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1 A Study on the Relationships between Self-Differentiation and Adaptability Factors for Senior Dementia Patients Care Givers Department of Social Welfare, Seoul Welfare Graduate University Full-time Lecturer : Seong Hun Hyeong <Abstract> The focus of this study was on the self-differentiation level of families with an elderly member suffering from dementia. Based on 340 questionnaires collected in Seoul and Gyeonggi, the study intended to explain the adaptation issues of those families. The variables of interest, which might be related to the self-differentiation, were chronic anxiety(i.e. stress), the family function, psychosomatic symptoms and the family s adaptation to care-giving. As a result of analyzing the effects of the variables potentially related to the self-differentiation level of care-giving families, the findings from this study were as follow. With decreasing self-differentiation level of the family caring for an elderly member suffering from dementia, the levels of stress and psychosomatic symptoms were significantly increased, but the family function and the adaptation to care-giving tended to decrease. Conversely, with increasing self-differentiation, the levels of stress and psychosomatic symptoms were significantly decreased, while the family function and adaptation to care-giving were promoted. (self-differentiation), (family system), (fusion), (nuclear family), (family projection process) Corresponding Author : Seong Hun Hyeong, Department of Social Welfare, Seoul Welfare Graduate University, 134-2, Yeongdengpo-4ga, Yeongdengpo-gu, Seoul, , Korea Tel: Fax: *

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18 Amirkhanyan, A., & Wolf, D.(2003). Caregiver stress and noncaregiver stress: exploring the pathways of psychiatric morbidity. The Gerontologist, 43(6), Bowen, M.(1966). The use of family theory in clinical practice. Comprehensive Psychiatry, 7, Bowen, M.(1974). Toward the differentiation of self in

19 one s family origin. InF. Andres and J. Lorio, (Eds.), Georgetown family Symposium, vol. Wasington, DC; Department of Psychiatry, Georgetown University Medical center, Bowen, M.(1976). Theory in the Practice of Psychotherapy. In P.J. GuErin(Ed.), Family therapy(42-90). New York: press. Chodoff, P.(1994). Stress defenses and coping behavior observation in parests of children with malignant disease. American journal of Psychatry, 12. Choi, S. C., & Choi, S. H.(1990). We-ness The korean Discourser of Collectivism. Paper Presented at the International Conference, Individualism and Collectivism. Psycho-cultural Perspectives from east and West. July, 9-13, seoul, Korea. Kerr, E., & Bowen, M.(1993). Family Evaluation: An Approach Based on Bowen Theory. Adolescence, 28(4), 996. Kerr, M., & Bowen, M.(1988). Family evaluation. New York: Norton. Kerr, M. E., & Bowen, M.(2006). Family Therapy in Clinical Practice. New York: w. w. Norton & company..,, (). :. (1988 ) Martin, C.(1996). Differentiation and self-development in the relationship context. Family Journal, 4, Martin, C. K.(1994a). The family voice: Application to Bowen s family system theory. Journal of Mental and Family Therapy, 20(1), Martin, C. K.(1994b) The Family voice: Application to Bowen s Family Therapy. Journal of Marital and Family. 20, Nichols, M. P., & Schwartz, R. C.(2008). Family Therapy: Concepts and Methods, Seventh Edition. Upper Saddle River: Pearson Education, Inc..,,,,, (), : ( ). (2001 ) Olson, D. H.(1986). Circumplex Model: Validation Studies and FACES, Family Process, Poulshock, S. W., & Deliming, G. T.(1984). Families Caring for Elders in Residence: Issues in the Measurement of Burden. Journal of Gerontology, 39(2) ) Smith, J. B., Ray, R. E., & Wetcher, J. L.(1998). levels of fusion, triangulation, and adjustment in families of college students with physical and congnitive disabilities. The American Journal of Family Therapy, 26, Soldz, S., Budman, S., Demdy, A., & Nerry, J.(1993). Representation of personality disorders in circumplex and five-factor space: Explorations with a clinical sample. Psychlogical Assessment, 5,

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