역기능적 가족관계의 영향으로 행동억제를 보이는 아동의 가족치료 사례연구
A case study on family therapy for a child with behavioral inhibition by dysfunctional family relationships
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초록
본 연구는 역기능적 가족관계의 영향으로 인해 행동억제를 하는 아동에 대한 가족치료의 사례연구이다. 아동의 행동억제에 영향을 미친 요인은 모의 역기능적 양육방식, 모의 역기능적 원가족경험, 혼란스러운 핵가족체계로 나타났다. 모의 역기능적 양육방식과 아동의 행동억제는 서로 악순환되는 고리를 이루었다. 모의 역기능적 원가족 경험은 모의 역기능적 양육방식에 영향을 미쳤고, 혼란스러운 핵가족체계는 아동의 행동억제와 모의 역기능적 양육방식에 모두에 영향을 미쳤다. 이에 대한 치료자의 가족개입방법은 아동의 표현력향상, 모의 양육적 유능감형성, 모의 자아분화, 가족체계의 재구조화에 초점을 두었으며 이로 인한 치료적 결과는 아동의 변화, 모의 변화, 가족체계의 변화로 나타났다. 본 연구결과는 아동의 행동억제의 증상은 가족관계 및 부모의 양육태도와 밀접한 관련을 맺고 있으며, 치료과정에서 가족에 대한 개입이 효과있음을 제시하였다.
Abstract
This is a case study on family therapy for a child showing inhibited behaviors, caused by dysfunctional family relationships. The causes of the inhibited behaviors included dysfunctional parenting skills of the child's mother, the mother's negative experiences with her family origin, confused nuclear family systems. The mother's dysfunctional parenting style and the child's behavioral inhibition formed a vicious cycle, feeding to each other. The mother's negative experiences with her family origin influenced on her dysfunctional parenting skills. The confused nuclear family system negatively impacted the child's inhibited behaviors and the mother's malfunctioning parenting methods. Thus, the family intervention focused on improving the child's self expression, forming the mother's parenting efficacy, and restructuring the family system. The child began to have better self expression, improve encopresis, decrease computer usage, and show better interpersonal skills. The mother also showed better communication and empathy skills and began to use permissive attitude and have stable emotions. Their family system changed to restore the mother-the child parental relationship, improve spousal relationship, form affectionate sibling relationship, and create stable emotional conditions within the system. Those results indicate that behavioral inhibition among children is closely related to parenting skills and family relationships and that intervening at family system level is effective to help them.
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