A Case Study on the Family Therapy to Remarried Wife with Alcoholic Problem

알코올 중독문제를 가진 재혼한 부인에 대한 가족치료사례 연구

This study investigated the problems of remarried wife with alcoholic problem. Specifically, this study regarded the wife's alcoholic problem as the problems of dysfunctional interaction among family members rather than an individual problem. The study had three purposes as follows. First, what were the interactions sustaining the conflict of remarried family? Second, what were the characteristics of remarried family relating to family conflict? Third, what were the interventions of family therapy to resolve the conflicts of remarried family? The total family counseling was 9 sessions, which included individual, couple, and family counseling. The study used constant comparative analysis by using open coding method to find the factors relating interactions sustaining the conflict of remarried family, the characteristics of remarried family relating to family conflict, and the interventions of family therapy to resolve the conflicts of remarried family. Also, the study used Miles and Huberman's matrix and graphical network display to show the interaction of family members. The study found intriguing factors, counteracting factors, relationship level, and relational elements to wife's alcoholic problems among family members. The study revealed husband's rigid family rules, husband's execution of patriarchal authority, husband's pursuit of family identity, and husband's emphasis of union among family members as the characteristics of remarried family. On the other hand, the study found the reinforcement of spousal subsystem, the pursuit of change in communication pattern between husband and wife, the amelioration of rigid family rules, and the acceptance of differences among family members as the intervention of family therapy to resolve the conflicts of remarried family.

본 연구는 알코올 중독의 문제를 가진 재혼한 부인에 대한 가족치료사례 연구로써 부인의 알코올 문제를 개인의 문제로 보기 보다는 재혼한 가족체계 안에서 발생하는 역기능적 상호작용의 문제로 이해하고자 하였다. 본 연구는 부인의 음주행동에 대한 촉발요인으로써 가족의 반응, 촉발요인에 대한 대항요인으로써 부인의 음주행동, 가족의 관계수준에 따른 관계요인으로써 부인의 피해의식, 부인의 음주행동이 가족에 미치는 영향을 살펴보았다. 그리고 본 연구에서 갈등을 유발하는 재혼가족의 특수성으로써 재혼가족의 결합을 어렵게 하는 암묵적 상호작용과 가족결합을 강화시키려는 통제적 상호작용을 발견하였다. 또한 가족치료적 개입관점은 부부하위체계의 강화, 의사소통의 변화추구, 가족규칙의 완화, 차이점의 수용이었으며, 치료의 결과는 부인의 변화, 남편의 변화, 가족의 변화로 나타났다.