Journal of Families and Better Life (가정과삶의질연구)

Korean Home Management Association (가정과삶의질학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Study of Family Therapy for a Daughter with a Binge-Drinking Problem

폭음문제를 가진 성인자녀(딸)에 대한 가족치료 사례연구

  • Lim, A Ri (Department of Social Welfare, Soongsil University) ;
  • Park, Tai Young (Department of Social Welfare, Soongsil University)
  • Received : 2015.03.15
  • Accepted : 2015.06.09
  • Published : 2015.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study examined the factors affecting the client's binge drinking, and the client and parents' change led by family therapy. From August to November 2011, the counseling case of this research was consisted of a total of 9 sessions-individual, parents, mother-daughter, father-daughter, and family counseling. This study utilized verbatim and audio recordings, and employed Miles and Huberman(1994) matrix and network to analyze the data. The findings of the study revealed that the factors that influenced the client's binge drinking included the family's dysfunctional communication method, adverse rearing attitude owing to unresolved emotional problems from the family-of-origin, and the client family's peculiar environment and culture. The therapist's intervention included making the client aware of his own problem, helping to gain insight and understand the parents' family-of-origin, connecting the past family-of-origin and the present, identifying attempted solutions, making aware of new change, and suggesting new communication methods. Through the therapist's intervention employing MRI interactional family therapy model and Bowen's family systems theory, the family members experienced changes; perception of all family members that participated in the counseling changed, and accordingly, their communication method and attitude changed as well. Through these changes in the family, the client's alcohol consumption reduced in terms of both frequency and amount, thus was able to solve their binge drinking problem.

Keywords

References

  1. Aaron, C. G. (2005). Differentiation, marital satisfaction and depressive symptoms: An application of Bowen theory. Unpublished doctoral dissertation, Ohio State University. Ohio, USA.
  2. Ackard, D. M., Neumak-Sztainer, D., Story, M., & Perry, C. (2006). Parent-child connectedness and behavioral and emotional health among adolescents. American Journal of Preventive Medicine, 30(1), 59-66. https://doi.org/10.1016/j.amepre.2005.09.013
  3. Anderson, A. R., & Henry, C. S. (1994). Family system characteristics and parental behaviors as predictors of adolescent substance use. Adolescence, 29(114), 405-420.
  4. Ary, V. D., Tildesley, E., Hops, H., & Andrews, J. (1993). The influence of parent, sibling, and peer modeling and attitudes on adolescent use of alcohol. International Journal of the Addictions, 28(9), 853-880. https://doi.org/10.3109/10826089309039661
  5. Barnes, G. M., Hoffman, J. H., Welte, J. W., Farrell, M. P., & Dintcheff, B. A. (2006). Effects of parental monitoring and peer deviance on substance use and delinquency. Journal of Marriage and the Family, 68(4), 1084-1104. https://doi.org/10.1111/j.1741-3737.2006.00315.x
  6. Barnes, G. M., Reifman, A. S., Farrell, M. P., & Dintcheff, B. A. (2000). The effects of parenting on the development of adolescent alcohol misuse: A six-wave latent growth model. Journal of Marriage and the Family, 62(1), 175-186. https://doi.org/10.1111/j.1741-3737.2000.00175.x
  7. Bartle-Haring, S., & Lal, A. (2010). Using Bowen theory to examine progress in couple therapy. The Family Journal, 18(2), 106-111. https://doi.org/10.1177/1066480710364479
  8. Beattie, M. C., & Longabaugh, R. (1997). Interpersonal factors and post-treatment drinking and subjective wellbeing, Addictions, 92(11), 1507-1521. https://doi.org/10.1111/j.1360-0443.1997.tb02871.x
  9. Bowen, M. (1978). Family therapy in clinical practice. New York: Jason Aaronson.
  10. Brown, S. A., Goldman, M., Inn, A., & Anderson, L. (1980). Expectations of reinforcement by alcohol: Their domain and relation to drinking patterns. Journal of Consulting and Clinical Psychology, 48(4), 419-426. https://doi.org/10.1037/0022-006X.48.4.419
  11. Copeland, J, & Hall, W (1992). A comparison of predictors of treatment dropouts of women seeking drug and alcohol treatment of women specialist women's and two mixed sex treatment service, British Journal of Addition, 87(6), 883-890. https://doi.org/10.1111/j.1360-0443.1992.tb01983.x
  12. Creswell, J. W. (2012). Qualitative inquiry and research design: Choosing among five traditions, New York: The Guilford Press.
  13. Dielman, T. E. (1994). School-based research on the prevention of adolescent alcohol use and misuse: Methodological issues and advances. Journal of Research on Adolescence, 4(2), 271-293. https://doi.org/10.1207/s15327795jra0402_6
  14. Duttona, E. C., Adams, T., Bujarski, S., Badour, L. C., & Feldnera, T. M. (2014). Posttraumatic stress disorder and alcohol dependence: Individual and combined associations with social network problems. Journal of Anxiety Disorders, 28(1), 67-74. https://doi.org/10.1016/j.janxdis.2013.11.010
  15. Edwards, M., & Steinglass, P. (1995). Family therapy treatment outcomes for alcoholism. Journal of Marital and Family Therapy, 21(4), 475-509. https://doi.org/10.1111/j.1752-0606.1995.tb00176.x
  16. Foxcroft, D. R., & Lowe, G. (1991). Adolescent drinking behaviour and family socialization factors: A meta-analysis. Journal of Adolescence, 14(3), 255-273. https://doi.org/10.1016/0140-1971(91)90020-R
  17. Goldenberg, I., & Goldenberg, H. (2013). Family therapy: An overview. Belmont, CA: Brooks/Cole, Cengage Learning .
  18. Gordon, A. J., & Zrull, M. (1991). Social networks and recovery: one year after inpatient treatment. Journal of Substance Abuse Treatment, 8(3), 143-152. https://doi.org/10.1016/0740-5472(91)90005-U
  19. Han, S. Y., Lee, M. K., & Shin, H. C. (2005). Gender differences in the effect of risk factors on drinking problems in college students. Korean Journal of Counseling and Psychology, 7(4), 1009-1019.
  20. Jang, K. L., Vernon, P. A., & Livesley, W. J. (2000). Personality disorder traits, family environment, and alcohol misuse: A multivariate behavioural genetic analysis. Addiction, 95(6), 873-888. https://doi.org/10.1046/j.1360-0443.2000.9568735.x
  21. Jeon, K. S., & Lee, H. Y. (2010). Associated factors of binge drinking and problem drinking among korean men and women. Korean Society for Health Education and Promotion, 27(1), 91-103.
  22. Jeong, W. C. (2006). The actural condition and the impact of psychosocial factors on problem drinking among the college students. Korean Journal of Social Welfare, 58(1), 347-372.
  23. Jessor, R., Turbin, M. S., & Costa, F. M. (1998). Protective factors in adolescent health behavior. Journal of Personality and Social Psychology, 75(3), 788-800. https://doi.org/10.1037/0022-3514.75.3.788
  24. Jung, S. K. (2007). Factors influencing problem drinking among female college students in Korea. Mental Health and Social Work, 27(12), 176-198.
  25. KCDH. (2013). Korea Health Statistics 2013 : Korea National Health and Nutrition Examination Survey. Retrieved from https://knhanes.cdc.go.kr/knhanes/index.do.
  26. Keller, M.(Ed). (1974). Trends in treatment of alcoholism. In Second special report to the U.S Congress on alcohol and health, Department of Health, Education, and Welfare, Washington, DC.
  27. Kelly, A. B., Toumiourou, J. W., O'Flaherty, M., Patton, G. C. , Homel, R, Connor, J. P., & Williams J. (2011). Family relationship quality and early alcohol use: Evidence for gender-specific risk processes. Journal of Studies on Alcohol and Drugs, 72(3), 399-407. https://doi.org/10.15288/jsad.2011.72.399
  28. Kerr, M. E., & Bowen, M. (1988). Family Evaluation. Norton, New York.
  29. Kim, H. J. (2012). Study on the interrelationship between alcohol and crimes: Focus on the admissibility and tolerant recognition on the alcohol-related crimes. The Korean Civic Ethics Society, 25(2), 1-30.
  30. Kim, H. R., Choi, Y. J, & Choi, J. K. (2003). A study on the characteristics of women problem drinker and their environment, Journal of Korean Alcohol Science, 4(2), 115-118.
  31. Kim, K. K. (1996). A public health approach to drinking patterns and alcohol-related problems. Korean Public Health Research, 22(1), 162-192.
  32. Kim, Y. T. (2002). Family Therapy. Hakjisa, Seoul.
  33. Kushner, G. M., Sher, J. K., & Erickson, D. J. (1999). Prospective analysis of the relation between DSM-III anxiety disorders and alcohol use disorders. American Journal of Psychiatry, 156(5), 723-732.
  34. Laghi, F., Baiocco, R., Lonigro, A., Capacchione, G., & Baumgartner, E. (2012). Family functioning and binge drinking among Italian adolescents. Journal of Health Psychology, 17(8), 1132-1141. https://doi.org/10.1177/1359105311430005
  35. Lee, J. S, & Kim S, J. (2000). The drinking experience of women alcoholics. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 9(4), 409-427.
  36. Lewis, B. A., & O'neil, K. H. (2000). Alcohol expectancies, lining and social deficits relating to problem drinking among college students. Addictive Behaviour, 25(2). 295-299. https://doi.org/10.1016/S0306-4603(99)00063-5
  37. Lim, S. Y., Cho, H. S., & Lee, Y. H. (2005). A case study about female alcoholic's alcohol addictive process. The Korean Journal of Clinical Psychology, 24(4), 869-886.
  38. Lipton, R. I. (1994). The effects of moderate alcohol use on the relationship between stress and depression. American Journal of Public Health, 84(12), 1913-1917. https://doi.org/10.2105/AJPH.84.12.1913
  39. Mathijssen, J. J. P., Janssen, M. M., van Bon-Martens, M. J. H., van Oers, H. A. M., de Boer E, & Garretsen, H. F. L. (2014). Alcohol segment-specific associations between the quality of the parent-child relationship and adolescent alcohol use. BMC Public Health, 14(872), 1-8. https://doi.org/10.1186/1471-2458-14-1
  40. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis. Thousand Oaks, CA: Sage.
  41. Moore, G. F., Rothwell, H., & Segrott, J. (2010). An exploratory study of the relationship between parental attitudes and behaviour and young people's consumption of alcohol. Substance Abuse Treatment, Prevention, and Policy, 5(6), 1-4. https://doi.org/10.1186/1747-597X-5-1
  42. Mulia, M., Schmidt, L., Bond, J., Jacobs, L., & Korchal, R. (2008). Stress, social support and problem drinking among women in poverty. Addiction, 103(8), 1283-1293. https://doi.org/10.1111/j.1360-0443.2008.02234.x
  43. Noller, P., & Callan, V. (1990). Adolescents' perceptions of the nature of their communication with parents. Journal of Youth and Adolescence, 19(4), 349-361. https://doi.org/10.1007/BF01537077
  44. O'Farrell, T. J., & Fals-Stewart, W. (2003). Alcohol abuse. Journal of Marital and Family Therapy, 29(1), 121-146. 1 https://doi.org/10.1111/j.1752-0606.2003.tb00387.x
  45. O'Farrell, T. J., & Clements, K. (2012). Review of outcome research on marital and family therapy in treatment for alcoholism. Journal of Marital and Family Therapy, 29(1), 121-146. https://doi.org/10.1111/j.1752-0606.2003.tb00387.x
  46. Park, H. R. & Lee, J. J. (2011). When woman drink: What to drink in what context is? The Korean Journal of Woman Psychology, 16(3), 243-263. https://doi.org/10.18205/kpa.2011.16.3.001
  47. Park, T. Y. (2001). Family therapy theories and practices. Hakjisa, Seoul.
  48. Park, T. Y. (2009). Family therapy for a drug-using son: A case study. Journal of Korean family therapy, 17(1), 57-95.
  49. Park, T. Y., & Park, J. Y. (2011). A case study on the family therapy for couple conflict due to alcoholic problem. Korean Journal of Family Social Work, 33, 95-129.
  50. Park, T. Y., & Shin, W. J. (2011). Family therapy for a family with an adult child with alcohol problems. Korean Journal of Family Therapy, 19(2), 63-92.
  51. Park, T. Y., & Yu, J. H. (2012). A case study on family therapy for parents with a daughter suffering from multiple tic disorder, Journal of Korean Home Management Association, 31(5), 47-63. https://doi.org/10.7466/JKHMA.2013.31.5.047
  52. Rotunda, R. J., & O'Farrell, T. J. (1997). Marital and family therapy of alcohol use disorders: Bridging the gap between research and practice. Professional Psychology: Research and Practice, 28(3), 246-252. https://doi.org/10.1037/0735-7028.28.3.246
  53. Rotunda, R., Scherer, D., & Imm, P. (1995). Family systems and alcohol misuse: Research on the effects of alcoholism on family functioning and effective family interventions. Professional Psychology: Research and Practice, 26(1), 95-104. https://doi.org/10.1037/0735-7028.26.1.95
  54. Ryu, J. S., Kang, K. G., & Lee, J. H. (2011). Factors of problem drinking among Korean adults, Journal of Korean Alcohol Science, 12(1), 29-42.
  55. Scheer, S. D., Borden, L. M., & Donnermeyer, J. F. (2000). The relationship between family factors and adolescent substance use in rural, suburban, and urban settings. Journal of Child and Family Studies, 9(1), 105-115. https://doi.org/10.1023/A:1009467817313
  56. Sheridan, M., & Green, R. (1993). Family dynamics and individual characteristics of adult children of alcoholics: An empirical analysis. Journal of Social Service Research, 17(1-2), 79-97.
  57. Shin, Y. J., & Kim, Y. S. (2009). The process of addiction among alcohol dependent females-focusing on grounded theory approach. The Korean Journal of Woman Psychology, 14(4), 683-170. https://doi.org/10.18205/kpa.2009.14.4.010
  58. Skaff, M. M. K., Finney, J. W., & Moos, R. H. (1999). Gender differences in problem drinking and depression: Different vulnerabilities? American Journal of Community Psychology, 27(1), 25-54. https://doi.org/10.1023/A:1022813727823
  59. Tak, J. K. (2000). The effects of personality traits and life events on drinking motives. Korean Journal of Health Psychology, 58(1), 347-372.
  60. Tucker, J. A., Vuchicich, R. E., & Pukish, M. M. (1995). Molar environmental con-texts surrounding recovery from alcohol problems by treatment and untreated problem drinkers. Experimental and Clinical Psychopharmacology, 3(2), 195-204. https://doi.org/10.1037/1064-1297.3.2.195
  61. Turnbull, J. E. (1994). Early background variables as predictor of adult alcohol problems in women. International Journal of the Addictions, 29(6), 707-728. https://doi.org/10.3109/10826089409047905
  62. Watzlauick, P., Weakland, J. H., & Fisch, R. (1974). Change: Problems formation and problem resolution. New York: Norton.
  63. Weakland, J. H. (1993). Conversation-but what kind? In S. Gilligan and R. Price (Eds.), Therapeutic Conversations (pp. 136-145). New York: Norton.
  64. Wilsnack, S. C. (1982). Alcohol Abuse and Alcoholism in Women, In E. M. Pattison & E.
  65. Yang, N. M., & Song, Y. I. (2013). Qualitative research about experiences of heavy and frequent binge drinking among college students. Korean Journal of Counseling and Psychology, 25(1), 83-109.

Cited by

  1. The Effects of Family Sandplay Therapy with Structural Family Therapy on the Family Strengths of Children with Emotional and Behavioral Disorders vol.33, pp.4, 2015, https://doi.org/10.7466/JKHMA.2015.33.4.33