정신분열병을 가진 사람의 환청에 대한 사회복지사 개입

초록

Auditory Hallucination(AH) is one of the symptomatic features of schizophrenia and it is approached mostly by antipsychotic pharmacotherapy and ancillary psychosocial interventions. Many clients not only experience persistent AH that interferes with the progress expected during treatment and rehabilitation, but also present dissatisfaction as a service user that their subjective experience and the related meanings are not sufficiently validated. This points toward the need for an increased use of diverse psychosocial approaches that can meet such client needs and contribute to positive rehabilitation outcomes as well. This study thus reviews recent developments in this area, obtains a broad understanding of social work practice in AH interventions based on interview data, and presents suggestions to adapt such developments to current settings. The authors conducted an in-depth interview with social work practitioners and collected information on interventions, training, and related client responses. The result showed that clients had diverse needs in the way AHs are approached. Suggestions were made that use of cognitive and narrative approaches that address personal experience and meanings be increased, in addition to current emphasis on behavioral strategies.

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