근거이론을 적용한 알코올중독자의 재발요인 추출에 관한 연구 : Strauss와 Corbin모델을 중심으로

다국어 초록 (Multilingual Abstract)

The purpose of this study is to investigate the relapse factors of alcoholic pati -ents though the application of the grounded theory, and to identify the important
variables and theorectical proposition which had been neglected in the previous studies. As a result of this investigation, Ihope to provide the information we need in order to improve the rehabilitation programs for alcoholic patients as well
as the fundamental knowledge required to facilitate the rehabilitation process of
alcoholic patients.
The subjects of this study were 11 patients who had been diagnosed with alco-
holism and were later reinstitutionalized at hospital D located in Busan.
The data were collected by means of in-depth interviews and participant obser
-vations. The interview lasted average one hour per person and was conducted once for each of the patients. The research began in October, 2001 and ended in April, 2002.
The data were collected though the interviews I conducted, and were analyzed by the methods proposed by Strauss and Corbin(1991).
The major category which has been found in the relapse of the alcoholic pati- ents is "a stage in the process of recovery or a stage in the chronic progre- ssion of alcoholism". The other categories include pessimistic behaviors, physical
discomfort, alcohol craving, multiple stress situation, absence of hope or meaning of life, feeling of isolation, expectation for controlling drinking, lack of familial understanding or support for alcoholism, discontinuation of treatment or nonatten
-dance of AA meetings, personality problems, low awareness level of the past alcohol abuse, social pressure of alcohol consumption.
Based on the research results, I have derived the following proposition.
(1) Patients tend to have expectation for controlled drinking without a clear per- ception of alcohol abuse.
(2) Alcohol craving is a chronic phenomenon regardless of the period of soberness
(3) Lack of familial understanding or support for alcoholism aggravates codepen- dency
(4) Multiple stress situations and social pressure for drinking pose risks to main- taining sober period.
(5) Personality problems deteriorate as alcoholism advances.
(6) Pessimistic behaviors and physical discomfort cause longing for drinking.
(7) Nonattendance of AA meetings and discontinuation of recovery activities are a sign of relapse of alcoholism.
(8) As alcoholism advances, the feeling of isolation gets stronger.
(9) The motivation of abstinence becomes weaker when a continuing observation on alcohol abuse is not present.
(10) Having hopes or meanings of life strengthens the motivation of abstinence.
As a result of observation of the relapse factors, it has found that multiple factors as a compound body function as an influence. The perception of problems
of alcoholism and making changes in the patients' life by investigating the relapse
phenomenon provides an ultimate opportunity for a successful recovery. This imp -lies the importance of approaching the relapse period as a compound model ra- ther than a idiosyncratic one.
I conclude my study hoping to design a rehabilitation program which prevents and tackle Korean-specific alcoholism as well as studies that would generalize the
relapse factors.

목차 (Table of Contents)

• 목차
• I. 서론 = 1
• 1. 연구의 의의와 목적 = 1
• II. 문헌 및 선행 연구의 고찰 = 4
• 1. 알코올 중독에 관한 이론적 모형 = 4
• 2. 알코올중독의 재발 = 7
• 1) 재발의 규정 및 정의 = 7
• 2) 재발의 양상 = 8
• 3) 재발의 결과 = 10
• 3. 알코올중독의 재발과 관련된 선행 연구 = 12
• 4. 근거 이론 조사 방법론 = 19
• 1) 근거이론 조사 방법론의 개요 = 19
• 2) 근거이론 접근방법의 연구과정 및 절차 = 20
• III. 연구 방법 및 설계 = 27
• 1. 연구문제 및 방법의 선택배경 = 27
• 2. 조사의 목적 및 대상자와 표본추출 = 28
• 3. 자료수집 기간 및 방법 = 28
• 4. 연구자 = 30
• 5. 자료수집 및 분석방법 = 30
• 6. 연구의 평가 = 31
• IV. 연구결과 및 논의 = 34
• 1. 대상자의 사회인구학적 특성 = 34
• 2. 음주 및 단주관련 특성비교 = 35
• 3. 근거자료에서 나타난 개념 및 범주 = 36
• 1) 근거자료로부터 개념 추출 과정 제시의 예 = 36
• 2) 근거 자료에서 나타난 개념 = 38
• 3) 개념의 범주화 = 53
• 4) Strauss와 Corbin의 model에 따른 범주분석 = 54
• 5) 명제 진술 = 87
• 6) 도해 = 88
• V. 결론 및 제언 = 90
• 1. 결과요약 = 91
• 2. 제언 = 92
• 1) 실천적 제언 = 92
• 2) 연구의 한계와 제언 = 95
• 참고문헌 = 97
• Abstract = 103