MRI 모델을 적용한 ' 자살하겠다 ' 는 아동의 가족치료

Abstract

참고문헌 초록 This paper is a case study to apply MRI model to a client, who was saying to commit suicide. The client was intimidating his parents with saying " I am going to die by leaping down from the fourth floor" or "I am going to break down a house". The therapist tried to find out what was the attempted solution between the client and his mother. When the client attempted to spread out toys over the living room for play, his mother yelled at the client to remove them. As soon as the client was reluctantly to remove toys from the floor, he ran his grandparent's house and he said "I am going to commit suicide from jumping down from the fourth floor" or "I am going to demolish this house" to his grandparents. When the client laughed with strange sound, his mother tried to stop his laughing with yelling. Then he ran his grandparent's house and he responded to the same as the above. The therapist assumed that the pattern between mother's yelling and client's intimidating to commit suicide or break down a house was their attempted solution. However, the attempted solution was unfunctional to solve their problems. The therapist tried to change their attempted solution. That is, the therapist gave assignment to client's mother not to yell at her son, who was trying to spred out toys over the floor and to remove those with her son after finishing his play. Also, the therapist assinged not to restrain her son's laughing to the mother even if she did not like his strange laughing. This was the first-order change. As soon as she tried new method, the client did not say such as "I am going to die," or "I am going to break down the house". The second order-change was to change the ralationship between client's mother and father. This means that the therapist tried to changed communication style between husband and wife. Therefore, the couple started to change their relationship by changed communication pattern. Finally, the client's threat such as "I am going to commit suicide," or "I am going to demolish the house" to his parents and grandparents did not happen any more for the 6 sessions. When the therapis met them by chance after six months in other place, they smiled at me. They looked very happy.