ADHD 아동 어머니의 심리적 적응과정 사례연구
A Qualitative Research on the Psychological Adapting Process of the Mother with ADHD Children
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초록
본 연구는 주의력 결핍 과잉행동장애(Attention Deficit Hyperactivity Disorder : 이하 ADHD) 아동의 어머니가 아동의 장애를 수용하기까지의 심리적 적응과정을 질적으로 분석하였다. 이를 위해 본 연구에서는 열 명의 ADHD 아동의 어머니들을 중심으로 비구조화된 질문지를 이용하여 면담을 실시하였으며 면담의 내용은 녹음 후 전사되었다. 전사된 내용은 코딩의 과정을 거쳐 해석되고 기술되었다. 본 연구의 결과는 ADHD 아동 어머니의 심리적 적응과정을 보여주는 것으로 부정, 분노, 타협, 우울, 수용의 과정을 거치고 한 번으로 이 모든 과정을 마치는 것이 아니라 부정의 단계를 제외하고 다시 분노, 타협, 우울, 수용의 단계를 거치는 순환형을 이루는 것으로 나타났다. 이를 바탕으로 ADHD 아동의 중재에 효과적이고 능동적인 개입을 위해 어머니의 심리적 적응과정에 따른 접근이 필요하다.
Abstract
The purpose of this study is to qualitatively analyze the psychological adapting process of the mother with ADHD children. 10 mothers with ADHD children were participated in this study. The participants were interviewed according to the non-structured questionnaire and recorded. The whole contents interviewed were specifically described and analyzed through the coding process. As a result of this study, the psychological adapting process of the mother with ADHD children was composed of five stages; denial, anger, compromising, depression, and reception. First, in the denial stage, disorder was viewed as a characteristic of the child, the particular surrounding, the problem of growth process, or the intentional action of the child and was appeared as suspiciousness in first diagnosis. Second, the anger stage was expressed as the anger of teachers and families, the anger of herself, and the anger of her child with ADHD. Third, the compromising stage was appeared as her activity for adaption and the expectation for improving soon. Fourth, the depression was caused as the avoidance of her interrelation, the difficulties of bringing up her child with ADHD, and her hopelessness. Fifth, the reception stage was appeared to cognize the necessity of continuous remedy, to use the support system positively, and to adjust her expectation level. Sixth, those psychological adapting processes were not unidirectional, but showed to be the spiral pattern among anger, compromising, depression, and reception excepting the first denial stage. Therefore it is necessary to approach according to the psychological adapting process of the mother with ADHD children for intervening the children with ADHD effectively and positively.
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