기분장애인 배우자의 돌봄 경험에 대한 현상학적 연구
A Phenomenological Study on the Caring Experiences of Those Who have a Spouse with Mood Disorders
0
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
본 연구의 목적은 기분장애인 배우자의 돌봄 경험에 대한 의미와 본질을 이해하는데 있으며, 그 연구문제는 ‘기분장애인 배우자의 돌봄 경험은 어떠한가?’이다. 본 연구 참여자는 배우자가양극성장애와 우울증을 겪고 있는 남녀 8명이며, 2015년 7월부터 2016년 2월까지 8개월 동안심층 면접을 통해 자료를 수집한 후 현상학적 연구방법으로 분석하였다. 본 연구결과 시간적흐름에 따른 상황적 의미구조 진술은 ‘혼돈’, ‘역경’, ‘성장’ 등으로 나타났다. 참여자들의 돌봄경험에 대한 일반적 의미구조의 구성요소는 ‘당혹스러움’, ‘세상과 단절됨’, ‘설 자리가 없어짐’, ‘벼랑 끝으로 내몰림’ ‘포기하고 싶은 삶’, ‘우리사이를 붙들어 주는 힘’ 등이었다. 결론적으로기분장애인 배우자 돌봄 경험의 본질은 ‘혼돈 속에서도 돌봄을 감내하며 관계회복을 이루어나감’으로 볼 수 있다. 본 연구의 함의는 기분장애인 배우자를 위한 사회복지적 인식과 개입의필요성을 제시하였다는 점과 향후 주보호자인 배우자에까지 정신보건서비스의 영역이 확대될수 있는 기초자료를 제공하였다는 점에서 의의가 있다.
Abstract
The purpose of this study is to find a social welfare implication by understanding a meaning and nature about the experience of a spouse’s caring for a person with mood disorder. In this study, the research question is ‘what is an experience of caring for a person of spouse with mood disorder?’. The participants of this study consists of 8 males and females who have a common experience which their spouses are suffering from bipolar disorder and depression with Giorgi's phenomenological research method. The data was collected from July in 2015 to February in 2016. In the result of this study, the words of situational semantic structure with time were described as ‘confusion’, ‘hardship’, and ‘stepping forward’. In this process, the participants experienced ‘stepping forward’ as time passed. The category of the participants' caring experience were ‘embarrassing’, ‘feelings of disconnection from the world’, ‘life which is out of one's own place’, ‘being at the end of a rope’, ‘life that you want to give up’, ‘the power that strengthen the relationship’, ‘finding a way to make living together’. In conclusion, the nature of the experience of caring for the spouse with mood disorder can be that ‘they make a recovery of the relationship by caring their spouses continuously even in the confusion’. It’s important that this study’s implications is presented to need on recognition and intervention of social welfare for the spouses of the people with mood disorder and the basis that the community mental health service area can be expanded to a main caregiver in the future.
참고문헌 (24)
- Chae, I. S, "Phenomenological Study on the Care-giving Experience of the Family who are caring for Mature-aged Children with the Mental Disability:focused on psychological well-being", PhD, pp.2007
- 채공주, "조현병 환자 배우자의 돌봄 경험", 박사, 간호학과, pp.2013
- Cho, H. H, "Study on Psychiatric Patient's Marital Satisfaction: Seoul and Kyoung gi area", Master, pp.2013
- Cook, J. A, "Sexuality and people with psychiatric disabilities", Sexuality and Disability, 18(3), pp.195~206 (2000)
- Giorgi, A, "The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure", Journal of Phenomenological Psychology, 28(2), pp.235~260 (1997)
- Hong, H. M. R, "Practice of Social Welfare Qualitative Research Methodology" (2010), Hakjisa
- Jeon, H. S, "Study on couple's belief system of spouse of mentally disabled and dynamic adjustment", PhD, pp.2007
- 전혜성, "정신장애인배우자의 스트레스에 영향을 미치는 생심리사회적 요인 연구", 한국가족복지학, (33), pp.349~373 (2011), 한국가족사회복지학회[DOI]
- 정보경, "중장년기 정신장애인 형제자매의 경험", 석사, 사회복지학과, pp.2013
- Jung, M, "Caring experiences of mothers with a schizophrenic child: an interpretive approach", PhD, pp.1994
- Kim, Y. S, "study on caregiving appraisal and psychological well-being of family caregivers of a person with mental disorder", PhD, pp.2005
- Kumari, S, "subjective burden on spouses of schizophrenia patients", Industrial Psychiatry Journal, 18(2), pp.97~100 (2009)
- Kwon, J. S, "Diagnostic and statistical manual of mental disorders" (2016), Hakjisa
- Lefly, H. P, "Synthesizing the family caregiving studies; Implication for service planning, social policy, and further research", Family Relations, 46(4), pp.443~450 (1997)
- Lincoln, Y. S, "Naturalistic inquiry" (1985), Sage Publications
- Runions, J, "Problem behaviors encountered by families living with a schizophrenic relapse", Archives of General Psychiatry, 45(2), pp.806~813 (1983)
- Sartorius, N, "The economic and social burden of depression", The Journal of Clinical Psychiatry, 15(62), pp.8~11 (2001)
- 서미경, "정신장애인 가족의 치료참여에 관한 연구", 한국사회복지학, 51, pp.119~140 (2002), 한국사회복지학회
- 신선인, "정신장애인의 배우자 태도와 재발의 인과적 관계에 관한 탐색", 한국사회복지학, 60(3), pp.59~82 (2008), 한국사회복지학회[DOI]
- Strauss, A, "Basics of Qualitative Research Techniques and Procedures for Developing Grounded Theory" (1998), Sage Publication
- Whisman, M. A, "Social consequences of personality disorders: probability and timing of marriage and probability of marital disruption", Journal of Personality Disorders, 21(6), pp.690~695 (2007)
- Winngaarden, B, "Family caregiving in depression: Impact on caregivers’ daily life, distress and help seeking", Journal of Affective Disorders, 81(3), pp.211~222 (2004)
- Wittmund, B, "Depressive disorders in spouses of mentally ill patients", Social Psychiatry and Psychiatric Epidemiology, 37(4), pp.177~182 (2002)
- Yu, M. L, "Qualitative research on the process of marriage maintenance of the mentally disabled", Korean journal of social welfare, 2005(3), pp.437~443 (2005)