Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.9
no.1
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pp.13-25
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1998
Aim:We think that the most important etiology in parent abuse is the psychodynamic and psychopathology in the family. So, we investigated the adolescents being admitted in SNMH, whose chief complaints were parent abuse. We were trying to explore families psychodynamic and psychopathology, especially mother-child interaction and to differentiate them in according to developmental psychopathology. Method:Our objects were the adolescent patients admitted in SNMH from 1987 to 1997 because they attacked parents verbally and physically. We examined 21 adolescents except those with psychosis, organic mental disorder, autism and mental retardation by means of interview or chart review. Result and Conclusion:The number of male patients was 14 and the number of female patients was 7. The most common diagnosis was conduct disorder and borderline personality disorder. The mean age was in the mid-teens. We observed 4 subgroups that were divided developmentally in object relation. 1) Symbiotic group with mother:(1) They did not separate and remain in symbiotic relationships with their mothers based on insecure attachment. Fathers were abscent emotionally and physically, and their mothers were prominent in close relationships with the patients in their family , where as the patients were the only man in the family. Adolescents entered the second separation-individuation. They expressed anger and internal tension involved with the close attachment with their mothers and also attempted separation from their mothers through physically attacking them. (2) These patients had suffered from physical illness and developmental delay since birth. Therefore the parents overprotected their children. The children had persistent infantile omnipotence and fantasies of power, so they could not deal with unrealistic states, adapt to reality, and depended on their parents overtly. They easily acted out unless their demands were fulfilled. 2) Borderline personality disorder:We observed deficiencies in care taking. Their parents had personality problems and immaturity. They coulden’t help their children to be separated in the rapproachment phase. Their conflict about dependence-independence was revived in the second separation-individuation adolescent period. We understand parent abuse as an attempt to overcome the conflict. 3) Conduct disorder:They did not build up basic attachment with their parents. They think of their parents as only a means of fulfilling their needs. When patients’ need were not fulfilled and remained in a conflicted state, they attacked their parents, unable to control their aggressions and impulses.
The purpose of this study is to understand the experience how children are receptive to their parents' imprisonment, adaptation from their painful experience and crisis. In order to achieve the purpose of the study, six youth participants were selected. We carried out in-depth individual interviews and the collected data from the interviews and the case study were analyzed. The commons subjects are like 'Sudden separation and shock', 'Glad to be unhappy', 'Wretched my life', 'The way of the far-away meeting', 'The one who gave me hope', 'Live my life'and so on. Based on the result of this study, policy and practical guideline were discussed and suggested to help children of the incarcerated in addition to the limitations of the study and the recommendations for further study.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.2
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pp.495-502
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2020
The purpose of this study was to explore the effects of adolescent's self-esteem and psychological separation from parents on their interpersonal competence. The study sample consisted of 625 high school students in Seoul, Korea who completed a self-administered questionnaire. The data were analyzed using t-tests, correlations, and hierarchical regression analysis. The main findings were as follows. First, the level of interpersonal competence differed by gender. Second, a higher level of interpersonal competence among adolescents was significantly correlated with a higher level of adolescent's positive self-esteem, lower level of adolescent's negative self-esteem, and higher level of psychological separation. Third, positive self-esteem was the most significant predictor of adolescents' interpersonal competence, followed by parent's regulation. Overall, the results suggest that self-esteem is very important to promote positive interpersonal competence among adolescents. Therefore, programs to address such issues are strongly needed.
This study aims to estimate the perception of mothers of infant and toddler on the child-rearing environment and compare the recognition of parents who live in APT and multi-family housing. This study investigates the mothers in order to survey the level of importance and satisfaction on the neighborhood environment factors for child-rearing. The result of questionnaire is analyzed by Importance-Performance Analysis (IPA). According to the result of IPA by housing types, it was found that the improvement of pedestrian environment, separation of pedestrian and vehicle, natural environment and playground is required particularly in the multi-family housing area. the mothers need soundproofing of house and management of unwanted facilities in neighborhood in common. In the apartment, improvement of child-care facilities and children's library is required. The results of IPA on the mothers of infant and toddler may be important foundation for future strategies for child-rearing environment improvement.
This study aimed to find the general tendencies of parental family-of-origin experiences and conflict and their children's behavioral problems as a function of a child's sex, as well as the causal relationships among these variables. Three hundred and five 4th and 5th graders filled out the Korean Version of Achenbach's Child Behavior Checklist. Parents of these children answered the Family-of-Origin Scale and Marital Conflict Inventory. The results were as follows. 1) Fathers experienced more of emotional cut-off from their family of origin than mothers did. However, mothers had more of triangulation and emotional separation from their family of origin than fathers did. 2) Both fathers and mothers reported that mothers had more of marital conflicts. 3) Daughters showed more physical symptoms than sons while sons showed more delinquent behaviors. 4) While parental experiences from the family-of-origin effected the parents' marital conflicts, they didn't influence the children's behavioral problems through marital conflicts.
The purpose of this study was to explore relationships between family of origin and youth transitioning from out-of-home care. Data were collected from six youths transitioning from out-of-home care and were analyzed using the phenomenological approach. The results of this study were as follows. Four categories and twelve subcategories were drawn from the meaning units. The four categories were 'chaos in separation', 're-established relations but with distance', 'completely ended relationships with the family of origin', and 'redrawing family boundaries'. First, the participants who were separated from their parents due to poverty or divorce reunited with their parents, and they appeared to continue their relationships with the family of origin after transitioning from out-of-home care. The youth were receiving various forms of support from their parents in order to be independent, and they were experiencing stable independence through this support. Second, the participants who were separated from their parents due to serious child abuse or parental death had broken relationships with their parents. The youth were independent and relied on new alternative relationships that were not with the family of origin, but they experienced somewhat unstable self-reliance. In short, participants' relationships with families of origin in this study can be defined as a tight rope between love and hate. Based on these results, child welfare practice and policy implications were discussed to help out-of-home care youth's relationship with their family of origin.
The purpose of this study was to investigate the relationship between the psychological/physical home environment, and children's moral judgement and moral behaviors. The subjects for this study were a normal group of 58 children and a delinquent group of 54 children. The normal children were selected from elementary and middle schools in Taegu city, and the delinquent children were from two juvenile prisons in the Taegu area. Children's moral judgement scores were measured by levels of moral judgement as conceptualized by Kohlberg. The major findings of this study were that: 1) There were significant differences between the normal and delinquent groups on democratic conduct, permissive attitude, degree of intimacy between parent and child, and materialism orientation. 2) There were significant differences between the normal and delinquent group on life or death of real parent, living with parents, separation, bereavement or divorce, mother's age, father's educational level, and father's occupational level. 3) There were significant differences between the normal and delinquent group on children's moral judgement scales. 4) Father's educational level was the best index for predicting psychological and physical home environment variables and differences between normal and delinquent children on level of moral judgement.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.19
no.3
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pp.182-189
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2008
Objectives: This study aimed to evaluate preliminarily the clinical effects of cognitive-behavioral treatment in children with anxiety disorders. Methods: Subjects were 11 children between 2nd and 6th grade with anxiety disorder. All subjects were diagnosed through Kiddie-Schedule for Affective Disorder and Schizophrenia Present and Lifetime Version (K-SADS-PL) interview. The CBT program consisted of sessions once a week (60min/session) for 14 weeks with parent education. Results: Children and parents reported significantly improved social skills, social competence and decreased anxiety. However, there were no significant changes in children's negative thoughts and subjective depressive symptoms. Conclusion: Cognitive-behavioral treatment is expected to be effective in children with anxiety disorders such as generalized anxiety disorder, phobia, separation anxiety disorder, and obsessive-compulsive disorder.
The goal of modern nursing is to provide comprehensive nursing care to patients. If comprehensive nursing care to children (within the hospital setting) is to be provided, consideration of the stage of growth and development of the child is especially important. From clinical observation, it appeared that nurses often disregarded individual requirements of children in giving nursing care. Therefore, the purpose of this study is to show that comprehensive nursing care which is based on an understanding of the growth and development of the child contributes to both the child and the mother's adaptability to the child's hospitalization. Method: Sixty children, three to three year of age, hospitalized at the Yonsei University Pediatric Ward ware studied. From April 1, 1973 to May 5, 1973, children admitted to the hospital were assigned to either an experimental or a compare groups. There were 30 children in each group. The sex and age of the children in each group was similar. In both groups were more male than female children. In the experimental group, each mother stayed with hot child continuously during his hospitalization. In the compare groups, the mother or some other member of the family stayed with the child. Each day on the child's admission the investigator visited the ward from 1-2 P.M. to 9-10 P.M., in order to provide comprehensive care for the experimental -group. The assistance given the nurses by the investigator was in the form of conferences regarding care and in giving direct care to the child and his mother. The compare group of children received nursing care as usually provided by the hospital. The instruments used to obtain the data for analysis were as follows: 1. The fear and anxiety reaction of the child was recorded by observation of the investigator for four areas: 1) separation from parent and relatives 2) reaction to Doctor and Nurse with white gowns 3) reaction to nursing care 4) reaction to injection and tests, etc. 2. Regression in area of eating, sleeping, and elimination were recorded by the investigator by questioning the mother and by observation. 3. Adaptability to the hospitalization was recorded by direct questioning of the children for areas of emotional and social adjustment. For children older than 3 years of age or children not seriously ill, using the simple I. Q. test this was possible for only 35 of the total 60 children. Result: 1. 55 percents of the total 60 children had been prepared by their parents for hospitalization. The children who had received prior preparation accepted hospitalization more readily than those who had received no preparation. (χ²=4.6 Ρ<0.05) 2. On admission 31.7 percent of the children expressed verbal fear of their discase or treatment. 25 percent felt that the disease was due to their mistake. 3. There was a significant difference in the reaction of the child to separation from the parent or relatives between the two groups. The experimental groups showed less anxiety due to separation than the compare group. (χ²=4.34 Ρ<0.05) In both groups there was less anxiety due to separation among school age (6-12 years) children than among preschool age (3-5 years) children. (χ²=9.22 Ρ<0.05) 4. More than half of the children in both groups reacted with fear and avoidance to doctor and/or nurses wearing white gowns. (χ²=0.06 Ρ<0.05) 5. The experimental group reacted more favorably to nursing in general than the compare group. (χ²=4.8 Ρ<0.05) 6. There was no difference in the fear and refused reaction to special tests and/or such as X-rays and injections, etc. between the groups. (χ²=3.77 Ρ<0.05) 7. More children in the compare group showed regressive tendencies in eating, sleeping, and elimination habits than in experimental groups. (χ²=2.3 Ρ<0.05 χ²=3.88 Ρ<0.05 χ²=4.9 Ρ<0.05) 8. There was a significant difference in the adaptability to hospitalization between the two groups. The experimental groups adapted more readily. (χ²=2.02 Ρ<0.05) 9. For children who had higher I.Q. s the adaptability to hospitalization was better regardless of the group. (χ²=5.03 Ρ<0.05) However, because of the small number of cases (60), this finding cannot be extrapolated without further verification. The date demonstrates that there was a greater adaptability to hospitalization by the child when comprehensive nursing care was given. By planning care and applying knowledge of growth and development to meet, nurses are in a position to prevent some of the psychological trauma associated with hospitalization.
This study utilized data (a sample of 18,553 people born in 1958 in England, Scotland, and Wales) from the National Child Development Study of 1968 and 1991 to explore the influence of familial difficulties on the internalizing behavioral patterns during the early adolescent period and late life outcomes periods. In this paper, internalizing behavioral problems include 'depression', 'anxiety', 'hostility to adults', 'hostility to children', and 'withdrawal'. Late outcomes were analyzed in two different variables and one marital management domain: 'unemployment', 'seen doctors about emotional problems', 'divorce or separation; never lived as a couple; arguments end in violent behavior' The results indicate that young adolescents who had experienced familial difficulties also have internalizing behavioral problems giving them emotional and behavioral instability. The findings also show that familial difficulties during childhood positively contribute to late life outcomes such as unemployment, emotional problems, and marital management. This study suggests that in order to effectively respond to the needs of children and adolescents who have experienced various familial difficulties, counselors and educators must guide parents.
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