΈ°λ³λ‘ μ₯μ μΈμ΄ λ§λ₯λ¨λ¦¬λ 건κ°κ΄λ¦¬μ μ₯λ²½μ΄ λ€λ₯΄λ―λ‘ μμ μ£ΌκΈ°λ³ κ±΄κ°μ§μ 체κ³λ₯Ό ꡬμ±νμ¬μΌ νλ€. μλκΈ° μ₯μ μλμ λλ΄ μ±
μμ μμ μ μΌλ‘ λΆλ΄ν μ μλ κ²¬κ³ ν μΈλΆ μ§μ체κ³λ₯Ό λ§λ ¨ν΄μΌ νλ©°, μ±μΈκΈ° μ₯μ μΈμ΄ λ
Έλμμ₯ λ΄μμ 건κ°μ κ΄λ¦¬νλ©° μΌμ ν μ μλ μ§μ₯ λ΄ νΈμμ§μμ μ 곡ν νμκ° μλ€. μ
μ§Έ, μ₯μ μ 건κ°μνλ₯Ό 볡ν©μ μΌλ‘ κ³ λ €νλ©° ν΅ν©μ μΌλ‘ μꡬμ νμλ₯Ό μ§μνλ 보건볡μ§μ²΄κ³λ₯Ό ꡬμ±νμ¬μΌ νλ€. ꡬ체μ μΌλ‘λ μ₯μ μΈ νλμ§μμλΉμ€κ° μ₯μ μΈμ λ€μν μ 체μ Β·μ¬νμ νμλ₯Ό λ°μνλλ‘ κ°μ λ νμκ° μλ€. λ§μ§λ§μΌλ‘, μ₯μ μΈμ΄ μΆμ 주체μ΄μ, 건κ°μ μ£Όμ²΄λ‘ μ±μ₯ν μ μλ λ€μν κΈ°νλ€μ΄ μ¬νμ λ§λ ¨λμ΄μΌ ν¨μ μ μΈνμλ€.This study aimed to examine the secondary health conditions of people with disabilities. The secondary health condition was defined as the health condition that appears at a certain period after the occurrence of a disability. In addition, it was defined as a condition that is preventable through specific medical and social interventions for people with disabilities. Previous studies have not paid attention to the association of disability experience with changes in chronological and historical times in acquiring and coping with secondary health conditions. This study supplemented for its limitations by applying the life course perspective. Through this approach, this study examined the points where the institutional context of Korean society intersects with the health experience of people with disabilities. In addition, it closely examined how the expansion of the system was accumulated in the life course as a resource to support people with disabilities in taking care of their health and its long-term and cumulative influence on life history. In this study, this topic was explored from an eco-systemic perspective.
This study applied a biographical-narrative methodology that distinguishes a life as told and a life as experienced and identified the reality of life through the difference. This study conducted life history interviews with 20 people with disabilities who were 30 to 55 years of age and had secondary health conditions. Among these participants, 10 participants who were skilled in composing illness narratives and clearly showed the intersection of life history and institutional changes were reelected. In addition, systematic, relational, and institutional social factors that influence secondary health condition acquisition and coping were analyzed. The results are as follow:
First, what is the secondary health condition experience reconstructed through the illness narrative of people with disabilities? The participants composed their life histories of disability and health with various topics such as disability discrimination, social exclusion, adaptation to disability, and relationships with parents. In addition, they showed different biographical meanings to their life stories. The participants were influenced not only by the micro-system but also by macro-system changes in laws and institutions. In particular, changes in various areas such as movement, labor, care, and the rights of people with disabilities since the 2000s have influenced their lives and health.
Second, what are the systematic, relational, and institutional social factors that influence the acquisition of and coping with secondary health condition in people with disabilities? As a result of examining systematic social factors, this study found that people with disabilities face environmental barriers within the ecological system they belong to, such as schools, labor markets, hospitals, and communities. Physical barriers in hospitals, inadequate awareness by medical staff, and the absence of sports facilities have become direct barriers to the treatment and prevention of secondary health conditions of people with disabilities. In addition, barriers experienced in the previous period, such as the absence of reasonable accommodations in schools and labor markets, have indirectly led to the deterioration of their health in the long term. These barriers not only made it difficult to care for those with secondary health conditions directly but also caused people with disabilities to have a negative attitude. As schools and the labor market did not provide them with services and support, they developed a coping strategy to overcome difficulties by themselves. This embodied attitude also led to an attitude to endure and overcome difficulties alone rather than ask for support, which led to ill health.
Moreover, as a result of examining the relational factors, this study confirmed the influences of family and disability networks. Families not only played a direct role in raising children with disabilities and taking care of their health but also became the basis for accumulating health behaviors that continued into adulthood. Children who received stable care in the family grew up with the power to control and organize their lives well. However, because stable care is fragile, it created an attitude that made health care difficult in adulthood when negative experiences were accumulated due to unstable care. However, through new relationships such as disability networks, the negative health attitudes embodied from childhood changed. They acquired health information, knowledge, and wisdom to live with less body consumption through disability networks. It also enabled them to recognize a new attitude that the barriers in life are not due to their own problems but to social constraints. They developed a sense of ownership of their own lives based on the social model of disability and changed into agents of health care.
Finally, the influence of institutional factors, especially disability laws and institutional changes since the 2000s, was confirmed. In turn, people with disabilities were influenced by legislation in various areas such as labor, care, movement, and rights, as well as health. The expansion of disability laws and institutions has provided more options and freedom to the lives of people with disabilities, allowing them to combine potential resources to cope with life difficulties, including secondary health conditions. However, recovering their lives after a secondary health condition was not possible with one law or service enactment alone. As series of laws and institutions have been reorganized, the resources to guarantee freedom in various areas have increased. As a result, people with disabilities now have a safety net to maintain and live their daily lives and urge for change if their rights are violated.
This study shows that just as disability is constructed in the interaction between impairment and the environment, secondary health conditions are also constructed in interactions with the environment surrounding the disability. Although disabilities are permanent for some people, secondary health conditions can be defined as preventable because an environment without barriers can be constructed through social effort.
On the basis of the results of this study, directions for future research and implications for practices and policies were discussed. First, this study suggests that multidimensional social efforts must be made to promote the health of people with disabilities and to improve the family doctor system that caters to them, which closely observes health and recommends timely treatment. Second, organizing a health support system for each life cycle was also suggested. An external support system is needed to stably share the care of children with disabilities, and reasonable accommodation in the workplace is required to enable adults with disabilities to care for their health while at work. Third, a welfare system should be constructed that comprehensively considers disability and health conditions and integrally supports needs and personal outcomes. Specifically, the improvement of personal assistance system for people with disabilities was suggested to reflect their medical and social needs. Finally, various opportunities to empower for people with disabilities into the health agency should be provided in society.μ 1 μ₯. μλ‘ 1
μ 1 μ . μ°κ΅¬μ λ°°κ²½ λ° νμμ± 1
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1. μ₯μ μΈμ μ μ 8
2. μ₯μ , μ§λ³, μ₯μ μΈμ 건κ°μ κ΄κ³ 9
μ 2 μ . μ₯μ μΈμ μ΄μ°¨μ 건κ°μν 18
1. μ₯μ μΈμ μ΄μ°¨μ 건κ°μνμ μ μ 18
2. μ΄μ°¨μ 건κ°μν μ€ν 23
3. μ΄μ°¨μ 건κ°μν νλ κ³Όμ 24
4. μ΄μ°¨μ 건κ°μν λμ² μ°κ΅¬ 30
5. μ ν μ°κ΅¬μ λν λΉνμ κ²ν 33
μ 3 μ . μ₯μ μΈμ 건κ°μ λν μμ κ³Όμ μ κ·Ό 36
1. μμ κ³Όμ κ΄μ κ³Ό μμ κ³Όμ μν 36
2. μ₯μ μΈμ κ±΄κ° κ²½νμ μν₯μ μ£Όλ μμ κ³Όμ μμΈλ€ 39
3. μ΄λ‘ μ κ²ν μ μ’
ν© 52
μ 3 μ₯. μ°κ΅¬ λ°©λ² 54
μ 1 μ . μ°κ΅¬ μ κ·Ό: λ΄λ¬ν°λΈ-μμ μ¬ μ°κ΅¬ λ°©λ² 54
μ 2 μ . μ°κ΅¬μ°Έμ¬μμ μ μ 56
1. μ°Έμ¬μ μ μ κΈ°μ€ 56
2. μ°Έμ¬μ λͺ¨μ§ κ³Όμ κ³Ό κ·Έ μ΄μλ€ 60
μ 3 μ . μλ£ μμ§ λ°©λ² 62
μ 4 μ . μλ£ λΆμ λ°©λ² 64
μ 5 μ . μ°κ΅¬μ μ격μ±κ³Ό μ°κ΅¬ μ€λ¦¬ 66
μ 4 μ₯. μ°Έμ¬μλ€μ μμ μ¬ μ¬κ΅¬μ± 69
μ 1 μ . μ°Έμ¬μμ μΌλ°μ νΉμ± 69
μ 2 μ . μμ μ¬ μ¬κ΅¬μ± 73
1. νμ μμ μμ μ¬ 73
2. κΉλ²μμ μμ μ¬ 80
3. λ°μμ μ μμ μ¬ 86
4. μ΅λ¬΄μμ μμ μ¬ 92
5. νμμ μ μμ μ¬ 98
6. λ°±νμ°¬μ μμ μ¬ 102
7. μ΅ν¨μ§μ μμ μ¬ 107
8. μ΄μ§μμ μμ μ¬ 113
9. μ€λΉλμ μμ μ¬ 120
10. μ€μ΄μ¬μ μμ μ¬ 125
11. μκ²° 130
μ 5 μ₯. μ₯μ μΈμ μ΄μ°¨μ 건κ°μν νλ λ° λμ² μν₯μμΈ 133
μ 1 μ . μ¬ν 체κ³μ μν₯ μμΈ 133
1. νκ΅: 건κ°νλμ μ₯λ²½κ³Ό λμ² νλμ νμ± 133
2. λ
Έλμμ₯: νΈμμ§μμ λΆμ¬μ λμ² νλμ μ μ§ 137
3. μλ£κΈ°κ΄: μ₯μ μΉν μμ€ λ° μ₯μ κ΄λ ¨ μ λ¬Έμ±μ λΆμ¬ 143
4. μ§μμ¬ν: μ΄λ μ°Έμ¬λ₯Ό μ΄λ ΅κ² νλ μ§μμ¬ν μ κ·Όμ± 148
5. μκ²° 150
μ 2 μ . κ΄κ³μ μν₯ μμΈ 152
1. κ°μ‘±: κ°μ‘±μ΄λΌλ μμ μ ν λμ νκ³ 152
2. μ₯μ λ€νΈμν¬: μμ μ¬μ μμμΌλ‘μμ μ₯μ λ€νΈμν¬ 158
3. μκ²° 167
μ 3 μ . μ λμ μν₯ μμΈ 169
1. μ₯μ μΈ μλ¬΄κ³ μ©μ μν(1991λ
) μ΄ν μ₯μ μΈ λ
Έλμ μ±
μ λ°μ λ° μ°¨λ³ κΈ°μ μ λ³ν 169
2. λνμ νΉμκ΅μ‘λμμ νΉλ³μ νμ μ€μ(1995λ
)μ νΉμκ΅μ‘λ² λ체μ
λ²(2007λ
) μ΄ν μ₯μ λ€νΈμν¬ κ²°ν© κΈ°νμ μ¦κ° 173
3. μ₯μ μΈ μ΄λκΆ μ΄λ(2001λ
)κ³Ό μ΄λνΈμμ¦μ§λ²μ μν(2005λ
) ν μ§μμ¬ν μ κ·Όμ±μ κ°μ 175
4. μ₯μ μΈ νλμ§μμλΉμ€μ μν(2007λ
)κ³Ό νμμ€ν 177
5. μ₯μ μΈμ°¨λ³κΈμ§λ² μ μ (2007λ
)κ³Ό μμμ μμ μ μ¦λ 181
6. μ₯μ μΈκ±΄κ°κΆλ²μ μ μ (2017λ
)κ³Ό μ₯μ μΈμ 건κ°λ¬Έμ μ λν μ¬νμ λ
Όμμ μμ 183
7. μ₯μ μΈμ μ§νμ νλ(2021λ
)μ 'μ₯μ ' κ²½κ³μ νμ₯ 184
8. μκ²° 187
μ 6 μ₯. κ²°λ‘ 189
μ 1 μ . μ°κ΅¬κ²°κ³Όμ μ’
ν© λ° λ
Όμ 189
1. μ°κ΅¬κ²°κ³Όμ μ’
ν©μ μ μ 189
2. λ
Όμ 198
μ 2 μ . μ°κ΅¬μ ν¨μ 206
1. μ΄λ‘ μ ν¨μ 206
2. μ€μ² λ° μ μ±
μ ν¨μμ μ μΈ 208
μ 3 μ . μ°κ΅¬μ νκ³ λ° νμμ°κ΅¬μ μ μΈ 213
μ°Έκ³ λ¬Έν 215
Abstract 238λ°
A Study on the process of change of disability identity of the physically disabled participating in performance arts activity
νμλ
Όλ¬Έ (μμ¬)-- μμΈλνκ΅ λνμ : μ¬ν볡μ§νκ³Ό, 2017. 2. μ‘°ν₯μ.2000λ
λμ λ€μ΄ μ₯μ μΈ μΈκΆ μ΄λμ λμμ λ°©μμΌλ‘ 곡μ°μμ νλμ΄ λ
ΌμλκΈ° μμνλ©°, λ€μν μ₯μ μΈ κ³΅μ°μμ λ¨μ²΄λ€μ΄ μ‘°μ§νλκ³ , λ§μ μ₯μ 곡μ°μμ κ°λ€μ΄ μ°½μ νλμ μμνμλ€. κ·Έλ¬λ μ¬μ ν λ¬Ένμμ νλμ μ°Έμ¬νλ μ₯μ μΈμ μ°½μμκ° μλλΌ λ¬Ένμμ νλ‘κ·Έλ¨μ ν΄λΌμ΄μΈνΈλ‘ κ°μ£Όλκ³ μλ€. μ₯μ μΈμ λ¬Ένμμ νλμ λν λ
Όμλ μ£Όλ‘ λ¨κΈ°μ μμ νλ‘κ·Έλ¨μ μ°Έμ¬ν μ₯μ μΈμ λμμΌλ‘ νλ ν¨κ³Όμ± νκ°λ‘ μΉμ€λμ΄, μ°½μμλ‘ λ¬Ένμμ νλμ μ°Έμ¬νλ μ₯μ μΈμ κ²½νμ λν μ°κ΅¬λ μ΅κ·Όμ μμμΌ μμ£Ό μ νμ μΌλ‘λ§ μ§νλμλ€.
λ³Έ μ°κ΅¬λ 곡μ°μμ νλμ μ°Έμ¬νλ μ 체μ₯μ μΈμ λ³ν κ³Όμ μ μ€μ¦μ μΌλ‘ λΆμνλ κ²μ κ·Έ λͺ©νλ‘ νλ€. μ 체μ₯μ μΈμ 곡μ°μμ νλ μ°Έμ¬ κ²½νμ λν΄ μ€μ¦μ μΌλ‘ μ°κ΅¬νκΈ° μνμ¬ λ³Έ μ°κ΅¬λ μ 체μ₯μ μΈμ μ₯μ μ 체μ±μ λ³νλ₯Ό μ΄ν΄λ³Ό κ²μ΄λ€. μ₯μ μ 체μ±μ μ₯μ μΈμ΄ μμκ³Ό μ₯μ μ λν΄ κ°λ μκΈ° μΈμμ μλ―Ένλ€. μ₯μ λ λͺΈμμ μΆλ°νλ νμμμλ λΆκ΅¬νκ³ μ₯μ μ 체μ±μ λ€λ£¨λ λ§μ λ
Όμλ€μ μ₯μ μΈμ μ¬νμ μ 체μ±μ λν λ
Όμλ₯Ό μ£Όλ‘ λ€λ£¨λ©° μ₯μ μΈμ μμκ³Ό λͺΈμ λν λ
Όμλ₯Ό κ°κ³Όνμ¬ μλ€.
λ³Έ μ°κ΅¬λ κΈ°μ‘΄μ μ₯μ μ μ²΄μ± λ
Όμμμ μ£Όμνκ² λ€λ£¨μ΄μ§μ§ μμ λ κ°μ§ λ¬Έμ μμμμ μΆλ°νλ€. νλλ, κΈ°μ‘΄μ λ
Όμκ° μ₯μ μΈμ λͺΈμ λν μΈμμ λν΄ λ€λ£¨μ§ μμμλ€λ μ¬μ€μ΄λ€. λ€λ₯Έ νλλ μ₯μ μ 체μ±μ λ³ν λ
Όμλ€μ΄ μ₯μ μΈμ΄ μ²ν΄ μλ λ§₯λ½κ³Ό μ₯μ μ 체μ±μ΄ μ΄λ»κ² μνΈμμ©νλμ§λ₯Ό ꡬ체μ μΌλ‘ λ€λ£¨μ§ μμμλ€λ μ μ΄λ€. λ°λΌμ λ³Έ μ°κ΅¬λ μμλ λͺΈμ μμ μ λκ΅¬λ‘ νμ©νλ 곡μ°μμ μ΄λΌλ νΉμν μκ³΅κ° λ΄μμμ μ₯μ μΈμ μ₯μ μ μ²΄μ± λ³νλ₯Ό λ€λ£¨κ³ μ νλ€. νΉν μ 체μ₯μ μΈμ μ°κ΅¬μ°Έμ¬μλ‘ μ μ νμλ€. κ²μΌλ‘ λλ¬λλ μ₯μ λ₯Ό κ°μ§ μ 체μ₯μ μΈμ κ²½νμ ν΅ν΄ κΈ°μ‘΄ μ°κ΅¬μμ λ€λ£¨μ΄μ§μ§ μμλ μ₯μ μΈμ μμλ λͺΈμ λν μΈμμ ꡬ체μ μΌλ‘ λ€λ£° μ μμ κ²μ΄λΌ νλ¨νμκΈ° λλ¬Έμ΄λ€.
λ³Έ μ°κ΅¬μ μ°κ΅¬ λ¬Έμ λ λ€μκ³Ό κ°λ€.
곡μ°μμ νλμ ν΅ν μ 체μ₯μ μΈμ μ₯μ μ μ²΄μ± λ³ν κ³Όμ μ μ΄λ νκ°?
λ³Έ μ°κ΅¬μ μ°Έμ¬μλ€μ 3λ
μ΄μ 곡μ°μμ νλμ μ°Έμ¬ν΄μ¨ μ 체μ₯μ μΈμ΄λ€. μ΄λ€μ μ°κ·Ή, 무μ©, λ§μ λ± μλ‘ λ€λ₯Έ 곡μ°μμ μ μ°Έμ¬νκ³ μλ μ΄ 8λͺ
μ μ₯μ μΈμ΄μλ€. μ°κ΅¬μ°Έμ¬μμ μ₯μ μ νμ μ§μ²΄μ₯μ 3λͺ
, λλ³λ³ μ₯μ 5λͺ
μ΄μλ€. 곡μ°μμ νλ μ°Έμ¬ κ²½λ ₯μ 3λ
μμ 13λ
μΌλ‘ λ€μνκ² λνλ¬μΌλ©°, 6λͺ
μ μ°κ΅¬μ°Έμ¬μλ μ₯μ μΈ κ·Ήλ¨ λ±μ μμλμ΄ νλμ μ§ννκ³ μμμΌλ, 2λͺ
μ ν리λμ 곡μ°μμ κ°λ‘ νλνκ³ μμλ€.
λ³Έ μ°κ΅¬λ μ¬λ‘ μ°κ΅¬ λ°©λ²μ μ¬μ©νμλ€. μ¬λ‘ μ°κ΅¬ λ°©λ²μ μκ°κ³Ό 곡κ°μ΄ μ νλ μ²΄κ³ λ΄μμ μ¬λ‘λ₯Ό νμνλ μ°κ΅¬ λ°©λ²μΌλ‘, 곡μ°μμ νλμ΄λΌλ νΉμν, κ·Έλ¬λ μ μλ €μ Έ μμ§ μμ λ§₯λ½μμμ μ 체μ₯μ μΈμ μ₯μ μ μ²΄μ± λ³ν κ³Όμ μ νμ
νκΈ°μ μλ§λ€κ³ νλ¨νμκΈ° λλ¬Έμ΄λ€. μ£Ό μλ£μμΌλ‘λ μ¬μΈ΅ λ©΄λ΄μ ν΅ν΄ μμ±λ λ
Ήμ·¨λ‘μ νμ©νμμΌλ, μ°κ΅¬μ°Έμ¬μκ° μ§μ μμ±ν λλ³Έ, μμΈμ΄, μ°κ΅¬μ°Έμ¬μμ μ λ¬Έ κΈ°μ¬, 맀체 μΈν°λ·°, μ°κ΅¬μ°Έμ¬μκ° μν κ·Ήλ¨μ μ°μΆκ°λ λν λ±μ μΈν°λ·°λ₯Ό 보쑰 μλ£μμΌλ‘ νμ©νμλ€.
μ°κ΅¬κ²°κ³Ό 곡μ°μμ νλμ ν΅ν΄ λ³νν μ₯μ μ 체μ±μ μμλ‘ 4κ°μ μμ λ²μ£Όμ 11κ°μ νμ λ²μ£Όλ₯Ό λμΆνμλ€. λ³νν μ₯μ μ 체μ±μ νμ λ²μ£Όμ λν΄μλ 31κ°μ λ³ν μμμ΄ λνλ¬λ€.
μμλ λͺΈμ λν μΈμμ λͺΈμ λν ν΅μ κΆ λ³νλ₯Ό ν¬ν¨νμλλ°, λͺΈμ μ μ΄μ©νκ² λκ±°λ, λͺΈμ μ μμκ°κ±°λ, λͺΈμ λ³νλ₯Ό μν λ
Έλ ₯μ κΈ°μΈμ΄λ λ³ν μμμ 보μλ€. μμμ μλ―Έμ λ³νλ μ°κ΅¬μ°Έμ¬μκ° μ°Έμ¬νλ 곡μ°μμ μ μ₯λ₯΄μ μν₯μ λ°μΌλ©° κΈμ μ νΉμ λΆμ μ μΌλ‘ λ³ννμλ€. λͺΈμ μμ λ‘μ΄ μμ§μμ΄ κ°μ‘°λκ±°λ, μ°κ΅¬μ°Έμ¬μμ μμμ μ₯μ μΌλ‘ νμ©ν μ μλ μ₯λ₯΄μ μ°Έμ¬νλ μ°κ΅¬μ°Έμ¬μμ κ²½μ° μμμ μκΈ°λ§μ μκΉλ‘ μλ―ΈννμμΌλ, μ ννλ μμ§μκ³Ό ν
ν¬λμ΄ μ€μνκ² μ¬κ²¨μ§λ μ₯λ₯΄μ μ°Έμ¬νλ μ°κ΅¬μ°Έμ¬μλ μμμ νκ³λ‘ μλ―Έννλ κ²μΌλ‘ λνλ¬λ€. μμ μ λμνλ λ°©μμ λ³νλ 무λλΌλ 곡κ°μμ νμΈμ μμ μ μ’ λ μ κ·Ήμ μΌλ‘ λ§μ£Όνκ² λ κ²κ³Ό κ°μ΄ μ κ·Ήμ μΈ λ³ν μμμ 보μ΄κΈ°λ νμ§λ§, λͺ°μ
μ ν΅ν΄ νμΈμ μμ μ ννΌνλ λ°©λ²μ μ ννλ λ± μκ·Ήμ μΈ λ³ν μμμ λνλ΄κΈ°λ νμλ€.
μ₯μ λ‘ μΈν κ²½νμ μλ―ΈλΌλ μμ μμλ μ μ½ κ²½νμ μλ―Έ λ³νλ₯Ό ν¬ν¨νμλ€. μ μ½ κ²½νμ μλ―Έ λ³νλ κ³Όκ±°μ μ μ½ κ²½νμ κ³΅μ° λ¬΄λ μμμ μλ‘μ΄ λ΄λ¬ν°λΈλ‘ ꡬμ±ν΄ λ°ννλ κ³Όμ μ ν΅νμ¬ μΌμ΄λ¬λ€. κΈ°λ₯μ μ μ½ κ²½νμ μ¬μλ―Ένκ° μΌμ΄λκΈ°λ νμμΌλ©°, μ μ½μΌλ‘ μΈν κ΄κ³ κ²½νμ μ¬μλ―Ένκ° μΌμ΄λ κ²½μ°λ μμλ€. μ₯μ λ‘ μΈν μ΅μ κ²½νμ μλ―Έ λ³νλ λ κ°μ§ λ³ν μμμΌλ‘ λνλ¬λλ°, κ³Όκ±°μ μ΅μ κ²½νμ 무λ μμμ μ΄μΌκΈ°νλ κ³Όμ μ ν΅ν΄ λ³ννκΈ°λ νμμ§λ§, ν¨κ» νλνλ ꡬμ±μλ€κ³Όμ μνΈμμ‘΄μ κ²½νμ ν΅ν΄ κ³Όκ±°μ λΆμ μ κ΄κ³ κ²½νμ κΈ°μ΅μ 극볡ν΄λ΄κΈ°λ νμλ€.
μ₯μ λ₯Ό κ°μ§ μμ μ κ°λ₯μ±μ λν μΈμμ΄λΌλ μμ μμλ μΆμ λν νλ λ³νλ₯Ό μλ°νκΈ°λ νμλ€. λλΆλΆμ μ°κ΅¬μ°Έμ¬μλ€μ λ³ν μμμ μΈν₯μ μΌλ‘ λ³ν¨μΌλ‘ λνλ¬μ§λ§, 곡λ μμ
μ ν΅νμ¬ νμΈμ λ°°λ €νκ² λ¨μ΄λΌλ λ³ν μμμ 보μ΄κΈ°λ νμκ³ , ν리λμλ‘ νΌμ νλνλ μ°κ΅¬μ°Έμ¬μλ λ₯λμ μΌλ‘ λ³νν¨μ΄λΌλ λ³ν μμμ 보μλ€. μν μ ν΅ν κ°λ₯μ± μΈμ λ³νλ μ°μ μ¬ν νλμ΄λ μΌμ리λ₯Ό κ°μ§μ§ μμλ μ°κ΅¬μ°Έμ¬μλ€μκ² κ° κ³³μ΄ μκ²Όλ€λ μμμΌλ‘ λνλ¬λ€. μ΄ λ μ£Όλ‘ μ°Έμ¬νλ 곡μ°μμ μ₯λ₯΄ λΏ μλλΌ κ³΅μ°μμ νλμ κ°κ΅λ‘ νμ¬ λ λ§μ μν μ λμ νκ² λκΈ°λ νμμΌλ©°, κ³΅μ° μν λ΄μμ μ¬λ¬ μν μ 맑μΌλ©° κ°λ₯μ±μ μμμ νμ₯νκΈ°λ νμλ€. κ·Έλ¬λ 곡μ°μμ μ°Έμ¬ ννκ° μ§μμ μ΄μ§ μλ κ²½μ° νλΌμ΄λλ₯Ό μλ κ²½νμ νκΈ°λ νμλ€. νμΈμ μΈμ μΌλ‘λΆν° μ€λ μκΈ° μΈμ λ³νλ μ΄μ κΉμ§ λ€λ₯Έ κ΄κ³μμ λ°κΈ° μ΄λ €μ λ μΈμ μ λλ£, κ΄κ°, κ°μ‘±μΌλ‘λΆν° λ°κ² λμλ€λ λ³ν μμμ 보μλ€. λν λ λ§μ μ¬λλ€μκ² μΈμ μ λ°λ κ²μ λͺ©νλ‘ νκ² λλ μμμ λνλ΄μλ€.
μ₯μ μΈβλΉμ₯μ μΈ μ§λ¨μ λν μΈμ μ΄λΌλ μμ μμλ μ₯μ μΈ μ§λ¨μ λν μΈμ λ³νλ₯Ό ν¬ν¨νμλ€. μ₯μ μΈμ λν΄μ μ λͺ¨λ₯΄κ±°λ, μλμ μΌλ‘ μ μ΄μ ννΌν΄μλ μ°κ΅¬μ°Έμ¬μλ€μ μ₯μ μΈ μ§λ¨κ³Ό μ μ΄νλ©° μ₯μ μΈμ μ μκ² λμλ€. λν μ₯μ μΈ μ§λ¨μ λν΄ κΈμ μ μΌλ‘ μΈμνκ² λμμΌλ©°, μ₯μ μΈμΌλ‘μμ κ²½νκ³Ό κ³ λ―Όμ μ΄μΌκΈ°ν μ§λ¨μ κ°μ§κ² λμλ€. λν κ°μΈμ λ¬Έμ λ₯Ό 곡ν΅μ μ΅μ κ²½νμΌλ‘ μΈμνκ² λμλ€κ³ λλ€. μ₯μ μΈ μ§λ¨μ λν μΈμ λ³νλ λΉμ₯μ μΈ μ§λ¨μ λν μΈμ λ³νλ₯Ό μλ°νλ€. λΉμ₯μ μΈ μ§λ¨μ λν μΈμμ λ³ν μμμ κΈμ μ μΌλ‘ λνλκΈ°λ νμμ§λ§, λΆμ μ μΌλ‘ λνλκΈ°λ νμλ€. λΉμ₯μ μΈ μ§λ¨μ λν΄ μ΄ν΄μ μ λ’°κ°μ κ°μ§κ² λμλ€λ λ³ν μμμ λνλ΄κΈ°λ νμμ§λ§, λΉμ₯μ μΈ μμ κ° μ§λ¨μ λν μ΄λ±κ° νΉμ μμ‘΄μ±μ κ°μ§κ² λμλ€λ λ³ν μμμ 보μ΄κΈ°λ νμλ€. λ μ§λ¨μ λν μΈμμ μ°¨μ΄λ κ· ν μ‘ν μΈμμ κ°μ§κ² λκΈ°λ νμμ§λ§, μ μ΄νλ μ§λ¨μ νμ₯ νΉμ λ³νκ° νμν¨μ λλΌκ² λμλ€κ³ μΈκΈνκΈ°λ νμλ€.
μ°κ΅¬μ°Έμ¬μκ° μ°Έμ¬νλ 곡μ°μμ μ νλ ννμ λ°λΌ μ₯μ μ 체μ±μ λ³ν κ³Όμ μ λ€λ₯΄κ² λνλ¬λ€. μμλ λͺΈμ λν μΈμμ΄λΌλ λ²μ£Όλ μ₯μ λ₯Ό κ°μ§ μμ κ°μ μΈμ΄μ μμ§μμ κ°μΉλ₯Ό λΆμ¬νλ μ₯λ₯΄μ μ°Έμ¬νλκ°μ λ°μ νκ² μ°κ΄λμ΄ μμλ€. μ₯μ λ‘ μΈν κ²½νμ μλ―Έ λ³νλ μ£Όλ‘ μ°κ΅¬μ°Έμ¬μμ λ΄λ¬ν°λΈλ₯Ό ν λλ‘ ν¬κ³‘μ μμ±νμ¬ μ°κ΅¬μ°Έμ¬μλ€μ΄ μμ μ μ΄μΌκΈ°λ₯Ό μ§μ μ°κΈ°ν μ μλμ§ μ¬λΆμ κ΄λ ¨λμ΄ μμλ€. μ₯μ λ₯Ό κ°μ§ μμ μ κ°λ₯μ±μ λν μΈμμ΄λΌλ μμλ λͺ¨λ μ°κ΅¬μ°Έμ¬μλ€μ΄ 곡ν΅μ μΌλ‘ ν¬κ² λ³νν κ²μΌλ‘ λνλ¬λλ°, 곡λ μμ
μ μ§ννλμ§, μ°κ΅¬μ°Έμ¬μλ€μ΄ μμλμ΄ μλ λ¨μ²΄κ° 곡μ°μ΄ μμ λμλ ꡬμ±μλ€μ μμ§νμ¬ μμκ°μ κ°ννλμ§ μ¬λΆμ κ΄λ ¨λμ΄ μμλ€. λ§μ§λ§μΌλ‘ μ₯μ μΈβλΉμ₯μ μΈ μ§λ¨μ λν μΈμμ μ₯μ μΈ μ§λ¨ λ΄μμ νλμ νλμ§ μ¬λΆμ ν¬κ² μ’μ°λλ κ²μΌλ‘ λνλ¬λ€.μ 1μ₯ μλ‘ 1
μ 1 μ μ°κ΅¬μ νμμ±κ³Ό λͺ©μ 1
μ 2 μ μ°κ΅¬λ¬Έμ 6
μ 2 μ₯ μ΄λ‘ μ λ°°κ²½ 7
μ 1 μ μ 체μ₯μ μΈμ μ μ 7
μ 2 μ μ₯μ μ μ²΄μ± 7
1. μ μ²΄μ± μ΄λ‘ 7
2. μ₯μ μ μ²΄μ± 10
3. μ₯μ μΈμ λͺΈμ μΈμκ³Ό κ΄λ ¨λ μ μ²΄μ± μ΄λ‘ 20
(1) νμμ μμ μΌλ‘λΆν° ꡬμ±λλ μ₯μ μΈμ μ μ²΄μ± 21
(2) λͺΈμ λν μΈμκ³Ό νμμμ μ°κ΄μ± 22
μ 3 μ μ₯μ μΈμ 곡μ°μμ 26
1. μ₯μ μΈμ 곡μ°μμ νλ 26
(1) μ₯μ μΈμ λ¬Ένμμ νλ 26
(2) κ΅λ΄ μ₯μ μΈμ 곡μ°μμ νλ νν© 27
2. μ₯μ μ μ²΄μ± λ³νμ μν₯μ μ£Όλ 곡μ°μμ μ μ±κ²© 29
(1) λ΄λ¬ν°λΈ μ₯λ₯΄λ‘μμ 곡μ°μμ 29
(2) μ§ν©μ μ 체μ±μ ꡬμ±νλ 곡λ μμ
μ κ³΅κ° 30
(3) μλ°μ λͺΈ νλ‘μ νΈλ‘μμ 곡μ°μμ 31
(4) μν μμμ μ₯μ λ₯Ό μ¨κΈ°κΈ° μ΄λ €μ 32
(5) 무λ μμμμ μλ‘μ΄ μνΈμμ© 34
μ 4 μ μ νμ°κ΅¬ λΆμ 37
1. λ¬Ένμμ νλμ ν΅ν μ₯μ μΈμ μ₯μ μ μ²΄μ± λ³ν 37
2. 곡μ°μμ νλμ μ°Έμ¬νλ μ₯μ μΈμ κ²½ν 40
3. κΈ°μ‘΄ μ°κ΅¬μ νκ³ 42
μ 3 μ₯ μ°κ΅¬λ°©λ² 43
μ 1 μ μ°κ΅¬ μ κ·Ό 43
1. μ§μ μ°κ΅¬ λ°©λ²λ‘ 43
2. μ§μ μ¬λ‘ μ°κ΅¬ μ€κ³ 44
3. μ°κ΅¬μμ μμΈ 45
μ 2 μ μ°κ΅¬μ°Έμ¬μ μ μ 46
1. μ°κ΅¬μ°Έμ¬μ μ μ κΈ°μ€ 46
2. μ°κ΅¬μ°Έμ¬μ 47
μ 3 μ μλ£ μμ§ λ°©λ² 49
μ 4 μ μλ£ λΆμ 51
1. μλ£ λΆμ λ°©λ² 51
2. μ°κ΅¬μ νλΉμ±κ³Ό μ λ’°μ± 52
μ 4 μ₯ μ°κ΅¬κ²°κ³Ό 53
μ 1 μ μ¬λ‘ λ΄ λΆμ 53
1. μ°κ΅¬μ°Έμ¬μ Aμ μ¬λ‘ 53
2. μ°κ΅¬μ°Έμ¬μ Bμ μ¬λ‘ 57
3. μ°κ΅¬μ°Έμ¬μ Cμ μ¬λ‘ 60
4. μ°κ΅¬μ°Έμ¬μ Dμ μ¬λ‘ 64
5. μ°κ΅¬μ°Έμ¬μ Eμ μ¬λ‘ 67
6. μ°κ΅¬μ°Έμ¬μ Fμ μ¬λ‘ 69
7. μ°κ΅¬μ°Έμ¬μ Gμ μ¬λ‘ 72
8. μ°κ΅¬μ°Έμ¬μ Hμ μ¬λ‘ 76
μ 2 μ μ¬λ‘ κ° λΆμ 79
1. μμλ λͺΈμ λν μΈμ 81
2. μ₯μ λ‘ μΈν κ²½νμ μλ―Έ 91
3. μ₯μ λ₯Ό κ°μ§ μμ μ κ°λ₯μ±μ λν μΈμ 97
4. μ₯μ μΈβ€λΉμ₯μ μΈ μ§λ¨μ λν μΈμ 113
μ 3 μ λ
Όμ 128
1. 곡μ°μμ νλμ ν΅ν μ₯μ μ μ²΄μ± λ³ν κ³Όμ 128
2. μ°Έμ¬νλ νλ ννμ λ°λ₯Έ μ₯μ μ 체μ±μ λ³ν κ³Όμ 147
μ 5 μ₯ μμ½ λ° κ²°λ‘ 151
μ 1 μ μ°κ΅¬κ²°κ³Ό μμ½ 151
μ 2 μ μ°κ΅¬μ ν¨μ 155
1. μ΄λ‘ μ ν¨μ 155
2. μ€μ²μ ν¨μ 157
μ 3 μ μ°κ΅¬μ νκ³ λ° μ μΈ 160
1. μ°κ΅¬μ νκ³ 160
2. μ μΈ 161
μ°Έκ³ λ¬Έν 162
Abstract 170Maste
Teaching in Social Studies Education for Improving Self-Esteem
νμλ
Όλ¬Έ (μμ¬)-- μμΈλνκ΅ λνμ : μ¬νκ΅μ‘κ³Ό(μΌλ°μ¬νμ 곡), 2011.2. μ μκ·.Maste