他們想說什麽？－青少年自傷行爲之初探

What Do They Want to Say? -A Preliminary Study on Adolescents' Self Injurious Behaviors

陳毓文(Yu-Wen Chen)

《社會政策與社會工作學刊》 4卷2期 (2000/12) Pp. 127-178

https://doi.org/10.6785/SPSW.200012.0127

摘要

本研究的主要目的在瞭解少年自傷行爲産生的歷程，此行爲對少年的意義，以及少年對此行爲的主觀經驗和感受，希望藉此提供一些建議給相關的實務工作者。本文所稱之自傷經驗是指蓄意傷害自己的行爲，但行爲的背後並沒有死亡的動機。本研究採質性的研究方法，針對接受相關機構服務之七位有過自傷行爲的青少年，以個別訪談的方式蒐集相關資料。結果發現：父母管教方式與過度期待等家庭問題是多數少年認爲讓其産生自傷行爲的背景因素，而導火線事件則以感情困擾居多；當家庭問題與感情困擾同時發生時，則所産生的影響就更大。在行爲意義方面，自傷是這些少年用來溝通與宣洩壓力的因應策略，讓他們能藉此表達需求，故具有功能性的作用。研究是最後建議社工實務工作者應重視少年自傷議題，而在處遇方面，則可著重於協助這些少年學習溝通與有效的壓力因應方法，以及降低家庭壓力與協助少年發展獨立的自我概念，使之終能以非自傷的方式來面對問題。

關鍵字

青少年 ； 自傷行爲 ； 家庭問題 ； 因應策略

並列摘要

The major purpose of this paper is to study adolescents' self-injurious behaviors. It especially focuses on examining the meaning and function of such behaviors to the self-injurers. Qualitative data were gathered via personal interviews with seven adolescents who had injured themselves before. Analysis of these data suggests poor parent-child relationships and the high expectation of parents are most related to adolescents' self-injurious behaviors. To these adolescents, self-injury is used as a means of directly expressing their needs, and releasing the tension they have experienced in their life. In other words, the behavior is functional to these adolescents Implications for future intervention are as follows: to distinguish suicide from self-injury, and to help adolescents learn to use alternative behaviors to communicate their feelings, to develop other coping and problem-solving strategies, and to reduce family tension.

並列關鍵字

adolescent ； self-injurious behaviors ； family problems ； coping strategies

參考文獻

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