경계선성격장애성향자의자살위험요인에대한현상학적연구 국문초록 39 Giorgi 7 중심단어 : 2016 4 15 2016 5 16 2016 5 10
166 Journal of Counseling and Gospel 24 1 2016 I. 여는글 DSM 5 1) 10 2) 50 3) 1 American Psychiatric Association: APA, Diagnostic and Statistical Manual of Mental Disorder, 5th ed., Text Revision Washington, D.C. American Psychiatric Association, 2013, 836. 2 J. Paris. The Treatment do Borderline Personality Disorder in Light of the Research on Its Long Term Outcome, Canadian Journal of Psychiatry 38, no.1 1993 28 34. 3 Joiner Thomas, Why People die by Suicide, 2012 233
167 4) 5) 6) BPD risk factor II. 펴는글 borderline Otto F. Kernberg 4 2014 149 65 33 5 2006 110 6 M. M. Linehan, J. L. Goodstein, S. L. Nielsen, & J. A. Chiles, Reasons for Staying Alive When You are Thinking of Killing Yourself, Journal of Consulting and Clinical Psychology 51, no.2 1993 276 277.
168 Journal of Counseling and Gospel 24 1 2016 borderline personality structure 7) 15 20 6 8) DSM 5 2 5 9) 7 Otto. F. Kernberg, Borderline Conditions and Pathological Narcissism, 2011 20 22 8 B. F. Grant, S. P. Chou, R. B. Goldstein, B. Huang, F. S. Stinson, T. D. Saha, & W. J. Ruan, Prevalence Correlates, Disability, and Comorbidity of DSM IV Borderline Personality Disorder: Results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions, Journal of Clinical Psychology 69 2008 533 545. 9 APA, Diagnostic and Statistical Manual of Mental Disorder, 836.
169 10) 11) 12) 13) 10 Kay Redfield Jamison, Understanding Suicide, 2012 173 11 Thomas Joiner, Why Ppeople Die by Suicide, 2012 233 12 Sonia Chehi & Stan Kutcher, Suicide Risk Management A Manual for Health Professionals, 2015, 51. 13 4 2 2008 118
170 Journal of Counseling and Gospel 24 1 2016 OECD 1 2013 14,427 267 1 9 10 28 5 0 4 1.5 39 5 OECD 12 1 3 14) suicide ideation suicide attempt suicide behavior completed suicide 15) 16) 14 2014 15 W. W. Meissner, Psychotherapy and the Paranoid Process, 2003 424 16 17 1998 71 81
171 17) 18) 19) Morey 20) 4 0 4 0 17 K. Hawton, J. Fagg, S. Platt, & M. Hawins, Factors Associated with Suicide after Parasuicide in Young People, British Medical Journal 306 1993 1641 1644 18 Joiner 233 19 J. G. Gurnderson, C. Mary, & M. Zanarini, Current Overviwe of the Borderline Diagnosis, Archives of General Psychiatry 48 1987 5 11 20 I. C. Morey, The Personality Assessment Inventory Professional Manual Lutz, FL. Psychological Assessment Resources, 1991
172 Journal of Counseling and Gospel 24 1 2016 69 39 39 21) Morey 39 5 21 17 1 1998 259 271
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175 2014 12 2015 5 2 3 1 epoche 22) 23) Lincoln Guba 1985 22 24 2015 66 23 2001 26 27
176 Journal of Counseling and Gospel 24 1 2016 trustworthiness truth value applicability consistency neutrality 24) Lincoln Guba 25) 24 Y. S. Lincoln & E. Guba, Naturalistic Inquiry Beverly Hills, CA. Sage, 1985 289 301. 25 Lincoln & Guba, Naturalistic Inquiry 245 250
177 26) BPD Giorgi Giorgi 4 27) 28) 29) 26 J. W. Creswell, Qualitative Inquiry & Research Design, 2nd ed., 2013 91 27 C. Moustakas, Phenomenological Research Methods Thousand Oaks, CA. Sage, 1994 34 28 Creswell 91 29 18 2 2010 134
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186 Journal of Counseling and Gospel 24 1 2016 2 5 1 2 3 5
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188 Journal of Counseling and Gospel 24 1 2016 4 1 3 4 20 30 3 1
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191 BPD 1 2 3 6 6 3 4
192 Journal of Counseling and Gospel 24 1 2016 BPD BPD 30) 31) BPD 30 321 1985 204 31 23 1 2015 93 94
193 BPD 32) 33) III. 닫는글 BPD 32 23 2 2015 54 33 M. Bradshaw, C. G. Ellison, & J. P. Marcum, Attachment to God, Image of God, and Psychological Distress in a Nation Wide Sample of Presbyterians, The International Journal for the Psychological of Religion 20 2010 130.
194 Journal of Counseling and Gospel 24 1 2016 BPD 34) 34 M. White & D. Epston. Narrative Means to Therapeutic Ends New York W. W. Norton, 1990, 127.
195 35) 35 55 56.
196 Journal of Counseling and Gospel 24 1 2016 23 1 2015 75 101 23 2 2015 41 68 18 2 2010 321 1985 17 1998 71 81 4 2 2008 24 2015 49 73 2001 29 4 2010 1047 1066 IV 2008 2006 2014 2014 17 1 1998 259 271 American Psychiatric Association APA,, Diagnostic and Statistical Manual
197 of Mental Disorder. 5th Ed. Text Revision. Washington, D.C. American Psychiatric Association, 2013. American Psychiatric Association: APA. Diagnostic and Statistical Manual of Mental Disorder. 5 2015 Bollas, C. The Shadow of the Object Psychoanalysis of the Unthought Known. 2010 Chehil, Sonia & Stan Kutcher. Suicide Risk Management A Manual for Health Professionals. 2015. Creswell, J. W. Qualitative Inquiry & Research Design. 2nd Ed. 2013. Grant, B. F., S. P. Chou, R. B. Goldstein, B. Huang, F. S. Stinson, T. D. Saha, & W. J. Ruan. Prevalence Correlates, Disability, and Comorbidity of DSM V Borderline Personality Disorder Results from the Wave 2 National Epidemiological Survey on Alcohol and Related Conditions. Journal of Clinical Psychology 69 2008 533 545. Gurnderson, J. G., C. Mary, & M. Zanarini. Current Overviwe of the Borderline Diagnosis. Archives of General Psychiatry 48 1987 5 11. Gurnderson, J., M. Zanarini, & C. Kisiel. Borderline Personality Disorder A Review of Data on DSM III R Descriptions. Journal of personality Disorders 5 1991 340 352. Hawton, K., J. Fagg, S. Platt, & M. Hawins. Factors Associated with Suicide after Parasuicide in Young People. British Medical Journal 306 1993 1641 1644. Jamison, Kay Redfield. Understanding Suicide. 2012 Joiner, Thomas. Why People Die by Suicide. 2012 Kernberg, O. F. Borderline Conditions and Pathological Narcissism. 2008
198 Journal of Counseling and Gospel 24 1 2016 Kernberg, O. F., Internal World and External Reality. 2001 Kernberg, O. F. Object Relations Theory and Clinical Psychoanalysis 2003. Lincoln, Y. S. & E. Guba. Naturalistic Inquiry. Beverly Hills, CA. Sage, 1985. Linehan, M. M., J. L. Goodstein, S. L. Nielsen, & J. A. Chiles. Reasons for Staying Alive When You are Thinking of Killing Yourself. Journal of Consulting and Clinical Psychology 51, no. 2 1993 276 286. Masterson, J. F. The Search for the Real Self. 2000. Morey, I. C. The Personality Assessment Inventory: Professional Manual. Lutz, FL. Psychological Assessment Resources, 1991. Moustakas, C. Phenomenological Research Methods. Thousand Oaks, CA.: Sage, 1994. Nelson, Graham, Alaa Houri, & Bonnie Klimes Douganl. Protective Functions of Religious Traditions for Suicide Risk. Suicidology 3 2012 59 71. Paris, J. The Treatment do Borderline Personality Disorder in Light of the Research on Its Long Term Outcome. Canadian Journal of Psychiatry 38 1993 28 34. Soloff, P. H., K. G. Lynch, & T. M. Kelly. Childhood Abuse as a Risk Factor for Suicidal Behavior in Borderline Personality Disorder. Journal of Personality Disorder 16, no. 3 2002 201 214. Widom, C. S. Childhood Victimization Early Adversity and Subsequent Psychopathology. In Stress and Psychopathology. Eds. B. P. Dohrenwend. New York Oxford University Press, 1998. Zilboorg, G. Considerations on Suicide with Particular Reference to that of the Young. American Journal of Orthopsychiatry 7 2010 15 31.
199 Abstract Features of Borderline Personality Disorder and Risk Factors of Suicide A phenomenological approach Jae Soon Lee & Mi Kyung Kim Hanyoung Theological University This study aims at preventing suicidal attempts of people with borderline personality disorder who are highly likely to destroy themselves in mental disorder and making suggestions about Christian counselling care. Borderline personality disorder indicates repeated selfinflicted injuries and higher suicidal impulses. People with borderline personality disorder have fear about loss and being abandoned, impulse, frequent anger burst, and unstable interpersonal relationship and emotional status, and it is difficult to study with and about them. Therefore, the studies about non-clinical groups with the disorder are more actively done than those on clinical groups. Considering them, for this study, the researcher conducted individual in-depth interviews with interviewees who were classified as those with features with borderline personality disorder with 39p points in the borderline personality disorder scale, The collected data were analyzed by using Giorgi s methods among phenomenological research methods. For the research results were categorized into the following seven topic groups: loss of will to live, preception life as suffering, vulnerable emotions and self, impulse of suicide, lack of relationship, and weak reason of existence are classified as risk factors to induce self-destructive behaviors. In conclusion, they show self-destruction to serious level of pseudosuicidal action due to vulnerable self and lack of emotional control. Based on suggestions of the results, the study discussed directions of Christian counseling to alleviate tendency of self-destruction. Key words: borderline personality disorder, suicidal ideation, self destructive behaviors, suicidal attempt, vulnerable self