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題名：慢性精神分裂病患生涯故事與生涯復健之探究
書刊名：中華輔導與諮商學報
作者：溫錦真／溫嬛椿／林美珠／王迺燕／洪曜
作者(外文)：Wen, Chin-chen／Wen, Shuan-chun／Lin, Meei-ju／Wang, Nai-yen／Hung, Yao
出版日期：2008
卷期：24
頁次：頁147-179
主題關鍵詞：生涯復健；敘說；慢性精神分裂病；Career rehabilitation；Chronic schizophrenia；Narrative
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:144
  • 點閱點閱:219
本研究關心社區復健中心慢性精神分裂病患的生涯復健議題，藉「敘說」展開一個從「認識」到「行動」的探究過程。研究一的目的是為認識病患的生涯故事及其遭遇那些生涯困境。方法是訪談十位年齡介於29至49歲病友的生涯故事，並以「敘說形式」進行分析。結果發現，病患的帶病生涯走向一個背離常人應有的正軌發展，即使暫時安頓在社區復健中心，心理上則是陷入患病帶來的失落與傷痛、對未來的不確定及漂浮感而無法安身立命。研究二的目的是設計與實施「敘說取向」的生涯復健團體，期待病患透過團體找回安身立命之道。行動結果是十二位年齡介於25至48歲病友因受限於疾病症狀而使團體缺乏活力與互動，但病友仍可以透過團體的帶領重新敘說有方向的生涯故事，再度肯定工作的價值、體認生病不是生命的全部並可以規劃未來。行動結果初步支持生涯復健團體的可行性。最後，本研究進一步提出研究者的省思以及未來對慢性精神分裂病患生涯復健實務工作的具體建議。
The purpose of this study was to understand the career stories of patients and predicaments they have undergone. The study adopted a narrative method to reveal the process, from ”understanding” to ”acting”, of the career rehabilitation of patients with chronic schizophrenia in a community rehabilitation center. In the first part of this study, ten patients (aged from 29 to 49) were interviewed and their career stories were analyzed with the method of narrative form. The results showed that patients' concept of career development had gradually deviated from a normal path since they suffered from psychotic diseases. Even when temporarily settled in community rehabilitation center, they still sustained loss and pain induced by psychotic disorders. They also felt uncertainty for the future and a sense of fluidity that, as a result, stops them from settling down in a place and establishing a career. the second part of this study, it was designed in terms of ”acting”-to develop a narrative approach based career rehabilitation group in order to assist patients with chronic schizophrenia to resettle in their lives and careers. The result showed that twelve patients, aged 25 to 48, could re-narrate new and constructive career stories through group interventions, despite the fact that the group dynamic was limited by the patients' psychotic symptoms. They reaffirmed the value of work, realized that the illness was only a part of their lives, and thus, accepted the possibility of a personal career plan for the future. These results supported the feasibility of the narrative approach based career rehabilitation group. Finally, the study presents a number of reflections from the researchers and suggestions for refining career rehabilitation strategies for patients with chronic schizophrenia in the future.
期刊論文
1.Brott, P. E.(2001)。The storied approach: A postmodern perspective for career counseling。The Career Development Quarterly，49(4)，304-313。  new window
2.翁開誠(19940600)。Narrative Thinking and Advanced Empathy。輔仁學誌. 文學院之部，23，384-359。  延伸查詢new window
3.Super, Donald E.(1980)。A Life-Span, Life-Space Approach to Career Development。Journal of Vocational Behavior，16(3)，282-298。  new window
4.翁開誠(19970600)。同理心開展的再出發--成人之美的藝術。輔仁學誌．文學院之部，26，261-274。  延伸查詢new window
5.Roberts, G.(2000)。Narrative and Severe Mental Illness: What Place do Stories have in an Evidence-based World?。Advances in Psychiatry Treatment，6，432-441。  new window
6.Krupa, T.、Lagarde, M.、Carmichael, K.、Hougham, B.、Stewart, H.(1998)。Stress, Coping, and the Job Search Process: The Experience of People with Psychiatric Disabilities in Supported Employment。Work，11，155-162。  new window
7.Krieshok, T. S.、Hastings, S.、Eddberwein, C.、Wettersten, K.、Owen, A.(1999)。Telling a Good Story: Using Narrative in Vocational Rehabilitation with Veterans。The Career Development Quarterly，47，204-214。  new window
8.Strauss, J. S.(1994)。The Person with Schizophrenia as a Person II: Approach to the Subjective and Complex。British Journal of Psychiatry，164，103-107。  new window
9.Murray, M.(1997)。A Narrative Approach to Health Psychology。Journal of Health Psychology，2(1)，9-20。  new window
10.Lysaker, P. H.、Davis, L. W.、Hunter, N. L.、Needs, M. A.、Wickett, A.(2005)。Personal Narratives in Schizophrenia: Increases in Coherence Following 5 Months of Vocational Rehabilitation。Psychiatric Rehabilitation Journal，29(1)，66-68。  new window
11.陸瑞玲、張阿雪、劉美秀、葉紅秀。提升某醫學中心日間留院慢性精神病患工作復健－支持性就業模式之方案。醫院：中華民國醫院協會雜誌，36(1)，71-81。  延伸查詢new window
學位論文
1.Gergen, M. M.(1980)。Antecedents and Consequences of Self-attributional Preferences in Later Life，Philadelphia, PA。  new window
2.黃慧森(2006)。共許生涯願景－高中生敘事取向生涯探索團體的故事，0。  延伸查詢new window
圖書
1.Bruner, J.(1986)。Actual mind, possible worlds。Cambridge, MA：Harvard University。  new window
2.Davidson, G. C.、Neale, J. M.、King, A. M.(2004)。Abnormal psychology。Hoboken, NJ：John Wiley and Sons。  new window
3.Lucado, M.、Martinez, S.、丘慧文、郭恩惠(2000)。你很特別。臺北市。  延伸查詢new window
4.Crossley, Michele L.、朱儀羚、康萃婷、柯禧慧、蔡欣志、吳芝儀(2004)。敘事心理與研究：自我、創傷與意義的建構。濤石文化事業有限公司。  延伸查詢new window
5.夏林清、鄭村棋(1989)。行動科學：實踐中的探究。臺北：張老師。  延伸查詢new window
6.金樹人(19970000)。生涯諮商與輔導。臺北市：東華書局。new window  延伸查詢new window
7.Polkinghorne, D. E.(1988)。Narrative Knowing and Human Sciences。State University of New York Press。  new window
8.莊明敏、鄭若瑟、黃繡、柯少華、褚增輝、行政院研考會(1995)。精神病患醫療服務體系之檢討。精神病患醫療服務體系之檢討。臺北市。  延伸查詢new window
9.Cochran, L.(2006)。敘事取向的生涯諮商。敘事取向的生涯諮商。臺北市。  延伸查詢new window
10.Abeles, R.。The Self in Temporal Perspective。Life-span Perspectives and Social Psychology。Hillsdale, NJ。  new window
11.Roberts, G.、Holmes, J.(1999)。Healing Stories: Narrative in Psychiatry and Psychotherapy。Healing Stories: Narrative in Psychiatry and Psychotherapy。Oxford, UK。  new window
12.Lieblich, A.、Tuval-Mashiach, R.、Zilber, T.(1998)。Holistic Analysis of Form。Narrative Research: Reading, Analysis, and Interpretation。Thousand Oaks, CA。  new window
13.McLeod, J.(2004)。Social Construction, Narrative, and Psychotherapy。The Handbook of Narrative and Psychotherapy: Practice, Theory, and Research。Thousand Oaks, CA。  new window
其他
1.林知遠(1999)。職業復健－支持性就業模式，0。  延伸查詢new window
2.林知遠(1999)。復健精神醫學，0。  延伸查詢new window
圖書論文
1.謝明憲、劉智民(2002)。社區精神醫學。實用精神醫學。台北：國立台灣大學醫學院。  延伸查詢new window
2.Sarbin, T. R.(1986)。The narrative as a root metaphor for psychology。Narrative Psychology: The Storied Nature of Human Conduct。New York：Praeger Publishers。  new window
3.Gergen, Kenneth J.、Gergen, Mary M.(1988)。Narrative and the self as relationship。Social psychological studies of the self: Perspectives and programs。Academic Press。  new window
 
 
 
 
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