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題名:役男藥物濫用成因及輔導成效認知之研究
作者:吳岳秀
作者(外文):WU, YUEH-HSIU
校院名稱:國立中正大學
系所名稱:犯罪防治研究所
指導教授:楊士隆
學位類別:博士
出版日期:2015
主題關鍵詞:替代役役男藥物濫用輔導成效認知substitute civilian servicemendrug abusecounseling effectiveness of cognition
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役男藥物濫用影響軍紀與軍力,均受各國際重視,皆已建置預防及輔導措施。唯軍中為封閉體系,且役男身分特殊,有關其戒毒輔導成效,則欠缺實證研究。本研究探究替代役役男藥物濫用成因及輔導成效認知。針對180位藥物濫用役男進行用藥現況分析,並量化研究72位藥物濫用役男與一般役男之情緒適應、生活適應、認知行為等差異性,以瞭解其藥物濫用成因。另經質化研究,訪談5位藥物濫用役男、6位心理諮商專業人員及管理人員對於藥物濫用役男轉介諮商輔導成效之認知及看法。
研究結果發現,役男藥物濫用係因受同儕影響、好奇心與紓解壓力等;且其用藥時間不長而未成癮、藥物濫用比例低於一般青少年。諮商輔導之成效認知發現心理諮商專業人員運用動機式晤談及認知行為治療法等可強化役男戒毒動機學習壓力管理、改善人際功能與增進解決問題能力並獲家人支持。另役男實施驗尿監控機制可達嚇阻作用短期諮商輔導後,降低毒品施用再犯率。
研究建議包括:採取接納態度取代標籤化譴責藥物濫用役男、建置藥物濫用個案管理落實追蹤關懷、強化驗尿及陪同諮商措施之保密性、精進諮商輔導策略以提升輔導成效、建置網路諮商服務解決情緒及生活困擾、運用同儕教導參與公益服務、提供技職訓練及求職資源以利退役順利就業、反毒宣導宜融合健康休閒教育活動、輔導機制必須賡續辦理並且設置評鑑機制,以檢視成效。
關鍵字:替代役役男、藥物濫用、輔導成效認知
Drug Abuse among servicemen influencing military discipline and force has caught international attention and established preventive and counseling measures. Due to the closed military system and special status of servicemen, effect of drug-abuse servicemen counseling lacks related empirical study. 180 drug-abused Substitute Civilian Servicemen’s drug using state was analyzed and the difference of each 72 drug-abused and general servicemen’s emotional adaptation, life adaptation and cognitive behavior was quantitatively studied to understand the cause of drug abuse. And also through qualitative research, 5 drug-abused servicemen, 6 counseling professionals and several serviceman inspectors were interviewed for their cognition and opinions on the effects of referral counseling of drug-abused servicemen.
The study found that the major causes for servicemen drug abuse are peer influence, curiosity and releasing stress, etc. And these servicemen with short drug period are not yet addicted; the drug abuse ratio is lower among our servicemen than among youngsters in general. The effective cognition of counseling discovered that servicemen can enhance their drug abstinence motive,earn stress management, improving problem-solving ability and gaining family support through counselors’ motivational interviews and cognitive behavioral therapy. And also implementation of urine monitoring mechanism could achieve its deterrent. Overall, drug-abused servicemen after a short-term counseling can reduce the recidivism rate of drug use.
The suggestions of the study include: Accepting instead of condemning drug-abused servicemen, establishing drug abuse case management to implement tracking and caring mechanism, enhancing confidentiality of urinalysis and accompanying counseling measures, establishing internet counseling service to solve emotional and life harass, joining public service with peer’s guidance, providing vocational training and job search for starting a career after the service, integrating anti-drug propaganda with health education and leisure activities, continuing counseling mechanism and establishing evaluative mechanism for inspecting its effect.
Key words: Substitute Civilian Serviceman, Drug Abuse, Counseling Effective Cognition
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