• Title/Summary/Keyword: dysfunctional families

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An Analysis of 'Family Constitution' and the Development Plan for the 'Making Family Constitution' Project in Healthy Family Support Centers : With a Focus on Healthy Family Support Centers in Seoul (건강가정지원센터 '가정헌법 만들기' 사업의 '가정헌법' 분석과 발전방안 : 서울 지역 건강가정지원센터를 중심으로)

  • Lee, Eun-Joo;Jun, Mi-Kyung
    • Journal of Families and Better Life
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    • v.31 no.2
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    • pp.93-108
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    • 2013
  • This study aimed to analyze the functionality and healthiness of family rules through a relational analysis of the relationship between the rule frequency by sub-family system and the content properties shown in the 'family constitution', It also aimed to examine the relationship between the perception degree of healthy family elements and the family subsystem rules and prepare the project development plans. As a result, it was a found that there were many dysfunctional rules, and healthiness was not satisfied. Project development plans include specific project plans, delivery systems, an orientation for practitioners, the necessity of evaluation and feedback, family health diagnosis, association with other project areas, and small scale operations.

Analysis of Factors Affecting Family Function (일부지역 주민의 가족기능과 관련요인 분석연구)

  • 정영숙
    • Journal of Korean Academy of Nursing
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    • v.20 no.1
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    • pp.5-15
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    • 1990
  • The purpose of this study was to identify the degree of family function and to determine factors influencing family function. The subjects for this study were 451 adults and high school students among the general population from J city. Data were collected by questionnaire from Sept. 1 to Nov. 30, 1989. The measurement tool was the Family Function Questionnaire(APGAR) developed by Smilkstein. Data were analysed by statistical methods including Mean, S.D. t-test and ANOVA. The following results were obtained : 1. The mean Family APGAR score was 5.70$\pm$0.11, in a range from 0-10. 2. Scores from 0 to 6, which fall into the dysfunctional family range, were recorded for 266 families(59.6%) 3. Significant variables among general characterisics influencing family function were age, sex, marital status, educational levels. monthly income and occupation(p<.001). 4. Significant variables among family characteristics influencing family function were family life cycle (p<.01), utilization of family resources(p<.01) and family atmosphere( p<.001).

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A Case Study on Family Therapy for Parents with a Daughter Suffering from Multiple Tic Disorder (복합틱장애 증상이 있는 딸을 둔 부부에 대한 가족치료 사례연구)

  • Park, Tai Young;Yu, Jin Hui
    • Journal of Families and Better Life
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    • v.31 no.5
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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.

Cognitive Behavioral Therapy for Improving Parenting Efficacy of Married Immigrant Women (결혼이주여성의 양육효능감 향상을 위한 CBT 부모훈련 프로그램의 개발 및 효과)

  • Kim, Hee Jung;Kim, Jung Min
    • Journal of Families and Better Life
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    • v.33 no.2
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    • pp.135-148
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    • 2015
  • The purpose of this study is to develop cognitive behavioral therapy(CBT) to improve the parenting efficacy of married immigrant women, and verify its effectiveness. In the CBT of this study, behavioral technique was added to cognitive reconstruction based on cultural context in order to improve parenting efficacy. The study selected 28 married immigrant women, and randomly divided them into a CBT group(10), a general treatment group(8) and a control group(10). The CBT and the general treatment programs consisted of 10 sessions, approximately 2 hours in duration. The results of the study were as follows. 1) The level of parenting efficacy was improved significantly in the CBT and the general treatment group. 2) The level of negative automatic thoughts and dysfunctional parenting thoughts was significantly decreased only in the CBT group. 3) In the CBT and the general treatment group, the level of parenting stress and acculturative stress was decreased while the level of psychological well-being improved. On the other hand, the level of parent-adolescent communication was improved significantly only in the CBT group. 4) In comparison with the general treatment group, the CBT group showed higher parenting efficacy and lower automatic thoughts and dysfunctional parenting thoughts. This study has significance in its attempt to develop a parent training program to improve the parenting efficacy of married immigrant women by integrating behavioral modification and communication skills training focused on cognitive reconstruction of parenting-related negative thoughts and beliefs in application of the CBT paradigm.

A Theoretical Study of the Marital Relationship Based on the Concepts of Family Therapeutic Psychology (부부관계의 가족심리학적 이해)

  • 정애랑
    • Journal of Families and Better Life
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    • v.5 no.2
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    • pp.1-10
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    • 1987
  • The society, nowadays, is in a state of transition, and the family, which must always accomodate to society, is change with it. And because of transitional difficulties , the family's major psycosocial task has become more important than ever. That is , the family sill change. but it will aso reamin because it is the best human unit for rapidly changing societies. Under the circumstances, a healthy marital interaction is still the key to optimal family process, and the marital relationship is also the basis of the parental one. This paper aims to study an conceptual schema of family functioning chiefly concerned with marital relationship base d ton the family therapeutic psychology the systematic approaches of which have been recently developed. Subsequent to the importance of spouse functions and the characteristic of a functioning family the marital tension as a cause of marital problems and the theoretical approaches that will allow to deal with these problem , are also explained in this paper. On the otherhand, the sexual dysfunction, one aspect of a wider set of marital problems, and problems of dysfunctional children are not discussed in detail , because these problems shall become specialized fields. By this paper , it is expected to find a clue to the emotional and psycosocial aspects of marital problems, which will help us have a broader viewpoint in the study of family relationship.

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Predictors of Suicide Attempts in the Korean Adolescent Population (청소년의 자살 시도 예측 요인 - 수도권과 광역시 거주 청소년을 대상으로 -)

  • Kim Hyun Sil
    • Child Health Nursing Research
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    • v.11 no.1
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    • pp.34-42
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    • 2005
  • Purposes: The purposes of this study were ① to identify the rate of suicide attempts, and ② to investigate relevant variables(family dynamic environment, personality factors) and risk factors for attempting suicide among Korean adolescents. Method: Data were collected through a questionnaire survey. Internal consistencies for this questionnaire ranged from 0.63 to 0.88. Nine hundred and twenty two adolescents were surveyed (delinquent : 367, student : 555), using a proportional stratified random sampling method. Statistical methods employed were chi-square, t-test, and logistic regression analysis. Results: ① The rate of suicide attempts was 10.8% for the total sample, and the delinquents(19.6%) had a higher rate of suicide attempts than the students(5.1%). ② Adolescents attempting suicide had a greater dysfunctional family dynamic environment and more maladaptive personality than those who did not attempt suicide. ③ Risk factors for suicide attempts among Korean adolescents were way of coping, psychosomatic symptoms, and parental child-rearing attitudes, in that order. Conclusions: Suicide and suicidal behaviors are multifaceted events. For suicide prevention, there is a need to make an independent assessment of the variables such as familial problems, personality and dynamic environment of the families of the adolescents.

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The Effects of Adolescents' Psychosocial Characteristics and Parental Communication Patterns on Suicidal Ideation (청소년의 심리사회적 특성과 부모의 의사소통유형이 자살생각에 미치는 영향)

  • Kim, Jung-Min;Jung, Ha-Na
    • Journal of Families and Better Life
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    • v.29 no.4
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    • pp.75-87
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    • 2011
  • The purpose of the study is to examine the effects of adolescents' psychosocial characteristics and parental communication patterns on suicidal ideation. Participants were 520 first- and second- year high-school students in the Seoul and Gyeonggi areas. Questionnaires included items on suicidal ideation, irrational beliefs, depression, hopelessness, and parental communication patterns. Data were statistically analyzed through a t-test, Pearson's correlation, multiple regression analysis, and stepwise multiple regression using SPSS for Win version 12.0. The major results were as follows: 1) Female adolescents had higher levels of irrational beliefs, depression, specific types of communication patterns from the father(placating) and suicidal ideation more than their male counterparts. The male adolescents showed more communication patterns from the father(blaming) than their female counterparts. 2) Depression, irrational beliefs, mothers' communication patterns (blaming), gender and hopelessness were significant predictors of adolescent suicidal ideation. 3) The adolescents' irrational beliefs had a mediating effect on the relationship between their suicidal ideation and dysfunctional parental communication.

Factors Affecting to the Instrumental Ability of Daily Living(IADL) in the Urban Elderly (도시지역 노인들의 도구적 일상생활 수행능력(IADL)에 영향을 미치는 요인)

  • Lee in hak;Moon Seng ki;Kim kun joo;Park Jae-Young
    • The Journal of Korean Physical Therapy
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    • v.14 no.3
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    • pp.238-272
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    • 2002
  • This study was intended to find out the factors affecting to the IADL, allowing objective assessment of physical function status of increasing elderly populations. The subjects of 635 elderly persons aged over 65 years old who live in Taejon metropolitan city were interviewed during the two-month period from June to July of 2000. The IADL of Older American Resources and Services(OARS), developed in Duke medical college of USA, was interpreted for use. The study results were statistically processed using SPSSWIN(ver 10.0) and conferred the following results: 1. Among the seven items of IADL, the women showed higher rates of 'yes' in items about using the telephone, getting to the places out of walking distance, going shopping for groceries, taking their own medicine while outnumbered by the men only in the item about managing their own money, without significant differences between them in items about preparing their own meals and doing their own housework. 2. In terms of IADL scores, $82.0\%$ of subjects showed the normal range of scores and $18.0\%$ were under the normal range, meaning dysfunction IADL. Specifications of general characteristics revealed that more dysfunctional were the male subjects, the higher age groups who are more than 75 years old, the higher educated groups, the groups who live in nursing homes, the groups without a spouse. 3. Based on daily activities, lower scores of IADL were found in the subjects who don't go out, who don't have recreational activities, who don't attend elderly gatherings in their neighborhood, who don't hold social meetings. Specifications of psychological traits revealed that more dysfunctional were IADL in the subjects who don't feel satisfied with their lives of the past or the present, who have a deep feeling of isolation, and who don't have the will to live. 4. Among 7 items of health habits, only the subjects who don't regular exercise had lower scores of IADL than those who do. According to HPI, the lower HPI, the more dysfunctional. 5. Based on the factors associated with IADL, the odds ratio of the subjects who don't live together with their families were 1.53 times that of the ones who do, who are educated 3.22 times that of the ones who are not, who don't have spouses 2.09 times that of the ones who do, who don't go out 4.35 times that of the ones who frequently go out, who don't recreational activities for an interest 2.64 times that of the ones who do, who don't attend elderly gatherings in their neighborhood 1.47 times that of the ones who do, who don't hold social meetings 2.23 times that of the ones who do, who don't feel satisfied with their present living 1.43 times that of the ones who do, who have a feeling of isolation 1.53times that of the ones who don'1, who have the weak will to live 3.21 times that of the ones who have the strong one, and who don't regular exercise 2.45 times that of the ones who do. 6. Logistic regression analysis of the study results found that such factors are significantly related as the degree of education, with/without spouse, social meetings, the will to live, and regular exercise, and that higher rates of dysfunctional subjects were in the more educated group, in the group without spouse, in the group who don't frequently go out, who don't have social meetings, who have the weak will to live, and who don't exercise.

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Caregiver burden and family functioning of cancer patient (암환자 가족원의 부담감과 가족기능)

  • Park, Yeon Hwan;Hyun, Hye Jin
    • Korean Journal of Adult Nursing
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    • v.12 no.3
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    • pp.384-395
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    • 2000
  • This study examined burdens of primary family caregivers, and family functioning of patients with cancer. In addition, the relationship between two concepts was assessed to develop nursing intervention to reduce the burdens of caregiving, and to improve family functioning. Ninety-two primary family caregivers of patients with cancer at a general hospital in Seoul participated in this study. The patients with cancer aged from 19 to 84 years with a mean age of 51 years, and sixty-one percent were male. About 30 percent of the patients suffered liver and billiary tract cancer. Fifty-six percent of the primary family caregivers were spouses of the patients and 70.7 percent were women. Primary family caregivers' burdens were assessed by the Burden Scale originally developed by Zarit (1980) and Novak & Guest(1989) and modified by Jang (1995) for use in Korea. The instrument consists of six subscales: time-dependent burden, developmental burden, physical burden, emotional burden, social burden, and financial burden. Family functioning was assessed by the Family APGAR developed by Smilkstein(1978). The results were as follows: 1. The average burden score was 86.1, indicating a moderate level of burden. The time-dependent burden scored highest followed by developmental, physical, social, financial, and emotional burdens. The mean score of family APGAR was 9.71; among subjects 82.6% were included in dysfunctional families. 2. Of the characteristics of patients, age, gender, number of admissions, and job were found to be associated with the level of burden. There was no significant difference between patient characteristics and family functioning. Of the characteristics of primary family caregivers, caregiver's perception of patient prognosis was significantly related to the level of burden, and family functioning. Caregiver's sex and age were also related to family functioning. The quality of relationship between a patient and a caregiver was significant situational factors affecting the level of burden, and family functioning. In addition, the income of family, and help from other family members were related to the level of burden. Given the results, it is essential to develop nursing intervention to reduce burden and to improve family functioning, such as support groups.

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A Case Study of Family Therapy for a Daughter with a Binge-Drinking Problem (폭음문제를 가진 성인자녀(딸)에 대한 가족치료 사례연구)

  • Lim, A Ri;Park, Tai Young
    • Journal of Families and Better Life
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    • v.33 no.3
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    • pp.31-48
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    • 2015
  • This study examined the factors affecting the client's binge drinking, and the client and parents' change led by family therapy. From August to November 2011, the counseling case of this research was consisted of a total of 9 sessions-individual, parents, mother-daughter, father-daughter, and family counseling. This study utilized verbatim and audio recordings, and employed Miles and Huberman(1994) matrix and network to analyze the data. The findings of the study revealed that the factors that influenced the client's binge drinking included the family's dysfunctional communication method, adverse rearing attitude owing to unresolved emotional problems from the family-of-origin, and the client family's peculiar environment and culture. The therapist's intervention included making the client aware of his own problem, helping to gain insight and understand the parents' family-of-origin, connecting the past family-of-origin and the present, identifying attempted solutions, making aware of new change, and suggesting new communication methods. Through the therapist's intervention employing MRI interactional family therapy model and Bowen's family systems theory, the family members experienced changes; perception of all family members that participated in the counseling changed, and accordingly, their communication method and attitude changed as well. Through these changes in the family, the client's alcohol consumption reduced in terms of both frequency and amount, thus was able to solve their binge drinking problem.