• Title/Summary/Keyword: 가족상담

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Genetic Counseling in Korean Health Care System (한국 의료제도와 유전상담 서비스의 구축)

  • Kim, Hyon-J.
    • Journal of Genetic Medicine
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    • v.8 no.2
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    • pp.89-99
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    • 2011
  • Over the years Korean health care system has improved in delivery of quality care to the general population for many areas of the health problems. The system is now being recognized in the world as the most cost effective one. It is covered by the uniform national health insurance policy for which most people in Korea are mandatory policy holders. Genetic counseling service, however, which is well recognized as an integral part of clinical genetics service deals with diagnosis and management of genetic condition as well as genetic information presentation and family support, is yet to be delivered in comprehensive way for the patients and families in need. Two major obstacles in providing genetic counseling service in korean health care system are identified; One is the lack of recognition for the need for genetic counseling service as necessary service by the national health insurance. Genetic counseling consumes a significant time in delivery and the current very low-fee schedule for physician service makes it very difficult to provide meaningful service. Second is the critical shortage of qualified professionals in the field of medical genetics and genetic counseling who can provide the service of genetic counseling in clinical setting. However, recognition and understanding of the fact that the scope and role of genetic counseling is expanding in post genomic era of personalized medicine for delivery of quality health care, will lead to the efforts to overcome obstacles in providing genetic counseling service in korean health care system. Only concerted efforts from health care policy makers of government on clinical genetics service and genetic counseling for establishing adequate reimbursement coverage and professional communities for developing educational program and certification process for professional genetic counselors, are necessary for the delivery of much needed clinical genetic counseling service in Korea.

Qualitative Case Study on Psychological Difficulties Found In Each Divorce Decision Making Stage That Senescent Women Face in Their Early Stage of Elderly Life (초기노년기 여성이 경험한 이혼결정단계별 심리적 어려움에 관한 질적사례연구)

  • Moon, Jung Hwa;Kim, Mi Ra
    • Korean Journal of Family Social Work
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    • no.58
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    • pp.67-96
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    • 2017
  • The purpose of this study is to examine psychological difficulties that elderly women experience in each divorce decision making stage and they are shown by counselling cases made with elderly women who got divorced in their early stage of elderly life. For this purpose, total 18 counseling cases were collected from November 2012 to March 2013 and a qualitative analysis was made accordingly. The result of this study was made by analyzing meaningful subjects emerged in individual testimonies during a counseling process and it shows that the decision to divorce goes through stages such as , , , , , and . In addition, psychological difficulties experienced in a divorce decision process appear to be, , , , , , and . It is meaningful that this study provides counseling strategies for psychosocial support of the elderly women who go through difficulties in their divorce decision making process.

Low-Income Households' Financial Problems and Demand for Financial Counseling (저소득층가계의 재무문제와 재무상담 수요에 관한 연구)

  • Kim, Sung-Sook
    • Journal of Family Resource Management and Policy Review
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    • v.15 no.2
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    • pp.147-171
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    • 2011
  • The purpose of this study was to examine low-income households' financial problems and the demand for financial counseling. For these purposes, a survey of 500 low-income households was conducted by an on-line survey company. The results were as follows. First, four types of low-income households classified by income and job criteria were: the not-working poorest (16.2%), the working poor (27.0%), the not-working low-income (13.8%), and the working low-income (43.4%). Also, seven areas of financial problems were found through factor analysis. They included difficulty of survival, insufficient funds for special expenditures, defaults on financial obligation, decrease of income, increase of debts, emotional anguish, and difficulty in meeting living expenditures. 61.6% of respondents requested financial counseling, and 44.5% of them preferred internet counseling to counseling by phone or in-person, while 49.5% desired access to public counseling organizations. The five types of financial counseling content for low-income households that were found through factor analysis were financial planning, credit management, asset management/investment, public support, and use of credit cards. The low-income householders demanded financial planning counseling and pubic support counseling more than the other types of financial counseling. Logistic regression analysis revealed that the demand for financial counseling participation was significantly influenced by age and income. The demand for financial counseling content was age, income, and types of financial problems. Therefore, general financial counseling programs for low-income households should be expanded. Furthermore, those counseling programs can be useful if they not only include credit management but also financial planning, economic support information and savings.

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A Study on a Method to Manage Counselling Records and Archives for Youth - Focused on Korea Youth Counselling and Welfare Institute - (상담기록물 관리 현황 및 개선방안에 관한 연구 - 한국청소년상담복지개발원을 중심으로 -)

  • Jeong, Ji-Na;Kim, Sung-Hwan;Kim, Yong
    • Journal of Korean Library and Information Science Society
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    • v.48 no.4
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    • pp.401-428
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    • 2017
  • Counseling records can be used as a tool to identify the function of a counselor and to identify the client's status and will be able to expand functions as research data of academic and social culture. This study aims to investigate current status of management of records and archives on counselling youth and proposes a improved method to manage records and archives in Korea Youth Counseling & Welfare Institute. For this purpose, we performed interviews with the persons who have a role in managing records and archives. Based on the results, we proposed a method to improve problems. Especially, the proposals are considered in two sides administrative and systematic viewpoint.

A Study of Guidelines for Genetic Counseling in Preimplantation Genetic Diagnosis (PGD) (착상전 유전진단을 위한 유전상담 현황과 지침개발을 위한 기초 연구)

  • Kim, Min-Jee;Lee, Hyoung-Song;Kang, Inn-Soo;Jeong, Seon-Yong;Kim, Hyon-J.
    • Journal of Genetic Medicine
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    • v.7 no.2
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    • pp.125-132
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    • 2010
  • Purpose: Preimplantation genetic diagnosis (PGD), also known as embryo screening, is a pre-pregnancy technique used to identify genetic defects in embryos created through in vitro fertilization. PGD is considered a means of prenatal diagnosis of genetic abnormalities. PGD is used when one or both genetic parents has a known genetic abnormality; testing is performed on an embryo to determine if it also carries the genetic abnormality. The main advantage of PGD is the avoidance of selective pregnancy termination as it imparts a high likelihood that the baby will be free of the disease under consideration. The application of PGD to genetic practices, reproductive medicine, and genetic counseling is becoming the key component of fertility practice because of the need to develop a custom PGD design for each couple. Materials and Methods: In this study, a survey on the contents of genetic counseling in PGD was carried out via direct contact or e-mail with the patients and specialists who had experienced PGD during the three months from February to April 2010. Results: A total of 91 persons including 60 patients, 49 of whom had a chromosomal disorder and 11 of whom had a single gene disorder, and 31 PGD specialists responded to the survey. Analysis of the survey results revealed that all respondents were well aware of the importance of genetic counseling in all steps of PGD including planning, operation, and follow-up. The patient group responded that the possibility of unexpected results (51.7%), genetic risk assessment and recurrence risk (46.7%), the reproduction options (46.7%), the procedure and limitation of PGD (43.3%) and the information of PGD technology (35.0%) should be included as a genetic counseling information. In detail, 51.7% of patients wanted to be counseled for the possibility of unexpected results and the recurrence risk, while 46.7% wanted to know their reproduction options (46.7%). Approximately 96.7% of specialists replied that a non-M.D. genetic counselor is necessary for effective and systematic genetic counseling in PGD because it is difficult for physicians to offer satisfying information to patients due to lack of counseling time and specific knowledge of the disorders. Conclusions: The information from the survey provides important insight into the overall present situation of genetic counseling for PGD in Korea. The survey results demonstrated that there is a general awareness that genetic counseling is essential for PGD, suggesting that appropriate genetic counseling may play a important role in the success of PGD. The establishment of genetic counseling guidelines for PGD may contribute to better planning and management strategies for PGD.

A Pilot study of Kyongbuk Womens Policy Development (경북여성정책제언을 위한 기초 조사 -가족생활.경제활동을 중심으로-)

  • 김정옥
    • Journal of Families and Better Life
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    • v.19 no.1
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    • pp.253-268
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    • 2001
  • This study is designed to extent the investigation of the Kyongbuk Womens policy the area of family life and womens economic activity. Results indicated that the primary barriers of getting a job for married women was child rearing and the diffency of working information. On the family life, communication patterns were contributed to the problem of the relationship between child and parent, and spouse relationship. And also, school violence was founded the hot problem. The results underscore the importance of child rearing support system, and affirmative action in womens employment enviroment, Family Life Educator and Family Counselor.

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The effect of family relations on adolescents' social competence: examining the mediating role of ego-resilience (가족관계가 청소년의 사회적 유능성에 미치는 영향: 자아탄력성의 매개효과)

  • Oh, Eunjung;Yuh, Jongil
    • Journal of Family Relations
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    • v.23 no.3
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    • pp.177-199
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    • 2018
  • Objectives: The purpose of this study was to examine the effect of family relations on adolescents' social competence. Furthermore, this study aimed to examine the mediating role of ego-resilience between those factors. Method: Two hundred and ninety-nine high school students completed measures of family cohesion, family expressiveness, ego-resilience, and social competence. T-tests, correlation and regression analyses were conducted. Results: The results reveled that family cohesion, family expressiveness, and ego-resilience were positively related to social competence. The results also revealed that family cohesion and expressiveness were significantly predicted social competence, emphasizing the role of family relations. Moreover, the association of family cohesion and expressiveness with adolescents' social competence was partially mediated by ego-resilience. Conclusions: The findings suggests that family cohesion and expressiveness contributes to adolescents' social competence directly and indirectly through ego-resilience. Results were discussed in terms of their implications for intervention to enhance social competence among adolescents.

Successful Factors of Smoking Cessation for Male Workers from Small and Medium Enterprises Registered with Local Tobacco Control Center (일개 지역금연지원센터에 등록된 중소규모 사업장 남성 근로자의 금연 성공 요인)

  • Ryu, Il-Hwa;Park, Ki-Soo
    • Journal of agricultural medicine and community health
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    • v.46 no.4
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    • pp.253-265
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    • 2021
  • Objectives: The aim of the study is to identify the success factors of 6 months of smoking cessation targeting male workers in small and medium-sized businesses. Methods: The subjects of this study were smoking male workers who had got the visiting services at a tobacco control center to stop smoking from January 2018 to December 2020. Total number of the participants was 767. Results: The male workers in small and medium enterprises had a success rate of 20.2% for smoking cessation for 6 months. With multiple logistic regression, the factors causing the differences in the success rate for 6 months of the workers were as follows. - The odds ratios (ORs)(95% confidence interval, CI) of the age group of under 29 and 40-49 years were 0.10 (0.03-0.29) and 0.43 (0.24-0.76), respectively, compared to the 50 years and older group. The ORs (95% CI) of the daily average of smoking group of 11-20 and more than 21 were 0.52(0.34-0.80) and 0.46(0.24-0.90), respectively, when compared to the group of 1-10. The ORs (95% CI) of the supporting persons for quitting smoking group of with spouse and other family were 1.99(1.18-3.34), compared to the group with no one. Conclusions: This study showed that the chance of success for smoking cessation for 6 months is higher when the subjects have spouses and other family Supporting persons for quitting smoking. And it also shows that the less they smoke a day and the older they are, the more likely it is to succeed in quitting smoking.

의과대학생 학습 및 생활지도의 새로운 모색 - 2005년도 학생 상담 사례를 중심으로 -

  • Jeon, U-Taek
    • Korean Medical Education Review
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    • v.8 no.1
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    • pp.23-33
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    • 2006
  • 의학교육은 학생들에 대한 교육과 평가만으로 구성되지 않는다. 학생들이 그러한 교육을 모두 잘 이수하고 졸업할 수 있도록 잘 지도해 주는 것까지를 포함한다. 의학교육에 있어 이러한 지도가 필요한 이유는 의대생들의 학습과 생활에 문제가 자주 발생하기 때문이다. 이에 본 연구에서는 2005년도에 본 의과대학에서 이루어진 총104건의 상담사례를 분석하여 그 문제와 대안을 제시하였다. 나타난 문제로는 불완전한 교육과 극단적 내부경쟁, 학생들의 집단 학습적 행동, 시간 관리 및 학습방법의 문제, 불안과 우울의 문제, 열등감의 문제, 자기개발과 자기실현에서의 불안, 삶의 다양한 문제들과 가치관 형성의 어려움(이성교제, 가족관계, 학교 내 대인관계 등) 등이었다. 이에 대한 해결방안으로 다음과 같은 다섯 가지가 제안 되었다. 즉 학생들에 대한 "의대에서 공부하는 방법" 교육, 새로운 의대 학습 문화의 창출지원, 전공의 선발에 있어 다면적 평가 시스템의 도입, 상담을 담당해 주시는 교수들과 멘토(mentor)의 필요, 가치관 지향적인 의학교육의 필요이다.

The effect of job stress and resilience of counselors on psychological well-being (상담전문가의 직무스트레스 및 극복력이 심리적 안녕감에 미치는 영향)

  • Kim, Myung-Suk;Hong, Sang-Ook
    • Industry Promotion Research
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    • v.7 no.4
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    • pp.33-43
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    • 2022
  • This study attempted to investigate the effect of counseling experts' job stress and resilience on psychological well-being. To this end, a survey was conducted on counselors working in counseling-related occupations across the country through a Google questionnaire, and data from a total of 250 people were analyzed. For data analysis, descriptive statistical analysis and correlation analysis between major variables were performed. To verify the causal relationship, it was analyzed using the IBM SPSS Statistics Version 24.0 program. Results, There were no factors affecting psychological well-being in demographic variables (gender, age, education, counseling experience, and supervision frequency). Among the job stress factors, social expectations for counselors had a relatively large impact, the resilience factor was found to have a positive effect when self-acceptance of life was active. The results of this study can be used as basic data for various measures to increase the psychological well-being of counselors.