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이혼위기 부부의 가족치료경험에 관한 문화기술적 사례연구
김금자 한국가족치료학회 2012 가족과 가족치료 Vol.20 No.2
본 연구는 이혼위기에 있는 부부에게 가족치료를 실시하고, 참여부부의 가족치료 경험을 탐색함으로써 내담자의 불평과 문제가 해결되는 과정과 해결중심단기가족치료의 효과성을 드러내고자 하였다. 이혼위기에 있는 부부이야기는 남편과 아내의 오래된 이야기를 기술하였으며, 가족치료경험과 의미에서는 불평과 문제가 해결되는 과정을 분석하고 해석하였다. 본 연구의 결과는 아내의 불평인 남편의 말투가 변화되고, 아내에게 너무 집착하지 않고, 부부가 함께 할 때는 친밀감을 이루고, 각자의 시간을 가지면서 아내의 불평이 감소되고, 만족도가 증가하였다. 부부가 배우자의 강점과 자원에 주목하면서 서로를 인정하고 칭찬하였다. 또한 부부만의 시간을 일부러 만들고, 성생활도 변화되고, 애칭도 만들어서 사용하면서 남편의 불평도 사라졌다. 이 사례에서 특히 효과적인 임상적 개입기술은 첫 면담에서 신뢰관계가 잘 형성되었고, 해결지향적질문기법과 더불어 내담자-치료자의 관계 유형의 변화에 따라 치료자의 적절한 치료적 개입과 메시지가 효과적인 것으로 보았다. Objectives: This study investigated the effectiveness of solution-focused, short-term family therapy with couples in the process of divorcing, and it explored the couples’ experiences of participating in family therapy. Methods: Data in this study included stories from the husbands and wives experiencing divorce. Exploration of the family therapy experience and its meaning included the analysis and interpretation of the process of solving complaints and problems. Results: The results of the study revealed factors that increased satisfaction and decreased complaints for the participating couples. When husbands changed their manner of speaking and gave their wives more freedom, the wives felt more intimacy and complained less. When wives attended to and praised their husband’s strengths, changed their sexual relationship, and used fond names for their partner, the husband’s complaints disappeared. Conclusion: This study illustrates how effective clinical interventions led to well-established, confident relationships. Appropriate therapeutic interventions-including solution-focused questioning techniques-and therapist messages werefound to be effective when matched to the clients.
김금자 최신의학사 1974 最新醫學 Vol.17 No.10
From march 1969 to Feb. 1974, a period of 5 years, A study in the ENT department at the Presbyterian Medical Center in Chenju shows that there 28 cases of foreign bodies in the trachea and 36 cases in the esophagus. The results were as follows: 1. Since the total number of foreign bodies in the trachea was 28 and 36 in the esophagus, the ratio was 1:1.3. 2. In both cases the study shows that male cases exceeded female; 1.8:1 in the trachea 2.3:1 in the esophagus. 3. According to age, the following facts are revealed. 71.4% of the foreign bodies in the tracbha were in children under 5 yrs. old and 77.8% of the esophagus cases. 11. 1% in the esophague were in patients over 51 yrs old. 4. Foreign bodies in the trachea were as follows; beans 21.4%, pieces of shell 10.7%, fish bones 7.1%. Foreign bodies in the esophagus were; coins 55.6%, Iron pieces 8.3%, chicken bones 5.6%. 5. The distribution of cases by area is as follows; Of the trachea cases 50% were from the myun office area, 28.6% were from the city area, 21.4% were from the eub area. Of the esophagus cases 47.2% were from the myun office area, 41.7% were from the city area, 11. 1% were from the eub area. 6. 53. 6of the foreign bodies in the trachea patients came for treatments within 1 4y; 28.6% in 2-3 days; it was very rare for anyone to wait more than 4 days. In the esophagus` cases 30. 5% came within 1 day; 38.9% waited 2-3 days; and 11. 1% waited more than 10 days. 7. The admission time required was as follows; 25% of the trachea cases required 1-2 days, 21.4 required 3-4 days, and 50% of the esophagus cases required 3-4 days. 8. During admission the symptoms were as follows; 96.5% of the trachea cases had dyspnea, 25% had coughs, 14.3% had swallowing disturbances, 10.7% had hoarsness, and 10.7% had fever. In the esophagus cases the following syraptems were noted; swallowing disturbance 55.6'% vomiting 38.9% and fever 26%. 9. Of the traches cases 2 patients(7.1%) had complications, of esophagus cases 2 patients(5.6%) had complications. Of the trachea cases4 (14.3%) of the patients died. 10. In the trachea cases 60.7% were removed by laryngoscopy, 49.3% by bronchoacopy. Among these 53. 6% needed tracheotomy. In the cases of esophagus 97. 2% were removed by esophagoscopy. All of these were treated by antibiotics.