應用雅樂姆人際互動模式於長期照護精神分裂病人團體心理治療之探討

目的：長期照護機構中治療穩定之精神分裂病患仍面臨許多人際與生活的困擾，本研究試圖探討團體心理治療介入下的影響及改善的可能性。方法：以實驗對照方式針對40名長照機構中穩定的慢性精神分裂症患者，進行12週的團體心理治療介入，統計評估其症狀與情緒的改變情形。結果：即使研究假設效果未達顯著，仍提供了有意義的訊息，包括因患者的特性而需安排較長療程與人際接觸時更緩和的介入模式。結論：長照機構中之精神分裂症患者即使因疾病帶來的挫折與防衛，仍觀察到他們對有意義的人際主動之期待；後續研究上建議增加療程或介入的主題更聚焦，實務上可考慮12次以上或持續進行的半開放方式進行。

關鍵字

精神分裂症；團體心理治療；長期照護

並列摘要

Objects: The purpose of this study was to understanding the possibility of improving interpsersonal adaptation of schizophrenia by yalom chornic inpatient group psychotheray in long-term care unit. Method: Forty patients with schizophrenia were randomly assigned to group psychotherapy or control group, who were stabilized with psychotic symptoms in long-term care unit. Each psychotherapy group with ten patients was led by well-trained leaders once a week for 12 sessions. Data collected by questionnaires during the course of the group psychotherapy are analyzed by paired-T test with SPSS. Results: Even there was no significant difference between therapy and control group. This study still provides meaningful information for understanding the process of group psychotherapy with these patients. The characteristics in group psychotherapy of the patients with schizophrenia in long-term care unit are different from other acute inpatient or outpatient of psychosis. They need more sessions to achieve the therapeutic goal, and are more sensitive for family issue. Conclusions: These findings suggest that more sessions of group and specific topic may provide more therapeutic effects for the patients with schizophrenia in long-term care unit. They shared the same desire as common people in connection and relationship. They show these interpersonal activities when group provide a safe space to contain their anxiety and experiences from symptoms.

並列關鍵字

schizophrenia ； group psychotherapy ； long-term care

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應用雅樂姆人際互動模式於長期照護精神分裂病人團體心理治療之探討

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