청소년 성장 과정에서 나타난 섭식장애 진행요인과 어머니와의 갈등에 관한 사례연구
A Case Study on the Progression Factors of Eating Disorder and Conflict with Mothers in Adolescents' Growth Process
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
본 연구의 목적은 청소년 섭식장애를 가지고 있는 내담자의 성장 과정과 어머니와의 갈등을 중심으로 한 사례를 분석하고 논의하는 데 있다. 본 연구는 내담자와 어머니를 중심으로 진행된 상담 과정에서 획득한 축어록과 상담 중 녹음을 바탕으로 질적 분석방법을 활용하여 주요개념을 도출하였다. 본 연구의 결과는 다음과 같다. 내담자의 성장 과정에서 나타난 섭식장애 진행요인은 영유아기, 아동 전기, 아동 후기에서 발견된 잠재요인과 청소년 전기와 후기에서 발생한 유발요인 및 청소년 후기에 나타난 유지 요인이 있었다. 내담자의 섭식장애와 관련된 어머니와의 갈등 요인은 모와의 불신, 편애를 하위요인으로 한 남모를 외로움과 모녀간 성격차이, 가치관의 차이의 하위요인을 포함하는 모와의 정서적 괴리에 의한 그늘진 독립성, 그리고 비일관적 태도, 역기능적 소통, 공감과 친밀감 없음으로 인한 소통 부재를 확인하였다. 이러한 연구 결과를 바탕으로 섭식장애 청소년 내담자를 대상으로 하는 상담에서는 어머니와의 갈등과 관련된 맥락을 고려하여 개입할 필요성을 제시하였다. 또한, 청소년의 낮은 자존감과 섭식장애의 관련 요인에 대한 폭넓은 연구를 제안하였다.
Abstract
The purpose of this study is to analyze and discuss cases centering on the growth process and conflict with mothers of adolescents with eating disorders. This study derives the main concept by using qualitative analysis method based on counseling word record and counseling recording acquired in counseling process centered on client and mother. The results of this study are as follows. The factors related to eating disorders in the client's growth were potential factors found in infancy, early childhood, late childhood, incidence factors occurring in early and late adolescents, and retention factors in late adolescents. Conflict factors with the mother related to the client's eating disorder confirmed the client's own loneliness, shaded independence due to emotional separation from mother, and lack of communication. Based on these findings, counseling for adolescents with eating disorders suggested the need to intervene in the context of conflict with mothers. In addition, a broad study on the related factors of adolescents' low self-esteem and eating disorders was proposed.
참고문헌 (36)
- "살찌는 것이 두렵다, 20대 섭식장애 여성 남성 9배" (2013), 건강보험심사평가원[URL]
- 권석만, "현대이상심리학" (2015), 학지사
- 김정내, "부모 및 또래애착과 대학생의 섭식장애행동과의 관계; 자의식의 매개효과", 청소년학연구, 14(5), pp.315~344 (2007), 한국청소년학회
- 김정민, "여고생의 섭식신념과 외모에 대한 사회문화적 태도가섭식태도에 미치는 영향", 가정과삶의질연구, 26(3), pp.65~78 (2008), 가정과삶의질학회
- 권다예, "가족 역할을 중심으로 본 한국 여성의 섭식장애", 보건과 사회과학, (44), pp.105~132 (2017), 한국보건사회학회
- 백수연, "여고생의 섭식태도와 우울, 부모-자녀 상호작용, 가족기능", 정신간호학회지, 21(3), pp.176~187 (2012), 한국정신간호학회
- 서상민, "섭식 장애 아동의 임상 평가에 관한 연구", 예술인문사회 융합 멀티미디어 논문지, 8(7), pp.533~544 (2018), 사단법인 인문사회과학기술융합학회[DOI]
- 이정은, "부모의 양육태도가 섭식장애의 발병과 심각도에 미치는 영향", 정신신체의학, 23(1), pp.3~11 (2015), 한국정신신체의학회
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Publishing
- Armstrong, J. G., "Attachment and separation difficulties in eating disorders: A preliminary investigation", International Journal of Eating Disorders, 8, pp.141~155 (1989)
- Baumrind, D., "Family transition", pp.111~163 (1991), Erlbaum
- Button, E. J., "A Prospective study of self-esteem in the prediction of eating problems in adolescent school girls : Questionnaire findings", The British Journal of Clinical Psychology, 35, pp.193~203 (1996)
- Colaizzi, P. F., "Existentialphenomenological alternative for Psychology", pp.48~71 (1978), Oxford University Press
- Cook-Darzens S, "Self-perceived family functioning in 40French families of anorexic adolescents: implications for therapy", European Eating Disorders Review, 13, pp.223~236 (2005)
- Creswell, J. W., "Qualitative Inquiry and Research Design: Choosing among Five Traditions" (2013), Sage
- Dare, C., "Family therapy and eating disorders: eating disorders and obesity" (1995), Guilford Press
- Denzin, N., "Handbook of qualitative research", pp.1~17 (1994), SAGA Publications
- Grissette, N. I., "Perceived Social Support, Social Skills and Quality of Relationships in Bulimic Women", Journal of Consulting and Clinical Psychology, 60(2), pp.293~299 (1992)
- Heebink D. M, "Anorexia nervosa and bulimia nervosa in adolescence:effects of age and menstrual status on Psychological variables", J Am Acad Child Adolesc Psychiatry, 34, pp.378~382 (1995)
- Holtem-Viesel, A., "A Systematic Review of the Literature on Family Functioning Across All Eating Disorder Diagnoses in Comparison to Control Families", Clinical Psychology Review, 34(1), pp.29~43 (2014)
- Kenny, M. E., "Relationship between parental attachment and eating disorders in an inpatient and a college sample", Journal of Counseling Psychology, 39, pp.521~526 (1992)
- Kessler, R. C., "The US National Comorbidity Survey Replication(NCS-R): design and field procedures", International Journal of Methods in Psychiatric Research, 13(2), pp.69~92 (2004)
- Kessler, R. C., "Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication", Archives of General (2005)
- Kiang. L, "Sociocultural values of appearance and attachment processes: An integrated model of eating disorder symptomatology", Eating Behaviors, 7(2), pp.134~151 (2006)
- Kotler, L. A., "Longitudinal Relationships between Childhood, Adolescent, and Adult Eating Disorders", Journal of American Academy of Child and Adolescent Psychiartry, 40(12), pp.1434~1440 (2001)
- Larson, B. J, "Relationship of family communication patterns to Eating Disorder Inventory scores in adolescent girls", Journal of American Diet Association, 91, pp.1065~1040 (1991)[DOI]
- Lincoln, Y. S., "Naturalistic inquiry" (1985), Sage Publication, Inc
- Montemayor, R. R, "The Relationship between parents-adolescent conflict and the amount of time adolescent spend alone and with parents and peers", Child Development, 53, pp.1512~1519 (1982)
- Schmidt U, "Early onset bulimia nervosa: who is at risk? A retrospective case-control study", Psychological Medicine, 22, pp.623~628 (1992)
- Schmidt, G., "Bulimie:Zum Verstaendnis einer geschlechtsspezifischen Essstoerung", pp.49~70 (1989), Kohlhammer
- Stice, E., "Body image and eating related factors predict onset of depression in female adolescent: a longitudinal study", Journal of Abnormal Psychology, 109, pp.438~444 (2000)
- Stice, E., "Naturalistic weight reduction efforts prospectively predict growth in relative weight and onset of obesity among female adolescents", Journal of Consulting and Clinical Psychology, 67, pp.967~975 (1999)
- Sung, M. H, "Factors influencing eating disorders of college women", Journal of Korean Society of School Health, 18, pp.71~82 (2005)
- Thompson, J. K., "Thin Ideal Internalization Mounting Evidence for a New Risk Factor for Body Image Disturbance and Eating Pathology", Current Direction in Psychological Science, 10, pp.181~183 (2001)[DOI]
- Trosi, A., "Early separation anxiety and adult attachment style in women with eating disorders", British Journal of clinical Psychology, 44, pp.89~97 (2005)
- Wertheim E. H, "Parent influences in the transmission of eating and weight related values and behaviors", Eat Disorder, 10, pp.321~334 (2010)[DOI]