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KMID : 1025820160240040573
Family and Family Therapy
2016 Volume.24 No. 4 p.573 ~ p.598
Panic Disorder: with Treatment Based on Structural Family Therapy and the Vulnerability Stress Model
Lee Hwa-Ja

Abstract
Objectives: This study was a single case study of a couple therapy whose wife was suffering from panic disorder.
Methods: Vulnerability stress model was used to understand social- psychologically the developmental process of the wife's panic disorder, and structural family therapy theory was applied and the couple therapy was given to solve the problem between the wife and the husband, to enhance the relationship of the couple and to reduce the symptoms for about 90-120 minutes per each session for a total of 17 sessions. All the contents of each session was recorded and analyzed to check the qualitative change by the method of case study.

Results: The results of this study are as follows : First, The major influence factor of the wife¡¯s panic disorder was the interaction of family structure. Second, the treatment model of four steps based on the structural family therapy was applied and the effectiveness of the model was verified. Third, independent self image was recovered through restructuring and the interaction of the couple was changed positively. As the session proceeded, the interaction between the couple was enhanced, the symptoms was reduced and the relationship of the couple and the family was changed to function right.

Conclusions: Based on this results, this study will contribute to the therapists to widen understanding of the family structure to establish firm relationship of the couples and the family who have difficulty in handling the stress from the family member's panic disorder or emotional vulnerability and therefore whose symptoms get worse, using structural family therapy and the vulnerability stress model in future counseling field.
KEYWORD
panic disorder, couple therapy, structural family therapy, vulnerability stress model
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