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        교정의료에 관한 천정환 명예교수의 독창적 비판 ― 한의 측면 ―

        천정환 동방문화대학원대학교 동양학연구소 2025 동방문화와 사상 Vol.18 No.-

        동양학의 한 분야인 한의학(韓醫學)에 기초한 한의사는 의료법이 공인한 의료인력이다. 국민은 자의로 양의사이든 한의사이든 의료행위주체를 선택할 수 있는 의료주권이 있으며 수용자도 마찬가지로 그러한 헌법적 권리가 있다. 한의학은 서양의학에 비해 상생과 포용, 화합 등의 철학적인 장점이 있으며 특히 마음의 자세를 중시하여 갱생을 이념으로 하는 교정의료에 적합하다. 각종 국제규범 등에서는 동양의학을 포섭하는 교정통합의료의 필요성을 인정하며 이에 선진국들은 교정의료에서 침술 등 동양의학을 인정하고 있다. 그럼에도 왜 한국의 교정의료에는 양의사만 인정하여 수용자는 전임한의사에 의한 의료를 받을 수 없다는 데서 이 논문의 출발점이 시작된다. 그러한 배경에는 정치사회적 역사에 의하여 “건강”에 관한 모든 것을 주도적으로 독점해온 의사의 독점적 경제지대의 추구가 있었다. 선진국과 달리 의사의 독점적 교정의료가 이어져 오는 과정에서 한의학적(韓醫學) 교정의료는 무시되어 왔으며 이러한 정치사회학적 관점을 학계와 인권위원회 등이 모르고 있어 올바른 정책의제화의 형성이 되지 않고 있다. 교정의료의 선행연구와 인권위원회의 권고의 문제점은 교정의료에 배태된 정치사회적 맥락에 대한 고려가 없으며 교정의료에서 서양의학만을 전제로 하여 한의학적인 교정의료를 간과하고 있다. 교정의료의 전인화와 수용자 의료주권화를 위해서는 교정의료의 탈양의화(脫洋醫化)와 의료의 탈상품화(脫商品化)와 완화된 교정관료화가 선행되어야 한다. 국제기준도 명문화한 치료의 동등성 원칙과 연속성 원칙은 헌법정신에도 부합하고 있음에도 교정의료에서 전임의사에 의한 한방의료를 인정하지 않는 것은 국가에 의한 잔인한 형벌이다. 따라서 이러한 선행연구들의 문제점을 최초로 적시하고 쟁점을 예각화(銳角化)시켜 올바른 정책의제화에 영향을 줄 목적으로 작성되었다. 이러한 점에서 본 논문은 국내학자 중에서 최초로 학제적 관점에 의하여 독창적 방안으로 교정의료에 깊이 배태(胚胎)되어 온 서양의학적 교정의료를 벗어나서 한국의 교정통합의료의 필요성을 제시하였다. Oriental medicine doctors based on oriental medicine , branch of oriental medicine, are medical personnel recognized by the medical law. The people including the inmates have medical sovereignty over medical subjects, whether they are doctors or oriental doctors. Oriental medicine has philosophical advantages such as co-prosperity, inclusion, and harmony compared to Western medicine. In particular, it is suitable for correction for inmates with the ideology of rehabilitation by emphasizing the attitude of the mind. Various international norms recognize the need for correction integrated medical care to include oriental medicine. Developed countries recognize oriental medicine such as acupuncture in correction. The starting point of this paper begins with the fact that only doctors are recognized for correction medicine and cannot receive medical care from oriental doctors. In the background was the pursuit of a doctor's exclusive economic zone according to the political and social history of Korea which has proactively monopolized everything about “health”. In the process of doctor-exclusive correction medicine , oriental correction medicine has been ignored unlike advanced countries. Academia and the Human Rights Commission do not know the political and sociological perspective, so the formation of correct policy is not being formed. The research on correction medicine and the problems of the Human Rights Commission do not take into account the political and social context embedded in correction medicine. In correction medicine, only Western medicine is described on the premise of correction medicine and medicine oriental medicine is overlooked. In order to make correction medicine a whole person and to make inmate medical sovereignty, Decommodification of correction medical including getting out from the focus of Western medicine in correction medicine and relaxed correctional bureaucracy should precede. Although the principle of equivalence and continuity of treatment, which is also specified by international standards, is consistent with the spirit of the Constitution, disapproving oriental medicine by full-time oriental doctor in correction medicine is a cruel punishment about inmates and their family.by the state. This paper was written with the aim of affecting the realization of the correction policy by pointing out the problems of previous studies for the first time and acutely articulating the issues. From an interdisciplinary point of view, this paper deviates from Western medical in correction , which has been embedded in correction medicine as an my original view, the need for correction integrated medicine was presented for the first time among domestic scholars .

      • KCI등재

        제시카법안의 심리면에 관한 千定煥 명예교수의 관점

        천정환 한국교정복지학회 2024 교정복지연구 Vol.- No.85

        In Korea, there has been a divere public security measures against increasing sex offenders and sex crimes until 2022. But, underlying divere public security measures has been a political and social interest and secret populism is deeply embedded in the foundation of divere security measures against increasing sex offenders and sex crimes. Therefore, in that context, competitive sensational reporting by korean media and the more sensational new media, etc has overproduced in unrest in the wake of the residents' anxiety which was raised ahead of the release of high-risk sex offenders until 2020. Korean political elite group with communicated with the ruling part announced-in a loud and splendid manne- in the name of public interest policy the strong security measures called the Korean Jessica bill in 2023. But, this bill is an improvised anti-unconstitutional policy and mobocracy based on the punishment populism of public opinion.The bill has a very political character. Therefore, the human rights group raised the issue on the legal side of security measures called the Korean Jessica bill and in response to their criticism. korean policy makers revised the legislative notice and put it forward by the government in January 2024. But, the Government's amendments are still in place is being criticized for double punishment and so on. The feature of the government's amendments of security measures called the Korean Jessica bill in January 2024 is that regulations that can provide psychological treatment for high-risk offenders have been added. The government with related legislation of the government's amendments of security measures called the Korean Jessica bill also proposed an amendment to strengthen the contents of the Chemical Castration Act. Chemical Castration Act, a characteristic of body and family punishment prohibited by the Constitution is secret symbolic violence against the Constitution and the rule of law in South Korea. But, the essential problem of family punishment which is immanent in Korean chemical castration act against the Constitution remains lonely on a lonely uninhabited land in the indifference of the media and political circles. Although it's an anti-unconstitutional personality that can be criticized in terms of psychology, correctional welfare, economic, judicial welfare, protective welfare and family welfare political and sociological aspects ,judicial welfare and so on, criticisms against the Korean Jessica bill by the Ministry of Justice has an interdisciplinary limit that is approached only from the legal aspect and there is diverse criticism in terms of diverse views. Therefore, I provide an original opinion from a protective welfare perspective after pointing out the psychological aspects, which are expected problem if the Korean Jessica Act is implemented after pointing out the path-dependent limitations of korean protective welfare bureaucratic regime which can be rationalized by scientific and quantification.

      • KCI등재

        千定煥 명예교수의 교정간호 개혁론: 채용측면

        천정환 한국교정복지학회 2024 교정복지연구 Vol.- No.86

        Correctional nursing is nursing that which is related medical practices for inmate and it comes from the educational ideology. The ideology of correctional nursing should be transferred to correctional nursing welfare that contributes to resocialization as it is transferred to the correctional welfare ideology and It is my correctional nursing welfare theory that the recruitment of correctional nurses should be a friendly recruitment of correctional nursing welfare. In the reality, correctional nurses and security officers may have business conflicts due to different values and behaviors pursued. A new nurse will have an ethical dilemma if he / she is employed without knowing the characteristics of the correction environment in which the security symbol acts strongly as a substructure. This reduces the productivity and resocialization of correctional care. Therefore, it is important to recruit a nurse with corrective motivation, propensity and qualities. In order to do this, it is necessary to approach from the perspective of correctional environment and personnel administration. At present, in terms of personnel, there is a recruitment method of a dualized correctional nurse consisting of a plain clothes nurse and a uniform nurse. But, the dual recruitment method hinders the unity of personnel administration and the uniform nurse system has many problems in terms of social psychology. Therefore, as a reform plan, fundamentally, it is necessary to reform the general correctional officer recruitment system. Thorough correction reforms such as abolishing the memorization-oriented recruitment system that hinders the validity of the test and hiring through the establishment of a correctional welfare university are necessary, but it is difficult to expect a thorough security regime in Korea. Therefore, it should be precisely employed to enhance the validity of the correctional nurse recruitment test. In this logic, we need to unify the recruitment method of the currently dualized nurses or testing methods should be revamped to ensure that correctional-friendly nurses are employed. However, if the current system is maintained, the recruitment system such as the written test should be reformed to make the test valid, the correction-friendly recruitment ideology and the human rights ideology. In terms of personnel environment, institutional measures should be sought to include correctional facilities in clinical practice institutions such as nursing departments. Until the first half of 2023, there were no papers suggesting the problems of recruitment of orthodontic nurses. Therefore, this paper describes the problems and development plans in a multidisciplinary approach from a unique point of view.

      • KCI등재

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