智能障礙者情緒問題分析與輔導：以輕度智能障礙個案爲例

Problem Definition and Consulting Strategy Development for People with a Mild Intellectual Disability and Emotional Disorder

嚴嘉楓(Chia-Feng Yen) ； 吳美霖(Mei-Lin Wu) ； 邱春惠(Chiu-Hun Hui) ； 林金定(Jin-Ding Lin)

《身心障礙研究季刊》 2卷2期 (2004/04) Pp. 109-117

https://doi.org/10.30072/JDR.200404.0004

摘要

智能障礙者因認知、溝通及社交能力較低，日常生活經驗亦較為不足，較一般人更容易產生不良的適應行為及情緒障礙，本研究之目的主要乃針對某一輕度智能障礙者長期觀察以分析其情緒障礙之特徵，並設計介入方案已轉變其生活行為及態度，期望這些介入能夠供其適應日常生活發揮其潛能，主要以個案研究之方式進行研究，依據個案以往言行、情緒表現及其家庭背景分析，發現個案的母親影響力甚鉅，故針對其母親的個性、情緒等特質規劃系統性支持行動，比較個案在家庭支持行動介入前後的學習及工作人生觀等態度行為的轉變。系統性支持行動主要分成：「悲觀情緒引導」、「協助母親以正向態度對待個案（著重於言語表達）」、「個案人身安全」等議題；主要是以訪員一週一次，一次約20-30分鐘的電話訪談及研究期間中的面對面訪談。研究結果顯示雖然在支持介入計畫結束後，個案仍無法進入庇護工場或工作團隊工作，但研究者一致成受到個案有明顯進步，並且在機構的日常生活中也逐漸充滿笑容，情緒較為穩定，因此研究發現家庭支持的情緒輔導策略可行性極高，將可應用於機構中類似個案之情緒引導。

關鍵字

個案研究 ； 家庭支持 ； 情緒障礙 ； 智能障礙

並列摘要

People with intellectual disabilities are more likely to have adaptive and emotional problems than do general population. The main reasons are part of they lack of the skills in recognition, communication, sociability and experiences of daily living. The purposes of the present study were to analysis the case with a mild intellectual disability in institution who had characteristic with an emotional disorder and develop a assistant strategy for this case. Based on the analysis of the case's behavior, background and emotional expression, we designed a family-supported interventions, which were divided into three parts: reducing the pessimistic emotion of case's mother, to help the case's mother take a positive attitude toward the care, and finally. focused on care's personal safety issue. The interventions were conducted by phone to case's mother, once a week and we also conducted a face to face interview. The results showed that the interventions were effective to case's emotional control and quality of daily living. We suggest this intervention strategy can be induced to the cares who have emotional problems in institution.

並列關鍵字

case study ； emotional disorders ； family support ； intellectual disability

參考文獻

金幼婷、卓妙如(2003)。發展遲緩之概念分析。身心障礙研究。1，57-64。

中華民國九＋年十二月二十六日總統(90)華總一義字第9000254110號令修正發佈

情結障礙

Emerson E.(2003).Prevalence of psychiatric disorders in children and adolescents with and without intellectual disability.Journal of Intellectual Disability Research.47,51-58.

Kishore M.T.,Nizamie A.,Nizamie S.H.,Johan M.(2004).Psychiatric diagnosis is persons with intellectual disability in India.Journal of Intellectual Disability Research.48,19-24.