가정폭력 피해 아동과 어머니를 위한 부모-자녀 관계치료 10-세션 모델의 효과 = The Effectiveness of CPRT 10-Session Model for the Mothers and Children Witnesses of Domestic Violence

국문 초록 (Abstract)

이 연구는 가정폭력 피해 쉼터에서 생활하고 있는 9명의 어머니와 폭력을 목격한 그 자녀들에게 CPRT 10세션 모델을 5주일 동안 집중적으로 적용하여 훈련한 효과에 대하여 조사하려는데 목적이 있다. 훈련 효과에 대한 아동의 행동 변화를 측정하기 위하여 CBCL, PPAS, PSI 사전-사후 검사를 실시하였으며, 아동에 대한 부모의 공감능력을 비교하기 위하여 MEACI 검사를 실시하였다. 부모의 태도변화는 부모가 실시하는 특별 놀이 세션을 시작하기 전과 세션이 끝나고 난 뒤 t -검증과 ANOVA 반복측정을 실시하여 분석하였다. 아동에게 CPRT 10세션 5주 동안 집중적 개입을 한 결과 CBCL 검사 전체 행동문제 중 외현적/내재적 행동문제, 공격적 행동, 불안/우울한 감정 하위 요인에서 유의미한 변화가 나타났다. 부모의 공감능력을 검사하는 MEACI에서도 CPRT 훈련은 전체적인 공감 능력, 수용적 의사소통, 아동의 자기안내 허용, 아동의 놀이에 참여하는 능력에서 유의미한 변화를 보여주었다. 이 연구는 가정폭력 피해 쉼터에 거주하는 부모-자녀를 대상을 실시한 환경적 제한 때문에 통제집단을 선정하지 못하고 실험집단만으로 연구 설계가 이루어진 한계를 지니고 있다. 이런 제한에도 불구하고 짧은 기간의 CPRT 훈련 개입은 가정폭력 피해자인 어머니와 본인의 의지와 무관하게 이 과정을 목격하므로 서 상처를 입을 수밖에 없었던 아동들 모두에게 긍정적인 행동 변화를 보여줄 수 있었다는 점에서 연구의 의의가 있다.

다국어 초록 (Multilingual Abstract)

The purpose of this study is to examine the effectiveness of CPRT 10session model on 5 weeks intensive training of 9 Mothers and Children witnesses of domestic violence shelter. The paired t-test and one-way ANOVA repeated measure were performed for the CBCL, PPAS, PSI pre-post test for the children`s behavioral change, and on the MEACI for the comparison of mothers` attitude to their children`s change between the pre-post play sessions. Among the CBCL Total Behavior Problems, the Externalizing/Internalizing Behavior Problems, the Aggressive Behavior, the Anxious/Depressed Feelings subscale changed significantly after the CPRT intervention. The MEACI Total Empathy, Communication of Acceptance, Allowing the Child Self Direction, Involvement which also shows the mothers attitude to their children changed significantly during the CPRT training. This study has a limitation of the sampling which has only an experimental group because subjects reside at the domestic violence shelter. Despite the limitation, this study covers the first CPRT for the domestic violence shelter residence and demonstrates the effectiveness of intensive CPRT training as a treatment of children witness and the mothers of domestic violence.

참고문헌 (Reference)

1 장미경, "아동중심 놀이치료 기법을 이용한 부모자녀 관계증진 훈련 프로그램의 효과" 숙명여자 대학교 대학원 1998

2 백지은, "불리불안장애 아동의 특성과 부모-자녀 놀이치료 프로그램의 효과" 한양대학교 대학원 2007

3 김양순, "부모-자녀관계 증진을 위한 부모-자녀 놀이치료 사레연구; 발달장애 아동과 형제자매를 중심으로" 5 (5): 3-13, 2002

4 주채영, "부모-자녀 놀이치료를 통한 근이영양증아와 모의 심리사회적 적응변화 사례연구" 대구대학교 재활과학대학원 2004

5 Arthur Kraft, "놀이치료의 동반자로서 부모 - 자녀의 놀이를 통해서 이해하는 길" 학문사 2001

6 Landreth, G. L., "놀이치료를 통한 부모-자녀관계치료- 10 세션 부모- 자녀 놀이치료 모델 -" 학지사 2008

7 Baggerly, "Training children to help children: A new dimension in play therapy" 18 (18): 6-14, 2001

8 Ginsberg, B. G., "Training Parents as Therapeutic Agents with Foster / Adoptive Children Using The Filial Therapy. in: Handbook of Parent Training: Parents as co-Therapist for Children's Problems" John Wiley & Sons 442-478, 1989

9 Ginsberg, Barry G., "The power of filial relationship enhancement Therapy as a intervention in Child Abuse and Neglect" 10 (10): 65-78, 2002

10 Singer, M. I., "The mental health consequences of children's exposure to violence" Cayahoga County Community Mental Health Research Institute, Mandel School of Applied Social Sciences, Case Western Reserve University 1998

11 Bratton, S., "The efficacy of play therapy with children: A meta-analytic review of treatment outcomes" 36 (36): 2005

12 Miller, T. R., "The Relationship of abuse and witnessing violence on the Child Abuse Potential Inventory with Black Adolescents" 6 (6): 351-363, 1991

13 Gil, Eliana, "The Healing Power of Play, Working with Abused Children" Guilford Press 1991

14 Grskovic, J., "Short-term filial therapy with German Mothers; Findings from a Controlled Study" 17 (17): 39-51, 2008

15 Moustakas, C., "Psychotherapy with children: The living relationship" Happer & Row 1959

16 Kilpatrick, K. L., "Potential mediators of posttrauamtic stress disorder in child witness to domestic violence" 22 (22): 319-330, 1998

17 Porter, B., "Porter parental Acceptance Scale" Brigham Young University 1954

18 Guerney, L. F., "Play therapy with learning disabled children" 242-244, 1979

19 Fuchs, N. R., "Play therapy at home" 3 : 89-95, 1957

20 Landreth, G. L., "Play Therapy: The art of the relationship(2nd ed.)" Brunner- Routledge 2002

21 Axline, V. M., "Play Therapy" Ballentine Books 1969

22 Edward, A. N., "Perceived Effectiveness of filial therapy for a Jamaica Mother; A Qualitative Case Study" 16 (16): 36-53, 2007

23 Kraft, A., "Parents as therapeutic partners: Listening to your child's play. Northvale" Jason Aronson 1997

24 Glass, N., "Parents as therapeutic agents: Astudy of the effects of filial therapy (Doctoral dissertation, North Texas State University, 1986)" 47 (47): 2457-, 1987

25 Kraft. A., "Parents as Therapeutic Partners: Listening to Your Child's Play" Aronson 2001

26 Abidin, R., "Parenting Stress Index" Pediatric Psychology Press 1983

27 Stover, L., "Measurements of acceptance, allowing self- direction, involvement, and empathy in adult-child interaction" 77 : 261-269, 1971

28 Stover, L., "Measurements of acceptance, allowing self - direction, involvement, and empathy in adult-child interaction" 77 : 261-269, 1971

29 오경자, "K-CBCL 아동, 청소년 행동평가척도" 중앙적성출판사 1991

30 Guerney, L. F., "Introduction to filial therapy: Training parents as therapists. in: Innovation in Clinical Practice: A Source Book. Vol. 2" Professional Resource Exchange 1983

31 Kot, S., "Intentive child-centered play therapy with child witness of domestic violence" 7 (7): 17-36, 1998

32 Tyndall-Lind, A., "Intensive group play therapy with children witness of domestic violence" 10 (10): 53-83, 2001

33 Smith, N., "Intensive filial therapy with child witness of domestic violence; A comparison with individual and sibling group play therapy" 12 (12): 67-88, 2003

34 Mills, L. G., "Integrating domestic violence assessment into child protective service intervention: Policy and practice implications. in: Batter women and their families" Spring 129-158, 1998

35 Bratton, S. C., "Filial/Family Play Therapy: An Intervention for Custodial Grandparents and their Grandchildren" 24 : 391-406, 1998

36 Glazer-Waldman, H., "Filial therapy: An intervention for parents of children with chronic illness" 1 (1): 31-42, 1992

37 Guerney, L. F., "Filial therapy. in: The psychotherapy handbook" The New American Library 1980

38 Guerney, B. G., "Filial therapy. in: New directions in client-centered therapy" Houghton Mifflin 372-385, 1970

39 Bratton, S. C., "Filial therapy with single parents: Effectson parental acceptance, empathy, and stress" 4 (4): 61-80, 1995

40 Kale, A. L., "Filial therapy with parents of children experiencing learning difficulties" 2 (2): 35-56, 1999

41 Costas. M., "Filial therapy with nonoffending parents of children who have been sexually abused" 1 (1): 43-66, 1999

42 Harris, Z., "Filial therapy with incarcerated mothers: A five-week model" 6 (6): 53-73, 1997

43 Lobaugh, A. F., "Filial therapy with incarcerated fathers: effects on parental acceptance of child, parental stress, and child adjustment" 76 : 157-165, 1998

44 Lee, M., "Filial therapy with immigrant Korean parent in the United States" 12 : 67-85, 2003

45 Yuen, T. C., "Filial therapy with immigrant Chinese parents in Canada (Doctoral dissertation, University of North Texas, 1997)" 57 (57): 1498-, 1997

46 Yuen, T., "Filial therapy with immigrant Chinese families" 11 (11): 63-90, 2002

47 Glover, G. J., "Filial therapy with Native American" 2 (2): 57-80, 2000

48 Kidron, M., "Filial therapy with Israeli parents (Doctoral dissertation, University of North Texas, 2003)" 64 (64): 4372-, 2004

49 Guerney, L. F., "Filial therapy program. in: Treating Relationship" Graphic Publish 69-91, 1976

50 Hoffman, B. R., "Filial therapy perceptions of the process" 1 (1): 45-58, 1996

51 Guerney, L. F., "Filial therapy into the 21st century" 2 (2): 1-17, 2000

52 VanFleet, R., "Filial Therapy: Strengthening parent-child relationships through play" Professional Resource Exchange 1994

53 Guerney, B., "Filial Therapy: Discription and rationale" 28 (28): 303-310, 1964

54 Tew, Kristi, "Filial Therapy with Parents of Chronically Ill Children" 10 (10): 79-100, 2002

55 Chau, I., "Filial Therapy with Chinese Parents: Effects on parental empathic interactions, Parental acceptance of child and parental stress" 6 (6): 75-92, 1997

56 Bratton, S. C., "Filial Therapy Leaders Manual"

57 Robinson, J. Z., "Fifth grade students as emotional helpers with kindergarten children, using play therapy procedures and skills Doctoral dissertation, University of North Texas, 2001)" 63 (63): 4234-, 2003

58 Rennie, R., "Effects of filial therapy on parent and child behaviors" 2 (2): 19-37, 2000

59 Boll, L. A., "Effects of filial therapy on maternal perceptions of their mentally retarded children's social behavior (Doctoral dissertation, University of Oklahoma, 1972)" 33 (33): 6661-, 1973

60 Jang, M., "Effects of filial therapy for Korean parents" 2 (2): 21-38, 2000

61 Fantuzzo, J. W., "Effects od interpersonal violence on the psychological adjustment and competencies of young children" 59 : 258-265, 1991

62 Axline, V. M., "Dibs in search of self" Ballentine Books 1964

63 Rossman, B. B., "Descartes' error and posttrauamtic stress disorder: Cognitions and emotion in children who are exposed to parental violence. in: Children exposed to marital violence" American Psychological Association 223-256, 1998

64 Cleverland, J., "Children’s perceptions of filial therapy" 19-30, 1977

65 Edleson, J. L., "Children and domestic violence" 14 (14): 839-870, 1999

66 Guerney, L. F., "Child Relationship Enhancement: Family therapy and parents education" 4 (4): 344-357, 1989

67 Landreth, G. L., "Child Parent Relationship Therapy(CPRT). A 10 Session Filial Therapy Model" Routledge 2006

68 Ferrell, L., "A comparison of an intensive 4-week format of the Landreth 10-week filial therapy training model with the traditional Landreth 10-week model of filial therapy" University of North Texas 2003