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ISSN : 1229-0688
본 연구에서는 서울 소재 부부상담센터를 방문한 내담자들의 기초 자료를 분석해 내담자 특성 및 조기종결 관련 내담자 요인을 파악하고자 하였다. 분석결과, 내담자 중 초대졸 이상의 30대 후반 맞벌이 부부들이 많았으며, 자녀가 1명 이상인 경우가 전체의 70% 이상을 차지하고 있었다. 내원당시 남녀 모두 결혼 만족도가 낮고, 부부관계적응 수준에서 일반 집단보다 낮은 점수를 얻고 있었으며, 여성의 경우 남성에 비해 좀 더 낮은 수준을 보였다. 부부관계적응(DAS) 소척도 중, 60대 이상 부부는 3-40대 부부들에 비해 부부간의 의견일치 및 응집도가 높은 반면, 애정 표현, 관계 만족 등 정서적 교류에서는 차이를 보이지 않았다. MMPI로 측정한 내원 당시 심리적 어려움 수준은 여성이 남성에 비해 유의하게 높은 편이었다. 한편, 조기종결관련 변인에서 3회 이전 조기종결을 예측하는 주요 변인은, 원가족문제가 있는 경우, 신뢰감 결여, 음주문제가 있을 경우였으며, 반면, 자녀가 있는 경우, 배우자 가족과의 관계 문제 등 한정된 문제일 경우 보다 장기치료로 나아갈 가능성이 있는 것으로 나타났다. 그러나 내원당시의 심리적 어려움은 조기종결을 유의하게 예측하지 못하였다.
This current study aimed to examine characteristics of couple clients receiving counseling services from the Marital Counseling Center in Seoul and explore client factors associated with premature termination. Demographic characteristics, marital relationship, and psychological distress of 982 individuals who visited the Marital Counseling Center from 2006 to 2009 were collected and analyzed. Results showed that their chief complaints were irreconcilable personality differences and communication difficulties between couples. Finding showed that wives reported a higher level of sexual dissatisfaction, conflicts with original families, conflicts with in-laws, and conflicts on the child rearing than husbands. Furthermore showed that wives exhibited a higher level of psychological distress than husbands. Additionally results showed that couples complaining alcohol problems and lack of trust tended to terminate services prematurely. It was also found that couples with problem-solving communication difficulties and conflicts with original family terminated a service before the 4th session.
권정혜, 채규만 (1999). 한국판 결혼 만족도 검사의 표준화 및 타당화 연구 I, 한국심리학회; 임상, 18(1), 123-139.
김현미, 권현용 (2009). 청소년 내담자의 조기종결 관련 변인. 미래청소년학회지, 6(2), 63-84.
신혜종 (2008). 가족 및 부부치료의 효과성 검증 연구의 현황과 과제. 상담학연구, 9(1). 277-294.
심혜숙, 안이환 (2000). 조기종결 내담자 및 상담자 변인 연구. 부산대학교 학생생활연구소, 32. 51-73.
안이환 (2001). 조기종결 변인에 대한 연구. 부산대학교 학생생활연구소, 33(1), 35-48.
안이환, 심혜숙 (2002). 대학생 개인상담에서 조기종결에 영향을 미치는 변인. 한국심리학회지 상담 및 심리치료, 14(3), 511-527.
이민식, 김중술 (1995). 부부관계 적응 척도(Dysdic Adjustment Scale)의 표준화 예비연구. 한국심리학회 ‘95연차학술대회 학술발표 논문집. 291-300.
이민식, 김중술 (1996). 부부 적응 척도(Dysdic Adjustment Scale)의 표준화 예비연구. 한국심리학회: 임상, 15(1). 129-140.
이훈구 (2004). 이혼이 자녀에게 미치는 효과에 관한 개관연구. 한구심리학회지: 사회문제, 10. 47-53
이흥식, 김진학, 유계준, 이호영 (1987). 기혼남녀의 성기능장애 빈도. 대한의학협회지, 30(9). 1017-1022.
정교영 신희천 (2007). 부부치료의 주요 이론적 접근과 최근 연구동향. 한국심리학회지 상담 및 심리치료 19(1). 1-30.
Allgood, S. M. and Crane, D. R. (1991). Predicting marital therapy dropouts. Journal of Marital and Family Therapy, 17(1), 73–79.
Baekeland, F., & Lundwall, L. (1975). Dropping out of treatment: A critical review. Psychological Bulletin, 82(5), 738–783.
Barrett, M. S., Chua, W. J., Crits-Christoph, P.Gibbons, M. B., & Thompson, D. (2008). Early withdrawal from mental health treatment: Implications for psychotherapy practice. Psychotherapy: Theory, Research, Practice, Training, 45, 247-267.
Baucom, D. H. & Hoffman, J. A. (1986). The effectiveness of marital therapy: Current status and application to the clinical setting.(In N. S. Jacobson & A. S. Gurman (Eds.), Clinical handbook of marital therapy (pp.597-620). New York: Guilford Press.
Baucom, D. H. & Lester, G. W. (1986). The usefulness of cognitive restructuring as the adjunct to behavioral marital therapy. Behavior Therapy, 17(4), 385-403.
Baucom, D. H., Sayers, S. L. & Sher, T. G. (1990). Supplementing behavioral marital therapy with cognitive restructuring and emotional expressiveness training: An outcome investigation. Journal of Consulting and Clinical Psychology, 58(5), 636-645.
Beavers W. (1985). Successful marriage: A family systemsapproach couples therapy. New York: Noton.
Beck, U. E. Beck-Gernsheim: 강수영 권기돈 배은경 역 (1999). 사랑은 지독한 그러나 너무나 정상적인 혼란. 서울 새물결
Bramlett, M. D., & Mosher, W. D. (2001). First marriage, dissolution, divorce and remarriage: United States: Advance data from vital and health statistics, No. 323. Hyattsville, MD: National Center for Health Statistics
Brody G. H. Arias, U. & Fincham, F. D. (1996) Linking marital and child attributions to family processes and parent-child-relationship. Journal of family Psycholoy, 10(4), 408-421.
Doss, B. D., Atkins, D. C., & Christensen, A. (2003). Who's dragging their feet? Husbands and wives seeking marital therapy. Journal of Marital and Family Therapy. 29(2), 165-177.
Dunn, R. L., & Schwebel, A. I. (1995). Meta-analytic review of marital therapy outcome research. Journal of Family Psychology, 9(1), 58-68.
Garfield, S. L. (1986). Research on client variables in psychotherapy. In S. L.Garfield & A. E.Bergin (Eds.), Handbook of psychotherapy and behavior change (3rd ed., (pp.213-256). New York: Wiley.
Giddens, A. 황정미 배은경 역 (1997). 친밀성의 구조변동. 서울: 새물결
Goldman, A. (1987). The comparative efficacy of an emotionally focused and integrated systemic couples therapy. (Unpublished doctoral dissertation, University of British Columbia, Canada)
Hahlweg, K., Schindler, L., Revenstorf, D. & Brengelmann, J. C. (1984). The Munich marital therapy study.(In K. Hahlweg & N. S. Jacobson (Eds.), Marital interaction: Analysis and modification (pp..3ó26). New York: Guilford Press.)
Jacobson, N. S. & Addis, M. E.(1993). Research on couples and couples therapy: what do we know? where are we going? Jounal of counseling and Clinical Psycholoy, 61(1), 85-93
Jacobson, N. S., Follette, W. C., & Pagel, M. (1986). Predicting who will benefit from behavioral marital therapy. Journal of Consulting and Clinical Psychology, 54(4), 518-522.
Jacobson, N. S., Dobson, K., Fruzzeti, A.E., Schmaling, K. B., & Salusky, S. (1991). Marital therapy as a treatment for depression. Journal of Consulting and Clinical Psychology, 59(4), 547-557.
James, P. S. (1991). Effects of a communication training component added to an emotionally focused couples therapy. Journal of Marital and Family Therapy, 17(3), 263-276.
Johnson, S. M., & Greenberg, L. S. (1985). Differential effects of experiential and problem-solving interventions in resolving marital conflict. Journal of Consulting and Clinical Psychology, 53(2), 175-184.
Kazdin, A. E, Holland, L., & Crowley, M. (1997). Family experience of barriers to treatment and premature termination from child therapy. Journal of Consulting and Clinical Psychology. 65(3): 453-63.
Kitzman, K. M. (2000) Effects of marital conflict on subsequent triadic family interactions. Development Psychology, 36(1), 3-13.
Kunkel, M. A. (1990). Expectations about counseling in relation to acculturation in Mexican-American and Anglo-American student samples. Journal of Counseling Psychology, 37(3), 286-292.
Leaf, P. J., Bruce, M. L., Tischler, G. L., & Holzer, C. E. (1987). The relationship between demographic factors and attitudes toward mental health services. Journal of Community Psychology, 15(2), 275-284.
Lowman, R. L., DeLange, W. H., Roberts, T. K., & Brady, C. P. (1984). Users and “teasers”: Failure to follow through with initial mental health service inquiries i n a child and family treatment center. Journal of Community Psychology, 12(3), 253-262.
Masi, M. V., Miller, R. B., & Olson, M. M. (2003). Differences in dropout rates among. individual, couple and family therapy clients. Contemporary Family Therapy,25(1), 63-72.
O'Farrell, T. J. Kleinke, C. L., & Thompson, D. L. (1986). Differences between alcoholic couples accepting and rejecting an offer of out-patient marital therapy. American Journal of Drug and Alcohol Abuse, 12(3), 285–294.
Sharf, J., Primavera, L. H., & Diener, M. J. (2010). Dropout and therapeutic alliance: a meta-analysis of adult individual psychotherapy. Psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 47(4), 637-645.
Sharf, J. (2008). Psychotherapy dropout: A meta-analytic review of premature termination. Dissertation Abstracts International, 68(9-B), 6336.
Snyder, D. K (1979). Multidimensional assessment of marital satisfaction. Journal of Marriage and the Family, 41(4), 813-823.
Snyder, D. K. & Wills, R. M. (1989). Behavioral versus insight-oriented marital therapy: Effects on individual and interspousal functioning. Journal of Consulting and Clinical Psychology, 57(1), 39-46.
Snyder, D. K., Castellani, A. M., & Whisman, M. A. (2006). Current status and future directions in couple therapy. Annual Review of Clinical Psychology, 57(1), 317-344.
Snyder, D. K., Mangrum, L. F., & Wills, R. M. (1993). Predicting couples' response to marital therapy: A comparison of short-and long-term predictors. Journal of Consulting and Clinical Psychology, 61(1), 61-69.
Sperry L. & Carlson, J. (1991) Marital therapy: Intergrating theory and technique. Denver, CO: Love Publishing.
Vessy, J. T., & Howard, K. I. (1993). Who seeks psychotherapy Psychotherapy, 30, 546-553.
Wierzbicki, M., & Pekarik, G. (1993). A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice, 24(2), 190-195.
Wolcott, I. H. (1986). Seeking help for marital problems before separaton. Australian Journal of Sex, Marriage and Family, 7(3), 154–164.
Young M.. & L. Long: 이정연 역 (2003) 부부치료와 치료 시그마프레스.
Zaman, R. M. (1986). Marital adjustment in female versus male initiators of psychotherapy. Pakistan Journal of Psychological Research, 1(1-2), 49-65.