기초생활보장수급자들과 일반인의 문제음주와 정신건강 비교연구

윤명숙,김성혜,채완순 알코올과 건강행동학회 2008 알코올과 건강행동연구 Vol.9 No.2

1997년 IMF 경제위기이후 절대빈곤인구의 수가 거의 두 배로 증가하였으며, 국민기초생활보장법 실시로 공공부조사업이 본격화되면서 적극적 의미의 '일을 통한 복지대책'으로서 생산적 삶의 달성을 위한 자활의 중요성이 강하게 부각되고 있다(박능후, 2000). 보건복지가족부는 비취업대상자들이 노동시장에 진입할 수 있도록 재활프로그램, 지역봉사, 자활근로, 자활공동체, 취업지원 등의 단계적 전략을 제시하고 있다. 재활프로그램은 조건부 수급자중 비취업자를 대상으로 하며, 심리사회적 문제를 가진 수급자들의 심리․정서적 문제를 완화시키고 자활의욕을 고취하여 자활촉진을 기대하는 것을 목적으로 하고 있다. 이처럼 수급자들의 문제 실태 및 대처방안에 대한 사회적 관심이 매우 높아지고 있으나 아직까지는 구직이나 직업유지를 통한 빈곤탈피에 일차적 초점이 주어진 상태이다. 그러나 수급자들이 나타내는 문제유형 및 욕구에 대한 접근을 경제적 원조나 직업훈련 등 경제적 측면 중심으로 한정하고 해결하는 것은 전인적 인간을 대상으로 하는 실천과정상 제한적 성격을 가지기 때문에 통합적 차원에서 다루어줄 필요가 있다. 수급대상자들의 문제를 통합적 관점에서 접근하고 실천하는데 있어서 중요하게 인지되어야 하는 점은 수급대상자들의 정신건강이 이들의 효과적인 사회적응 및 자활을 통한 생산성 증진에 필수적이라는 점이다. 기초생활보장법 실시 이후 자활사업의 진행과정에서 많은 실무자들을 통해 보고되고 있는 수급자들의 폭음 및 만성적 음주, 심신미약, 만성적 무기력증, 가정폭력 등의 문제는 이들의 효과적인 재활을 위해 정신건강차원에서 우선적으로 다루어야 하는 중요한 표적요인들 중의 하나이다. 특히 음주문제를 가진 사람들은 가정폭력비율이 높고 무기력한 특성을 나타내는 경향이 높으며 다른 약물남용과 정신질환을 가질 비율이 높고, 현재 지역사회내에 만성적인 알코올중독자의 비율이 높을 것으로 추정되기도 한다(윤명숙, 1999; 박희정, 2003). 도시영세민을 대상으로 알코올중독 실태를 조사한 김영준 등(1995)의 연구에서는, 영세민이 일반인보다 알코올중독률이 상대적으로 높으며 평균 48.4%에 달하는 것으로 보고하고 있다. 이러한 결과는 이용표(2001)와 최희수(2001)의 연구에서도 유사하게 나타나고 있다. 실제적으로 수급자들의 음주 및 정신건강문제는 이들의 자립 및 빈곤탈피에 부정적 영향을 미치게 되고, 빈곤의 장기화에 중요한 결정인자로 작용할 가능성이 높다. 그러나 최근까지 수급자들의 음주문제와 정신건강문제는 정신보건전문가들에게 상대적으로 커다란 관심의 대상이 되지 못했고, 빈곤계층의 음주행위에 초점을 맞춘 연구 역시 매우 저조한 실정이다. 특히 수급자들의 알코올 문제가 신체적 .정신적 안정 및 더 나아가 빈곤탈피나 자활․자립의 문제와 연관해서 중요함에도 불구하고 지금까지 수급자들의 알코올 문제에 관한 국내연구는 그 수가 많지 않다. 김영준(1995), 최희수(2001), 이용표(2001)의 연구에서는 단순히 그 실태만을 보고하였으며, 심수연(2004)이 자활사업 재활프로그램을 중심으로 알코올 프로그램에 대한 연구를 진행 했으나, 연구 대상자가 수급자가 아닌 실무자 중심의 연구였다는 한계를 가지고 있다. 이러한 사실에 기반하여 본 연구에서는 일반인과 비교하여 기초생활수급자들의 음주행위실태와 문제음주 정도, 정신건강 상태를 일차적으로 분석하고 관련 문제점들에 대해 탐색적으로 파악함으로써 빈곤층에 대한 효과적인 개입방안 수립을 위한 구체적인 자료를 제공하는 데 목적이 있다. 더 나아가 이를 기반으로 수급자들의 음주문제 개선 및 자활촉진을 위한 전문적인 재활프로그램 개발 및 활성화를 위한 기초자료를 제공하는 것을 목적으로 한다. The purpose of this study is to investigate the mental health state of national basic livelihood act recipients and related factors. A total of 308 subjects participated in this study and the research instrument includes items measuring mental health, drinking problem, family violence. Results indicated that the recipients showed significantly low mental health state than residents and especially comparing high risk group with non-risk group, the recipients showed three times higher rate than the residents. 1/2 of subjects were identified as problematic drinkers and the recipients showed low rate of problematic drinking, high rate of alcohol dependence in comparison to the residents. Education, job, family violence, income contributed significantly to mental health state and especially family violence turned out to contribute substantially to the mental health state of recipients. Implications of the findings of mental health social work intervention were discussed.

노숙자들의 음주문제와 대처방안에 관한 연구

윤명숙 한국 정신보건 사회사업학회 1999 정신보건과 사회사업 Vol.7 No.-

최근 들어 증가하기 시작한 노숙자들은 단순히 경제적 측면만이 아닌 복합적 욕구와 문제점들을 내포하고 있는 손상되기 쉬운 집단이다. 특히 노숙자들의 음주문제는 노숙을 장기화, 만성화하는데 중요한 영향을 미칠 가능성이 높기 때문에 정신건강전문가들이 우선적으로 다루어야 할 필요성이 있다. 그러나 이들 특수집단의 음주문제에 대한 이론적 연구나 실천적 대처방안은 매우 미흡한 실정이다. 따라서 본 연구에서는 노숙자들의 음주문제 실태와 특성에 대해 연구된 외국과 국내 자료를 중심으로 문제영역을 구체적으로 살펴보았고, 이를 근거로 이미 시행되고 있는 외국의 성공적인 대처방안과 정신보건전문가들의 역할을 제시하였다. 음주문제해결을 위한 포괄적이고 연속적인 문제대처들을 통해 노숙자들의 효과적인 사회복귀를 위한 기본적 방안을 모색해 보았다. Homelessness has gained national attention as a pressing social problem. Homeless persons with drinking problem constitute a particularly vulnerable subgroup with complex sevice needs. Alcoholism and homelessness are interdependent problems. However most of the social service for homeless persons has focused on emergency care and the characteristics and unique sevice needs of homeless persons with drinking problem have received little attention in service delivery efforts. The purpose of this study is to review the nature and scope of the problem of homeless with drinking and propose specialized care for their recovering process. A high percentage of homeless alcoholic people who it through detoxification and short-term recovery problems begin drinking again when they are unable to locate transitional or permanent affordable housing that reinforces an alcohol life style. So transitional care settings-settings-halfway house, recovering house-are essential. Because many homeless people experience actual disruption of their social bonds as well as feelings of distrust and existential separateness. Therefore, positive social support and community based intervention, comprehensive case management can help homeless people reestablish their well-being by enhancing self-esteem and a sense of connection to others.

알코올중독자의 회복과정(recovering process) 원조를 위한 지역사회 재활프로그램에 관한 연구

윤명숙 한국 정신보건 사회사업학회 1999 정신보건과 사회사업 Vol.8 No.-

Many practitioners has always focused on the drinking alcoholic but recently studies on alcoholism have directed increasing attention toward the recovering process. The purpose of this study is to explore the recovering stages and related factors and to develop the optimal community based programs for alcoholics in Korea. Recovery is a process which has stages and tasks to achieve and alcoholic's environment can facilitate recovery or increase the risk of relapse. During the recovering process, personality variables, cognitive functioning, social stability, severity of alcohol dependence, family cooperation, and concurrent psychopathology need to be considered. Clinical studies often examine the match between patient and setting(e.g. inpatient, outpatient), patient and program or modality, or patient and treatment philosophy. Alcoholism are treated on an inpatient or outpatient basis, general or mental health hospitals, and community-based residential facilities such as short-stay detoxification facilities and medium and long-term care facilities. Nonresidential program include day or evening programs, counseling through special alcohol facilities, or more general health care or social-welfare service programs such as, recovery homes, halfway house. Many recovering people needs to learn problem-solving skills, as well as self-care behavior, how to set boundaries and low to seek healthy support. It is essential that mental health professionals not only have the ability to deal effectively with individuals suffering from addictive disease, but posses additional skill and training in helping recovering alcoholics identify and resolve sobriety related core issues. For the constructive rehabilitation following issues need to be addressed. The first is negotiation of the goals of treatment. Second is a decision about the level or optimal intensity of intervention. Third is a choice of the type or content of treatment. Fourth is maintence arrangements.

The Influence of Depression on Increased Drinking in Middle-Aged Adults

윤명숙,박형주 사단법인 한국융합기술연구학회 2023 아시아태평양융합연구교류논문지 Vol.9 No.11

The increasing prevalence of midlife drinking in our society is characterized by the continuation of drinking patterns into old age, and in recent years, there has been increasing interest in its association with drinking behavior, depression, and social isolation in middle-aged people. It is worth considering that problem drinking at this age may be a result of the increased family and social demands placed on middle-aged people, leading to psychological distress such as depression. Despite the fact that midlife drinking is an issue that should be examined along with social, economic, and family changes, it has been relatively understudied. The purpose of this study was to examine the impact of midlife depression on increased drinking and to explore factors that influence drinking behavior in midlife. Data were collected by an online research company using quota sampling based on demographic proportions. For this study, 255 men and women aged 40-59 years who had ever consumed alcohol were interviewed via an online survey, and hierarchical regression analysis was performed using Stata /MP 17.0. As a result, the study found that men with junior high school graduates had higher levels of drinking, and higher levels of depression in midlife were associated with higher levels of alcohol consumption, frequency of drinking, and binge drinking. On the other hand, social support, income, and marital status had no significant effect on drinking behavior. These results indicate that the increasing prevalence of drinking problems among middle-aged people is strongly associated with depression. These findings suggest that interventions for problem drinking among middle-aged adults may be more effective if they include a concurrent approach to depression. Practical and policy recommendations were proposed to improve mental health, including depression and problem drinking among middle-aged people.

비속살해 양형에 대한 비판적 분석

윤명숙,김새봄 한국정신건강사회복지학회 2017 한국정신건강사회복지학회 학술발표논문집 Vol.2017 No.11

청소년기 애착외상 경험이 성인기 음주행동에 미치는 영향

윤명숙,박아란 알코올과 건강행동학회 2019 알코올과 건강행동연구 Vol.20 No.2

Objectives: This study aimed to investigate the effect of adolescent attachment trauma experience in adolescence on the drinking behavior in adults. Methods: This study analyzed 293 men and women aged 20-49 with experience in attachment trauma were used in the survey. Collected data were analyzed by frequency, t-test, moderated multiple regression and simple slope analysis by SPSS 21.0. Results: First, the difference in gender was found in the experience of attachment trauma and drinking behavior. Men are more experienced in attachment trauma than women and men are more likely to drink alcohol. Second, the higher the level of childhood attachment trauma, the higher the level of drinking behavior. Conclusion: With this results, the study provides information for intervention, implications and the limitation and also discuss the clinical implications of the relationship between attachment trauma and drinking behavior as a specialized approach for this condition.

便宜食品 購買態度의 影響要因에 關한 硏究 : 特히, 職業 役割指向性 飮食準備關與度를 中心으로

尹明淑 牧園大學校 産業經營硏究所 1987 産經硏究 Vol.3 No.-

高接觸 서비스 遭遇 滿足에 관한 硏究

尹明淑 숙명여자대학교 대학원원우회 1991 원우논총 Vol.9 No.-

In recent years we have seen the development and growth of the service economy in Korea. Therefore, service firms must strive to consumer-oriented marketing efforts reflecting unique characteristics in service to maintain and spread market share and cope with keen market competition. Especially, consumer satisfaction on high-contact service is linked directly with total service satisfaction, in case of high-contact service, partly because process is more important than production outcome and partly because it is evaluated experience or credence quality. So service encounter is interactive role performance between consumer and service provider in service environment, it performs buyer-seller interactive marketing function as a part of the company's total marketing function. Accordingly, this article studied the latest consumer satisfaction paradigms, that is, expectancy disconfirmation, equity theory, and attribution theory and drew consumer satisfaction determinants such as expectation and perceived disconfirmation based on expectancy disconfirmation model that mainly prevails in consumer satisfaction literatures. And this article studied strategies and tactics which influences these factors for high-contact service encounter satisfaction. They are as follows: Ⅰ. Service provider must be consumer-oriented. 1) Service provider must make use of effective tactics that is, training approach, neutral question, back-track frame, metaphore, metacommunication, and meta frame. 2) Service provider must avail himself of CIT(critical incident technique). With results of the technique, service provider classifies extremely satisfactory/dissatisfactory service encounter and must maintain extremely satisfactory service encounter and improve extremely dissatisfactory service encounter. Ⅱ. Service provider must change consumer's expectation or experience in a long-term perspective. 1) Service firms must establish target consumers' adequate expectation level and accomplish promotion activities corresponding the expectation level. And they must perform service which matches with it to satisfy consumers. 2) Service firms must exceute participate or relationship marketing to continuously maintain consumers' favorable expectation and reduce consumers' complaints But this article has following limitations. 1) This study is mainly limited in expectancy disconfirmation theory with little considering equity theory and attribution theory. 2) This study includes the interaction between two persons as service encounter, excluding the interaction among more than three persons, physical equipments, and other visible factors. Therefore, there should be done more integrated studies which overcome these limitations in future studies.

일상의 단면이 길어올린 삶이라는 연못

윤명숙 경북여성정책개발원 2003 소식지 희망창 Vol.- No.13

만나지는풍경

윤명숙 경북여성정책개발원 2004 소식지 희망창 Vol.- No.14