• Title/Summary/Keyword: Sexual maladjustment

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Sexual Counseling for People with Spinal Cord Injuries: The Application of Cognitive Behavior Therapy (척수장애인 성 상담을 위한 인지행동치료 적용에 관한 기초연구)

  • Shin, Sook-Kyung
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.633-638
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    • 2018
  • The number of individuals with spinal cord injuries in the most countries is rising each year. However, it is reported that most of them have sexual problem, however lack of research on deal with the issues related to sex identity and maladjustment in rehabilitation counseling setting. The purpose of this article: (a) to possess an adequate knowledge of the sexual problems facing individuals with spinal cord injuries; (b) to review past research on sexuality counseling with people who have spinal cord injuries; and (c) to present for some strategies for people with spinal cord injuries in order to sexuality adjustment, through Cognitive Behavior Therapy. Some suggestions are presented.

Sexual Adjustment Process of Individuals with Spinal cord Injury (척수 장애인의 성적 적응 경험)

  • Kang, Hyun-Sook;Koh, Jung-Eun;Suh, Yeon-Ok;Yee, Oon-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.1
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    • pp.80-97
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    • 2000
  • The purpose of this study is to identify and describe a process of sexual adjustment of individuals with spinal cord injury: and to describe and explore positive and negative influences on the adjustment process. This qualitative study was conducted with 10 Korean individuals with spinal cord injury who had been physically disabled for more than one year. Data were collected and analysed at a same time using grounded theory method. Major categories of this study showed a process how the individuals with spinal cord injury adjust to their individual life as sexual beings. The process included and individual responses to the behavioral efforts including and . Initially physical aspects of sexuality seemed to be affected by spinal cord injuries. The changed physical aspects then influenced other aspects of their sexual life. Life satisfaction of each individual as a sexual being revealed as very subjective. It could be defined according to how the individual approved their sexual life no matter what and how much behavioral effort the person had done. In this study 3 types of sexual adjustment aspects were explored: 'Active adjustment' 'Passive adjustment' 'Maladjustment'. There were negative and positive factors influencing the adjustment process of individuals with spinal cord injury. Those factors might come from themselves, from families, or from social situations. Findings of this study suggested that sexual life of individuals with spinal cord injury should not be understood as a physical or behavioral matter. It was a combination of physical, psychological and social aspects of life. Therefore, appropriate rehabilitation programs for the sexual adjustment of individuals with spinal cord injury need to concern heterogeneous life values of them and obtain individualized services for each individual at a different stage of the sexual adjustment process.

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A Case Study of Parenting Education Program for Students with School-Maladjustment (학교부적응 학생 대상 예비부모교육 수업 적용 사례 연구)

  • Oh, EunYoung;Choi, Saeeun
    • Journal of Korean Home Economics Education Association
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    • v.31 no.3
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    • pp.117-134
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    • 2019
  • This study aims to explore the effects of the parenting education program for high-school maladjusted students. To this purpose, a parenting education program for adolescents developed by the Ministry of Gender Equality and Family(MOGEF) was applied to ten high-school maladjusted students in an alternative(Dae-an) class in Jeju. Findings from class observations and interviews with participants are as follows. First, students with school maladjustment recognized importance and necessity of positive self-concepts and had an opportunity for self-growth through parenting education program. Second, students with school maladjustment obtained understanding about their family of origin and confidence for forming their future families. Third, advance learning about meanings and roles of being a parent provided students with opportunities to know importance of responsible sexual behavior. Fourth, practices of basic care with a replica of a new-born baby enhanced participation and concentration level of students with school maladjustment which became extremely effective in obtaining necessary knowledge for the basic care. Fifth, information provision for parent roles according to children's different developmental levels let students recognize that parent's roles change as their children grow and opened a way to grasp the need of parent education. Sixth, education and repetitive practices on reflective listening helped students enhance communication skills which entailed expanding their human relations. Seventh, passing-down of emotion and understanding on child abuse allowed students recognize risks of child abuse as well as the importance and need of skills for controlling emotion. This study sheds lights on the feasibility and effectiveness of a parenting education program for maladjusted or vulnerable students as an effective program for school drop-out prevention.

A Meta-Analysis of the Relationship of Child-Abuse to Psycho-social Maladjustment: (아동학대유형과 심리사회적 부적응의 관계에 대한 메타분석)

  • Yoon, Hyemee
    • Korean Journal of Social Welfare Studies
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    • v.48 no.1
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    • pp.173-206
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    • 2017
  • The purpose of this meta-analysis was to address two questions: (1) To what extent are types of child abuse related to psycho-social maladjustment of the abused? (2) Do relations found in this study vary by the gender, sample size, year of publication, types of publication, and respondents' age? The materials of this study were based on 14 variables obtained from 104 published and unpublished (doctoral disserations and master's theses) research papers over a span of 26 years(1990-2016). Child abuse related variables were categorized into physical abuse, emotional abuse, neglect, and abuse while psycho-social maladjustment grouped as internal (anxiety, depression, withdrawal, and anxiety/depression) and external problem behaviors(aggression, problem behavior, and delinquency). Major findings were: Medium effect size of emotional abuse, abuse, physical abuse, neglect on psycho-social maladjustment among the abused were calculated. Emotional abuse was highly related to every internal and external problem behaviors. Neglect was found to have higher effect size in external problem behaviors than internal problem behaviors. Publication types moderated the association between types of child abuse and internalization while year of publication, number of samples and publication types showed moderation effects on the relation between types of child abuse and externalization. Finding suggest that future studies on child sexual abuse and those on intervention outcome are required and use of well validated instruments are essential.

A Phenomenological Study on Psychological Experiences and Resilience of Incest Sexual Victims in Adolescence (아동·청소년기 근친 성폭력 피해자의 심리경험과 적응에 관한 현상학 연구)

  • Chun, Hae-Lee;Shin, Dong-yeol
    • Industry Promotion Research
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    • v.6 no.2
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    • pp.37-46
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    • 2021
  • The purpose of this study is to examine the necessity of providing new perspectives by conveying the various psychological changes and realities experienced by victims of incest sexual violence after the incident, And it is meaningful to understand and record it through. The results of the analysis through the phenomenological methodology are as follows: First, participants were disturbed by the emotional neglect of their parents and forced violence, threats, and silence by their family members, resulting in disbelief in interpersonal relationships and low self-esteem and suffered constant difficulties in daily life. Second, the suffering and aftereffects of sexual violence experienced the conflict of roles by repeating the real maladjustment and social activity avoidance as the fear of being informed about the event, the negative thought about oneself, and the difficulty of interpersonal relationship. Third, the aftereffects of incest sexual violence in childhood·adolescence were found to be extreme with regard to PTSD. The PTSD experience has become a factor that forces participants to rely on substances, such as psychiatric medications and alcohol, and further avoids external activities with hallucinations and delusions. Fourth, the change through the adaptation process is a new perspective on life, facing and separating the events. During the adaptation program, they tried to express their words and feelings that they could not express because of the past hurts, to set goals for living their life, and to move forward. The experience of overcoming reality has enhanced participants' confidence in self-esteem, self-efficacy, and healthy self-control ability. In this study, it is meaningful to suggest a model in which the incest sexual violence trauma is reexperienced through the new daily crisis and the new adaptation process is repeated for each process.

Life of the Institutionalized Elderly (시설노인의 삶)

  • Lee, Ga-Eon
    • Research in Community and Public Health Nursing
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    • v.12 no.1
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    • pp.32-38
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    • 2001
  • This study focused on the understanding the life of the elderly in the institution by phenomenological method. The participants were seven. who were 4 men and 3 women living in the elderly institution in Taegu. The data were collected through the indepth interviews and participant observation from June 20. 1999 to January 10. 2000 and analyzed by phenomenological analytic method by Giorgi. The structure of the meaning were as follows: Unhappy life: irresponsibility. self-centered thought. hardness. Irresistible life: misfortune. unhealthiness. Reading their son's intention. Bitter life: unfair treatment from their sons and daughters, betrayed feeling for their being thrown away. Outside oriented life: a fear of others' attention, wrong information about institutionalized life, maladjustment. Self-consolation life: comfortableness, convenience, economic merit of low cost. Dissatisfied life: discomfort from communal living. unkindness of the institution staffs, depreciated tendency to the elder people, irrational social security system. economic distress, physical pain, restrained feeling. Tenacity to their sons and daughters longingness for their sons and daughters, regretableness, waiting, Regretable life: remorse for their past life. agony, guilty, loneliness, grief, self-abandonment, self-depreciation, other residents' death in common. Inharmonious life with other residents complaint, conflict, ignorance, selfishness. Yearning life for opposite sex: sexual interest. Preparing for their life: control over their body and mind, consideration for others. A life with hope: blessing death, forever healthfulness, affiliation to their family. From the results of this study an education and consultation should be done as soon as possible to remove the negative recognition of the institutional life to the facility residents. the family and the future consumers of elderly institution. To minimize the maladjustment to facility life of residents, a new program and interventions for the new comer's are needed. The thesis with above results will widen the understandings of institutional residents and an important guidance for a better nursing care in elderly institutions of korea.

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Preliminary Study of the Status of School Counseling and Demands for the Service: Designed for Universities to Provide Their Local Communities with Counseling and Educational Service of Adolescence - Focusing on middle and high schools in Changwon - (대학에서 지역사회에 청소년 상담과 교육 서비스를 제공하기 위한 학교 상담 실태 및 서비스 요구도 조사 - 창원시 중.고등학교를 중심으로 -)

  • 류경희
    • Journal of Families and Better Life
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    • v.20 no.4
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    • pp.37-52
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    • 2002
  • This study is preliminary study of the status of school counseling and demands for service at middle and high schools from universities to provide the youth middle and high schools in Changwon with counseling and educational service. The results of this research are below, First, the excessive workload became the most difficulties for operateschool counseling systems and counseling activities. Second, school counseling activities focused mainly on the formal and narrow areas of counseling such as career guidance, personality programs and intelligence test and so on. Third, the most problems which we have counselled, were friendship problems in the personal relationship, school absences in the delinquent, lack of information of sex in the sexual field, conflicts with Parents, in the family relationship, poor academic progresses in the academical and future directional problems and. character of personality difficulties in the psychological field. Fourth, the major offers from the teachers to counsel students in the school were advices, suggestions, career guidance, Preventative activities, and providing information through school counseling. Fifth, though the middle and high schools were in need of outside institutions related to counseling, It was difficult to get help because of being Ignorant of procedures or methods for using counseling and being lacking in enough information on such organizations. Sixth, ordinary students and students in danger of maladjustment besides problem students wanted to get a lot of help. Seventh, the counseling which are the most wanted from out of school was an opposite-sex relationship in the personal relationship, a lack of information on sex in the sexual fields, conflict with parents in the family problems, a strong unwillingness of study in the academical and future directional fields, and personalty difficulties In the psychological fields. Eighth, the subjects wanted to get counseling and educational service in regard to sex, addiction to PC, smoking, and ostracism and so on in counseling and education for young people. Ninth, education designed to have an adequate understanding of children turned out to be mostly needed as educational programs for parents Based on the above results, the proposals from universities for provide youth counseling and educational services are below. 1) setting up the positive publicity strategies E) developing and execution of various counseling and educational programs 3) expanding the counseling and education from maladjusted students to general students 4) expanding youth counseling and education to parental education and family counseling 5) continuous human resources improvement and training 6) reinforcement relationships with middle and high school organizations 7) building cooperation with local counseling organizations

A STUDY ON THE PARENTAL MARITAL RELATIONSHIP OF CHILD PSYCHIATRIC PATIENTS (소아정신과 환아 부모의 부부관계에 대한 연구)

  • Lim, Ke-Won;Hong, Kang-E;Rhee, Kun-Hoo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.160-175
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    • 1991
  • The purpose of this study is to investigate the parental marital relationships and the parent-child relationships of child psychiatric parents and its control group. This study was carried out two questionnaire instruments ; The marital satisfaction inventory(MSI) and the dyadic adjustment scale(DAS). The subjects are parents of the child psychiatric patients. A matched control group and parents of child psychiatric parents in Seoul area which were collected from July 1987 to September 1987, and classified into five subgroups : 1 Psychiatric disorder 2) Neurotic disorder 3) Tic disorder 4) Autistic disorder 5) Mental retardation. The results are as following ; 1) M.S.I scale scores of parents of patients group are lower than that of control group. 2) D.A.S scale score of parents of patients group is significantly lower than that of the control group(P<0.01). 3) The global distress scale(GDS) of the M.S.I. was most positively correlated with affective communication(AFC) and problem-sloving communication(PSC). 4) Female shoed more modern concept of role identification than male but tend to have heavier role assignment especially in child rearing practices which could be characterized by maternal domination. 5) Affective communication and sexual relationship between married couple and child rearing practices are influenced by their own family history of distress. 6) The marital global distress scale(GDS) score was highest in the parents of psychosis, the next in the parents of neurosis, autism, mental retardation, and tic disorder in descending order of severity. 7) The dyadic maladjustment score was highest in the parents of psychosis, the next in the parents of neurosis, tic, autism and mental retardation in descending order of severity. 8) Conflict in child rearing and parenting problems were particularly prominent in parents of the tic patients, and their marital relationship was not significantly disturbed. The above finding suggested that couple adjustment and marital dissatisfaction were closely related with child rearing problems and the children's disorder. So marital dissatisfaction and marital maladjustment seem to play a significant role in the genesis of psychosis and neurosis not much in autism and mental retardation.

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Comparison of School Nursing Phenomena at Elementary, Middle and High Schools by Applying ICNP (ICNP를 적용한 학교간호현상 및 특성과 초.중.고등학교의 학교간호현상 비교)

  • Kim, Young-Im;Wang, Myoung-Ja;Yang, Soon-Ok;Hyun, Hye-Jin;Park, Eun-Ok
    • Journal of the Korean Society of School Health
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    • v.17 no.1
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    • pp.1-12
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    • 2004
  • Purpose : this study purposed to investigate school nursing phenomena in Korea by applying ICNP, the international standard nursing classification system developed by ICN, and to compare school nursing phenomena at elementary, middle and high schools. Method : The subjects of this study are 110 nursing teachers from 82 elementary schools, 16 middle schools, and 12 high schools. In the survey, subjects were asked to score the degree to which phenomena and characteristics of Korean school nursing, identified in previous research, on a 5 point scale. Questionnaires were distributed and recovered by mail and email. The period of data collection was 6 months from July to December 2003. The general characteristics of schools and nursing teachers were represented with frequencies and percentages, the phenomena and characteristics of school nursing with the mean score of the questions, and the phenomena school nursing by school grade with ANOVA and Duncan's posterior analysis. Results : 1) As for the characteristics of schools according to school nursing phenomena related to human behavior, the mean score of questions on inadequate stress management was highest at 3.24 points followed by the score on inadequate weight control (3.23), inadequate eating habits (3.22), the risk of spine disorders (2.68), inadequate emergency management (2.62), inadequate response to sex -related problems (2.19), and smoking and drug use (1.85). 2) As for the characteristics of schools according to school nursing phenomena related to human function, the mean score of questions on oral health management was highest at 3.11 points followed by the score on the risk of digestive system disorder (2.87), improper eyesight management (2.81), the risk of respiratory system disorders (2.75), lack of sexual identity (2.52), and inadequate contagious disease control (2.12). 3) As for the mean score according to school nursing phenomena related to environment, the score of the risk of accidents in classroom was highest as 2.68 points followed by the score of the risk of accidents around the school (2.65), maladjustment to school (2.62), the risk of accidents outside the classroom (2.43), inadequate learning environment (1.83), the risk of exposure to socially and physically harmful environment factors (1.82), and inadequate waste disposal (1.77). 4) This study tested the mean scores of questions corresponding to each school nursing phenomenon in order to see if there is a difference in the school nursing phenomenon among elementary, middle and high schools, and performed Duncan's posterior comparison for school nursing phenomena. A significant difference was found at p<.1. According to the results, school nursing phenomena found to be significantly different among elementary, middle and high schools was smoking and drug use (p<.05), which appeared more problematic in high school than in elementary school. phenomena such as inadequate eating habits, inadequate weight control, inadequate response to sex-related problems and inadequate waste disposal were also found to be statistically different at p<.1; however, according to the result of Duncan's posterior comparison, no difference was found among groups in improper eating habits and improper response to sex-related problems, and a significant difference was found between middle and high schools in inadequate weight control and inadequate waste disposal. Conclusion: Based on the results of this study, it is necessary to plan school health projects focused on the characteristic school nursing phenomena that had high scores and to develop and execute school healthe projects in accordance with the characteristics of elementary, middle and high schools. Considering that the scores of school nursing phenomena related to human behavior are high, it is necessary to introduce school health promotion projects in a systematic way.