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題名：精神障礙者之復健與復元--一個積極正向的觀點
書刊名：中華心理衛生學刊
作者：宋麗玉 引用關係
作者(外文)：Song, Li-yu
出版日期：2005
卷期：18:4
頁次：頁1-29
主題關鍵詞：精神復健；復元；精神障礙者；Psychiatric rehabilitation；Recovery；Psychiatric disability
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(17) 博士論文(2) 專書(1) 專書論文(1)
  • 排除自我引用排除自我引用:16
  • 共同引用共同引用:16
  • 點閱點閱:460
在1980年代，美國的一些精神障礙者提出復元觀點，之後引導歐美精神障礙者復健服務至今。在邁入二十一之際，更加強調進入"The Decade of the Person"，重申重視精神障礙者作為一個“人”，而非等同於“疾病”。許多復元者自身經歷的披露以及幾項長期追蹤研究，都顯示精神障礙者復元的可能性，比例也相當高，重要的是及早給予復健和適應社區的機會。儘管復元觀點與實務在西方已燃燒二十餘年，在台彎卻鮮少有人加以討論，在本文筆者試圖整理復元的定義內涵、復元的過程、復元過程的阻力與助力、並提出一復元過程與結果之參考架構；進而討論復健與治療之別和復健之價值與原則，以及以復元為導向之精神復健體系和實務特色；最後，以復元觀點檢視台灣的精神復健政策與資源，提出粗淺的建議。藉此拋磚引玉，期待未來有相關研究結果激起更深沉的討論。
The concept of recovery has guided the rehabilitation policy and practice in the United States and some European countries since 1980s. The concept was brought into the field by some personal recovery experiences. Their experiences and a few long-term follow-up studies demonstrated that recovery is possible and there are high percentages of persons with psychiatric disability recovered or improved. Although the concept has been popular in the West for more than two decades, there is almost no article focused on this topic in Taiwan. In this article, through literature review the author presents the concept of recovery, the recovery process, the barriers and facilitators of recovery, and further proposes a conceptual framework of recovery process and outcome. In addition, the author discusses the differentiation of rehabilitation and therapy, the principles of rehabilitation, and recovery oriented rehabilitation. Finally, the rehabilitation system and practice in Taiwan are examined from the recovery perspective. Tentative suggestions are made and the author hopes to stimulate related research and discussions in the future.
期刊論文
1.Anthony, W. A.(1993)。Recovery from Mental Illness: The guiding vision of the mental health service system in the 1990s。Psychosocial Rehabilitation Journal，16(4)，11-23。  new window
2.Spaniol, L.、Weweiorski, N. J.、Gagne, C.、Anthony, W. A.(2002)。The process of recovery from schizophrenia。International Recovery Psychiatry，14(4)，327-336。  new window
3.Deegan, Patricia E.(1988)。Recovery: The Lived Experience of Rehabilitation。Psychosocial Rehabilitation Journal，11(4)，11-19。  new window
4.宋麗玉(2000)。促進社區精神復健服務之使用--一個實驗方案結果之呈現。社會政策與社會工作學刊，4，157-197。new window  延伸查詢new window
5.Anthony, W. A.、Liberman, P.(1986)。The practice of psychiatric rehabilitation: Historical, conceptual, and research base。Schizophrenia Bulletin，12，542-559。  new window
6.宋麗玉(19981200)。精神病患社區照顧之省思--社區化或機構化，選擇或困局？。中華心理衛生學刊，11(4)，73-103。new window  延伸查詢new window
7.余漢儀(20020600)。精障者社區復健模式探討--以臺灣地區的四個康復之友為例。中華心理衛生學刊，15(2)，1-24。new window  延伸查詢new window
8.Baltes, Paul B.、Marsiske, Michael、Staudinger, Ursula M.(1993)。Resilience and Levels of Reserve Capacity in Later Adulthood: Perspectives from Life-span Theory。Development and Psychopathology，5，541-566。  new window
9.Szegedy-Maszek, M.(2002)。Consuming Passion: The Mentally Ill Are Taking Charge of Their Own Recovery. But They Disagree on What That Means。U.S. News & World Report，132(19)，55-57。  new window
10.Carpenter, Jenneth(2002)。Mental Health Recovery Paradigm: Implications for Social Work。Health & Social Work，27(2)，86-94。  new window
11.Cnaan, Ram A.、Blankertz, Laura、Messinger, K.、Gardner, J. R.(1989)。Psychosocial Rehabilitation: Towards a Theoretical Base。Psychosocial Rehabilitation Journal，13(1)，33-55。  new window
12.Cnaan, Ram A.、Blankertz, Laura、Messinger, K.、Gardner, J. R.(1990)。Expert's Assessment of Psychosocial Rehabilitation Principles。Psychosocial Rehabilitation Journal，13(3)，59-73。  new window
13.Hannigan, Ben(1999)。Mental Health Care in the Community: An Analysis of Contemporary Public Attidudes Towards, and Public Representations of, Mental Illness。Journal of Mental Health，8(5)，431-440。  new window
14.Harding, Courtenay M.、Hall, G. Morganin(1997)。Long-term Outcome Studies of Schizophrenia: Do Females Continue to Display Better Outcome as Expected?。International Review of Psychiatry，9(4)，409-418。  new window
15.Leete, Esso(1989)。How I Perceive and Manage My Illness。Schizophrenia Bulletin，15(2)，197-200。  new window
16.Lloyd, Camille(1995)。Understanding Social Support within the Context of Theory and Research on the Relationship of Life Stress and Mental Health。Social Support and Psychiatric Disorder: Research Findings and Guidelines for Clinical Practice，41-60。  new window
17.Munetz, Mark R.、Frese, Frederick J.、Munetz, M. R.、Frese, F. J.(2001)。Getting Ready for Recovery: Reconciling Mandatory Treatment with the Recovery Vision。Psychiatric Rehabilitation Journal，25(1)，35-42。  new window
18.Russinova, Zlatka(1999)。Providers' Hope-inspiring Competence as a Factor Optimizing Psychiatric Rehabilitation Outcomes。Journal of Rehabilitation，65(4)，50-57。  new window
19.Turner-Crowson, J.、Wallcraft, J.(2002)。The Recovery Vision for Mental Health Services and Research: A British Perspective。Psychiatric Rehabilitation Journal，25(3)，245-254。  new window
會議論文
1.Center for Psychiatric Rehabilitation。Innovations in Recovery & Rehabilitation: The Decade of the Person。0。24-26。  new window
研究報告
1.(1995)。精神病患醫療服務體系之檢討。臺北市。  延伸查詢new window
學位論文
1.李麗慧(2001)。關於兩個女人的「變」--受創婦女轉捩現象之探討(碩士論文)。東吳大學，臺北。  延伸查詢new window
2.陳彥竹(2001)。為何不再犯？少年時期進入矯治機構者離開後生活經驗之探究(碩士論文)。國立臺灣大學。  延伸查詢new window
3.蔡群瑞(2002)。復原力對離婚後個人適應之影響研究(碩士論文)。國立彰化師範大學。  延伸查詢new window
4.蔡宜玲(2002)。自殺意念青少年復原行為之探討：復原力之研究(碩士論文)。國立彰化師範大學。  延伸查詢new window
5.施惠琪(2002)。成人超越逆境之分析研究(碩士論文)。國立暨南國際大學。  延伸查詢new window
6.李佳容(2001)。個人面對親人死亡事件心裡復原歷程之研究，彰化。  延伸查詢new window
圖書
1.Greene, Roberta R.(1999)。Human Behavior Theory and Social Work Practice。New York, NY：Aldine de Gruyter。  new window
2.Mechanic, Dauid(1989)。Mental health and social policy。Englewood Cliffs, NJ：Prentice Hall。  new window
3.Satcher, D.(1999)。Mental health: A report of the surgeon general。Washington, DC：Department of Health and Human services。  new window
4.Anthony, W. A.、Cohen, M. R.、Farkas, M. D.、Gagne, C.(2002)。Psychiatric rehabilitation。Boston, Massachusetts：Center for Psychiatric Rehabilitation, Boston University。  new window
5.行政院衛生署(1992)。臺灣地區精神疾病防治工作現況與展望。臺灣地區精神疾病防治工作現況與展望。沒有紀錄。  延伸查詢new window
6.行政院衛生署(1997)。醫政要覽。醫政要覽。沒有紀錄。  延伸查詢new window
7.Moos, R. H.、Schaefer, J. A.(1993)。Coping Resources and Process: Current Concepts and Measures。Handbook of Stress: Theoretical and Clinical Aspects。New York, NY。  new window
8.DeSisto, Michael、Harding, Courtenay M.、McCormick, Rodney V.、Ashikaga, Takamaru、Brooks, George W.(1999)。The Maine and Vermont Three-decade studies of Serious Mental Illness: Longitudinal Course Comparisons。Historical and Geographical Influences on Psychopathology。Mahwah, NJ。  new window
9.Ellison, Marsha Langer、Russionva, Zlatka(1999)。A National Survey of Professionals and Managers with Psychiatric Conditions: A Portrait of Achievement and Challenges。A National Survey of Professionals and Managers with Psychiatric Conditions: A Portrait of Achievement and Challenges。Boston, MA。  new window
10.Spaniol, Leroy、Koehler, Martin、Hutchinson, Dori(1994)。The Recovery Workbook: Practical Coping & Em Powerment Strategies for People With Psychiatric Disability。The Recovery Workbook: Practical Coping & Em Powerment Strategies for People With Psychiatric Disability。Boston, MA。  new window
其他
1.Fisher, Daniel，Ahern, Laurie(2002)。People Can Recover Mental Illness，0。  new window
2.Mitchell, Les(2001)。Discovering and Maintaining Recovery for the Consumer (A Consumer's Perspective)，0。  new window
3.Mechanic, D.(1999)。Mental Health: A Report of the Surgeon Gental，0。  new window
4.World Health Organization(2001)。New Member in the WHO Family of International Classification，0。  new window
圖書論文
1.鄭麗珍(2002)。生態系統觀點。社會工作理論--處遇模式與案例分析。臺北：洪葉。  延伸查詢new window
2.宋麗玉(2002)。社會支持網絡、壓力因應與社會網絡處遇。社會工作理論--處遇模式與案例分析。台北：洪葉文化。  延伸查詢new window
 
 
 
 
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