깊은 생각 깊은 마음으로 성장하는 아이들, 킹덤아동청소년 심리상담연구소가 함께 합니다
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놀이치료의 이해-시리즈


현재 자녀가 놀이치료를 받고는 있거나 놀이치료가 필요하다는 피드백을 받았지만, 놀이치료가 무엇인지, 도대체 놀이실에서는 어떤 일들이 일어나고 어떻게 문제행동에 변화를 이끌어내는 것인지 막연한 궁금증을 갖고 계신 분들이 많아 보입니다. 본 연구소에서는 놀이치료에 대한 이해를 돕기 위한 자료들과 최신 연구 동향 등을 공유하고자 합니다. 놀이치료에 대해 흔히 상담 현장에서 접하게 되는 부모님들의 Q&A를 상담 현장에서 임상심리전문가와 놀이치료사로서의 역할을 병행하면서 경험하게 되는 이해를 토대로 답변을 드리고자 합니다.

     


 

Q. 놀이치료를 받기로 결정을 했는데요. 놀이치료를 받게 되면 일주일에 몇 번 정도를 받아야하는지, 치료 시간이나 진행이 어떻게 진행되는지가 궁금합니다. 제가 직장맘이라 사정에 따라 놀이치료 시간을 유동적으로 정하는 것은 안 될까요?

 

A. 놀이치료는 일반적으로 주 1회를 기본으로 하며 이를 한 회기라고 표현합니다. 위기 상담의 개입이 요구되는 경우나 발달문제 등으로 촉진적인 상호작용이 필요한 경우에는 주 2회의 상담회기를 가질 수 있습니다. 놀이치료 시간은 한 회기에 보통 50분으로 일반적으로 아동과 치료자가 1:1로 놀이실에서 상담을 진행하는 시간이 40분이며, 10분은 부모교육으로 구성됩니다. 혹은 부모상담을 10분씩 4주를 묶어 한 번에 길게 진행하는 경우도 있습니다. 또는 50분을 모두 아동의 놀이 상담 시간으로 구성하고, 부모 상담을 따로 잡게 되는 등 놀이치료의 구조화를 어떻게 갖고 시작하는지는 아동이나 부모의 상황이나 기관 내 치료사들과의 협의에 따라 차이가 있을 수 있습니다.

다만, 중요한 것은 정기적인 시간에 정해진 시간을 정확히 준수하면서 치료의 구조화를 잘 지켜나가는 것이라 생각됩니다. 이러한 구조화가 중요한 이유는 자녀와 부모에게 모두 해당이 됩니다. 예를 들어, 자기조절이 떨어지는 아동들의 경우 치료시간을 자기마음대로 더 늘리기 위해 놀이를 끝마치지 않으려는 저항행동을 보이기도 합니다. 이때 시간의 룰을 잘 지키도록 치료자와 씨름을 하는 과정 자체가 아동의 자기조절 능력을 성장시키는 과정이 되기도 합니다. 치료과정에서 아이의 저항을 견뎌내야 하듯이 때로는 다양하게 부모님들의 사정과 상황에 따라 치료시간이 어겨지거나 시간조정이 요청될 때가 있습니다. 예를 들어, 엄마와 떨어지는 것을 고통스러워하는 분리불안이 있는 자녀는 치료실에 오는 것을 힘들어할 수 있고, 이러한 행동을 명확히 제한하고 힘겨루기 하는 것을 힘들어하는 어머님은 치료실에 자주 늦게 되거나 자녀의 상황이나 요구에 따라 여러 이유를 들어 치료시간을 취소하게 되는 상황이 벌어지기도 합니다. 때문에, 심리치료에서는 시간구조를 지키는 것이 어려운 이유나 처해진 상황맥락과 관련한 행동과 정서의 의미들을 다루고 소통하는 과정이 더 치료적으로 가치가 있다고 보여 집니다. 때로는 이를 계기로 부모와 치료자가 한 단계 더 신뢰 관계를 성장시키는 발판이 될 때도 있고 자녀와 엄마 사이에 갈등과 실마리에 대한 이해가 좀 더 명확해 질 때가 있습니다. 때문에, 초기에 놀이치료사와 놀이치료의 구조를 서로 협의하고 이것을 지키는 과정에서 발생되는 아동의 행동이나 부모 자신의 심리적 상태 등에 주목하고 솔직하게 치료사와 소통하는 것이 자녀의 변화를 돕는 데 도움이 됩니다.


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51 ​​우리 아이 재능 판별 체크 리스트    킹덤연구소 2018.01.18 15:00:2553 
50 '선택권주기'를 통해 아이와의 힘겨루기에서 벗어나자!    킹덤연구소 2017.07.25 16:23:49172 
49 한 눈으로 보는 '늦되는 아이vs발달지연 아이'의 판별기준!    킹덤연구소 2017.04.21 16:34:58248 
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46 [진로상담] 자녀의 두뇌발달(IQ) & 진로적성 알아보기    킹덤연구소 2016.06.28 15:49:11572 
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41 ADHD 증상을 보이는 우리 아이, 어떻게 도울 수 있을까?② -청소년기-    킹덤연구소 2015.12.07 17:23:15509 
40 ADHD 증상을 보이는 우리 아이, 어떻게 도울 수 있을까?① -유아기, 학령기 아동-    킹덤연구소 2015.12.07 17:21:32577 
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38 부모와 교사가 평가하는 우리아이 주의력결핍과잉행동장애(ADHD)    킹덤연구소 2015.10.19 17:47:03486 
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36 놀이치료의 이해 시리즈-“놀이 변화의 의미를 이해하기” Ⅰ    킹덤연구소 2015.07.20 14:03:00847 
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34 말 안듣는 우리아이 혹시 반항장애?     (880)킹덤연구소 2015.05.18 11:17:1216990 
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32 [결과해석]목표달성을 하기 위해 필요한 우리아이 자기조절능력     킹덤연구소 2015.04.07 16:30:36946 
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30 두 살 된 우리아이, 어떻게 충동을 조절할 수 있도록 도울 수 있을까?    킹덤연구소 2015.04.06 16:44:24593 
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27 [검사해석] 우리 아이가 주의력결핍 과잉행동장애 ADHD?    (392)킹덤연구소 2015.02.06 13:42:371630 
26 [검사척도]우리 아이가 주의력결핍 과잉행동장애 ADHD?     (611)킹덤연구소 2015.02.06 13:30:344434 
25 학령 전 우리 아이, 밖에 나가면 친구들과 못 어울리고 소심해지는 이유?    킹덤연구소 2015.02.02 15:29:15571 
24 우리 아이가 '자아실현'을 이루기까지 충족되어야 할 욕구와 그 단계는?    (869)킹덤연구소 2015.01.12 12:03:188396 
23  우리 아이, 다른 것은 괜찮은데 말을 하는데 어려움이 있어요. - 의사소통 장애 ②    (761)킹덤연구소 2014.11.24 11:29:512588 
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20 틱 장애가 무엇인지 궁금해요.    킹덤연구소 2014.11.03 14:33:41666 
19 우리 아이, 말을 잘하는 아이로 키우려면 어떻게 도움을 줄 수 있을까요?    킹덤연구소 2014.10.27 17:55:49595 
18 우리 아이 언어가 늦는 것 같은데 발달에 문제가 있는걸까?    킹덤연구소 2014.10.13 15:31:22735 
17 우리 아이 늦되는 아이? 아니면 발달에 문제?    (771)킹덤연구소 2014.10.13 15:28:215801 
16 3~5세의 전형적인 언어 진전    (812)킹덤연구소 2014.10.06 17:34:595333 
15 출생에서 3세까지의 언어발달 이정표    킹덤연구소 2014.10.06 17:34:16569 
14 아동의 기질 특성에 따른 양육방식    킹덤연구소 2014.09.29 13:56:37590 
13 애착 발달 단계    킹덤연구소 2014.09.22 13:08:06662 
12 ADHD(주의력결핍-과잉행동장애) 연령별 문제양상    (446)킹덤연구소 2014.09.01 14:14:321169 
11 ADHD(주의력 결핍 과잉행동 장애) 아동의 판별과 진단    킹덤연구소 2014.06.02 16:06:171021 
10 ADHD(주의력 결핍-과잉행동 장애)의 2차적 특징들    (404)킹덤연구소 2014.06.02 14:30:081568 
9 ADHD(주의력 결핍-과잉행동 장애)의 주된 특징들    킹덤연구소 2014.06.02 14:28:48787 
8 가정내 언어지도의 방법    프로토2014.04.01 10:29:11810 
7 친구 잘 사귀도록 도와주기    (388)프로토2014.04.01 10:28:042714 
6 장애아 자녀양육의 스트레스 대처법    프로토2014.04.01 10:27:08739 
5 말을 더듬는 우리 아이 어떻게 도와줘야 하나요?    (850)프로토2014.04.01 10:25:3712172 
4 발달장애, ADHD 부모를 위한 추천도서입니다.    (957)프로토2014.04.01 10:24:385820 
3 무료로 이용할 수 있는 주요 가정문제 상담소 안내    (418)프로토2014.04.01 10:23:221075 
2 떼를 많이 쓰는 우리 아이    (419)프로토2014.04.01 10:21:591027 
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