台灣過動兒家長團體治療的十年回顧

10 Year History of Taiwan ADHD Parent Training Group Psychotherapy

臧汝芬(Ruu-Fen Tzang)

《中華團體心理治療》 16卷1期 (2010/03) Pp. 3-10

https://doi.org/10.30060/CGP.201003.0002

摘要

過動兒(Attention Deficit Hyperactivity Disorder, ADHD)之盛行率很高，故兒童的心理衛生教育(Mental Health)課題必須注重過動兒合併嚴重情緒障礙兒的處理。台灣嚴重情緒障礙兒童的母親常抱怨帶孩子的就醫經驗是得不到心理治療，醫師只顧診斷，只會開藥，每次門診講不到幾句話，就被趕出來。馬偕醫院於1999年在簡錦標教授治療模式下，開始了台灣「過動兒家長的團體治療」(parent training group)門診，後來因家長表示抽不出12次的治療時間來全程參與，於是在進行一年後，將12次的團體內容，根據家長的需要，濃縮為四個單元、四個主題，針對這四個主題，讓家長先陳述他們的問題，再由治療師提供具體的兒童的輔導原則或治療策略，果然這樣的團體治療模式，的確符合家長們的需求，此種團體治療對過動兒的照顧卻有療效且合乎經濟效益。過動兒治療，若只停留在藥物治療是可恥，必需在當下人力、錢財有限的台灣醫療制度下，推動過動兒家長團體治療，並希望今後有更多的醫師、心理、社工人員大家一起加入這樣的父母訓練團體治療模式，齊心幫助台灣的過動兒在快樂、健康的大環境下長大成人。

關鍵字

過動兒 ； 過動兒家長團體治療

並列摘要

The prevalence of Attention Deficit Hyperactivity Disorder (ADHD) is very high. Therefore, child's mental health education topic must pay great attention to psychotherapeutic strategy on helping ADHD children co-occurring with serious emotional disturbance. Taiwan's serious emotional disturbed children's mother often complained that usually parent did not obtain the proper psychological therapy because most of child psychiatrist considered only giving diagnosis and only prescribing a medicine in busy clinical setting. Each time the child psychiatrist in the outpatient service will deliver less than several words then the parent was driving out. The Mackay Memorial Hospital started the parent training group therapy service in outpatient service setting under the group therapeutic model of Professor Jane in 1999. Many parents of ADHD children indicated although they need 12 sectioned group therapy but they could not extract 12 time group therapy time to finish whole course of group therapy, therefore modified four units, four session group therapy was developed on one year later. Still group leader need to facilitate ADHD children's parent to state their question and provided the behavior modification strategy toward parent. Such parenting training group therapy indeed meet parent's need and actually has the curative and economic efficiency toward ADHD children and their parent. In conclusion, if combined therapy of ADHD children only focuses on the pharmacological treatment is humiliating. Under Taiwan's limited manpower and wealth medical service system, we should consider the ADHD parenting group therapy and hope more physicians, psychologist, and social worker personnel to start such ADHD parenting training group therapy and finally to lead Taiwan's ADHD children to grows up joyfully under healthy environment.

並列關鍵字

ADHD ； Taiwan parent training group therapy