徘徊、選擇-一位罹患憂鬱症社工的生命故事

本研究旨在探究罹患憂鬱症社工的生命故事，其面對自我內心的矛盾掙扎及憂鬱症對於社工的工作、人際及家庭的影響。為探求研究問題，本研究採取質性研究法，並以敘事研究作為研究策略，進行相關資料蒐集與分析，以呈現罹患憂鬱症的社工的生命故事的樣貌與意義。研究者與一位罹患憂鬱症的社工，透過14次深度訪談與敘事分析，而有以下研究發現：一、個人特質、家庭教育、學校教育與職場建構受訪者對於社會角色的認知、定義、規則及責任。二、受訪者對於社會角色的認知、定義、規則及責任對其形成框架，並在框架內不斷奔跑尋求正向的社會評價。三、憂鬱症的存在對於受訪者是種警訊與提醒，並強制將受訪者拉離前述框架。四、當離開框架時，所產生的焦慮與不安全感，讓受訪者反思其存在的意義。研究結果說明憂鬱症對於社工的家庭、人際及職場的影響為將家庭中長久問題浮現於檯面上、人際關係中角色的轉變及職場同事的包容與支持影響甚大。當罹患憂鬱症的社工面對社會價值與社工價值的衝突時的選擇為接受社會現實，然後大哭一場；當面對社工價值與個人需求的衝突時，則為正視個人需求。研究最後給予的建議為：一、社工的自我照顧、認知與壓力調適、接受心理諮商與醫療治療及人際保護網的重要。二、學校社工教育，應加社工自我照顧的課程。三、社福機構應強化友善職場環境與協助重返職場的安排。四、精神疾病與社工職災的關聯、認定與後續處理。五、勿把社工當作萬能超人。六、先把憂鬱症和人分開，才能看見這個人。

關鍵字

憂鬱症；社會工作者；社會角色

並列摘要

This research explores the internal struggles of social workers from having depression and the impact of depression on social workers' work, interpersonal relationship and family. This study adopts narrative research and collects and analyzes relevant data to present the life story and its significance of social workers suffering from depression. The researcher performs 14 in-depth interviews and narrative analysis with a social worker suffering from depression, and reaches the following findings: first, personal traits, family education, school education and workplace constructs interviewee' perceptions, definitions, rules and responsibilities of their social roles. Second, interviewee forms a frame for the cognition, definition, rules and responsibilities of their social roles, and continue to seek within the frame positive social evaluation. Third, the existence of depression is a kind of warning and reminder for interviewee, and forced to pull the interviewee away from the above frame. Fourth, when leaving the frame, the anxiety and insecurity that arises allow interviewee to rethink the meaning of their existence. The results of the study show that the impact of depression on the family, interpersonal relationship and workplace of social workers has a great impact on exposing the long-term problems in the family, the transformation of roles in interpersonal relationships and the tolerance and support of colleagues in the workplace. When depressed social workers suffering from the conflict between social value and social workers' value, they choose to accept social reality and then released the stress by crying. When there were conflicts between professional values and personal needs, they consider their individual needs to be more important. Six advices were provided as follow: First, self-care, cognitive of stress adjustment, resources of psychological counseling and medical treatment, interpersonal safety networks were very important to social workers. Second, social workers should take the courses about self-care. Third, the social welfare institution should intensify the friendly working environment and help the depressed ones return to work. Fourth, the relation of stress illness and job injuries of social workers should be clarified, to be the reference of occupational disaster compensation. Fifth, never take social worker as superhero. Sixth, separate depression from people so that you can see this person clearly.