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題名：短期社區諮商介入災難救援場域之初探性研究：以八八水災的心理復健工作為例
書刊名：教育心理學報
作者：趙祥和 引用關係
作者(外文)：Tey, Siang Hua
出版日期：2014
卷期：45:4
頁次：頁517-537
主題關鍵詞：八八水災；心理復健；社區諮商；災難救援場域；Community counseling；Disaster rescued location；Mental health services；Typhoon Morakot
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:58
  • 點閱點閱:45
本研究旨在探討社區諮商介入災難救援時之服務內涵、策略、團隊合作之挑戰及面臨之文化議題，研究者採取Lofland、Snow、Anderson與Lofland（2006）所提出的社會情境分析之參與式觀察和質性分析法，於2009年8月11日至8月23日帶領7位受訓諮商師進入南部某災區救援醫療單位及收容中心提供心理復健工作，以參與式觀察、心理復健服務記錄、督導討論及焦點訪談等方式蒐集資料，並進行質性分析。研究結果顯示，在災難初期以社區諮商的介入方式提供心理復健服務時，其服務隨著災民族群文化、不同專業文化及場域的不同而變化，衍伸出不同服務內涵與策略。其中，災區之社區諮商策略與內涵共有六大主題：「外在事務與內在心理服務之銜接」、「由被動到主動服務之心理轉化」、「文化多元與策略多樣之映襯」、「專業態度依循文化脈絡之調整」、「災難經驗的共構與轉化」、「多變情境與制式專業之磨合」；團隊合作的挑戰與因應則展現五大主題：「醫療模式與整體服務模式之辯證」、「專業文化差異之消融」、「制式化與學習性服務之轉化」、「組織階層化與權力因應」與「以災民利益優先因應競合生態」。最後，研究者針對社區諮商因應災難救援場域的特殊性與複雜的文化因素，對其所使用之介入方法的變化調整、合作議題與專業方法等相關議題進行討論。
The study explored the community counseling services, strategies, collaborative challenges, and cultural concerns encountered by professional helpers in a disaster rescued location. Situational analysis and participant observation method proposed by Lofland, Snow, Anderson and Lofland (2006) was applied in this study. Seven community counselor trainees provided services in the Typhoon Morakot disaster field in South Taiwan with the principal researcher August 11 to August 23, 2009. Data were gathered through participant observation, process notes, supervision discussion and focus group. Qualitative analysis indicated that when providing community counseling at the early phase of disaster management, service types and strategies changed according to the ethnic culture of victims, professional culture, and locations. Six themes of service strategies and content emerged from the data: (a) combining external business management and mental health interventions, (b) transforming passive attitude into active services, (c) diversifying strategies to adapt to diverse cultures, (d) adjusting professional attitudes to match the local cultural network; (e) co-constructing and transforming the disaster experiences, and (f) ＂mediating standardized service protocol and changing circumstances. Five themes concern collaborative challenges and strategies encountered by the team emerged: (a) dialectic of medical and holistic service models, (b) resolving conflicts among different professional modalities, (c) transforming standardized learning into service learning, (d) coping with power struggle within organizational stratum, and (e) putting victims' needs above competitive service ecology. Finally, issues related to cultural complexity of counseling interventions, collaboration, and trainee competences in disaster rescued locations are discussed.
期刊論文
1.高淑貞(20040600)。兒童青少年地震創傷後壓力反應之追蹤研究。彰化師大輔導學報，26(1)，85-106。new window  延伸查詢new window
2.顧艷秋、顏芳慧、王翠彬、錢端蘭(20100600)。八八水災災民創傷後反應及其影響因素之探討。護理雜誌，57(3)，32-42。new window  延伸查詢new window
3.Hill, C. E.、Thompson, B. J.、Williams, E. N.(1997)。A Guide to Conducting Consensual Qualitative Research。The Counseling Psychologist，25(4)，517-572。  new window
4.Dass-Brailsford, P.(2008)。After the storm: Recognition, recovery, and reconstruction。Professional Psychology: Research and Practice，39(1)，24-30。  new window
5.Eric, M.、Steinberg, A. M.、Jacobs, A. K.、Brymer, M. J.、Watson, P. J.、Osofsky, J. D.(2008)。Innovations in disaster mental health: Psychological first aid。Professional Psychology: Research and Practice，39(4)，381-388。  new window
6.Fritze, J. G.、Blashki, G. A.、Burke, S.、Wiseman, J.。Hope, despair and transformation: Climate change and the promotion of mental health and wellbeing。International Journal of Mental Health Systems，2(13)，10-1186。  new window
7.Goodman, R. D.、West-Olatunji, C. A.(2008)。Applying critical consciousness: Culturally competent disaster response outcomes。Journal of Counseling and Development，87(4)，458-467。  new window
8.Jones, K.、Allen, M.、Norris, F. H.、Miller, C.(2009)。Piloting a new model of crisis counseling: Specialized crisis counseling services in Mississippi after Hurricane Katrina。Adm Policy Ment Health，36，195-205。  new window
9.Kar, N.(2009)。Psychological impact of disasters on children: Review of assessment and interventions。World Journal of Pediatrics，5(1)，5-11。  new window
10.Kokai, Masahiro、Fujii, Senta、Shinfuku, Naotaka、Edwards, Glen(2004)。Natural disaster and mental health in Asia。Psychiatry and Clinical Neurosciences，58(2)，110-116。  new window
11.Murthy, R. S.(2005)。Human resources for mental health: Challenges and opportunities in developing country。International Psychiatry，2，5-7。  new window
12.Norris, F. H.、Alegria, M.(2005)。Mental health care for ethnic minority individuals and communities in the aftermath of disasters and mass violence。CNS Spectrums，10(2)，132-140。  new window
13.Norris, F. H.、Friedman, M. J.、Watson, P. J.(2002)。60,000 disaster victims speak. Part 2: Summary and implications of the disaster mental health research。Psychiatry，65，240-260。  new window
14.Picou, J. S.(2009)。Disaster recovery as translational applied sociology: Transforming chronic community distress。Humboldt Journal of Social Relations，32(1)，123-157。  new window
15.Priya, K. R.(2002)。Suffering and healing among the survivors of Bhuj earthquake。Psychological Studies，47，106-112。  new window
16.Rodriguez, J. J.、Kohn, R.(2008)。Use of mental health services among disaster survivors。Current Opinion in Psychiatry，21，370-378。  new window
17.Schoenbaum, M.、Butler, B.、Kataoka, S.、Norquist, G.、Springgate, B.、Sullivan, G.(2009)。Promoting mental health recovery after hurricanes katrina and rita: What could we have done at what cost?。Arch Gen Psychiatry，66(8)，906-914。  new window
18.Trickett, E. J.(2009)。Multilevel community-based culturally situated interventions and community impact: An ecological perspective。American Journal of Community Psychology，43，257-266。  new window
19.Weaver,J. D.、Dingman, R. L.、Morgan, J.、Hong, B. A.、North, C. S.(2000)。The American Red Cross disaster mental health services: development of a cooperative, single function, multidisciplinary service model。The Journal of Behavior Health Services and Research，27(3)，314-320。  new window
20.周煌智、蔡冠逸、吳泓機、蘇東平、周碧瑟(20060600)。災難與創傷後壓力症侯群。臺灣精神醫學，20(2)，85-103。new window  延伸查詢new window
21.Foa, E. B.、Stein, D. J.、McFarlane, A. C.(2006)。Symptomatology and psychopathology of mental health problems after disaster。Journal of Clinical Psychiatry，67(2)，15-25。  new window
22.高淑貞、邱南英(20020900)。九二一地震災區學童心理復健工作模式--以集集地區為例。中華心理衛生學刊，15(3)，1-30。new window  延伸查詢new window
23.許文耀、曾幼涵(20030600)。九二一地震後災民的資源變化與心理症狀間的關係。中華心理衛生學刊，16(2)，1-19。new window  延伸查詢new window
24.許文耀、曾幼涵(20040600)。災難因子與心理症狀間之關係--以921地震為例。臨床心理學刊，1(1)，30-39。new window  延伸查詢new window
會議論文
1.黃盈豪(2010)。災後緊急救援與臨時安置社會工作人員跨文化經驗初探：以莫拉克風災爲例。台灣社會工作專業人員協會年會暨研討會，台灣社會工作專業人員協會主辦 。台北。  延伸查詢new window
2.Lin, A. M. P.(2009)。Post 8.8 flood reflections: The task of organizing health and human services for emergency and reconstruction。Keynote Speech presented at 2009 VII Union Congress of Psychotherapy and Mental Health in Taiwan, Taipei。  new window
研究報告
1.許文耀(2011)。「八八水災災後社會心理復健工作模式之建立」整合型硏究計畫硏究成果報告。  延伸查詢new window
2.許文耀(2005)。災後心理反應歷程與心理處置歷程之長期追縱研究—子計畫：以資源理論之觀點探討雙重災害與單一災害災民的資源變化與身心反應歷程。  延伸查詢new window
學位論文
1.賴念華(2002)。災後心理重建歷程之合作行動研究(博士論文)。國立臺灣師範大學。new window  延伸查詢new window
圖書
1.Doherty, G. W.(2006)。Crisis intervention training for disaster workers。USA：Rocky Mountain Region Disaster Mental Health Institute。  new window
2.NASW(2001)。NASW standard for cultural competence in social work practice。Washington, DC：National Association Social Workers。  new window
3.Staton, R.、Benson, J.、Briggs, M.、Cowan, E.、Echterling, L.、Evans, W.(2007)。Becoming a community counselor: Personal and professional explorations。Boston, MA：Lahaska Press。  new window
4.Sue, D.W.、Sue, D.(2008)。Counseling the culturally diverse: Theory and practice。John Wiley & Sons。  new window
5.Lewis, J. A.、Lewis, M. D.、Daniels, J. A.、D'Andrea, M. J.(2011)。Community Counseling: A Multicultural-Social Justice Perspective。Brookes/Cole Cengage Learning。  new window
6.Lofland, J.、Snow, D. A.、Anderson, L.、Lofland. L. H.(2006)。Analyzing social settings: A guide to qualitative observation and analysis。Wadsworth, CA：Belmont, CA：Cengage Learning：Wadsworth Thomson。  new window
其他
1.Tan, N. T.(2009)。Disaster management: Strengths and community perspectives，http://www.globalsocialworicorg/vol2no1.html， 2011/12/02。  new window
圖書論文
1.Blanco, T.、Villalobos, M.、Carrillo, C.(2006)。The psychological support network of the Central University of Venezuela and the Venezuelan Floods of 1999。Handbook of international disaster psychology。Westport, CT：Praeger Publishers。  new window
2.Dodge, R. G.(2006)。Assessing the psychosocial needs of communities affected by disaster。Handbook of international disaster psychology。Westport, CT：Praeger Publishers。  new window
3.Gladding, S. T.、Ryan, M.(2001)。Community counseling settings。The handbook of counseling。Thousand Oaks, London：Sage Publications。  new window
4.Reyes, G.(2006)。International disaster psychology: Purposes, principles, and practices。Handbook of international disaster psychology。Westport, CT：Praeger Publishers。  new window
5.Saraceno, B.(2006)。Foreword。Fundamentals and overview of the handbook of international disaster psychology。Westport, CT：Praeger Publishers。  new window
6.Speir, A. H.、Osofsky, J. D.、Osofsky, H. J.(2009)。Building a disaster mental health response to a catastrophic event: Louisiana and hurricane Katrina。Lifespan perspectives on natural disaster。New York, NY：Springer Science。  new window
7.Uhemik, J. A.、Husson, M. A.(2009)。Psychological first aid: An evidence informed approach for acute disaster behavioral health response。Compelling counseling intervention: VISTAS 2009。Alexandria, VA：American Counseling Association。  new window
 
 
 
 
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