알콜문제로 인해 갈등을 겪고 있는 부부의 가족치료 사례연구 = A Case Study on the Family Therapy for Couple Conflict due to Alcoholic Problem

다국어 초록 (Multilingual Abstract)

The purposes of the study were to find the causes of the conjugal conflict relating to husband with alcoholic problem, to examine the characteristics in family of origin regarding conjugal conflict, and to reveal the effectiveness of MRI model and Murray Bowen`s family systems theory with regard to the result of the family therapy. The total family counseling was 14 sessions, which included individual, couple, and family counseling. The study used constant comparative analysis by using open coding method to find the causes of conjugal conflict, the characteristics in family of origin relating to conjugal conflict and the result of family therapy. The study used Miles and Huberman`s time-ordered network display to show the result of the study. The results of the study showed alcohol, undifferentiation of self, dysfunctional communication pattern as causes affecting conjugal conflict. The characteristics in family of origin regarding to conjugal conflict were divided into husband`s characteristics and wive`s. For the husband, alcoholism, violent language, violence were transmitted from family of origin, while the wife had low self-esteem because of parents` physical and verbal abuse as well as sexual abuse experience. The psychological characteristics of these low self-esteem and victim`s consciousness distorted the interaction with the husband. Finally, the results of the study revealed the change of communication skill, the decrease in dose of drinking, the change of cognition, and the insight of the ineffectiveness in dysfunctional coping mechanism as the results of family therapy.

참고문헌 (Reference)

1 윤명숙, "회복중인 알코올중독자의 부부관계증진을 위한집단치료프로그램 효과성 연구" 한국정신보건사회복지학회 (16) : 119-155, 2003

2 김미혜, "한국알콜중독가족의 특성 및 부부문제에 관한 연구-알 콜중독자의 회복을 위한 부부집단 개입 프로그램 개발연구(Ⅰ)" 124 : 72-93, 1995

3 Creswell, J. W, "질적연구방법론: 다섯가지 전통" 학지사 2005

4 성상경, "주정중독환자들의 퇴원 후 경과에 관한 연구" 32 : 698-705, 1993

5 유수현, "정신건강론" 양서원 2010

6 김경미, "장애인의 활동보조서비스 이용 이후 삶의 변화에 대한 연구: 신체적, 심리적, 사회관계적 측면을 중심으로" 한국사회복지학회 57 (57): 253-274, 2005

7 김효남, "의사소통 문제를 지닌 알콜중독자의 가족치료 사례연구" 4 : 47-80, 1996

8 권보영, "알콜중독자 부인을 위한 교육 프로그램 효과에 관한 연구" 서울여자대학교 대학원 1992

9 임은희, "알코올중독자를 위한 치료접근방법 개발에 관한 연구" 12 : 53-74, 2003

10 장수미, "알코올중독자 가족의 가족적응유연성 증진을 위한 개입모형개발: 알코올 중독의 세대 간 전이를 예방하는 시각에서" 11 : 53-77, 2001

11 박태영, "알코올문제를 가진 성인자녀에 대한 가족치료 사례연구" 한국사회복지학회 103-103, 2010

12 손봉기, "알코올 중독증 환자 부인의 행동경향과 치료결과와의 상관관계에 관한 연구" 33 (33): 45-67, 1994

13 박태영, "알코올 중독에서 회복 중인 남편에 대한 부부치료 사례연구" 3 (3): 111-140, 2006

14 박태영, "알코올 중독문제를 가진 재혼한 부인에 대한 가족치료사례 연구" 한국사회복지학회 61 (61): 293-322, 2009

15 통계청, "사회조사보고서" 2009

16 박태영, "마리화나 피는 아들에 대한 가족치료 사례연구" 한국가족치료학회 17 (17): 57-96, 2009

17 박태영, "가족치료 이론의 적용과 실천" 학지사 2001

18 김유숙, "가족치료 이론과 실제" 학지사 2007

19 김혜숙, "가족치료 이론과 기법" 학지사 2008

20 Weakland, J. H., "Therapeutic conversations" Norton 1993

21 Peled, E., "The self-perception of women who live with an alcoholic partner: Dialoging with deviance, strength and self fulfillment" 57 (57): 390-403, 2008

22 Bepko, C., "The responsibility trap: A blueprint for treating the alcoholic family" The Free Press 1985

23 Wright, K. D., "The relationship of wives' treatment to the drinking status of alcoholics" 39 : 1577-1581, 1978

24 Moos, R. M., "The process of recovery from alcoholism Ⅱ: Comparing spouses of alcoholic patients and matched community controls, In Social work practice with clients who have alcohol problems" Thomas Publisher 1985

25 Vargas, N. I., "The meaning of suffering by women who live with an alcoholic husband" 13 : 806-812, 2005

26 Steinglass, P., "The impact of alcoholism on the family: Relationships between degree of alcoholism and psychiatric symtomatology" 42 : 288-303, 1981

27 Steinglass, P., "The alcoholic family" Basic Books 1987

28 Frances, R. J., "Studies of familial and nonfamilial alcoholism" 37 : 162-214, 1980

29 Hussong, A. M., "Social competence in children of alcoholic parents over time" 41 (41): 747-759, 2009

30 Patton, M. Q., "Qualitative research & evaluation methods" Sage 2002

31 Miles, B. M., "Qualitative data analysis" Sage 1994

32 Chernus, L. A., "Psychotherapy with alcoholic patients: A self psychological approach" 75 (75): 63-92, 2005

33 Lee, J, S., "Personality trait of alcoholic patients using the korean version of temperament and character inventory" 18 (18): 134-156, 2008

34 Smith, J. O., "Perceptions of college business students: Gender and alcoholic managers" 42 (42): 771-781, 2008

35 Jacob, T., "Marital interactions of alcoholic couples: Comparison with depressed and nondepressed couples" 56 (56): 29-52, 1988

36 McPherson, S., "Interactive case report an alcoholic patient who continues to drink: Case progression" 7 (7): 98-111, 2006

37 Cloninger, C. R., "Inheritance of alcohol abuse" 38 : 861-868, 1981

38 Revathi, S., "How women cope with alcoholic husbands" 100 (100): 79-82, 2009

39 Goldenberg, I., "Family therapy: An overview" Brooks/Cole 2007

40 Osterman, F., "Family functioning of recovered alcohol-addicted patients: A comparative study" 19 : 475-479, 2000

41 Steinglass, P., "Experimenting with family treatment approaches to alcoholism 1950-1974" Family Process 1976

42 Frankenstein, W., "Effects of intoxication on alcoholics' marital communication and problem solving" 46 : 1-6, 1985

43 Jonhson, P., "Dimensions of functioning in alcoholic and nonalcoholic families" 23 (23): 127-136, 2003

44 McCrady, B. S., "Comparative effectiveness of three types of spouse involvement in out-patient behavioral alcoholism treatment" 47 : 459-467, 1986

45 Watzlawick, P., "Change: Problems formation and problem resolution" Norton 1974

46 Timothy, J. O., "Behavioral marital therapy with and without additional couples relapse prevention sessions for alcoholics and their wives" 11 : 652-, 1993

47 Nathan, P. E., "Behavioral assessment and treatment of alcoholism, In The biology of alcoholism 5" Plenum Press 1977

48 Anastassiou, V., "A fifteenyears experience in systemic family therapy practice with alcoholic patients" 29 (29): 279-318, 2008