Significant Experiences of Token Therapy from the Perspective of Psychotic Patients

從精神病患的觀點探討代幣治療的重要經驗

林梅鳳(Mei-Feng Lin) ； 邱照華(Jaw-Haw Chiou) ； 周美嫻(Mei-Hsien Chou) ； 許玫琪(Mei-Chi Hsu)

《The Journal of Nursing Research》 14卷4期 (2006/12) Pp. 315-323

摘要

本研究目的在探討某日間病房之精神病患認為代幣治療中的重要經驗。採質性深度訪談法以收集病患個人的觀點和知覺，共計13位精神病患在參與六個月的代幣治療介入後願意加入本研究，進行約40分鐘的半結構性之個別訪談，以現場錄音並謄寫為文字稿，依內容分析法分析資料。歸納病患覺得在接受代幣治療中重要的經驗，包括三類向度：(1)認同代幣治療的價值、(2)欣賞自我在過程的努力、及(3)增強來自個人改變與家庭支持。本研究肯定代幣治療在精神科復健病房之應用性，透過適切的正負向增強符號、及時公告成績的策略，以創造具有激勵功能的治療性環境，並建議能有效的將行為治療法運用在心理復健機構中。

關鍵字

代幣治療 ； 重要經驗 ； 病患觀點 ； 慢性精神疾病

並列摘要

The purpose of this study was to explore the perceived the significant experiences of psychiatric patients related to token therapy. A qualitative in-depth interview was applied to collect individual opinions and perceptions. The 13 patients included in this study, all of whom had been diagnosed with mental disorders, received a six-month program of token therapy. Semi-structured interviews of approximately 40 minutes each were held with each participant and transcribed for further analysis in accordance with the principals of content analysis. The three significant domains of experience of participants receiving token therapy included: (1) acknowledgement of token therapy significance, (2) appreciation of each step in terms of personal achievement, and (3) reinforcement from personal changes and family support. Findings support the application of token therapy in psychiatric rehabilitation settings using the strategy of applying appropriate positive or negative logos to communicate reinforcement in an immediate manner that is further enhanced by the public tracking of accumulated patient scores on an evaluation board. In this manner, the therapeutic environment is imbued with a critical empowerment function. The effective application in the future of token therapy in mental health rehabilitation programs is recommended.

並列關鍵字

token therapy ； significant experiences ； patient's perspective ； chronic psychoses

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