【Abstract】
A Single Case Study of Christian Counseling
Using Motivational Interviewing Principles
: Focusing on the Reduce Social Withdrawal in Patients
with Chronic Schizophrenia

Park, Yoon Jeong
Ph. D. in Christian Counseling
The Graduate School, Asia United Theological University

This is an in-depth study of one chronic schizophrenic patient. The purpose is to investigate the impact on clinical outcomes through an analysis of data, including the client’s counseling contents and behavior observations. To reduce social withdrawal of the client’s negative symptoms, this study proves the clinical effect of Christian Counseling utilizing the principle of the Motivational Interviewing. For this purpose, as one of the social science research methods, a reversal design was adopted, which is an experimental design of a single case. To prove the effectiveness of the counseling intervention, a research method of a single case was applied, which consisted of reversal design. The strategy of the counseling intervention showed an impact. Including the client’s qualitative satisfaction level, the trends of changes in the environment of the client and the client’s inappropriate behavior patterns were visually revealed. Based on this, the Christian Counseling approach utilizing the principle of Motivational Interviewing, which intervened in the client has an impact.
Since it is a research method to judge and determine the impact of experimental manipulation on the research subject and the impact of counseling intervention, it has a limitation that it is difficult to generalize that. There is a limitation that the researcher’s subjective influence cannot be controlled. Since the persistence of effects in the research results was not verified repeatedly for a long time, there is a limitation that it cannot be argued that the results of the study consistently preserve the effect of counseling for the client.
Through the process of the counseling intervention in this study, the client’s symptoms of target behavior significantly decreased. The client’s symptoms of target behavior significantly decreased through the process of Christian counseling intervened in the study, which supports its counseling effect. As an effort to improve the expansion of relationships and contacts, this study increased the number of times of the client’s meeting with the family. The client enjoyed a small sense of accomplishment through the accomplishment of the task performed and got self-efficacy promoted through positive feedback and encouragement to discover the things the client could do and find vitality in life. The client’s wrong habitual problem behaviors were recognized and improved, which supports the positive effect and result of counseling.
Since the counseling intervention in the study solved the problems of the client who was a chronic schizophrenic patient, decreased the client’s withdrawn social behaviors and had positive results, it was found that the Christian Counseling approach utilizing Motivational Interviewing was effective. The client’s adaptive life attitude and function level were restored, so it was found that it contributed to the improvement of the life attitude as well. Based on the results of the study, it is suggested that the practical approach utilizing the principle of the Motivational Interviewing should further be discussed and investigated, so that it would become the study that could become a model of other approaches to counseling.