- 期刊
應用家的生命故事書在精神康復上的成效
The effect of applying the life story book of home on mental rehabilitation
摘要
精神治療著重在精神病理治療及減緩症狀。精神復健則主要在於發展個人的力量，協助啟動個人的資源，重新恢復他們在社區的生活能力。但是，汙名化是康復者重返社會的主要阻力之一。不管如何，在現有的精神保健網絡下，康復者所接受的服務來自兩個主要區塊。一種是醫療機構提供的醫療治療，另一種是社區提供的重新安置和康復治療。當然，康復者也可以選擇家庭生活，而這也是大多數康復者的選擇。然而，精神照護過程是一種照護負荷沉重的感覺，在精神病面前難以控制的疾病的性質，可能會引發家庭成員的心理壓力，也可能形成照護過程中相對明顯的負荷感覺。該如何在家中改變一個人呢？該如何幫助康復者做出改變？本研究認為想要改變康復者就像想要改變一個人一樣，所以必須做的事是讓對話發生。需要讓在治療期間所創建的對話，允許將康復者復歸生活中，所以在家庭中，有必要進行產生對話的治療。南部某教學醫院身心醫學科的三位個案同意參與這項研究。最後，他們表示他們應該可以嘗試努力在家裡保持冷靜，並努力保持房子的安寧。他們都試圖想向家人表達自己的善意，但目前來說他們的家人很難原諒他們。對於這項研究來說，樣本數量過小來推論執行成效實際上是不夠的，但依照結果來說，仍具有一些參考價值。在改善個案與家人的關係的路上，仍然有許多事情需要去嘗試，方向應該是正確，但個案的改變仍不夠多到引起家人對他的觀感的變化。
並列摘要
Psychotherapy focuses on psycho-pathological treatment and slows down symptoms. Psychological rehabilitation is mainly about developing personal strength, helping to activate individual resources and rebuilding their ability to live in the community. However, stigmatization is one of the main resistances of rehabilitationers returning. Regardless, under the existing mental health network, the services received by the rehabilitationers are from two main blocks. One is medical treatment provided by medical institutions, and the other is community-provided resettlement and rehabilitation. Of course, the rehabilitationers could also choose home living, which is also the choice of most rehabilitationers. However, the mental care process is a heavier feeling of home care, and the nature of the disease that is difficult to control in the face of mental illness may trigger psychological stress on family members and may also create a relatively obvious load sensation during care. How to change a person at home? How to help the rehabilitation person make a change? This study believes that wanting to change a person who is recovering is like changing a person, so what must be done is to let the conversation happen. The dialogue created during the treatment needs to be allowed to return the rehabilitated person to life, so in the family, it is necessary to have a treatment that produces dialogue. Three cases of the Department of Psychiatry in a teaching hospital in the south agreed to participate in the study. Finally, they said they should be able to try to stay calm at home and work hard to keep the house quiet. They all tried to express their goodwill to their families, but at present, families are hard to forgive them. For this study, the small sample size is actually not enough, but according to its results, it still has some reference value. On the way to improving the relationship between the case and the family, there are still many things to try. The direction should be correct, but the change in the clients is still not enough to cause the families to change their perception of him.