여성 알코올중독자의 중독과정에 대한 사례연구
A Case Study about Female Alcoholic's Alcohol Addictive Process
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참고문헌
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초록
본 연구에서는 여성 알코올중독자의 중독과정의 특징을 파악하고자 이들의 성장배경, 중독과정에서의 음주형태, 음주동기, 심리기제의 변화과정을 중심으로 알아보았다. 이를 위해 총 10명의 여성 알코올중독자을 대상으로 반구조화된 방식으로 면접을 하였고 자료 분석 방법으로는 합의적 질적 분석방법(Consensual Qualitative Research)을 사용하였다. 연구 결과, 여성 알코올중독자들의 음주형태는 알코올중독 초기단계부터 혼자서 주변의 가족이 모르게 술을 마시는(단독은밀 음주)형태로 나타났고 단독은밀 음주는 알코올중독 중기단계까지 계속되다 말기에 이르러서 주변의 가족들이 이들의 음주 문제를 발견하게 되는 특징이 나타났다. 알코올 중독과정의 초기와 중기단계에서 여성 알코올중독자들의 음주동기는 대부분 부정적 정서 완화 목적으로 나타났다. 이들이 각 중독단계에서 술에 의존하는 심리기제로는 자기위로, 기분전환, 자기고양이 발견되었다. 말기 중독단계에서는 심리적 신체적 의존이 모든 사례의 음주동기로, 이 시기의 음주의 효과는 죄책감과 무력감으로 나타났다. 끝으로 본 연구의 결과와 관련하여 임상적 의의를 논의하였으며, 본 연구의 제한점 및 미래 연구에 대한 시사점이 언급되었다.
Abstract
This study was intended to find the characteristics relating to alcohol addictive process of female alcoholics. Ten female alcoholics were interviewed in semi-structured way and Consensual Qualitative Research method was used to analyse interview data. The results are as followings : First, most female alcoholics had one or more family members who died from problem drinking or were problem drinkers. Most of their siblings were problem drinkers or social drinkers as well. Second, It was revealed that most female alcoholics experienced alcohol drinking for the first time in their adulthood. Third, as for drinking pattern, female alcoholics inclined to drink alone without their family knowing their drinking life from the first phase to the middle phase of alcohol addictive process. Eventually, their drinking problem was known to their family in the last phase of alcohol addictive process. Forth, It was revealed that main drinking motivation of female alcoholics was to alleviate negative affection from the first phase to middle phase of alcohol addictive process. Life problems causing negative affect to female alcoholics were summarized as relationship problems, stressful life events, intrapsychic problems. Psychological motivation for drinking alcohol were found out as distraction, self-soothing, self-grandiose. In last phase of alcohol addictive process, psychological and physical dependence were found to be drinking motivation in all female alcoholics and accordingly, female alcoholics were self-criticizing and self-abandonment due to drinking alcohol with losing self-control over drinking. As a result, suicidal attempts were reported in 3 cases. Implication and Limitations of this study were discussed.
참고문헌 (41)
- "여성 알코올중독 환자의 임상적 특징" (1999)
- "가족력 유무에 따른 여성 알코올중독자의 임상적 차이 연구", pp.1195~1202 (1996)
- "상담학 연구방법론의 패러다임과 분석방법", pp.201~235 (1996)
- "입원한 여성 알콜중독환자에 대한 임상적 고찰", 32(3), pp.407~414 (1993)
- "정신질환 실태 역학조사" (2001)
- "여성음주와 알코올중독", 1(1), pp.47~54 (1997)
- "여성 알코올 의존 환자의 임상적 특성에 관한 연구", pp.1262~1272 (1999)
- "한국인 여성 습관성 음주자에 관한 임상적 연구", pp.524~537 (1973)
- "한국 정신장애의 역학적 연구", pp.15~26 (1987)
- "건강을 위한 심리학과 현상학적 질적 연구", 1(1), pp.13~24 (2000)
- "알코올 중독." (1999)
- "입원한 남성 및 여성 알코올리즘 환자의 인구학적 임상적 및 인격적 특성 비교", pp.688~704 (1997)
- "질적연구 방법과 사례" (1999), 교육과학사
- "알코올백과" (2002)
- "질적사례연구법" (1994)
- "Self-reported childhood sexual and physical abuse and adult HIV-risk behaviors and heavy drinking", 18, pp.151~158 (2000)
- "Chemical dependency in women:Important issues", 16, pp.297~308 (1990)
- "Gender differences in the development of substance related problems The impact of family history of alcoholism family history of violence and childhood conduct problems Journal of Studies on Alcohol", pp.845~852 (2000)
- "Prospective study of depression and the risk of heavy alcohol use in women", 157, pp.751~758 (2000)
- "Understanding the change process in significant therapy events Hermaneutic investigation in psychology Albany State University of New York Press" (1989)
- "Correlates of loss of control over drinking in women alcoholics", 44, pp.787~796 (1983)
- "Gender differences in the prediction of problem alcohol use in adulthood Exploring the influence of family factors and childhood maltreatment Journal of Studies on Alcohol" (2001)
- "Alcoholic women in treatment:Early histories and early problem behaviors", 8, pp.133~147 (1989)
- "Depression and sensitization to stressors among young women as a function of childhood adversity Journal of Consulting and Clinical psychology", pp.782~787 (2000)
- "Narratives of recovery from addictive behavior", 94, pp.1837~1848 (1999)
- "The co-occurrence of alcoholism with other psychiatric disorders in the general population and its impact on treatment", 49, pp.219~224 (1988)
- "A guide to conducting consensual qualitative research", pp.517~572 (1997)
- "Phase of alcohol addiction Quarterly Journal of Studies on Alcohol", pp.673~683 (1952)
- "Sexual experience and drinking among women in a U Archives of Sexual Behavior", pp.363~392 (1986)
- "Psychologist and alcoholic women", 64, pp.627~644 (1989)
- "Two types of alcoholism in women Archives of General Psychiatry", pp.301~306 (1969)
- "The clinical course of alcohol-related problems in alcohol dependent and nonalcohol dependent drinking women and men Journal of Studies on Alcohol" (1998)
- "Gender differences in the relations between depressive symptoms and drinking behavior among problem drinkers Journal of Consulting and Clinical Psychology", pp.392~404 (1997)
- "Depression and drinking behavior among women and men:A three wave longitudinal study of older adults", 63, pp.810~822 (1995)
- "Gender differences in problem drinking and depression American" (1999)
- "Sex-role orientation and self- esteem in alcoholic and nonalcoholic women", 54, pp.566~573 (1993)
- "Drinking behavior in childhood and adolescence", 17, pp.4~5 (1972)
- "The structure of depression in alcoholic women Journal of Studies on Alcohol", pp.148~155 (1990)
- "Depression and alcohol consumption in nonalcoholic and alcoholic women", pp.577~584 (1987)
- "Alcoholism:The influence of parental illness", 119, pp.1123~1135 (1969)
- "Childhood sexual abuse and women's substance abuse: National survey findings.", pp.264~271 (1997)