• Title/Summary/Keyword: Helplessness

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Illness Experience of People with Chronic Hepatitis B in Korea (한국 만성 B형 간염 환자들의 질병 경험)

  • Yi, Myung-Sun;Choi, Eun-Ok;Paik, Seung-Woon;Kim, Keum-Soon;Kwak, Sang-Man;Lee, Hwa-Jin
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.665-675
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    • 2007
  • Purpose: The purpose of this study was to explore the experiences of people with chronic hepatitis B (CHB) in Korea. The specific aim was to identify major problems that people with CHB face and strategies that they are dealing with. Methods: A grounded theory method was utilized. The data were collected by individual in-depth interviews from 12 CHB patients from one of the major hospitals in Korea. Results: After constant comparative analysis, a core category emerged as "illness management with self-reliance and will." Seven major strategies that were identified in dealing with the illness were maintaining receptive and positive attitudes; restraining excessive work and greed; searching for information; controlling illness information; adhering to practices for not spreading the viral disease; abstaining from alcohol and smoking and maintaining healthy eating habits; nd using alternative therapies. The outcomes that result from employing these strategies were identified as burden, depression and helplessness, stress for maintaining compliance, and dispirited interpersonal relationships. Conclusion: The results of this study suggest that most people with CHB in Korea have problems in psychosocial area. Thus health professionals need to provide not only informational support but also emotional one to improve quality of life of the people with CHB.

The golden age of self-development books and healing humanities (자기계발서 전성시대와 힐링 인문학)

  • Song, Hyeon;An, Kwan-Su
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.783-793
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    • 2013
  • Neo-liberalism after IMF bailout made the Korean book market flushing with rose due to the alleged self-development books. Vision of self-development books under neoliberal social system is inevitably reduced to a means of capital pursuing commercialization in line with improving the competitiveness of privates through the development of human resources. Characteristics of self-development books, which attributes personal fail to personal responsibility and lack of essential element compared to others in a competitive society, trap individuals forced to choose into anxiety and helplessness. Self-development and healing is a complementary relationship. Human beings needs healing -healing humanities- in the process of self-development. Therefore, humanities should trigger developing and perceiving his own 'reflexive life skills'. Individual's sense of happiness in life and his own experience is very important, and the conscious relationship about their own feelings could elicit 'self-reinforcement'.

Relationship between Life Stress and Gambling Behavior Perceived by University Students - The mediation effects of self-control and family support -

  • Jeong, Byeong-Il;Baek, Sang-Uk
    • Journal of the Korea Society of Computer and Information
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    • v.22 no.1
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    • pp.89-97
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    • 2017
  • This study examined the structural relationship between life stress perceived by university students and their gambling behaviors through their self-control and family support. For this, it conducted the questionnaire on life stress, self-control, family support and gambling behavior with 387 university students attending universities in Gwangju city and analyzed the data collected. The results of the analysis were described below. As a result of analyzing the direct effects of life stress on gambling behavior, self-control and family support, it was found that the life stress had the positive effect on gambling behavior and it meant that when the university students couldn't cope with the life stress effectively and felt frustrated, they were likely to be involved in gambling behavior to escape from their helplessness. In addition, as a result of analyzing the direct effects of life stress on self-control and family support, it was found that life stress had negative effect on self-control and family support. The more experiences of life stress they had, the lower their self-control was. As their life stress was higher, they didn't make supportive relationship network with family members. As a result of mediating effects, it was shown that self-control and family support played the partially negative roles in the relationship between life stress and gambling behavior and it suggested that as the life stress was perceived less, self-control was performed better and as family support was higher, gambling behavior was effectively reduced. These results of the research suggested that life stress could be handled actively through self-control and family support and development and distribution of the program to cope with life stress could minimize the gambling behaviors. Also the limitations of this study and necessity of further studies were discussed.

The Effects of a Therapeutic Recreation Program on the Powerlessness and Life satisfaction in Chronic Mentally Disabled (치료레크리에이션이 정신요양시설에 있는 만성정신질환자의 무력감과 생활만족도에 미치는 영향)

  • Lee, Chunyee;Byun, Eunkyung;Yang, Migyeong;Chang, Koungoh;Kim, Namhee
    • Journal of East-West Nursing Research
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    • v.19 no.2
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    • pp.71-77
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    • 2013
  • Purpose: The purpose of this study was to determine the effect of a therapeutic recreation program on the powerlessness and life satisfaction of people with chronic mental disability. Methods: Nonequivalent control group pretest-posttest design was used for this study. There were 24 people in experimental group and 21 people in control group. Therapeutic Recreation Program was carried out twice a week in a total of 8 sessions, 60 minutes for each session. Data were analyzed using frequency, percentage, $X^2$-test, and independent t-test with SPSS/WIN 18.0. Results: Life satisfaction in the experimental group compared with the control group was significantly increased after the therapeutic recreation program (t=2.48, p=.017). On the other hand, There was no difference in powerlessness of experimental group compared with control group (t=1.51, p=.138). Conclusion: Further studies were needed to be done to support the effectiveness of recreation therapy on the powerlessness and life satisfaction of people with chronic mental disability. In addition, therapeutic recreation programs to improve helplessness and life satisfaction are in need.

Effects of Hatha Yoga Practice on the Elderly Having Chronic Back Pain because of Computer Usage (하타요가수련이 컴퓨터 사용후 만성요통에 시달리는 노인의 통증에 미치는 효과)

  • You, Si-Young;Hong, Sun-An;Moon, Kyung-Rye
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.7
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    • pp.1121-1128
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    • 2013
  • The purpose of this paper is to examine the effects of practicing Hatha Yoga on the elderly. I have focused on the changes in subjective pain and a feeling of helplessness in their daily lives of elderly people over 65 who are suffering from chronic back pain. We looked at both men and women over 65, who were not working during the period, all of whom had been experiencing back pain over 6 months. All the subjects have never practiced Hatha Yoga or any other specialized and/or systematic workouts at that time. Among them, the men and women over age 65 with chronic back pain were selected as a group and practiced Hatha Yoga three times a week for eight weeks. In conclusion, the study proves that Hatha Yoga is an effective way for the old over 65 with chronic back pain by acquiring muscular strength and flexibility at the same time.

Psychoanalytic Aspect of Obesity (비만의 정신분석적 고찰)

  • Lee, Moo-Suk
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.2
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    • pp.207-213
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    • 1995
  • Author reviewed psychodynamics and psychoanalytic treatment of obesity. A variety of psychodynamics and unconscious conflicts have been described in obese patients : eating as a defense against depression, eating as a substitute for maternal love, obese body as a larger penis, and eating as a self-soothing. There was a gross neglect of certain normal parenting roles in obese family. The parenatal superego structure was not as perfectionistic. As with children and other patients with preoedipal pathology, in obese patients the analyst in addition to being transference object is a new and different object who promote healthy maturation. Because of obese parients, in there projective identification, can provoke intense countertransference, the analyst have to consider it. On the other hand, many analysts' countertransferences to superobese patients is that huge person recalls one's own childhood relationship with adults and bring forth a feeling of helplessness.

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Gender Differences in the Symptomatic Characteristics of Social Phobia Patients in One University Hospital (일 대학병원 외래 내원 사회공포증 환자에서 증상적 특성의 남녀차이)

  • Choi, Hong-Min;Kim, Na-Hyun;Lim, Se-Won;Oh, Kang-Seob
    • Anxiety and mood
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    • v.4 no.1
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    • pp.62-67
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    • 2008
  • Objectives : Gender differences in demographic characteristics, symptom presentation, and severity may influence the selection of target behaviors as well as the course and outcome of therapeutic interventions for patients with social phobia. The purpose of this study was to explore the gender differences in the symptomatic characteristics of Korean patients with social phobia. Methods : A total of 256 outpatients with social phobia at Kangbuk Samsung Hospital were included in this study. All subjects were evaluated using the Korean version of the MINI International Neuropsychiatric Interview Plus. Potential differences in demographic characteristics, severity of anxiety, and situational fear and avoidance were examined. Self-report questionnaires and interviewer-administered instruments, including the Social Phobia Scale (SPS), Social Phobia subscale of the Fear Questionnaire (FQ-social), Appraisal of Social Concerns (ASC), and Liebowitz Social Anxiety Scale (LSAS), were used to evaluate the severity of the patients' symptoms. Results : There were no gender differences in demographic characteristics, age, age at onset of social phobia, total SPS score, FQ-Social score, ASC score, and LSAS score. In addition, there was no gender difference in the severity of fear in specific social situations. However, women reported significantly higher total scores on the social helplessness category of the ASC than men (p=0.009). Conclusion : Previous studies reported that the severity of social phobia symptoms is greater in women than in men, but our results suggest that there are no significant gender differences in the severity of social phobia symptoms. Thus, gender differences among patients with social phobia are discussed in the context of traditional sex-role expectations.

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A Qualitative Study on Public management of the Admission and Discharge of mental hospital (정신장애인의 정신의료기관 입·퇴원과 국가관리에 관한 질적 연구)

  • Lee, Yong-pyo;Chung, Hyun-ju
    • Korean Journal of Social Welfare Studies
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    • no.37
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    • pp.369-397
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    • 2008
  • The purpose of this study is to understand the context of mental hospital admission and discharge related with the stakeholder and to find out issues about public management on mental health disabilities. To this process, the more effecive alternative policies for mental health will be offered. As a research tool, the qualitative study was used, and the 6 case were analyzed. Through this study, we find 5 theme such as admission type occurred outside public management, uneffective public management in mental hospital treatment, long-term treatment mechanism occured in mental hospital, helplessness and role distortion of public follow-up system. According to the mental health law, mental hospital admission and discharge on mental health disabilities is to managed public system. But public management with mental health disabilities did not work on. In this results, we are find infringement on mental health disabilities. According to these findings, several suggestions are offered for better policies about admission and discharge procedures managed by public system.

High-impact chronic pain: evaluation of risk factors and predictors

  • Ilteris Ahmet Senturk;Erman Senturk;Isil Ustun;Akin Gokcedag;Nilgun Pulur Yildirim;Nilufer Kale Icen
    • The Korean Journal of Pain
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    • v.36 no.1
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    • pp.84-97
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    • 2023
  • Background: The concept of high-impact chronic pain (HICP) has been proposed for patients with chronic pain who have significant limitations in work, social life, and personal care. Recognition of HICP and being able to distinguish patients with HICP from other chronic pain patients who do not have life interference allows the necessary measures to be taken in order to restore the physical and emotional functioning of the affected persons. The aim was to reveal the risk factors and predictors associated with HICP. Methods: Patients with chronic pain without life interference (grade 1 and 2) and patients with HICP were compared. Significant data were evaluated with regression analysis to reveal the associated risk factors. Receiving operating characteristic (ROC) analysis was used to evaluate predictors and present cutoff scores. Results: One thousand and six patients completed the study. From pain related cognitive processes, fear of pain (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.87-0.98; P = 0.007) and helplessness (OR, 1.06; 95% CI, 1.01-1.12; P = 0.018) were found to be risk factors associated with HICP. Predictors of HICP were evaluated by ROC analysis. The highest discrimination value was found for pain intensity (cut-off score > 6.5; 83.8% sensitive; 68.7% specific; area under the curve = 0.823; P < 0.001). Conclusions: This is the first study in our geography to evaluate HICP with measurement tools that evaluate all dimensions of pain. Moreover, it is the first study in the literature to evaluate predictors and cut-off scores using ROC analysis for HICP.

A Study on Woman's Experience of Being Bereaved of Her Husband by an Accident (사고로 남편을 잃은 여성의 경험)

  • Park, Sung-Hark;Choi, Mi-Hye;Chung, Yeon-Kang
    • Research in Community and Public Health Nursing
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    • v.7 no.2
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    • pp.294-312
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    • 1996
  • Relatively young widows, who are left with young children by a sudden death of their husbands, will be faced with not only psychological troubles such as individual anxiety and frustration but also the dual burden of playing both father and mother roles in a family, Also, family members have difficulty in adapting themselves to new circumstances of the family system, the training and raising of family members, and management of the family economy. In this study, the realistic resources on the experience of middle-aged women who are bereaved of their husbands by accidents were explored. The purpose of this study is to help widows adapt to life in society and live a more positive life by setting a new goals and recovering from a lost and twisted life. 11 women, who have experienced the loss their husbands and live in the Seoul metropolitan area were studied. The research took 116 days from December 15, 1995 to April 8, 1996. The method of research was direct interviews. While having interviews with them, the contents were recorded with their consent. The ground theory was that used by Strauss & Corbin(1990) in the analysis of the data. 81 concepts were analyzed and they were subdirided into 22 subordinate categories through the course of the analysis. These were then classified into 9 general categories. In the course of being categorized, 'absurdity' was showed as a core category. The subordinate categories 'surprise', 'gloom', 'grudge', 'helplessness', 'emptiness', and 'loss' were united in the core category 'absurdity'. Ominous presentiment, belated notice, death, surprise, gloom, grudge, helplessness, emptiness, loss, the situation of the children, lack of support from neighbors, support from neighbors, mulling over ways to live, choosing a job, strengthening, reinforcement, burden, sadness, smoldering, yearning, overcoming these 22 subordinate categories were re-composed into 9 general ones the husband's death, absurdity, presence of children, existence of support, self-support ability, preparation of countermeasures, self-reinforcement, toilsomeness, and overcoming. 'Absurdity' widows experience was shown in the results of 'toilsomeness' and 'overcoming' through reaction, confrontation, and adaptation. According to the analysis the central phenomenon was absurdity, the causal condition of the death of a husband, the presence of children and the existence of support, and the meditated situation of self-support. To solve absurdity, the preparation of countermeasures and self-reinforcements were shown resulting in toilsomeness and overcoming. Through the contrast in the data, the following statements were deduced: (1) If the death of the husband is expected, the more a widow will feel absurdity. (2) The more children she has and the younger she is, the more a widow will feel absurdity. (3) The lower support she is given, the more a widow will feel absurdity. (4) The larger self-ability she has, the more actively she will prepare countermeasures. (5) The smaller self-ability she has, the more passively she will prepare countermeasures. (6) The larger self-ability she has, the weaker self-reinforcement she will preform. (7) The smaller self-ability she has, the stronger self-reinforcement she will perform. (8) The more actively she prepares countermeasures for absurdity, the better she will overcome. (9) The more passively she prepares counter measure for absurdity, the worse she will overcome. (10) The stronger self-reinforcement for absurdity she performs, the better she will overcome. (11) The weaker self-reinforcement for absurdity she performs, the worse she will overcome. Through the results in this study, the following suggested: 1) A study whose object is all family members, and a comparative study on the case of a husband who has lost his wife should be done. These studies can be expected to develop a more refined theory. 2) Because of the collapse of the extended family system and the changes of family culture in Korea, a widow's status and position are apt to be ambiguous between her husband's home and her parent's. Therefore a new study on family culture should be made. 3) A continuous study on growing social Self Help Groups should be requested for the widows of this study to re-establish and recover from their twisted and scattered lives.

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