The purpose of this study was to investigate the relationships among poverty, family structure and functioning, burdens of adult roles and socio-emotional problems. It was especially focused on the relationship between the burden of adult roles and socioemotional problems among children in poverty. The Structural Equation model was employed for analyses. The Theoretical model was established based on previous researches related to poverty and adult roles (for example, parentification and parentified children). Data came from the first wave of 'Seoul Panel Study of Children; SPSC' and subjects consisted of 1,807 4th grade elementary school students and their parents who were located at K-Gu in Seoul. The survey was carried out from October 25th to November 20th in 2005. The Results of the Structural Equation model were congruent with the theoretical expectations. To find a more appropriate model, three kinds of structural models were hypothesized and analysed. In the most appropriate model which had a good model fit, poverty and family structure impacted on socio-emotional problems directly and indirectly. The relationship between poverty and socio-emotional problems was mediated by family functioning and burdens of adult roles. The same mediation process existed between family structure and socio-emotional problems also. In brief, children in poverty or those who have a single parent are more likely to have impaired family functioning, which is likely to cause higher burdens of adult roles. In turn, those who have higher burdens of adult roles are more likely to have socioemotional problems. In conclusion, various theoretical and practical implications for social work practice focusing on the burdens of adult roles or caretaker roles among children in poverty were discussed.
This study was conducted to understand the current status associated with challenging behaviors of adults with developmental disabilities and review the perception of workers at lifelong education centers for the developmentally disabled. To that end, a survey and a focus group interview were conducted. The findings were as follows. First, 85.4% of people working at lifelong education centers for the developmentally disabled had experienced injury in the past year due to challenging behaviors, and those who experience injuries responded that they suffered burnout, psychological trauma, and considered changing jobs. Second, in terms of preemptive response by the organization to address challenging behaviors, 'securing individual space' and 'preemptive identification of causes of challenging behaviors' ranked the highest, with 87.5% of the respondents giving this answer, respectively. For follow-up measures, 81.3% of organizations answered that they hold meetings on individual cases and provide supervision. Third, in terms of suggestions for ways to address challenging behaviors, establishment of an organization-wide system and cooperation with related organizations were cited as needed.
Journal of the Korean Academy of Child and Adolescent Psychiatry
/
v.6
no.1
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pp.18-33
/
1995
The Purpose of this article is to identify the specific characteristics of borderline disorder in adolescence to conceptualize the borderline state as an adolescent process different from borderline personality disorder in adult, and to classify them according to it's unique clinical feature, porcess and outcome. The development of borderline disorder in adolescent, epidemiology, comorbid disorders and differential diagnosis, pre-existing sub-classification systems, and etiology in theories of psychodynamics, biological theories, experimental studies, and follow-up studies are reviewed. The authors conceptualize the adolescent borderline state include all clinical states generated by re-emergence of unresolved rapproachement conflicts in adolescent, and propose that there are four subgroups in adolescent borderline state. (1) Borderline state as an adolescent process. (2) Borderline state associated with psychotic disorders (3) Borderline state as an initial stnge of typical borderline personality disorder (4) Borderline state associated with organic problems. Conceptually, borderline state in adolescence is not a simple continuation of primary failure of separation-individuation but a struggle for mastering unresolved separation-individuation conflicts in adolesance i.e., the second separation-individuation state, and if it fails this time, the struggle might continue into adult life as borderline personality disorder.
The Journal of Korean society of community based occupational therapy
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v.1
no.1
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pp.79-89
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2011
The number of the disabled person had been increased for the industrial accident and the environmental pollution. Especially, developmental disability has the high prevalence rate between 5% and 10% of the whole children. The children with a developmental disability can be treated by the physical therapy, the occupational therapy, the psychology therapy, speech therapy, and art therapy. Visual preception which is function to recognize the external environment through the optic organ could be related to most behaviors on the everyday life. But because the children with disability could not develop the visual-preception enough, they came to have difficulties in executing daily life project. For this reason, it is most important to understand the estimation and the cure on the visual-preception in the pediatric occupational therapy. To improve the visual-preception power, we have many kind of methods including sensory integration, training program for the visual-perception and art-craft program. Particularly, the art-craft which is the representative activity for making something by hands, can be applied to anyone. As the study on the brain has been activated, it was proved that handicraft actives could have an good effect on the brain function and using brain. When the fine motor exercise and more delicate and accurate motion were carried, these motions need the essential help of the visual-perception. So it could be expected that using the repetitive hand function by art-craft makes the brain function improve, when a activity that needs a fine motor exercise and more delicate, accurate motion was carried, It also indicates that the art-craft program has a clear treatment value. Though the intervention between visual-perception development and visual-perception disability have a majority in the field of occupational therapy, there is a few study yet. Therefore, this study tried to look back on the necessity of applying the art-craft program to the children with disability as the prestudy for preliminary validity of the master's thesis.
Objectives: This study was carried out in order to evaluate the overall process that the caregiving stress of parents of adult children with developmental disabilities affected their life satisfaction through the levels of family resilience, and coping styles on the basis of stress-coping-adaptation model of Lazarus and Folkman(1984). Method: For this purpose, the structured survey was conducted by 394 parents of adult children with developmental disabilities. The data was analysed by AMOS 20.0 version. Results: The findings can be summarized as follows: First, the structural equation model(SEM) analysis was conducted in order to examine the various paths that parents' caregiving stress affected their life satisfaction. The model's goodness-of-fit was fine($x^2=225.20$, df=95, p=000. RMSEA=.06, TLI=.95). There were significant relationships between caregiving stress and family resilience(${\beta}=-.36$, p<.001), emotion-focused coping style(${\beta}=.47$, p<.001), life satisfaction(${\beta}=-.53$, p<.001). Second, family resilience and emotion-focused coping showed mediating effects on the relationship between caregiving stress and life satisfaction. Conclusions: The strategies for enhancing family resilience and social services for applying effective coping methods should be expanded in order to diminish the caregiving stress of parents of adult children with developmental disabilities.
The Journal of the Convergence on Culture Technology
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v.8
no.3
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pp.427-434
/
2022
This study aims to develop design elements for cultural convergence between rehabilitation for individuals with developmental disabilities and lifelong education for individuals with disabilities, which is a key area in the practical support system for independent life support for individuals with developmental disabilities. As for the research method, a procedure for conducting FGI by forming two teams for professors majoring in special education and rehabilitation science was formed. The research was presented in three upper categories (universal cultural convergence elements, field-centered cultural convergence elements, and policy-centered cultural convergence elements) that should be designed for cultural convergence between rehabilitation for individuals with developmental disabilities and lifelong education for individuals with disabilities. In addition, subcategories were specifically composed for each upper category. First, as a universal cultural element, "open creative convergence" was presented in principle, which can be explained as a principle of exploring and practicing the validity of convergence between related fields for rehabilitation for individuals with developmental disabilities and lifelong education for individuals with disabilities. Second, field-centered cultural factors included development of joint practice model between fields of rehabilitation science and special education, subject matter education knowledge and skills, teaching and learning methods, learning career roadmaps, employment and job career development roadmaps, and the formation of an independent life development history certification system. Third, as policy-centered cultural elements, the formation of a curriculum integration composition system between local related institutions, the establishment of a qualification development path for coordinator-professional teacher-type personnel, and the organizational systematization between school-center types were presented. The study concluded that independent life support for individuals with developmental disabilities should not only be guaranteed for the entire life of adulthood, but also a lifelong education for individuals with disabilities based rehabilitation support system for individuals with developmental disabilities should be established through cultural convergence.
Previous studies have provided important findings on children's speech production development. They have revealed that essentially all aspects of children's speech shift toward adult-like characteristics over time. Nevertheless, few studies have examined the perceptual aspects of children's speech tokens, as perceived by naive adult listeners. To fill the gap between children's production and adults' perception, we conducted cross-sectional perceptual studies of monosyllabic words produced by children aged two to six years. Monosyllabic words in the consonant-vowel-consonant form were extracted from children's speech samples and presented aurally to five listener groups (20 listeners in total). Generally, the agreement rate between children's production of target words and adult listeners' responses increases with age. The perceptual responses to tokens produced by two-year old children induced the largest discrepancies and the responses to words produced by six years olds agreed the most. Further analyses were conducted to identify the sources of disagreement, including the types of segments and syllable structure. This study makes an important contribution to our understanding of the development and perception of children's speech across age groups.
This study was performed to analyze empowerment process of the disabled. Participants were 11 disabled college students and they were individually face-to-face in-depth interviewed until data were saturated. This study used the grounded theory approach based on Strauss and Corbin(1998). With the qualitative constant comparative analysis, 105 concepts, 22 subcategories, and 12 categories were generated. In the axial coding, a paradigm model was proposed as follows: The central phenomenon of the empowerment process of the disabled adolescents was 'Rising from the Limits'. The causal conditions were 'Just living' and 'realizing disabilities'. The contextual conditions were 'Being excluded', 'But wishing', and 'Breaking down'. The intervening conditions were 'Without giving up' and 'Taking support'. The action/interaction strategies were 'Grasping own lifestyle' and 'Being proactive'. The consequences were 'Acquiring the self-control', 'Getting generosity', and 'Participating in society'. In the selective coding, the core category was 'to live together stately with grasping own lifestyle pro-actively as the disabled'. Based on the core category, three types and 4 stages of the empowerment process of the disabled adolescents were found. The types were 'Social change oriented type', 'Self-development oriented type', and 'Passive effort oriented type' and the stages took 'Isolation stage', 'Rising stage', 'Mastering stage' and 'Stately being together stage'. In particular, this process had the circulation structure of which these 4 stages are not terminated, and developed and repeated. In conclusion, these results convey to us the understanding and knowledge about empowerment process of the disabled as their healthy -whole and unique- development process. And some implications and suggestions for the social work services and theories about the disabled focusing on the pre-adulthood period.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.5
no.1
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pp.28-35
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1994
Research on biological aspects on adult depression has been subjected to more than 25 years of systematic research, while biologic investigations regarding childhood and adolescent depression are only now being initiated. Although no unifying, explanatory theory of the biologic etiology of childhood depression emerges from the results of studies reviewed above, the findings do support that biological factors may be involved in the genesis of childhood depression. The research reviewed in this paper suggests that age and pubertal factors have major effects in most biological markers of depression. Some of these markers, like sleep EEG and neuroendocrine markers should be broken down by decades during adult life span. Thus, although adult data are very valuable points of departure for biological research on child and adolescent depression, it is very hard to transfer the adult data to prepubertal children and adolescents, ignoring the biological changes that take place in growth and development, pubety and aging. A great deal of work in basic developmental neuroscience remains to be done. It will be crucial for further advances in this field to determine the normal patterns of neurotransmitter interaction in this age group and to study children at high risk for depression. It will be also crucial to use primate models of depressive illness in order to be able to answer the many queations that cannot be investigated in humans for ethical issues. Conclusively, much closer collaboration between developmental and neurobiological and behavioral studies in primates and in humans will be essential for further development.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.14
no.2
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pp.157-173
/
2003
The history of pediatric psychopharmacology is very short and the research on safety, efficacy and side effects is preliminary and long-term effect on growth and maturation is not well known yet. Clinical findings have shown that the responses to antidepressants, antipsychotics, CNS stimulants and steroids in children and adolescents might be different from adult populations. Based on these findings, this paper reviewed three issues, Firstly, in developmental pharmacokinetics. the author discussed the developmental factors affecting drug absorption, distribution, protein-binding, metabolism and excretion. Secondly, in developmental pharmacodynamics, developmental characteristics of dopamine, serotonin, norepinephrine receptors and their clinical implications were reviewed. Lastly, in pharamcogenetic part, the clinical utility of pharmacogenetics, pharmacokinetic aspects of pharmacogenetics, the pharmacodynamic aspects of pharmacogenetics, the association studies of dopamine-related alleles in neuropsychiatric disorders such as attention-deficit hyperactivity disorders or Tourette’s disorders, pharmacogenetic studies dopamine-related alleles and the pharmacogenetic studies of serotonin-related alleles. Based on these preliminary research, future pharmacogenetic applications in childhood and adolescent psychiatry were also discussed.
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