當孩子成為照顧者：照顧精神疾病父母的困境和期望的社會支持

臺灣對於兒少照顧者的研究已逐漸發展，然而對於兒少長期提供父母情緒照顧的研究仍相對缺乏。本文以質性回顧研究法，深入了解臺灣兒少照顧者童年時期提供父母情緒照顧的困難和期望得到的社會支持。研究發現參與者面對父母無法掌控的情緒行為，經歷逐漸失去與父母情感連結的過程湧現錯綜複雜的感受;參與者認為面對父母突發狀況是極為艱鉅的挑戰，也深刻影響親子關係和學校生活。本研究提出的建議為：一、兒少福利機構提供兒少照顧者適切的服務。二、加強學校支持和公共教育。三、社福體系和政策制定者應確保滿足兒少照顧者和其家庭的社會需求。期待社福體系看見這些孩子和家庭的需要，確保他們能得到所需的資源。

關鍵字

兒少照顧者；父母；精神疾病；社會支持；介入服務

並列摘要

The research of young carers supporting their parent has been developed in Taiwan. There remains relatively limited research on young carers providing long-term emotional support for a mentally ill parent. This study adopted a qualitative method, exploring the retrospective experiences of adults who were young carers encountering difficulties in providing emotional support for a mentally ill parent and wishes for social support throughout childhood. Findings indicated that the participants had complex feelings when witnessing the parent having uncontrollable emotions and behaviors, experiencing the process of being emotionally unavailable to their parent, and the participants described dealing with family emergency as great challenging, with an impact on parent-child relationship and school life. This study suggests first, children services providing suitable services for young carers; second, bolstering school support and public education; third, social welfare systems and policymakers ensuring to meet the social needs of young carers and their families. It is hoped that young carers and their families are being recognized their unmet needs and ensure them to have access to mainstream resources which they require.

並列關鍵字

young carers ； parents ； mental illness ； social support ； intervention services

參考文獻

吳書昀（2010b）。「甜蜜的負荷」外一章：兒童少年家庭照顧者的生活境遇與福利建構。臺大社會工作學刊，21，153-190。http://doi.org/10.6171/ntuswr2010.21.04

吳書昀（2011）。兒童家庭照顧者之照顧經驗初探。社會政策與社會工作學刊，15(2)，79-140。http://doi.org/10.6785/SPSW.201112.0081

吳嘉瑜、張盛堂（2004）。叫「好孩子」太沈重！？幼年具親職化經驗之性罪犯的人際特色處遇。中華團體心理治療，10(2)，19-27。http://doi.org/10.30060/CGP.200406.0005

吳嘉瑜（2005）。“小大人”長大了-當親職兒童成為治療者。輔導季刊，41(4)，29-36。http://doi.org/10.30060/CGP.200406.0005

Ahlström, B.H., Skärsäter, I. & Danielson, E. (2011). Children’s Views of a Major Depression Affecting a Parent in the Family. Issues in Mental Health Nursing, 35, 560-567. http://doi.org/10.3109/01612840.2011.579689

主題瀏覽