Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.13
no.1
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pp.3-14
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2002
Childhood psychic trauma appears to be a crucial factor in the development of serious disorders both in childhood and in adulthood. Traumatized children show strong tendency to revisualize or re-feel a traumatic events. Play and behavioral reenactments are frequent manifestations of both the single blow and the long-standing traumas in childhood. Those children who suffer the results of single, intense terror appear to exhibit detailed memory, retrospective reworkings and misperceptions. In long-standing or repetitive trauma, children would show psychic numbing, self-hypnosis, dissociation and rage. Child's brain is undergoing critical and sensitive periods of differentiation. During this time, developing central nervous system is exquisitely sensitive to stress. Stressor-activated neurotransmitters and hormones can play major roles in neurogenesis, migration, synaptogenesis, and neurochemical differentiation. Internal opiate system operates in some trauma and causes the victim to fail to respond, to avoid, to shut off feelings. Evidence is also accumulating in traumatology that dysfuntion of locus coeruleus and ventral tegmental neucleus system leads to catecholamine receptors hypersensitivity. This change result in hypervigilance, increased startle, affective lability, and increased autonomic nervous system hyperreactivity. Another site of action of trauma on the brain is hypothalamic-pituitary-adrenal axis. Individuals with PTSD do not have enough cortisol to halt the alarm reaction. When children are exposed to long-standing extreme events, massive attempts to protect the psyche and to preserve the self are put into gear. These developmental traumas mobilize various kinds of defense mechanisms. Massive denial, dissociation, self anesthesia, identification with aggressor and aggression turned against the self often lead to profound character changes in the youngsters.
Park, Ji-Hun;Noh, Jong-Su;Lee, Hyang-Sook;Cha, Jung-Jin
The Journal of Korean Academy of Sensory Integration
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v.7
no.2
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pp.63-76
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2009
Objective : The purpose of this study was to identify effects of intensive sensory integration (SI) treatment and home-program for a child who has a sensory integration disorder. This study also examined whether the positive effect is long-lasting by a follow-up test. Method : A boy with sensory integration dysfunction underwent an intensive SI treatment for 2 weeks. The intervention was consisted of 9 sessions and duration of the each session was 40 minutes. Sensory diet and Wilbarger protocol was provided as home program. The child's sensory function was evaluated before and after the SI intervention. Five month later, re-evaluation was executed for follow-up purpose. Results : In the evaluation after the Si intervention, the child's sensory defensiveness was decreased. Praxis, visual perception, sensory regulation dysfunction (sleep function), affective stabilization and performance of activities of daily living are also improved. In the re-evaluation after the 5 month later, the self-regulation ability, especially sleep function, has been maintained and the visual perception was developing continually. However, the child showed some affective regulation such as bothering his mother and losing his temper. Conclusions : The intensive SI intervention showed positive effects in terms of SI function improvement and the effect lasted long without any additional therapeutic intervention.
The Journal of Korean Academy of Sensory Integration
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v.19
no.2
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pp.36-45
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2021
Purpose : This study aims to identify changes in the visuomotor coordination and fine motor coordination functions caused by the use of a task-oriented intervention in a child with developmental delay. Methods : The participant, who was a 6-year-old girl, was not diagnosed but showed a developmental delay in overall function. The study period was February 5, 2021, to June 4, 2021, and a single-subject A-B study design was used. The baseline (A) was initially evaluated in the first three sessions to identify the child's functions. In the intervention period, 12 session (B), task-oriented intervention was applied; the child engaged in many of the activities in kindergarten, such as painting, writing, making, and cutting with scissors. Visuomotor coordination and fine motor coordination were equally measured during the baseline and intervention periods. Visuomotor coordination was measured via drawing of an oval according to the Korean Developmental Test of Visual Perception 3 (K-DTVP-3), and fine motor coordination was assessed using the finger-nose touching item of the Clinical Observation of Motor and Postural Skills (COMPS). Results : The mean of the baseline of the K-DTVP-3 oval drawing was 23, and the mean of the intervention period was 39.66. The mean of the baseline of the COMPS finger-nose touching was 0, and the mean of the intervention period was 5.08. Conclusion : Task-oriented intervention seems to have a positive effect on the visuomotor coordination and fine motor coordination abilities of children with developmental delay.
Journal of the Korea Academia-Industrial cooperation Society
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v.13
no.7
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pp.2983-2990
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2012
The purpose of this study is to examine the eco-systemic factors that affect the independent will of female single parent householder The subjects were 176 female single parent householder who reside in public facilities for single mother family. Collected date were analyzed through frequency, percentage, correlation and hierarchical regression analysis. The results are as follow. The factors that affect the female single parent householder's independent will are the age, duration of living in public facilities, levels of self-efficacy, the ability to cope with problem-solving, and the levels of support received from extended family. According to these findings, intervention strategies that focus on increasing the female single parent householder's independent will are suggested.
This study was to calculate the minimum food expenditure by using OR linear program, and to determine the food plans for different income values based on the recommenced dietary allowances(RDA) for Koreans. VAX 11/780 system was used in this study. There were 6 family models-single man, single woman, married couple, couple with one child, couple with 2 children and couple with 2 children & grandmother. The market price quoted in this study was from July 1989 to June 1990 and the data file was made from RDA & food composition tables. After the minimum food expenditure was calculated from the computer, the low cost food plan was set. From the low cost food plan, we set the moderate cost food plan 25% above the low cost and the liberal food plan 50% above the low cost. One week menu was planned for different food plans. The low cost food plan could be used not only at the institutional levels and at home but also used at the national food policy making for scientific budget planning and for nutritionally well balanced diet. These food plans could control the use of time and efforts, too.
In the family life cycle, the most important task the families with school children should perform is ‘child education’ and ‘socialization’ However, economic stress on poor families with school children presents multiple problems through the shortage of resources necessary for child education and socialization, inappropriateness of family appraisal, and the insufficiency of the control channels for the efficient management of these confined resources and appropriate appraisal. The objectives of this article are : First, to report research on the actual conditions of the poor families in one area of Cheju and on the relevant health welfare policy, and to examine the appropriateness of the direction and the substance of this policy in terms of the intervention in economic stress on the poor families under the categories of resource management and control of appraisal. Second, to analyze qualitative data extracted from the memoirs of single-parent families living in several areas of Korea under the conceptual framework constructed by literature review in order to get a better understanding of the stress which poor families with school children have experienced. And third, to confirm the factors that can be risk factor but, at the same time, strength to these poor families from presented data and to use them as the basic data from which an intervention model can be developed, based on resource management and control of appraisal. The findings of this article are : First, while the number of absolute poor families in one area of Cheju is increasing and, as a result, the danger of the possibility that multiple problems will occur is also growing, the supporting level of the current policy is no more than a direct resource offer and there is no evidence that resource management is being professionally carried out. When it comes to control of appraisal, due to absence of the professional human resources in this matter, policy performances such as technical education training can have a negative impact. Second, a conceptual framework introduced in this article, ; Economic Pressure → Helplessness → Poor self-esteem → Marital Conflict → Parent-Child financial conflict → Inappropriate socialization → Poor child social competence : is partly verified. And third, judging from the results of the qualitative data, it is confirmed that the healing families, having overcome poverty, show several positive characteristics including : hope, strength, and social support. These findings are identified with the factors of resiliency considered above. According to these results, this article suggests the following. The anti -poverty policy in the future should focus not only on a direct resource offer but also on resource management and the control of appraisal that can magnify its effects. In particular, close attention should be paid to school children since they are in the most crucial period for socialization. Moreover, an emotional labor is such an essential resource for intervention that skilled nurses should play pivotal roles.
Relations of factors associated with burnout were investigated among 124 child protective service workers currently working in Korean Child Abuse Prevention Centers nationwide. Three categories of factors associated with burnout were examined; (1) individual characteristics, (2) job-related characteristics, and (3) job-satisfaction. Social survey method using questionnaires by mail was employed. MBI(Maslach Burnout Inventory) for measuring burnout, a part of Smith, Kendal & Hulin's JDI(Job Description Index) for job-satisfaction, and a scale measuring the special characteristics of job developed by researchers were used. Mann-Whitney test and Kruskal-Wallis test were employed to analyze the data. Across all burnout sub-scales(emotional depletion, dehumanization of clients, lack of feelings of achievement), subjects reported a high degree(above the cutting point) of burnout. Several factors were identified as associated with burnout. Child protective service workers who are young, single with front line worker status reported higher burnout. Lack of education and training before the job location were another factors which contributed to worker burnout. Lack of proper supervision stood out as another burnout provoking factor. Job-satisfaction was negatively correlated with all three burnout sub-scales, which meant the lower the job-satisfaction, the higher the burnout of service workers. The findings implicate that the administrators of Child Abuse Prevention Centers should pay close attention to their workers' sign of burnout and develop carefully designed support system which include provision of excellent supervision, proper education and training opportunities and organizational effort to strengthen employees' overall job-satisfaction to secure their quality of services toward abused children and their family.
This Study was to explore the experience of foster care child's biological parents and proposed the practical discuss and method for support their returning home. We approached grounded theory to subject. Twenty biological parent's of foster child participated this research. The Data were collected by in depth-interview and documents. The authors analyzed the data according to frame that proposed Strauss and Corbin(1998). The results as follows: In open coding 143 concepts, 34 subcategory, 13 category. In axial coding the causal conditions were 「self-devaluation」, 「self-stigma」, 「social prejudice」. and the phenomenon were 「life as surplus being」, 「revolving around the world」, and the contextual conditions were 「collapse of life base」, 「rustical fatalism」. The intervention conditions were 「operation of support system」, 「instinct of maternity」. The action/interception strategy were 「closing of single eye」, 「pussling of scattered piece」. The consequence were 「fixations of abandonment」. 「resoaring to the world」 The authors proposed the core category as 「go over the wall of world burdening liabilities of being」. The authors classified patricians life type as 「challenging type」, 「status quo type」, 「escaping type」, Finally, we proposed the practical method for support restoring family the world」, foster care child's biological parents.
A family resilience approach aims to identify and fortify key interactional processes that enable families to withstand and rebound from disruptive life challenges. Walsh(1998) described family belief systems, organizational patterns, and communication processes as the three main keys of family resilience. The purpose of this study was to identify the three key factors of family resilience in case of divorced female single-parent families in Korea. The study participants were seven divorced mothers who were living in the institutional facility for female single-parent families. Using a qualitative approach, in-depth interviews were audiotaped and transcribed verbatim for analysis. The study findings were as follows. First, the participants showed positive thinking rather than fear about the adversity induced by the divorce. They also showed the senses of competence, control, and self-esteem. However, the senses of transcendence and spirituality were barely evident. Second, emotional and economic supports from parents, brothers and sisters, and community networks (i.e., mother-child protection institution, healthy family support center) enhanced the family resilience of the participants. Third, the participants showed clear communication, open emotional expression, and shared decision making. This study suggests that more counseling services and parent education be provided by healthy family support center and institutional facilities as important family resilience factors for divorced female single-parent families who are below the poverty line.
Although increasing number of children are being raised by grandparents these days, little research exists on the development of the children in this arrangement. This study aimed at examining school adjustment of the children raised by grandparents, by comparing academic achievement and general classroom and school behaviors of the children in grandparent families with those of their peers from other types of families such as two-parents, single parent, kinship and institution care, and single parent with grandparent(s). Three hundred and twenty four 2nd graders md two hundred ninety eight 5th graders were surveyed for this study. It was found that children raised solely by grandparents did quite well, relative to children in traditional families where two parents were present. Children from single-parent families were significantly worse in school achievement and study habits than children in traditional nuclear families. Girls obtained higher scores on school achievement and study habits whereas they showed lower scores on problem behaviors than boys. There was also an interaction effect between family structure and gender of child in school achievement.
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