Earticle

The purpose of this study was to investigate the effects of exercise rehabilitation program after meniscus transplantation on the function in knee joint and quality of life, and to examine the gender difference in rehabilitation. Subjects were 11 meniscus transplantation patients, and assigned to 2 groups(male:5, femal:6). Lysholm score, and KOOS were measured at pre-exercise, 6th week, and 12th week during 12-week exercise rehabilitation program(3 times per week, 80∼90 min. per time). As a result, in Lysholm score and KOOS, no significance was shown between groups at 6th and 12th week, whereas significance was shown within group in both groups. In conclusion it is suggested that 12-week exercise rehabilitation program after meniscus transplantation should have the positive effect on the function in knee joint and quality of life. And gender difference should be considered during rehabilitation after meniscus transplantation.

본 연구의 목적은 수치심을 존엄의 회복과 창조적 도전으로 전환하기 위한 KOOS (Knowing Ourselves through Ongoing Stories) 모델 기반 집단상담의 실천적 유용성을 탐색하는 데 있다. 본 연구에서는 수치심을 관계 속에서 반복되는 경험을 통해 자기 존재의 가치와 존엄이 손상되었다고 경험하는 복합적인 자기경험으로 이해하였다. KOOS 모델은 내러티브 관점을 메타 프레임워크로 삼고, 시적 은유를 수치심 경험의 상징화와 외재화를 촉진하는 실천적 매개기제로 활용하며, 인지행동적 접근을 통해 새로운 자기이해가 신념과 행동의 변화, 나아가 창조적 도전으로 이어지도록 돕는다. 본 연구에서는 50대 여성 6명을 대상으로 총 8회기의 KOOS 모델 기반 집단상담을 실시하였으며, 질적 사례연구를 통해 3명의 변화 경험을 심층 분석하였다. 연구 결과 참여자들은 심리적 안전거리를 확보하는 ‘머무르기’, 수치심 경험을 직면하는 ‘마주하기’, 대안적 삶의 이야기를 재구성하는 ‘뚫고 나가기’, 존엄을 회복하고 창조적 도절을 실천하는 ‘피어나기’의 과정을 경험하였다. 또한 참여자들은 삶의 맥락과 준비도에 따라 각 단계를 반복적으로 재방문하는 나선형 변화과정을 통해 보다 견고한 통합을 이루어 갔다. 본 연구는 KOOS 모델이 수치심 치유와 존엄 회복을 촉진하는 실천적 변화모델로서 학술적⋅임상적 유용성을 제시하였으며, 시적 은유가 자기경험을 안전하게 표현하고 새로운 의미를 구성하며 삶의 이야기를 재구성하도록 돕는 실천적 매개기제로 작용함을 보여주었다.

In this study, shame was understood as a negative self-evaluative experience characterized by the perception that one’s value and dignity as a person have been damaged. Such shame may emerge as a complex self-experience shaped by affect, cognition, core beliefs, identity, narratives. This study explored the practical usefulness of group counseling based on the KOOS (Knowing Ourselves through Ongoing Stories) model for facilitating the transformation of shame into the restoration of dignity and engagement in creative challenges. The KOOS model adopts a narrative perspective as its meta-framework, uses poetic metaphor to facilitate the symbolization and externalization of shame experience, and integrates cognitive-behavioral approaches tailored to individuals’ life contexts and psychological readiness. Eight sessions of KOOS model-based group counseling were conducted with six women in their fifties, and the experiences of three participants were analyzed using a qualitative case study approach. Participants experienced the processes of Staying, which established psychological safety and distance; Facing, which involved confronting shame experiences; Breaking Through, which supported reconstruction of alternative self-narratives; and Blooming, which restored dignity and translated renewed self-understanding into creative challenges in everyday life. They also revisited these stages through a spiral process of change, achieved deeper integration over time. The findings suggest that the KOOS model can facilitate shame healing and dignity restoration, and the poetic metaphor can suppot the symbolization of affective experiences and the reconstruction of self-narratives.