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題名：PLISSIT模式應用在心智障礙者性議題之啓示
書刊名：臺灣性學學刊
作者：林純真
作者(外文)：Lin, Chwen Jen
出版日期：2011
卷期：17:2
頁次：頁53-68
主題關鍵詞：PLISSIT模式；智障者；性處遇；The PLISSIT model；Sexual treatments；Individuals with intellectual disabilities
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(4) 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:3
  • 共同引用共同引用:12
  • 點閱點閱:87
2007年我國修正公布身心障礙者權益保障法，明定應提供身心障礙者婚姻及生育輔導的支持服務，開啟了身心障礙者性處遇政策法制化之門。事實上，諸多先進國家，對於身心障礙者（尤其智能障礙者）的性權，早已倡議多年，並認為不論障礙程度為何，智障者在人權理念下，本就應該擁有性，並發展有意義、互惠的親密關係或結婚的權利。前述我國身心障礙者的婚姻生育政策，依「日升條款」的規定，將於2012年開始施行，此一創新規定的執行方式，亟須參考他國之發展經驗。而「PLISSIT模式」即透過允許(permission)-適量的知識(limited information)-明確的建議(specific suggestion)-密集的治療(intensive therapy)等四個層次，採取教育、輔導和諮商、治療等方式，以處遇智障者各種與性有關問題。此一模式在國外已施行多年，可適用於不同的設施、時間，能協助並澄清工作人員對性的自在感受與精熟程度；如其自在程度或專業準備不足時，亦可採取轉介方式處理，此模式的運用方式十分具體與有效。此外，應用PLISSIT模式，可促使相關部門由下而上、自微而鉅地考量重要相關議題，包括：智障服務領域工作人員應具備的性教育專業知能、智障者性處遇所需的相關專業範疇，以及我國智障者性政策的重點與指導方針。
People with Disabilities Rights Protection Act announced in 2007 stipulates a brand new regulation that individuals with disabilities be provided marriage and fertility counseling and support services based on the assessment of their needs. According to the ”Five-year Sunrise Clause”, the new provisions will be in carried out in 2012, with a need to refer to other countries' practical experiences or approaches, such as the PLISSIT model.The PLISSIT model, developed by Annon (1976), includes four aspects of sexual treatment: Permission (P), Limited Information (LI), Specific Suggestions (SS), and Intensive Therapy (IT). The model using educational, counseling, and therapy approaches deals with individuals with intellectual disabilities on a variety of sexual issues.This model, developed for many years, is applicable to different people, facilities, and time, and can help the helping staff to clarify the degree of their comfort with and mastery on sexuality. If their professional preparation is insufficient, the staff may refer the individuals to other experts.The application of the PLISSIT model may foster all the people in helping professions to think, in both micro and macro ways, about the following important issues, including: to propose the professional knowledge of sexuality education that staff should possess, to cooperate with multi-discipline professionals to treat the sexual issues of individuals with intellectual disabilities, and to develop sexuality policies and guidelines for individuals with intellectual disabilities.
期刊論文
1.林純真(20091200)。成年智障者的親密行為與關係：「應不應該」或「能不能」？。性別平等教育季刊，48，20-28。  延伸查詢new window
2.林純真(20101200)。智能障礙者性議題之百年進展。特殊教育季刊，117，16-25。new window  延伸查詢new window
3.Annon, J. S.(1976)。The PLISSIT model: A proposed conceptual scheme for the behavioral treatment of sexual problems。Journal of Sex Education and Therapy，2(1)，1-15。  new window
4.Wallace, M. A.(2008)。Assessment of Sexual Health in Older Adults: Using the PLISSIT model to talk sex。American Journal of Nursing，108(7)，52-60。  new window
5.宋素卿、林燕卿、洪綺梅、卓珮珮(20070200)。精神病患對性諮商需求與護理人員執行現況之初探。護理雜誌，54(1)，43-52。new window  延伸查詢new window
研究報告
1.林純真、周月清、李婉萍、張淑娟、蔡和蓁(2010)。心智障礙者社區居住與生活服務品質指標發展與專業能力提昇計畫。  延伸查詢new window
圖書
1.Sexuality Information and Education Council of the United States(2004)。Guidelines for comprehensive sexuality education: Kindergarten through 12th grade。National Guideline Task Force。  new window
2.內政部(2008)。第7次全國性的身心障礙福利機構評鑑--評鑑委員訪評手冊。台北市：內政部社會司。  延伸查詢new window
3.余小玲(2001)。我要「哥哥」：如何處理智能障礙人士與性有關的問題。香港灣仔：香港社會福利署。  延伸查詢new window
4.Annon, J. S.(1976)。The Behavioral treatment of sexual problems: Brief therapy。Honolulu：Enabling systems。  new window
5.North Essex Partnership NHS Foundation Trust(2009)。Promoting sexual wellbeing with service users policy。North Essex Partnership NHS Foundation Trust。  new window
6.Victoria the Place to be(2006)。Personal relationships sexuality and sexual health policy and guidelines。Melbourne：The Victorian Government Department of Human Services。  new window
7.Franco, M. A.、Orihuela, T.、Cantero, L.(2006)。Sexuality and woman with disabilities: Contributions, guidelines and good practices。European Commission Employment and Social Affairs D.G.。  new window
8.Couwenhoven, Terri M. S.(2007)。Teaching children with Down Syndrome about their bodies, boundaries, and sexuality。Woodbine House。  new window
9.The Arc of the United States(1997)。The Arc of the United States Sexuality policy and procedures manual。NJ：The Arc。  new window
10.Leggatt-Mead, V.、Walker, K.、Chapman, M.(2009)。Personal and sexual relationships policy for vulnerable adults。UK：Adult Social Service, Bedford Borough Council。  new window
11.Walker, B. L.(1997)。Sexuality and the elderly: a research guide。Greenwood Publishing Group。  new window
12.Walker-Hirsch, L.(2007)。The facts of life and more: Sexuality and intimacy for people with intellectual disabilities。Baltimore：Paul H. Brooks。  new window
13.The Department of Health(2001)。Valuing people: A new strategy for learning disability for the 21st Century。UK：The Department of Health。  new window
14.The Department of Health(2009)。Valuing people now: A new three-year strategy for people with learning disabilities- Making it happen for everyone。UK：The Department of Health。  new window
其他
1.內政部社會司(2011)。身心障礙者個人照顧服務辦法草案，台北市：內政部。  延伸查詢new window
2.內政部(2008)。內政部身心障礙服務入口網：專業培訓課程標準--生活服務員班，http://dpws.moi.gov.tw。  延伸查詢new window
3.內政部(2008)。內政部身心障礙服務入口網：專業培訓課程標準--教保員進階班，http://dpws.moi.gov.tw。  延伸查詢new window
4.內政部(2008)。內政部身心障礙服務入口網：專業培訓課程標準--專題研習班，http://dpws.moi.gov.tw。  延伸查詢new window
5.American Association on Intellectual and Developmental Disabilities(2010)。What is sexuality?，http://www.aamr.org/content_198.cfm， 2011/03/21。  new window
6.香港家庭計劃會教育組(2005)。認識性教育：性教育工作者應有的準備，http://www.famplan.org.hk/sexedu/b5/classroom/Classroom_details.asp?clID=92。  延伸查詢new window
7.Arc of the United States(2009)。Sexuality Fact Sheet，http://www.thearc.org/NetCommunity/Page.aspx?pid=1375， 2014/12/20。  new window
8.The United Nations Headquarters(2006)。Convention on the Rights of Persons with Disabilities，http://www.un.org/disabilities/default.asp?navid =8&pid=150， 2010/03/03。  new window
圖書論文
1.Boyle, P. S.(1993)。Training in sexuality and disability: Preparing social worker to provide services to individuals with disabilities。Sexuality and Disabilities: A guide for human service practitioners。The Haworth Press。  new window
2.Crockett, M. A.、Hardman, M. L.(2010)。Expected Outcomes and Emerging Values。Successful transition programs pathways for students with intellectual and developmental disabilities。UK：SAGE Publications。  new window
 
 
 
 
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