「身心失能者」道德生涯探究：心理經驗、受苦轉化及康復狀態跨歷程比較觀點(3/3)

2014-08-012024-05-18https://scholars.lib.ntu.edu.tw/handle/123456789/706764摘要：身體失能與心理失能，對當事人造成創傷體驗，也使其進入殘留社會。然而，何謂「失能」經驗，雖然可以透過定義說明，但從存有處境來看，需進一步思考身心經驗的意義。本計畫採取「三年一期」的時程規劃構思，將追蹤探討台灣社會處境下「精神疾病」患者和「身體失能」復健者心理轉化經驗，進而提出心理失能與生理 失能的復原成長歷程模式。第一年主要探討精神疾病患者的心理經驗，第二年 主要探究身體失能復健者的心理經驗，第三年則由陪伴家屬（主要照顧者）的經驗交互補充，進而比較不同失能類型的生活適應歷程。如此建立身心互動的相互瞭解歷程，終而建構脈絡契入的心理重建理論模式與臨床實踐方案。以下進一步說明。第一年計畫，探討精神病患的心理經驗與道德生涯，研究田野在台灣東部某家醫療院所精神科，與西岸線的精神醫療機構不同，更可以透視其道德生涯轉化歷程，具備個案研究的特定處境意義。第二年計畫，深究身體失能者的心理經驗與復健歷程，為了建立比較基礎，同樣以台灣東部某家醫療院所復健科為田野。本年度計畫目的挖掘復健歷 程的有益健康成長因子，進而建構出更具當地特性的心理介入模式。第三年計畫，則跨越兩個研究現場科別、跨越不同失能類型、並跨越不同 狀態的主要照顧者，同時持續多次追蹤、訪談前兩年建立的指標個案參與者，進而建構跨越身心障礙的心理成長機制與心理照顧模式。因此，本計畫「三年一期」以貫時性座標比較、分析建立的敘說資料與田野觀察，以建構動態性的、結構性的、關係性的及發展性的多重觀點之「身心失能者」心理復健經驗與照顧者心理成長歷程。 <br> Abstract: Both mental and physical disability sufferers face the traumatic situation and remain in remission society. However, what defines ‘disability’ may generate operational definition, but from the existential horizon, we need to rethink the psychological-physiological meanings for the sufferers further. This research proposal designed in the three- year term will be undertaken in a certain hospital of the eastern Taiwan through the qualitative research paradigm. The main goal of the first year is to explore the schizophrenic patients’ psychological experiences. We try to transform their moral careers and next-to relationship between patients and their significant others. It will illustrate the thick and rich meaning for conducting depth interview. The second year is to discover the rehabilitate patients’ psychological recovery. For comparison with the outcome of the first year study, the research site is the same with the first one. The global aim is to construct the clinical psychological helping programs fitting the needs for the sufferers in different types of the disability. The purpose of the third year is compared the both types of disability of caring relationship and adaptation process for the patients and care-givers. In the third year besides continuing to follow the index cases interviewed in the previous two years, we will propose the model and theory about the caring processes of the suffering patients and their care-givers through the programs accomplished. Some scholars argued that people who have to cope with traumatic events might find meaning by considering positive implications or benefits of the event. But, is it necessary? It is important to take a further research to answer. Set up the mutual understanding process between the mind and body suffering experiences for the patients, we can construct the theoretical model and clinical practice of the psychological recovery in congruence with the life context. To summarize, the outcomes of the longitudinal study would be driven and analyzed from the clinical phenomenon and action research. After the longitudinal study, we hope we can make the contribution to the clinical health psychology from the local context compared to the western model about the biopsychosocial health model. From the long-term built data as the foundation, we will plan the development of the indigenous clinical psychology will be realized after the compressive research.精神病患身體失能創傷受苦轉化psychiatric patientphysical disabilitytraumasufferingtransforming「身心失能者」道德生涯探究：心理經驗、受苦轉化及康復狀態跨歷程比較觀點(3/3)