運用藝術治療在學齡期白血病病童住院適應的影響歷程

Utilizing art therapy in school-age children, who have been diagnosed Leukemia, are concerned about negative influences during the treatment in the hospital

黃傳永(Chuan-Yung Huang) ； 楊雅鈞(Ya-Chun Yang)

《健康科技期刊》 4卷2期 (2018/03) Pp. 35-53

https://doi.org/10.6979/TJHS.201803_4(2).0003

摘要

兒童罹患癌症後，須接受長期的住院治療。對兒童而言是具有壓力和備受威脅的經驗感受。而藝術治療非口語方式的介入，能帶給癌症病童安全溫暖的接納空間，透過繪畫的創作與對話，發覺內在的自我感受，來協助因應住院治療的衝擊。本文運用藝術治療之理念與技巧，一方面運用繪畫進行病童之內在感受之評估，一方面亦透過藝術創作的過程，協助病童能夠促進自我覺察和表達出深層的情緒感受，以因應接受治療期間之內在衝擊。在2016年3月17日到2016年8月2日，共完成九次的藝術治療活動。經由藝術創作歷程，個案呈現出有：憤怒的情緒、不願意住院治療、害怕打針、擔心掉髮、失去控制感、害怕死亡與想要上學等議題。透過與藝術媒材的互動和圖像的象徵意涵，經由口語的引導疏通內在的情感，並在創作中找尋到正向的行為與因應的措施。研究結果呈現出藝術治療能轉化醫病的關係、傳遞癌症病童的內在感知、深化情感的流動與引領內在力量的整合，以促使病童更有勇氣面對治療期間生理及心理不適。

關鍵字

藝術治療 ； 學齡期 ； 白血病

並列摘要

After children suffered cancer, they need to be treated in the hospital for long- term. For the children, this is extremely stressed out, and they will experience threatening feeling. However, art therapy which is a non-verbal method to intervene with children can let children sense safe, warm, and acceptable space. Through creation of drawing and communication, they will sense inner self- perception which assists children to overcome impact when they are hospitalized. This journal used the art therapy's theory and technique which utilized drawing to conduct assessment children's inner self-perception. Furthermore, through the creation of the art process which can assist children to facilitate self-awareness and express deepest emotion in order to deal with their inner impact during the treatment. The art therapy has been conducted for 9 times on March 17 ,2016 to August 2nd ,2016. The subject expressed some issues by the creation of the art, such as anger, unwilling to be treated in the hospital, fear of injection, concerned loss of hair, loss sense of controlling, fear of death, and the children desire to attend to school. Through interaction with the art material, the pictures which express concerned is drawn by children.Children can be guided and released their inner emotion by verbal, and the art therapy can transform children’s concern and let children fit in well at hospital. The study outcome shows that the art therapy can be beneficial children and therapist relationships, as well as children can easily release their inner perception by drawing, and it undoes children’s self-protection . Moreover, the art therapy can be strong self-worth in order to foster children to face mental and physical issue during the treatment.

並列關鍵字

Art therapy ； School-age ； Leukemia

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