• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제9권1호
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• pp.13-25
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• 1998

본 논문에서는 부모학대의 주이유가 무엇보다도 가족내 역동과 정신병리에 있다고 생각되어, 부모학대를 주소로 입원한 청소년들을 대상으로 임상적인 소견과 병력을 심도 있게 알아보고, 그 저변에 있는 정신병리와 가족역동, 특히 모자관계를 중심으로 알아보았다. 국립서울정신병원내의 1987년부터 1997년까지 입원한 환자중 부모에게 신체 공격 또는 신체적 위해를 가하겠다는 언어적, 비언어적인 위협을 가한 환자중 정신증, 기질적인 뇌질환, 자폐아, 정신지체아동을 제외한 21명 환자의 면담과 병록지 검토를 통하여 대상 청소년들에 대한 고찰을 하였다. 부모학대로 입원한 21명의 환자중 남자 14명, 여자 7명으로 진단은 품행장애, 경계선 인격장애가 가장 많았으며, 평균 연령은 10대 중반이었다. 가족역동과 발달병리상 4개의 소집단으로 나눌 수 있었다. 1) 어머니와의 공생적인 관계군；(1) 어머니와 공생적인 관계에서 분리되지 않은 상태로 청소년 시기를 맞이하였고, 아버지의 정서적. 실제적 부재상태에서 어머니의 가정내 유일한 남자인 환자에 대한 과도한 밀착이 두드러졌다. 제2차 분리개별화시기인 청소년을 맞이하여 어머니와의 갈등적 관계에서 오는 내적 긴장감과 분노를 표현함과 동시에 나름대로 분리를 획득하고자하는 시도로서 어머니를 향한 신체적 공격을 이해할 수 있겠다. (2) 이 환자들은 탄생 이후부터 중한 질환과 발육부진으로 부모의 과잉보호로 공생적 관계에 머물며 유아적인 전지전능감, 힘에 대한 환상의 비현실적인 감각을 제대로 처리하지 못하고 현실적응을 못하고 부모에게 과도하게 의존하고, 자신의 요구가 충족되지 않으면 쉽게 과격행동으로 표출하였다. 2) 경계선 인격장애군：이들은 양육상의 적절한 모성의 결핍과 부모자체의 성격상의 문제와 미숙함으로 의존성이 조장되고 분리가 방해받아 발달상 재접근시기에 머물고 있었다. 제2차 분리개별화시기인 청소년기를 맞이하여 의존과 독립에 관한 그들의 위기 갈등이 되살아나고, 이 갈등의 표현으로 부모학대가 일어났다. 3) 품행장애군：이들은 부모와 기본적인 애착관계를 형성하지 못하였고, 부모의 존재는 이들에게 단지 자신의 필요 충족의 대상이었다. 환자 자신의 전지전능한 요구가 충족되지 못하고 갈등 상황에 빠졌을 때 공격성과 충동 조절 능력의 결여 상태에서 부모를 향한 폭력을 행사하게 된 것으로 이해된다.

• 가정과삶의질연구
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• 제13권2호
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• pp.86-93
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• 1995

본 연구는 애착관계를 중심으로 모-자녀간 상호작용의 특성 및 외조모 모, 손녀 3세 대간의 애착관계의 전이와 그것이 반영이 사회적 능력에 미치는 영향을 전생애적 관점에서 파악하고자 하였다 연구대상은 만 14-20개월의 영아와 그 어머니 45쌍 국민학교 1,2,3학년 아동과 그들의 어머니 226쌍 그리고 중.고등학교에 재학중인 여학생과 어머니 외할머니로 구성된 모녀간 3세대 140쌍이었다. 본 연구의 결과 애착관계는 전생애에 걸쳐 비교적 높았 고 상호작용적으로 나타났다 그러나 애착의 특징은 발달단계별로 달라 영아의 어머니에 대 한 애착관계는 어머니의 적절한 양육행동이 아동기는 신뢰감을 주는 양육행동이 청년기에는 애착감정이 그리고 중년기 이후에는 자율성만이 애착관계와 관련이 있었다 3세대간의 애착 관계의 전이는 중년기 이후에만 나타났고 애착과 사회적 능력과의 관계는 아동기, 청년기, 중년기, 노년기까지 관계가 있는 것으로 나타나 애착관계가 전생애적으로 사회적 능력에 중 요함을 보여준다. 이상을 통해 볼 때 본 연구는 전체적으로 전생애적 관점에서의 애착이론 을 지지하였다.

• 문화기술의 융합
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• 제8권4호
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• pp.181-186
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• 2022

본 연구는 부모 양육 스트레스, 유아의 사회적 유능성, 부모의 자아존중감과의 관계에서 부모의 양육 스트레스가 유아의 사회적 유능성에 미치는 영향을 살펴보고, 부모의 자아존중감이 부모 양육 스트레스와 유아의 사회적 유능성 관계를 매개하는지 알아보는데 목적이 있다. 한국아동패널 7차년도(2014년) 자료를 대상으로 빈도분석과 기술통계분석을 하였고, 변수간의 상관분석을 위해 Pearson's의 적률 상관계수를 산출하였다. 또한 부모 양육 스트레스와 유아의 사회적 유능성과의 관계에서 부모의 자아존중감의 매개효과 검증을 위해 Process Macro Model 4를 적용하여 매개효과를 검증하였고, 간접효과 유의성은 부트스트래핑 방법으로 검증하였다. 본 연구 결과 첫째, 모든 잠재변수들간의 상관관계가 유의미한 상관관계를 보이는 것으로 나타났다. 둘째, 아버지, 어머니의 스트레스가 유아의 사회적 유능성에 미치는 영향에서 어머니, 아버지 자아존중감은 매개효과가 있음을 확인하였다. 이 같은 결과는 유아의 사회적 유능성을 향상시키기 위해서는 부모가 양육 스트레스 상황에서 자기 자신에 대한 믿음과 자신감을 갖고 자신의 감정을 잘 조절 할 수 있도록 자아존중감을 높일 수 있어야 함을 시사한다.

• 가정과삶의질연구
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• 제25권4호
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• pp.43-55
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• 2007

The Purpose of this study was to investigate the ecological variables on adolescent's sociometric popularity. Independent variables were organism(sex, age, aggression, self-esteem, impulsiveness, prosocial behavior, dominance), microsystem(parenting style, family support, friends relationship, teacher support), mesosystem(family-peer relationship, family-school relationship), and exosystem(positive community environment, social support of extended family, school's policy). The subjects were 835 - 1st and 2nd graders of two middle and two high schools in Daegu. Adolescent's sociometric popularity and ecological variables were measured with questionnaire. Adolescent's sociometric popularity was measured with sociometric popularity questionnaire. Organism variables were measured with sex, age, aggression, self-esteem, impulsiveness, prosocial behavior and dominance questionnaire. Microsystem variables were measured with parenting style, family support, friends relationship and teacher support questionnaire. Mesosystem variables were measured with family-peer relationship and family-school relationship questionnaire. Exosystem variables were measured with positive community environment, social support of extended family and school's policy questionnaire. The data analyzed by frequency, percentage, mean, cronbach's $\alpha$, and multiple regression. The major findings were as follows: First, adolescent's sociometric popularity was affected by age, overt aggression, academic self-esteem, social self-esteem, and impulsiveness of organism variables. Second, adolescent's sociometric popularity was affected by mother's affectional parenting, mother's control parenting, and attachment to friends of microsystem variables. Third, adolescent's sociometric popularity was affected by family - peer relationship and family - school relationship of mesosystem variables. Fourth, adolescent's sociometric popularity was affected by appraisal support of extended family, after-school activity, and circle activity of exosystem variables.

• 대한간호학회지
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• 제47권5호
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• pp.577-588
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• 2017

Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers. Results: Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach. Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

• Child Health Nursing Research
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• 제9권1호
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• pp.18-27
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• 2003

The purpose of this study is to compare the educational needs and perception of mothers of normal neonates and high risk infants. This research was designed as a descriptive study. Data were collected for two months from April 2002 to March 2002. Subjects were 41 mothers of high risk infants and 60 mothers of normal neonates in one general hospital in Seoul participated in the study. Measurement tools used in this study were the educational needs scale developed by Cho Kyoul Ja et al and the neonatal perceptive inventories scale developed by Broussard. They ask mothers to rate each item on a four point Likert type scale. The collected data were analyzed using SPSS 8.0 program. The variables were listed as frequency, mean, standard deviation, X2 test, t-test, ANOVA. The results were as follows: The educational needs of the mothers of primi pregnancy was higher than the mothers of multi pregnancy. The educational needs on management of diseases such as prevention of infection, symptoms of disease, mental development, attachment promotion, congenital metabolism test, management of convulsion, care of vomiting and fever were higher than general care of infants such as immunization, measurement of temperature, hiccough care, follow up care. The informations must be included in nursing intervention program to reduce the mothers' stress level. In conclusion, in order to promote positive mother infant relationship, nurse need to give information and educate the mothers of high risk infant and normal neonate.

• 한국콘텐츠학회논문지
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• 제18권3호
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• pp.361-368
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• 2018

본 연구는 영화 <케빈에 대하여>를 융의 개성화 이론을 통해 분석하고자 한다. 동명의 원작소설을 바탕으로 가족과 다수의 인물을 살해한 소년과 어머니에 대한 내용이다. 모성애를 소재로 한 영화들은 자녀를 위해 헌신하는 모성의 숭고함을 드러내거나 때로 사회적 통념이나 윤리를 거스르는 행위조차도 서슴지 않는 모성을 등장시키는 장르 영화로 표현한다. 또는 모성성과 충돌하는 여성의 욕망을 표현하여 모성이데올로기에 대해 의문을 제기한다. 모성이데올로기는 근대적 산물로서 산업화 사회에서 성역할을 고정하는 영향을 끼쳤다. 이를 통해 부성애와 달리 모성애는 여성성과 동일시 되며 여성은 가족구성원으로서 개인의 양육 책임을 넘어 안전한 사회적 구성원을 길러내도록 책임이 강조되었다. 영화<케빈에 대하여>는 양육과정에서 애착형성이 부족한 모자관계에서 발생한 범죄의 서사로 전개되지만 이는 '모성애가 부족해 자식을 잘못 기른 어머니'라는 모성이데올로기의 재연이 아니다. 어머니 에바는 모성이데올로기와 충돌하는 자신의 욕망에 대한 갈등을 모자 관계에 투사했고 아들 케빈 역시 어머니를 통해 자신의 페르소나에 영향을 끼친 투사를 경험한다. 본고는 융의 개성화이론을 통해 등장인물들이 투사하는 자아를 직면하고 외부적 역할이나 이상에서 벗어나 자신의 삶의 목표를 찾아 자기실현을 하는 것으로 분석하고자 한다.

• 대한간호학회지
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• 제45권3호
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• pp.449-458
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• 2015

Purpose: Maternal knowledge, positive attitudes and interest toward breastfeeding may improve the sustainability of breastfeeding. This study examined the associations of knowledge, attitudes, and interest toward breastfeeding with the duration of breastfeeding in Korean mothers who used the internet. Methods: We conducted a cross-sectional study of 604 Korean mothers who breastfed their babies. Mothers were recruited through the internet and their knowledge, attitudes and interest toward breastfeeding were assessed using a web-based self-administered questionnaire. Geometric means and odds ratio (OR) with 95% confidence intervals were calculated. Results: Higher knowledge, attitudes, and interest toward breastfeeding were associated with longer duration of breastfeeding in Korean mothers. In particular, mothers who had optimal breastfeeding duration were more likely to be aware of the easiness of breast milk stimulation and breastfeeding, the development of attachment between mother and child, and pleasure from breastfeeding compared to those mothers with shorter duration. The association with optimal breastfeeding duration was more pronounced among mothers who graduated from high school for total attitude scores and total interest scores, compared to mothers who graduated from college or above. Conclusion: The results of this study suggest that it is important to improve maternal knowledge, attitudes, and interest toward breastfeeding in Korean mothers who use the internet as a source of knowledge. Also, the study results imply that the development of strategies to target mothers with relatively low education levels may improve breastfeeding rates.

• 초등상담연구
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• 제5권1호
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• pp.227-253
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• 2006

It seems common for students living at a small county and islands to experience psychological conflicts and be unaccustomed in the peer society because they are not familiar with peer interaction and social skills. This is a case study of L (hereinafter called L) who was grown up in the sheltered school at a small county. L was psychologically disturbed because he couldn't get along well in the transferred school. It is the reason why he had lived in the sheltered school at a small county, so he had not enough exposure to interact with peer and social skills. Sometimes he was obstinate irrationally and when he had trouble with friends, he threw something out or went out of school and tricked juniors dangerously. The fact of disperse with families, parent's indifference, and hate of older brother made L to have ill feeling against family. He had low motivation and low self confident in learning because of short attention time and accumulated poor learning progress. In this study, he was evaluated at various area, such as, intelligent, affective, personal and inter-personal, before counselling. To evaluated the effect of the counselling, K-WISC-III, KPRC, sentence filling test, social adaptation ability test, etc, were administered right after the counselling was over and 8 weeks later. For specific information gathering and analysing, observation diary and deepen counselling were accomplished by homeroom teacher, his mother, and his peers. To correct his problematic behaviors, 13 counseling sessions were accomplished for 6 months and those counselling sessions were recorded and analysed definitely. Followings are the result of this case study. First, he was recovered from the anxiety of inter-personal interaction and he started to interact with peers. The result of sac scale score of KPRC profile was lower than before as much as average student after counseling and 8 weeks later. This reveals that the distress against interpersonal relation have settled. Especially, through the result of sentence filing test, he seemed to feel attachment to peers and be positive, active in the relation of peer. For instance, he was active in the open class lesson and interacted well with peers. It could be said that he overcame the psychological distress comparing with previous time. Second, he could apologize to his peer and juniors for his fault. His attitude were well shown in the letter from an old friend at the sheltered school, average KPRC profiling score comparing with previous counseling time, and remarkable decrease of attack scale score of teacher and peer. Third, his view toward family turn out positive. He recognized his situation that he lived apart from family and even worried about his parent's financial difficulty. Through solving the confliction with his older brother, he could acquire the feeling of family reunion. Fourth, his learning motivation and self-confidence were increased. He confirmed his future positively and he might be judged more attentive because his intelligence index was higher than before as much as average student. With the main goal of this study, verification for effectiveness of counseling. understanding and helping problematic students such as L who lives at a small county and island through investigation of their real situation and problems with the method of counseling and socio-cultural analysis is worthwhile. Identification of ideal relationship with peer is related with positive self-conception, harmonic social adaptation and development of child. It is time to investigate easy adaptive in classroom and well-organised program to acquire general social skills for sheltered school students at a small county and islands.