• 가족자원경영과 정책
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• 제18권3호
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• pp.159-176
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• 2014

This study examined the mediating effects of couple communication on self-differentiation and marital satisfaction among married women. The ANOVA, correlation and the multiple regression analysis were used to figure out the relationships and the mediating effects of those variables. The results revealed that self-differentiation was significantly related to marital satisfaction. Also, couple communication was revealed to be a partial and full mediator between self-differentiation and marital satisfaction. The results were as follows. First, there were differences in couple communication and marital satisfaction. Marital satisfaction showed differences according to socio-economic variables such as educational level, occupation, family income, and the years of married life. Educational level and family income made differences in couple's communication. However, socio-economic variables did not make any difference with regard to self-differentiation. Second, there was a significant correlation among all sub-factors for self-differentiation, whole self-differentiation, married couples' communication, and marital satisfaction. Third, the result shows that the mediating effect of couple communication between self-differentiation and marital satisfaction. Couple communication completely mediated the relationship between cognitive vs. emotional function, family projection, emotional cutoff, and marital satisfaction. It also partially mediated the relationship between family regression and marital satisfaction. In addition, there was a tendency to partially mediate the relationship between general self-differentiation and marital satisfaction. The results suggested that self-differentiation and couples communication should be considered together when explaining marital satisfaction among married women. Also, the results implied the importance of the increased self-differentiation and the better couple communication in women's marital satisfaction. Finally, this research suggested the necessity of counseling services to enhance the self-differentiation as well as couple communication programs for the marital satisfaction of women.

• 여성건강간호학회지
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• 제9권2호
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• pp.189-200
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• 2003

The purpose of this comparative study is to find out women and their spouses' sexual life and the factors affecting on their sexual life after women's hysterectomy. The data were the 110 questionaires which were collected from the participants, the 55 women who had undergone a hysterectomy due to gynecologic disease or benign tumor of genital organs and their spouses from January 1, 1999 to January 30, 2002 in one general hospital located in Seoul, Korea. Questionnaires were mailed to couples, who agreed to participate on the study and self reported questionnaires returned in the pre-stamped envelopes. And personal visits were made for those couples who did not respond. Tools for Sexual life and characteristics of sexual activities were reconstituted by the author based on Kim(1996) and Chang(1988)'s tools and were reviewed by a nurse specialist. Data analysis was done by SPSS 10.0 program using frequency, percentage, mean, S.D. Pearson correlation coefficient, t-test, oneway ANOVA and multiple regression. The results of this study are as follows; 1. Of all female subjects, 80% had experienced hysterectomy below the age of 50. 2. 72.8% of female subjects and 67.3% of male subjects did not receive any sexual education & counseling before and after the surgery. More than 60% of both female and male subjects answered that it was necessary to have a sexual counseling. And 40% wanted to receive sexual counseling from a professional sexual counselor. 3. More than half of couples started their first coitus within 4 weeks after the surgery. And 88.9% of females and 85.2% of males answered that they were experiencing orgasms with their sexual relationship. 4. Influencing factors on the satisfaction level of sexual life were couple's intimacy and sexual discomfort in women and couple's intimacy and sexual knowledge in spouses. These factors explained the 33% and 24% of total variance respectively. In conclusion, the result suggests that it is necessary for couples to receive a professional sexual education and counseling to improve couples' quality of life. It is also necessary for institutions to use prepared nurses by receiving sexual counseling and education program as a professional sexual counselors or educators so as to provide individualized sexual education and counseling for their clients.

• 가정과삶의질연구
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• 제20권6호
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• pp.11-24
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• 2002

The purpose of this study is to develop a Marriage Enrichment Program that can be applied to the actual lives of Korean families and couples, as well as adopted in family welfare programs. For this study, a quasi-experimental group design was employed and pre- and post- tests on Internal-External Control, Couple Communication, and Marital Satisfaction were conducted. Experimental participants consisted of six volunteer couples who responded to an advertisement by the Chonbuk Family Counseling Center printed in a daily newspaper. The experimental group received two hours of education on marital relationship enhancement every week for eight weeks. The control group received no such treatment. The effectiveness of the education was measured by Wilcox matched pair test, using a SAS program, as well as by the self-report of the participants. The results show that there was statistically significant improvement for the experimental group in all three areas of marriage-- internal control, couple communication, and marital satisfaction. In addition, the participants'evaluations were generally positive about the program. The participants reported that it was most helpful to learn through the educational program that individuals differ in basic needs and that they should not force personal beliefs on others. They also reported that their understanding of their spouse improved.

• 한국가족관계학회지
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• 제21권4호
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• pp.119-140
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• 2017

Objectives: The purpose of this study is to investigate and confirm the main factors of IMAGO relationship therapy(IRT) which influences overcoming a crisis of divorce, the role of the Imago relationship therapist and the changes made by the couple themselves in the process of the therapy. Method: This case study was based on the interviews with a couple who had participated in ten sessions of IRT. The couple who had been in the middle of a divorce lawsuit withdrew their suit after the therapy. The Interviews were conducted twice on the couple. The data from the interviews were analyzed by using constant comparative analysis, open coding method and Miles & Huberman's network display. Results: The findings of the study were as follows. Firstly, the factors influencing overcoming a crisis of divorce included preparation for the Imago dialogue and the structure of the Imago dialogue. Secondly, the role of the therapist was providing safety and confidence, deepening couple's conversations, and building the connectedness of the couple. Thirdly, the changes evident after the therapy included awareness of the influence of the original family, new image formation for each spouse, intimacy restoration and a changed perspective. Conclusions: Based on the findings, the study can contribute to healthy relational progress of married couples in conflict by developing the conditions to effectively apply the IRT. In addition, this study can be used to equip therapists with necessary tools and abilities for the therapy.

• 한국보건간호학회지
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• 제21권1호
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• pp.46-56
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• 2007

Purpose: This study attempted to identify the sexual function (ALARM: Activity, Libido, Arousal and orgasm, Resolution, Medical history) of patients who have had an ostomy for the development of an ALARM sexual counseling program. Method: Subjects for this descriptive study were recruited from the outpatient clinic of a university affiliated medical center and peer group. Fifty-two subjects who have had an ostomy and lived with their spouse were selected. Instruments were developed by researchers based on the ALARM model by Anderson (1990). Results: In the subject group, 32.7% patients were not sexually active and 76.9% hesitated to have sexual activity because of the stoma. The mean score of resolution was 13.2 (range: 8-32), with a higher score for couple's intimacy indicating a higher level of libido and resolution. Conclusion: This study presents a series of clinical guidelines that nurses can use to accurately assess sexual health issues and select appropriate sexual counseling for patients with an ostomy.

• 가정과삶의질연구
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• 제27권3호
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• pp.93-114
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• 2009

The purposes of the study were to find the characteristics of spousal conflict, the characteristics of the origin of family in couple, the intervention techniques of the family therapist, and the processes of change in couple through family therapy. The total family counseling was 9 sessions, which included individual and couple therapy. The study used constant comparative analysis by using open coding method to find the factors. The study suggested the whole model for the study, which could be shown the processes of family therapy in this case study, by using graphical network display. The results of study showed the personal characteristics of husband and wife, the characteristics of the origin of family in couple, the intervention techniques of the family therapist, and the processes of change in husband through family therapy by using matrix. The results revealed that there were many differences in characteristics to cause spousal conflicts and characteriscts in family of origin to influence the crisis of divorce. The therapeutic intervention to treat the couples in the crisis of divorce were facilitation of communication between husband and wife, husband's differentiation of self from family of origin, and understanding about the perspectives of family members. As results of therapeutic intervention, there were showed the spousal change of recognition to each other, husband's differentiation of self, wife's growth of self, and improvement of communication.

• 디지털융복합연구
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• 제16권2호
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• pp.47-56
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• 2018

본 연구의 목적은 커플관계에 어려움을 경험하는 군 내 병사들의 커플관계 탄력성, 군 생활 스트레스, 군 생활 적응의 관계를 알아보는 것이다. 이를 위하여 전방 1개 사단, 후방 1개 사단에서 병사들을 대상으로 총 239부의 자료를 분석하였다. 자료 분석은 SPSS 18.0프로그램을 이용하여, 상관분석, t-test, 회귀분석을 실시하였고, 매개효과의 유의성을 검증하기 위하여 Sobel test를 실시하였다. 본 연구의 주요결과는 첫째, 커플관계탄력성은 군 생활 스트레스와는 부적 상관관계를 군생활 적응과는 정적상관관계를 나타내었다. 둘째, 커플관계 탄력성은 군 생활 적응에 유의미한 영향력을 나타내었다. 셋째, 군 생활 스트레스와 군 생활 적응의 관계에서 커플관계 탄력성은 부분 매개효과를 지니는 것으로 나타났다. 이러한 연구결과는 커플관계에 어려움을 호소하는 병사들의 군 생활 적응력을 높이기 위한 기초 자료로 사용될 수 있으며, 본 연구 결과를 활용하여 병사들의 군 생활 부적응 현상의 하나인 커플관계에 대한 이해를 높이고, 커플관계의 역경과 스트레스를 부정적으로 이해하는 것이 아니라 긍정적인 측면에서 성장 가능성을 찾도록 도와줄 수 있을 것으로 기대한다.

• 한국심리학회지 : 문화 및 사회문제
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• 제12권5호_spc
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• pp.117-131
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• 2006

가족을 중시하던 우리나라에서도 요즈음 이혼율이 급증하고 있다. 그런데 대부분의 상담자들이 부부를 상담할 때 서구에서 발전된 가족 및 부부 상담이론들을 우리나라 사람들에게 그대로 적용하고 있다. 그러나 한국문화는 무교, 불교, 유교와 같은 종교의 영향아래 독특한 가족주의적 특성을 보이고 있어 서양문화의 가치를 반영하는 기존의 주요 상담접근으로는 충분한 상담효과를 기대하기 어렵다. 특히 한국사회에는 서양의 핵가족 형태인 부부중심 가족관계와는 달리 전통적으로 가계를 잇기 위한 혈통을 중시하고, 자녀교육에 우선적인 가치를 두며, 장유유서와 같은 서열을 강조하는 부자(父子)중심의 가족관계가 팽배해 있다. 이러한 문화권에서는 상담자가 개인 자체에 역점을 두며 부부간의 친밀성을 최우선으로 하는 것만으로는 부족하고, 부자중심의 가족관계 관점에서 자신의 위치에 따른 역할을 살펴보도록 초점 맞출 필요가 있다.

• 한국산학기술학회논문지
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• 제21권11호
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• pp.326-333
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• 2020

본 연구는 맞벌이 부부의 결혼만족에 대한 이해를 위해 부부 각각의 성역할 태도, 다중역할 수행에서의 갈등과 향상의 경험이 자신과 배우자에게 미치는 상호영향을 살펴보았다. 이를 위해 맞벌이 부부 95쌍, 총 190명을 대상으로 하여 대응표본 t검증과 중다회귀분석을 실시하였다. 먼저 맞벌이 부부의 성역할태도, 다중역할 경험 및 결혼만족도에 있어 부부 간 차이를 살펴본 결과, 성역할태도 및 다중역할 경험에 있어 부부 간의 유의한 차이는 없었으며, 결혼만족도에 있어 남편이 아내보다 유의하게 만족하는 것으로 나타났다. 둘째, 맞벌이 부부의 결혼만족도에 영향을 미치는 요인에 대한 상호영향을 살펴본 결과, 부부 간의 결혼만족도에 영향을 주는 변인에서 유의한 차이가 발견되었다. 남편의 경우 자신의 성역할태도, 자신의 다중역할 향상이 결혼생활의 만족도에 정적으로 유의한 영향을 주는 반면, 아내의 경우는 남편의 성역할태도가 결혼생활 만족에 있어 정적으로 영향을 미치며 아내 자신의 다중역할 갈등이 결혼생활의 만족도에 부적인 영향을 미치는 것으로 나타났다. 이는 맞벌이 부부의 결혼만족에 관한 교육 및 프로그램에 있어 남편과 아내 각각의 영향과 상호간의 영향에 대한 고려가 필요함을 시사한다.

• 가정과삶의질연구
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• 제31권5호
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• pp.47-63
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• 2013

This study deals with a counseling case in which a mother requested counseling due to the problems of her daughter, who suffers from multiple tic disorder. The participants of this study included five family members (grandmother, father, mother and two female children) and a total of 23 sessions were held from September 2006 to December 2007. Additional counseling ($24^{th}$ counseling session) was conducted on April 1st, 2009. The data was based on recorded transcripts and notes from 24 family therapy sessions. The study used a constant comparative analysis, which uses matrix and network display as an analysis method suggested by Miles&Huberman(1994). The characteristics of the family of origin and the indifference of the husband had caused the wife stress. The couple had frequent conflicts due to dysfunctional communication methods, a clash of values, sexual dissatisfaction, and a lack of communication. This marital conflict became the primary factor of the daughter's multiple tic disorder. Intervention of the family therapist resulted in the setting of treatment goals based on MRI's communication theory and Bowen's family systems theory in order to solve the problem of the daughter's multiple tic disorder. Also, the therapist's intervention techniques included exploring experiences with the family of origin, shedding light on the multigenerational transmission process, exploring dysfunctional attempts at solutions, the therapist's self-disclosure, providing similar cases, dealing with resistance, and suggesting a new communication method. To solve the problem, the therapist helped the family separate the daughter spatially from her parents. Therefore, the therapist's intervention helped reduce the daughter's tics and improve relationships among the family.