2024년 작업치료 개념서 05-정신과 CHAPTER 1 정신의학적 증상 _9 1.1 정신병리학 ·············································································· 11 1.2 증상론 ····················································································· 11 Summary ······················································································ 24 CHAPTER 2 신경인지장애(치매 ㆍ 섬망 등) _25 2.1 개념 ························································································ 27 2.2 섬망 ························································································ 27 2.3 치매 ························································································ 29 2.4 알츠하이머병 치매 ·································································· 34 2.5 기타 치매 ··············································································· 36 Summary ······················································································ 48 CHAPTER 3 조현병 _51 3.1 개념 및 원인·········································································· 53 3.2 임상양상 ················································································· 53 3.3 감별진단 ················································································· 61 3.4 경과 및 예후·········································································· 62 3.5 치료 ························································································ 62 Summary ······················································································ 63 CHAPTER 4 양극성 및 관련 장애, 우울장애 _65 4.1 개념 ························································································ 67 4.2 Ⅰ형 양극성 장애 ··································································· 68 4.3 Ⅱ형 양극성 장애 ··································································· 74 4.4 순환성 장애 ············································································ 75 4.5 우울장애 ················································································· 76 Summary ······················································································ 79 CHAPTER 5 망상장애 _81 5.1 개념 및 원인·········································································· 83 5.2 임상양상 ················································································· 84 5.3 경과 및 예후·········································································· 84 5.4 치료 ························································································ 85 Summary ······················································································ 86 CHAPTER 6 불안장애 _87 6.1 개념 ························································································ 89 6.2 공황장애 ················································································· 89 6.3 광장공포증 ·············································································· 92 6.4 특정공포증 ·············································································· 93 6.5 사회불안장애 ·········································································· 93 6.6 범불안장애 ·············································································· 94 6.7 이별불안장애 ·········································································· 95 6.8 선택적 함구증 ········································································· 95 Summary ······················································································ 96 CHAPTER 7 강박 및 관련 장애 _99 7.1 개념 ······················································································ 101 7.2 강박장애 ··············································································· 101 7.3 신체변형장애 ········································································· 103 7.4 저장장애 ··············································································· 104 7.5 발모광 ··················································································· 105 7.6 피부파기장애 ········································································· 105 Summary ···················································································· 106 CHAPTER 8 외상 및 스트레스 관련 장애 _109 8.1 개념 ······················································································ 111 8.2 외상 후 스트레스장애 ·························································· 111 8.3 급성 스트레스 장애 ······························································ 112 8.4 적응장애 ··············································································· 113 8.5 반응성 애착장애 ··································································· 113 8.6 탈억제성 사회관여장애 ························································· 114 Summary ···················································································· 115 CHAPTER 9 지능장애 _117 9.1 지능장애 ··············································································· 119 9.2 경계형 지능기능 ··································································· 125 Summary ···················································································· 126 CHAPTER 10 소아 ㆍ 청소년 정신의학 _129 10.1 의사소통장애 ······································································· 131 10.2 자폐증 스펙트럼 장애 ························································· 134 10.3 주의력결핍과다활동장애 ······················································ 140 10.4 특정 학습장애 ····································································· 142 10.5 운동장애 ·············································································· 143 Summary ···················································································· 147 CHAPTER 11 물질 관련 및 중독성 장애 _149 11.1 용어 ···················································································· 151 11.2 알코올 관련 장애 ······························································· 153 11.3 아편유사제 관련 장애 ························································· 158 11.4 진정제, 수면제 및 항불안제 관련 장애 ····························· 162 11.5 자극제 관련 장애 ······························································· 162 11.6 대마 관련 장애 ··································································· 163 11.7 흡입제 관련 장애 ······························································· 164 11.8 카페인 관련 장애 ······························································· 165 11.9 담배 관련 장애 ··································································· 166 11.10 기타 ·················································································· 167 11.11 비물질 관련 장애 ······························································ 168 Summary ···················································································· 170 CHAPTER 12 방어기제 _173 12.1 방어기제 ·············································································· 175 12.2 방어기제의 종류 ································································· 176 Summary ···················································································· 181 CHAPTER 13 정신과 작업치료의 접근법 _183 13.1 치료의 내용 ········································································ 185 13.2 변화하는 작업치료 분야의 본질 ········································· 187 13.3 작업치료 과정 ····································································· 187 13.4 이론의 틀 ············································································ 187 Summary ···················································································· 191 CHAPTER 14 정신과 작업치료의 평가 _193 14.1 초기 평가 ············································································ 195 14.2 평가 내용 ············································································ 195 14.3 평가 방법 ············································································ 196 14.4 유효한 결과 ········································································ 198 Summary ···················································································· 199 CHAPTER 15 정신과 작업치료의 치료 계획 및 실행 _201 15.1 치료계획 ·············································································· 203 15.2 치료실행 ·············································································· 205 Summary ···················································································· 209 CHAPTER 16 정신건강 증진을 위한 운동 적성 _211 16.1 개요 ···················································································· 213 16.2 운동이 정신건강에 미치는 긍정적 효과 ····························· 213 16.3 정신건강과 신체적 장애 ····················································· 214 16.4 치료적 운동 ········································································ 215 Summary ···················································································· 219 CHAPTER 17 인지 접근법 _221 17.1 개요 ···················································································· 223 17.2 인지장애 ·············································································· 223 17.3 인지장애를 위한 작업치료 ·················································· 224 17.4 인지장애 이론 ····································································· 226 17.5 인지치료 ·············································································· 228 17.6 작업치료의 인지치료 접근법 ·············································· 230 Summary ···················································································· 232 CHAPTER 18 그룹 활동 _233 18.1 작업치료에서의 그룹 ·························································· 235 18.2 그룹 계획하기 ····································································· 241 18.3 그룹 관리 ············································································ 243 Summary ···················································································· 245 CHAPTER 19 창조적 활동 _247 19.1 창조성 ················································································· 249 19.2 치료로서 창조적 활동 ························································· 250 Summary ···················································································· 252 CHAPTER 20 놀이 치료 _253 20.1 놀이 ···················································································· 255 20.2 놀이치료 소개 ····································································· 256 20.3 놀이치료의 이론적 틀 ························································· 257 20.4 놀이 환경 ············································································ 259 Summary ···················································································· 262

머리말 작업치료 분야는 그 어떤 영역보다 광범위하고 다차원적인 분야이다. 의학, 심리학, 사회학 등 인간 관련 다영역적 학문으로 매우 다양하고 복합적 성격을 지닌 학문이다. 국내 작업치료 역사는 한국전쟁을 시작으로 이미 반세기가 지났으며, 매우 다양한 분야로 진출하고 있다. 반면, 국내 작업치료의 교육 현실은 예전보다 많이 발전하였으나 전공 교육과정에 필요한 교재는 여전히 부족한 상태이며, 이로 인해 국가시험을 준비해야 하는 재학생들에게 큰 부담이 되고 있다. 이에 본 교재는 부족한 교육과정을 보충하고 중요한 내용들을 요약정리하므로 보다 쉽게 작업치료사 국가고시를 준비할 수 있도록 구성하였다. 최근 국가시험은 보다 전문적이고, 과학적이며, 다양한 문제들이 출제되는 경향을 보이고 있다. 과거 출간된 서적들 대부분이 암기형 문제 풀이식으로 구성되어 있어 국가시험을 준비하는 학생들에게 큰 도움을 주지 못했던 반면, 본 서적은 다양한 분야의 실기형ㆍ 사례형 문제들을 탑재하는 동시에 풍부한 해설을 통해 체계적이고, 논리적 학습이 가능하도록 편집하였다. 본 교재는 학생들의 이해도를 높이기 위해 구체적이고, 보다 체계적인 해설과 매뉴얼을 제공하고 있으며, 실전 문제와 같은 문제들을 통해 국시 및 임상대비 능력을 극대화하고자 하였다. 국시에 필요한 전공과목의 체계적인 정리는 학생들 스스로 학습이 가능하도록 하였으며, 출제 비중이 높은 이론과 실기, 그에 따른 해설을 통해 학생들의 학습효과를 극대화하여 국가시험에 대한 자신감을 높여주고자 한다. 작업치료사 국가시험을 준비하는 모든 학생들에게 등대와 같은 교재가 되기를 희망하며… 2024년 4월 작업치료 국시연구회