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題名 社會工作者與心智障礙者雙向復元過程之初探
A study on the mutual recovery process between social worker and persons with intellectual disability作者 羅培倫
Luo, Pei-Lun貢獻者 宋麗玉
羅培倫
Luo, Pei-Lun關鍵詞 優勢觀點
心智障礙者
復元
雙向復元
Strengths Perspective
Persons with Intellectual disability
Recovery
Mutual Recovery日期 2024 上傳時間 1-七月-2024 13:22:16 (UTC+8) 摘要 本研究目的係瞭解在以優勢觀點為基礎之社會工作實施場域中,優勢社工與心智障礙者共同踏上雙向復元歷程之因素與意涵,以及以優勢觀點為服務理念的機構政策與文化對雙向復元之影響,進一步形成心智障礙領域中雙向復元之建議與策略。 本研究針對六位心智障礙領域中的優勢社工,以及接受優勢觀點服務的五位心智障礙者進行深度訪談,重現個人的生活及復元經驗,以及探討促進彼此雙向復元的成因與意涵。 本研究主要發現如下: 一、心智障礙者的復元意涵 (一)復元過程 1.障礙處理/負責任的態度:心智障礙者能與自身障礙共存,並主動照顧自身生理狀況。 2.重獲自主性:透過優勢觀點,心智障礙者逐漸掌握自我決定的能力。 (二)復元結果 1.社會功能/角色表現:心智障礙者能力提升,逐漸回饋社會和家庭,提升社會功能及家庭角色表現。 2.整體安康/生活滿意度:透過實踐自身主體性,心智障礙者生活滿意度提升。 3.助人意願及表現:心智障礙者願意分享自身能力,建立正向友誼關係。 4.自我效能提升:心智障礙者在生活中發掘並發展個人能力,提升自我效能。 二、心智障礙者的復元軌跡 心智障礙者在優勢社工的支持下,勇敢表達自身想法,逐步建立自我能力,克服社會風險和服務困境,踏上復元旅程。 三、社工的復元經驗 (一)工作方面的復元: 1.具體實踐優勢觀點:內化優勢理念,持續發掘心智障礙者的優勢,體會生命意義。 2.負責任的行動:對工作、服務對象和個人生活意義負責。 3.轉念並提升挫折容忍度:面對挑戰,轉念提升挫折容忍度,保持生活目標感。 (二)自我內在價值的復元 社工通過優勢觀點找到助人工作的意義,重拾工作的價值和人生意義,並療癒自身創傷,燃起助人工作的熱情。 四、 雙向復元之意涵與影響因素 (一)互相理解和支持:建立互相理解和支持的關係,促進共同復元和成長。 (二)類友誼的服務模式:使心智障礙者和社工之間關係更親密和平等,有助於彼此成長和復元。 (三)從服務中發掘自身想望:協助心智障礙者完成自身想望,增強自信心和幸福感,並讓社工感受到工作的正向影響。
The purpose of this study is to understand the factors and implications of mutual recovery between strength-based social workers and persons with intellectual disability within the context of social work based on the strengths perspective. It also examines the influence of institutional policies and cultures that adopt the strengths perspective on mutual recovery, aiming to formulate recommendations and strategies for mutual recovery in the field of mental disabilities. In this study, in-depth interviews were conducted with six strength-based social workers and five persons with intellectual disability who received strength-based services. These interviews aimed to recreate personal life and recovery experiences and explore the causes and implications of mutual recovery. The main findings of this study are as follows: 1.The Implications of Recovery for persons with intellectual disability Recovery Process: ●Management of disability/ Take responsibility: persons with intellectual disability can coexist with their disabilities and proactively take care of their physical conditions. ●Regaining Autonomy: Through the strengths perspective, persons with intellectual disability gradually gain the ability to make their own decisions. Recovery Outcomes ●Better social functioning/ social roles: The abilities of persons with intellectual disability improve, allowing them to give back to society and their families, enhancing social function and family role performance. ●Overall Well-being/Life Satisfaction: By practicing their subjectivity, persons with intellectual disability experience increased life satisfaction. ●Willingness and Performance in Helping Others: persons with intellectual disability are willing to share their abilities and establish positive friendships. ●Enhanced Self-Efficacy: persons with intellectual disability discover and develop personal abilities, enhancing self-efficacy. 2.Recovery Trajectories of persons with intellectual disability: With the support of strength-based social workers, persons with intellectual disability courageously express their thoughts, gradually build self-capabilities, overcome social risks and service challenges, and embark on their recovery journey. 3.Social Workers' Recovery Experiences Recovery in Work ●Practical Application of the Strengths Perspective: Internalizing the strengths perspective, continuously discovering the strengths of persons with intellectual disability, and experiencing the meaning of life. ●Responsible Actions: Taking responsibility for work, service recipients, and the meaning of personal life. ●Reframing and Enhancing Frustration Tolerance: Facing challenges, reframing thoughts to enhance frustration tolerance, and maintaining a sense of life goals. ●Recovery of Inner Values :Social workers find the meaning of helping others through the strengths perspective, regain the value of work and life, heal their own traumas, and rekindle their passion for helping others. 4.Implications and Influencing Factors of Mutual Recovery ●Mutual Understanding and Support: Establishing relationships of mutual understanding and support, promoting mutual recovery and growth. ●Service Model Resembling Friendship: Fostering closer and more equal relationships between persons with intellectual disability and social workers, benefiting mutual growth and recovery. ●Discovering Personal Aspirations through Service: Helping persons with intellectual disability fulfill their personal aspirations, enhancing self-confidence and happiness, and allowing social workers to feel the positive impact of their work.參考文獻 中文文獻 王文科、王智弘(2010)。質的研究的信度和效度。彰化師大教育學報,17, 29-50。 王國羽(2012)。障礙模式概念與理論發展。載於王國羽、林昭吟、張恆豪(編著),障礙研究:理論與政策應用(43-70頁)。臺北市:巨流圖書。 史易文(2021)。運用優勢觀點為基礎之團體工作於智能障礙者的增強權能成效探討。國立政治大學社會工作研究所碩士論文。 佛光山資訊中心(1994)。自序《人間好時節》序。取自: http://www.masterhsingyun.org/article/article.jsp?index=40&item=209&bookid=2c907d4948f4413501492afe8594000d&ch=1&se=40&f=1 吳宗祐、鄭伯壎 (2003)。組織情緒研究之回顧與前瞻,應用心理研究,19, 137-173。 宋麗玉(2005)。精神障礙者之復健與復元-一個積極正向的觀點。中華心理衛生學刊,18(4),1-29。 宋麗玉(2009)。優勢觀點社會工作概論。載於宋麗玉、施教裕(著),優勢觀點:社會工作理論與實務(41-68頁)。臺北市: 洪葉文化。 宋麗玉、施教裕(2009)。優勢觀點—社會工作理論與實務。臺北:洪葉文化。 宋麗玉、施教裕(2010)。復元與優勢觀點之理論內涵與實踐成效:臺灣經驗之呈現。社會科學論叢,4(2),2-34。 宋麗玉、施教裕、徐淑婷(2015)。優勢觀點與精神障礙之復元:駱駝進帳與螺旋上升。台北:洪葉文化股份有限公司 宋麗玉、徐淑婷(2018)。優勢取向之家庭處遇-精神障礙者與家庭照顧者之雙向復元。臺北市:洪葉文化。 李靜(2012)。從生活救助到就業支持-優勢視角下殘疾人福利的實踐路徑。南京大學學報,6,67-72。 卓彩琴、馮智珺(2019)。優勢視角下促進自閉症人士社會交往的社會工作干預。社會工作與管理,19,11-18。 林少龍、邵詩茹(2009)。角色認同與去人性化之關係:情緒勞動之中介角色。商管科技季刊,10(3),553-573。 林萬億 (2014)。當代社會工作─ 理論與方法。臺北:五南。 胡幼慧(1996)。質性研究:理論、方法及本土女性研究實例。台北市:巨流。 胡孟菁(2013)。優勢觀點為基礎之社會工作者與情感性精神疾病個案雙向復元歷程之探討—穿越生命隧道之旅。國立政治大學社會工作學研究所碩士論文。 高淑清(2008)。質性研究的18堂課:首航初探之旅。臺北:麗文。 張恆豪、蘇峰山(2012)。西方社會障礙歷史與文化。載於王國羽、林昭吟、張恆豪(編著),障礙研究:理論與政策應用(12-41 頁)。臺北市:巨流圖書。 第一行為工作室(2021)。身心障礙者嚴重情緒行為正向支持服務指引。109年度「身心障礙者嚴重情緒行為正向支持整合模式巡迴輔導及工作坊」。 莊貴枝 & 邱鈺庭(2010)。淺談特教教師工作壓力與倦怠之省思,教師之友,51(2),104-111。 陸洛、李惠美、謝天渝(2005)。牙醫師職業壓力與身心健康及職業倦怠之關係: 以高雄市牙醫師為例。應用心理研究,27,59-80。 曾仁杰(2014)。邁向復元之路—優勢觀點社會工作處遇關係之內涵與歷程研究。國立暨南國際大學社會工作研究所博士論文。 曾月娥、李婉萍(2018)。優勢之路。載於社團法人台灣復原優勢觀點社會工作學會、宋麗玉(編著),優勢觀點與社會工作實務-邁向復原之路(263-284 頁)。臺北市:洪葉文化。 黃佳惠(2018)。發展優點評量之操作方法:以心智障礙者為例。國立政治大學社會工作研究所碩士論文。 劉孟慈(2018)。特教教師職務輪調及職業倦怠之研究—以桃園市國小特教教師為例。國立臺灣師範大學特殊教育學系特殊教育碩士在職專班論文。 潘淑滿(2003)。質性研究:理論與應用。臺北:心理。 蔡甫昌,許毓仁。(2013)。易受傷害族群研究之倫理議題。台灣醫學,17(6),662–675。 賴俐均(2015)。婚暴社工運用優勢觀點的復元經驗及促進復元之因素。國立政治大學社會工作學研究所碩士論文。 簡春安、鄒平儀(2016)。社會工作研究法(2016修訂版)。臺北:巨流。 藍佩嘉(2015)。質性個案研究: 紮根理論與延伸個案法。載於瞿海源、畢恆達、劉長萱、楊國樞(編著),社會及行為科學研究方法:質性研究法。臺北:東華。 豐子愷(2016)。無驚不寵過一生。浙江:浙江文藝出版社。 英文文獻: Ali, A., King, M., Strydom, A., & Hassiotis, A. 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國立政治大學
社會工作研究所
109264002資料來源 http://thesis.lib.nccu.edu.tw/record/#G0109264002 資料類型 thesis dc.contributor.advisor 宋麗玉 zh_TW dc.contributor.author (作者) 羅培倫 zh_TW dc.contributor.author (作者) Luo, Pei-Lun en_US dc.creator (作者) 羅培倫 zh_TW dc.creator (作者) Luo, Pei-Lun en_US dc.date (日期) 2024 en_US dc.date.accessioned 1-七月-2024 13:22:16 (UTC+8) - dc.date.available 1-七月-2024 13:22:16 (UTC+8) - dc.date.issued (上傳時間) 1-七月-2024 13:22:16 (UTC+8) - dc.identifier (其他 識別碼) G0109264002 en_US dc.identifier.uri (URI) https://nccur.lib.nccu.edu.tw/handle/140.119/152122 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 社會工作研究所 zh_TW dc.description (描述) 109264002 zh_TW dc.description.abstract (摘要) 本研究目的係瞭解在以優勢觀點為基礎之社會工作實施場域中,優勢社工與心智障礙者共同踏上雙向復元歷程之因素與意涵,以及以優勢觀點為服務理念的機構政策與文化對雙向復元之影響,進一步形成心智障礙領域中雙向復元之建議與策略。 本研究針對六位心智障礙領域中的優勢社工,以及接受優勢觀點服務的五位心智障礙者進行深度訪談,重現個人的生活及復元經驗,以及探討促進彼此雙向復元的成因與意涵。 本研究主要發現如下: 一、心智障礙者的復元意涵 (一)復元過程 1.障礙處理/負責任的態度:心智障礙者能與自身障礙共存,並主動照顧自身生理狀況。 2.重獲自主性:透過優勢觀點,心智障礙者逐漸掌握自我決定的能力。 (二)復元結果 1.社會功能/角色表現:心智障礙者能力提升,逐漸回饋社會和家庭,提升社會功能及家庭角色表現。 2.整體安康/生活滿意度:透過實踐自身主體性,心智障礙者生活滿意度提升。 3.助人意願及表現:心智障礙者願意分享自身能力,建立正向友誼關係。 4.自我效能提升:心智障礙者在生活中發掘並發展個人能力,提升自我效能。 二、心智障礙者的復元軌跡 心智障礙者在優勢社工的支持下,勇敢表達自身想法,逐步建立自我能力,克服社會風險和服務困境,踏上復元旅程。 三、社工的復元經驗 (一)工作方面的復元: 1.具體實踐優勢觀點:內化優勢理念,持續發掘心智障礙者的優勢,體會生命意義。 2.負責任的行動:對工作、服務對象和個人生活意義負責。 3.轉念並提升挫折容忍度:面對挑戰,轉念提升挫折容忍度,保持生活目標感。 (二)自我內在價值的復元 社工通過優勢觀點找到助人工作的意義,重拾工作的價值和人生意義,並療癒自身創傷,燃起助人工作的熱情。 四、 雙向復元之意涵與影響因素 (一)互相理解和支持:建立互相理解和支持的關係,促進共同復元和成長。 (二)類友誼的服務模式:使心智障礙者和社工之間關係更親密和平等,有助於彼此成長和復元。 (三)從服務中發掘自身想望:協助心智障礙者完成自身想望,增強自信心和幸福感,並讓社工感受到工作的正向影響。 zh_TW dc.description.abstract (摘要) The purpose of this study is to understand the factors and implications of mutual recovery between strength-based social workers and persons with intellectual disability within the context of social work based on the strengths perspective. It also examines the influence of institutional policies and cultures that adopt the strengths perspective on mutual recovery, aiming to formulate recommendations and strategies for mutual recovery in the field of mental disabilities. In this study, in-depth interviews were conducted with six strength-based social workers and five persons with intellectual disability who received strength-based services. These interviews aimed to recreate personal life and recovery experiences and explore the causes and implications of mutual recovery. The main findings of this study are as follows: 1.The Implications of Recovery for persons with intellectual disability Recovery Process: ●Management of disability/ Take responsibility: persons with intellectual disability can coexist with their disabilities and proactively take care of their physical conditions. ●Regaining Autonomy: Through the strengths perspective, persons with intellectual disability gradually gain the ability to make their own decisions. Recovery Outcomes ●Better social functioning/ social roles: The abilities of persons with intellectual disability improve, allowing them to give back to society and their families, enhancing social function and family role performance. ●Overall Well-being/Life Satisfaction: By practicing their subjectivity, persons with intellectual disability experience increased life satisfaction. ●Willingness and Performance in Helping Others: persons with intellectual disability are willing to share their abilities and establish positive friendships. ●Enhanced Self-Efficacy: persons with intellectual disability discover and develop personal abilities, enhancing self-efficacy. 2.Recovery Trajectories of persons with intellectual disability: With the support of strength-based social workers, persons with intellectual disability courageously express their thoughts, gradually build self-capabilities, overcome social risks and service challenges, and embark on their recovery journey. 3.Social Workers' Recovery Experiences Recovery in Work ●Practical Application of the Strengths Perspective: Internalizing the strengths perspective, continuously discovering the strengths of persons with intellectual disability, and experiencing the meaning of life. ●Responsible Actions: Taking responsibility for work, service recipients, and the meaning of personal life. ●Reframing and Enhancing Frustration Tolerance: Facing challenges, reframing thoughts to enhance frustration tolerance, and maintaining a sense of life goals. ●Recovery of Inner Values :Social workers find the meaning of helping others through the strengths perspective, regain the value of work and life, heal their own traumas, and rekindle their passion for helping others. 4.Implications and Influencing Factors of Mutual Recovery ●Mutual Understanding and Support: Establishing relationships of mutual understanding and support, promoting mutual recovery and growth. ●Service Model Resembling Friendship: Fostering closer and more equal relationships between persons with intellectual disability and social workers, benefiting mutual growth and recovery. ●Discovering Personal Aspirations through Service: Helping persons with intellectual disability fulfill their personal aspirations, enhancing self-confidence and happiness, and allowing social workers to feel the positive impact of their work. en_US dc.description.tableofcontents 第一章 緒論1 第一節 研究背景1 第二節 研究動機5 第二章 文獻探討9 第一節 心智障礙者之服務現況與議題9 第二節 優勢觀點在心智障礙領域之運用17 第三節 復元對於心智障礙者的意義27 第四節 雙向復元的意義36 第三章 研究方法43 第一節 質性研究取向43 第二節 研究參與者45 第三節 資料蒐集方法48 第四節 資料分析方法及研究嚴謹度49 第五節 研究倫理53 第四章 研究結果56 第一節 社工在心智障礙領域中的實務現況57 第二節 心智障礙者的生命經驗85 第三節 雙向復元的經驗95 第四節 組織政策與文化對復元的影響128 第五章 結論與建議143 第一節 研究結論143 第二節 研究限制與建議162 後記168 參考文獻170 zh_TW dc.format.extent 4806875 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0109264002 en_US dc.subject (關鍵詞) 優勢觀點 zh_TW dc.subject (關鍵詞) 心智障礙者 zh_TW dc.subject (關鍵詞) 復元 zh_TW dc.subject (關鍵詞) 雙向復元 zh_TW dc.subject (關鍵詞) Strengths Perspective en_US dc.subject (關鍵詞) Persons with Intellectual disability en_US dc.subject (關鍵詞) Recovery en_US dc.subject (關鍵詞) Mutual Recovery en_US dc.title (題名) 社會工作者與心智障礙者雙向復元過程之初探 zh_TW dc.title (題名) A study on the mutual recovery process between social worker and persons with intellectual disability en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 中文文獻 王文科、王智弘(2010)。質的研究的信度和效度。彰化師大教育學報,17, 29-50。 王國羽(2012)。障礙模式概念與理論發展。載於王國羽、林昭吟、張恆豪(編著),障礙研究:理論與政策應用(43-70頁)。臺北市:巨流圖書。 史易文(2021)。運用優勢觀點為基礎之團體工作於智能障礙者的增強權能成效探討。國立政治大學社會工作研究所碩士論文。 佛光山資訊中心(1994)。自序《人間好時節》序。取自: http://www.masterhsingyun.org/article/article.jsp?index=40&item=209&bookid=2c907d4948f4413501492afe8594000d&ch=1&se=40&f=1 吳宗祐、鄭伯壎 (2003)。組織情緒研究之回顧與前瞻,應用心理研究,19, 137-173。 宋麗玉(2005)。精神障礙者之復健與復元-一個積極正向的觀點。中華心理衛生學刊,18(4),1-29。 宋麗玉(2009)。優勢觀點社會工作概論。載於宋麗玉、施教裕(著),優勢觀點:社會工作理論與實務(41-68頁)。臺北市: 洪葉文化。 宋麗玉、施教裕(2009)。優勢觀點—社會工作理論與實務。臺北:洪葉文化。 宋麗玉、施教裕(2010)。復元與優勢觀點之理論內涵與實踐成效:臺灣經驗之呈現。社會科學論叢,4(2),2-34。 宋麗玉、施教裕、徐淑婷(2015)。優勢觀點與精神障礙之復元:駱駝進帳與螺旋上升。台北:洪葉文化股份有限公司 宋麗玉、徐淑婷(2018)。優勢取向之家庭處遇-精神障礙者與家庭照顧者之雙向復元。臺北市:洪葉文化。 李靜(2012)。從生活救助到就業支持-優勢視角下殘疾人福利的實踐路徑。南京大學學報,6,67-72。 卓彩琴、馮智珺(2019)。優勢視角下促進自閉症人士社會交往的社會工作干預。社會工作與管理,19,11-18。 林少龍、邵詩茹(2009)。角色認同與去人性化之關係:情緒勞動之中介角色。商管科技季刊,10(3),553-573。 林萬億 (2014)。當代社會工作─ 理論與方法。臺北:五南。 胡幼慧(1996)。質性研究:理論、方法及本土女性研究實例。台北市:巨流。 胡孟菁(2013)。優勢觀點為基礎之社會工作者與情感性精神疾病個案雙向復元歷程之探討—穿越生命隧道之旅。國立政治大學社會工作學研究所碩士論文。 高淑清(2008)。質性研究的18堂課:首航初探之旅。臺北:麗文。 張恆豪、蘇峰山(2012)。西方社會障礙歷史與文化。載於王國羽、林昭吟、張恆豪(編著),障礙研究:理論與政策應用(12-41 頁)。臺北市:巨流圖書。 第一行為工作室(2021)。身心障礙者嚴重情緒行為正向支持服務指引。109年度「身心障礙者嚴重情緒行為正向支持整合模式巡迴輔導及工作坊」。 莊貴枝 & 邱鈺庭(2010)。淺談特教教師工作壓力與倦怠之省思,教師之友,51(2),104-111。 陸洛、李惠美、謝天渝(2005)。牙醫師職業壓力與身心健康及職業倦怠之關係: 以高雄市牙醫師為例。應用心理研究,27,59-80。 曾仁杰(2014)。邁向復元之路—優勢觀點社會工作處遇關係之內涵與歷程研究。國立暨南國際大學社會工作研究所博士論文。 曾月娥、李婉萍(2018)。優勢之路。載於社團法人台灣復原優勢觀點社會工作學會、宋麗玉(編著),優勢觀點與社會工作實務-邁向復原之路(263-284 頁)。臺北市:洪葉文化。 黃佳惠(2018)。發展優點評量之操作方法:以心智障礙者為例。國立政治大學社會工作研究所碩士論文。 劉孟慈(2018)。特教教師職務輪調及職業倦怠之研究—以桃園市國小特教教師為例。國立臺灣師範大學特殊教育學系特殊教育碩士在職專班論文。 潘淑滿(2003)。質性研究:理論與應用。臺北:心理。 蔡甫昌,許毓仁。(2013)。易受傷害族群研究之倫理議題。台灣醫學,17(6),662–675。 賴俐均(2015)。婚暴社工運用優勢觀點的復元經驗及促進復元之因素。國立政治大學社會工作學研究所碩士論文。 簡春安、鄒平儀(2016)。社會工作研究法(2016修訂版)。臺北:巨流。 藍佩嘉(2015)。質性個案研究: 紮根理論與延伸個案法。載於瞿海源、畢恆達、劉長萱、楊國樞(編著),社會及行為科學研究方法:質性研究法。臺北:東華。 豐子愷(2016)。無驚不寵過一生。浙江:浙江文藝出版社。 英文文獻: Ali, A., King, M., Strydom, A., & Hassiotis, A. 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