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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

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 / A Study on Mutual Recovery Process of Strengths-based Social Workers and Clients with Mood Disorder

胡孟菁, Hu, Meng Jing Unknown Date (has links)
本研究旨在探討以優勢觀點為基礎之社會工作實施場域中,社會工作者與情感性精神疾病個案助人關係歷程、雙向復元因素與意涵,與不同組織政策與文化對雙向復元之影響,進一步形成實務場域中助人關係與雙向復元之建議與策略。   本研究運用質性研究深度訪談法與詮釋現象學觀點,採立意與滾雪球抽樣,使用半結構式訪談大綱與研究者於田野之互動與觀察,再現八名受訪者(五名優勢觀點社工、三位情感性精神疾病個案)之生活經驗,回歸現象本質綜觀與探討。   本研究主要發現如下: 一、情感性精神疾病的重新詮釋:社會工作者正視個案憂鬱或躁狂發作而產生生理、心理與社會的排除,將疾病常態化、普同化,並經由多面向的宏觀檢視以打破原本負面框架與預設立場,包含:1.給予自殺的生命解套—給予選擇與自我決定;2.賦予反覆訴說的意義—重新詮釋生命的機會。 二、歷經「隧道」、不斷攀升—助人關係發展之歷程:歸納優勢觀點社會工作者與情感性精神疾病個案發展助人關係之歷程,可分為想像期、建立期、考驗期、合作期與復元期五大階段,形塑「穿越生命隧道之旅」般的助人關係意象,並發現差序格局文化下的助人關係連續體之特色。 三、雙向復元的實質意涵:由個案「置身死地而後生」與社會工作者「從助人意義中回觀自我」的復元經驗中,歸納「雙向復元」之實質意義與內涵,是一種助人關係與個人內、外在情境三者交互作用而成的超越狀態與主體終極目標,影響成因包含個人、人際與環境三大層面和七個項目。 四、組織政策與文化對雙向復元之影響:不同組織政策與文化之對雙向復元具有實質之影響,分析受訪社會工作者所屬的機構內部可發現「考驗」與「支持」的態樣,後者不但創造充分的人際支持與成長環境,更能促進社會工作者的復元、提升個案服務品質與績效、穩定社工流動率。 依據上述研究發現,提出以下建議: 一、情感性精神疾病個案之助人關係策略:1.增強個體權能:擱置並轉化問題、充分尊重與信任、著力優勢與能力、累積成功經驗、創造選擇性。2.善用關係影響:借重家庭的影響力、保持助人關係中的接觸與等待、建立分享與互惠的彈性關係、善用權力落差形成改變。3.導入環境資源:地緣與文化的親近性、開放的會談地點與時間、連結資源與網絡合作。 二、正視雙向復元之目標:回歸自身被忽略的正向經驗,賦予生命及工作狀態之意義,個案或社會工作者復元的同時也使對方進一步昇華和復元,像漣漪效應般能擴及旁人,間接影響家庭與社會系統,啟動整體社會文化的善循環。 三、機構推動優勢觀點模式之建議:瞭解如何有效學習並運用優勢觀點模式、適度激勵並給予充分支持、提供合理的保障與實質誘因。 四、未來研究之建議:瞭解情感性精神疾病之特性並有所應變、具備接近田野之管道並增加研究對象的多元性、學習與受訪對象共創新的復元價值。 / The study aimed to explore the process, elements and meanings of mutual recovery for social workers and the clients with mood disorder, the organizational influences on the mutual recovery, and to propose strategies for mutual recovery for social workers. The methodology adopted in this study was hermeneutic phenomenology. Using purposive/ snowball sampling, the researcher interacted, observed, and in-depth interviewed the participants using a semi-structured interview guide. Though this process, the living experiences of the eight interviewees (five strengths-based social workers and three clients with mood disorder) were represented to reveal the nature of the phenomenon of mutual recovery. The major discoveries of this study include: 1.Re-definition of mood disorder: social workers could recognize the consequence of clients being seriously excluded from the society due to their depressive or manic episode; they helped the clients to normalize their disease, as well as to break their own negative assumptions toward the disorder. The tactics that they used were such as like:a) Providing relief to suicide–personal choice and self-determination, b) giving meaning to repetitive narratives– opportunity to redefine life. 2.“Tunnel” process, continuing to rise, the process of helping relationship: the process of strength-based social workers in developing relationship with clients with mood disorder could be categorized into five stages: imagination stage, development stage, challenge stage, cooperation stage, and recovery stage. Hence, the nature of helping relationship was like “going through the life tunnel” . The characteristics of such a relationship reflected the differential association continuum among Chinese culture. 3.Essential meaning of mutual recovery: For the clients, the recovery experiences were as if being brought back to life. For the social workers, they rediscovered of themselves in the meaning of assisting others. The real meaning and essence of mutual recovery could be summed up as the interaction of within a person, internal and external environment, and in turn further shaping the transcendental force to help acquire the life goal. Moreover, those goal were affected by personal, relational and environmental factors. 4.Organizational influences on mutual recovery: by analyzing the effects of organizational policies and cultures on mutual recovery, we found that “supportive surrounding” creates an environment which was better for the development of interpersonal relationship than an “challenging surrounding”. The former could help facilitate the recovery and performance of social workers, as well as decrease the turnover rate of social workers. Based on these findings, we propose: 1.Strategy for forming the helping relationship with clients with mood disorder: 1) empowering individual: letting go and transform problems into respect, trust, and focusing on advantages, capabilities, and successful experiences to create options. 2) Better utilizing the effects of interpersonal relationship: by using the influences from family, maintaining the contacts in interpersonal relationship, building mutual and flexible relationship, and using the power differentiation to facilitate changes. 3) Introducing resources from surrounding: an open location and timing that connect the clients/social workers with their surrounding and culture, and enabling the linkage of resources and networks. 2.Emphasizing mutual recovery: stressing the positive experiences that were over sighted previously and finding meaning to life and work status. The recovery of the clients and social workers will further influence their families and the whole social system, and create a benign cycle accordingly. 3.Suggestions for organizations in promoting the strength-based model: to learn the effective ways of learning and applying strengths-based models, giving adequate encouragement and support, and providing reasonable assurance and incentives. 4.Recommendations for future research: should understand the characteristics of mood disorder and know how to handle the situations, to expand the sources of participants, and to have the intention of creating the new meaning of recovery with participants.
2

優勢觀點為基礎之探索教育團體對感化教育少年增強權能的成效 / The effects of strength-based project adventure education group on empowerment for juvenile inmates

蔡杰伶 Unknown Date (has links)
本研究旨在探討「優勢觀點為基礎之探索教育團體」對感化教育少年「增強權能」的成效,並根據研究結果提出「優勢觀點為基礎之探索教育團體」作為犯罪問題行為少年處遇策略之適用性。   本研究採「不等質控制組」準實驗設計,以「誠正中學」中受感化教育的少年為對象。其中,實驗組成員23名,實驗期間接受九次的「優勢觀點為基礎之探索教育團體」;四組對照組成員共81名,接受一般輔導課程。 本研究使用量化工具-「增強權能量表」,分別進行前測、後測與追蹤測,並以「無母數檢定(Mann-Whitney U統計量檢定、Wilcoxon符號等級檢定)」作為統計方法,檢驗分析實驗處遇的立即效果與延續效果。本研究同時使用質化工具-「反思札記」,藉由個別成員活動反思紀錄的整理與分析結果,提出成員在團體中的「學習收穫」與「增強權能」的展現,以作為實驗效果之補充。 本研究的主要發現如下: 一、「優勢觀點為基礎之探索教育團體」對感化教育少年「增強權能」有正向顯著影響,且效果能延續加乘。 二、一般矯正教育措施對「增強權能」也可以帶來正向影響,但效果卻未能持續。 三、成員的「增強權能」會隨著「團體歷程」呈現「階段性」發展。 四、「優勢觀點為基礎之探索教育團體」適用於受感化教育少年,也可為少年犯罪問題行為矯治之有效策略。 根據研究發現,提出下列幾點建議: 一、對於青少年犯罪矯治實務 (一)建議可將「優勢觀點為基礎的探索教育團體」安排於新生入校階段實施。 (二)建議可將「增強權能」程度作為矯正學校成效評估指標之一。 (三)建議矯正學校內可以增設「低空繩索設施」。 (四)建議校內舉辦探索教育訓練,讓工作人員都具備探索活動帶領能力。 二、對於未來從事相關研究者 (一)先深入瞭解「矯正學校機關特性」以利預先克服執行面之可能干擾 (二)須格外注意保密相關的「研究倫理」 (三)團體人數掌握在8-12人,或是安排協同領導者 參、對於未來計畫運用「優勢觀點為基礎之探索教育團體」的實務工作者 (一)領導者在團體過程中與成員互動要積極落實「優勢觀點」實務要素。 (二)在方案執行中持續進行「過程評估」。 (三)在團體方案結束後「持續輔導」。 / This research is to investigate “The Effects of Strength-based Project Adventure Education Group” on “Empowerment” for juvenile inmates and according to the research results to bring up the application of “Strength-based Project Adventure Education Group” on treatment strategy of juvenile delinquents. The nonequivalent control group quasi-experimental design was utilized in this study. And the subjects of this research were Juvenile Inmates in Chengjheng High School. There were 23 members in experiment group and during experiment period, they accepted 9 times of “Strength-based Project Adventure Education Group”; at the same time, there were 4 control groups (total 81 members) who accepted usual student counseling courses to compare. The study employed “Empowerment Scale” to conduct pretest, posttest, and long-term measures. Then the data were analyzed by nonparametric (Mann-Whitney U Test and Wilcoxon Sign Rank Test) as statistics method to examine and analyze instant and long-term effects on experiment treatment. And the researcher also used qualitative tool “introspection notes” to collect and analyze the consequences from self-observation records on individual member’s activities and addressed the performances of members on “Learning Gains” and “Empowerment” in groups as supplementary of experiment effects. And the main findings of this research are as below: 1. “Strength-based Project Adventure Education Group” has positive and obvious influences on “Empowerment” of juvenile delinquents and the effects can be synergistic continuously. 2. Usual student counseling courses can create positive influences on “Empowerment” as well but the effects cannot be continuous. 3. The “Empowerment” of members can develop “Stage by Stage” along with “the Progress of Groups”. 4. “Strength-based Project Adventure Education Group” is suitable for juvenile delinquents and efficient strategy to correct their criminal problems and activities. Based on the findings of this research, the researcher has suggestions below. 1. For the practices on correction of juvenile delinquents: a. “Strength-based Project Adventure Education Group” can be implemented when new students just enter schools. b. The degree of “Empowerment” can be as one of criteria on outcomes evaluation of correction schools. c. Correction schools can add “the Facilities of Low Ropes Course”. d. Correction schools can hold Project Adventure education training to let all workers have leading abilities of adventure activities. 2. For future researchers who focus on related topics: a. Understand “Characteristics of Correction Schools and Institutions” deeply first in order to avoid any possible interference on the aspect of application in advance. b. Should pay particular attention to privacy-related "Research Ethics". c. Group members should be controlled 8-12 people or arrange collaborative leaders. 3. For practitioners who plan to adopt “Strength-based Project Adventure Education Group” in the future: 1. Leaders must implement practical essentials of “Strengths Perspective” in the progress of groups and between the interactions with members. 2. Keep proceeding with “Evaluation of Progress” when the project is carried out. 3. Maintain student counseling after the project is finished.
3

山中百合花:原住民生涯復元之敘事研究 / A narrative research for indigenous people who made a recovery from career traumas

吳健瑋, Wu, Chien Wei Unknown Date (has links)
本論文採以「復元」概念,試圖瞭解原住民在經歷到生涯發展中的阻礙與創傷後,如何進行調適與重新得力的經驗。研究設計採取敘事研究法對四位布農族原住民的生涯故事進行蒐集與分析,並有四點發現:首先,原住民的生涯發展可區分為「家庭生活」與「自我實現」兩條軸線,且均呈現螺旋攀升的形式發展;其次,原住民在生涯故事中的敘說風格採以「開拓家」、「悲劇英雄」、「幸運份子」與「被犧牲者」四種建構位置的交替,並在單一生涯主題上,會隨時間與情境而有位置的改變,或因為不同的生涯主題,而同時擁有複數的位置;第三,原住民生涯故事中的創傷主題具有族群的特殊性,共包括「貧窮」、「父係社會下的角色規範」、「學校與部落價值觀的脫節」、「原漢關係的衝突」、「酗酒問題」、「家庭暴力」,以及「其他生涯議題」等七項;最後,促進原住民從生涯創傷中復元的因子,則可歸納出「個人優勢」、「人際關係」、「環境資源」與「文化與靈性」四類,而類別當中的個別復元促進因子會隨情境而被激發或發揮不同功能,且單一因子即可能觸發不同類別間因子的連鎖反應。作者根據研究結果,對原住民族助人工作提出實務上和政策上的建議。 / This research takes “Recovery” concept to describe and understand experiences of Taiwanese indigenous people who made a recovery from career barriers and traumas. Research design takes narrative research to collect and analyze four indigenous Bunun persons’ career development stories. And main findings are as follows. First, axes of indigenous persons’ career development stories could be generalized to “Family life” and “self-fulfillment” two topics, and both development forms tend to spiral upward. Second, interviewees take four narrative positions to construct self in their stories, including “Pioneer”, “Tragedy hero”, “Lucky guy” and “Scapegoat”, but these positions are often shifted because of the time or situations changes, and one person could have plural positions on different topics at the same time. Third, career traumas in stories include “Poverty”, “Role norms under the patriarchal society ”, “Values disconnection between the schools and the tribes”, “Relationship conflict between the Hans and indigenous peoples”, “Alcoholism”, “Domestic violence” and “Other issues”, the specific effects from ethic group background are appeared on all of these trauma issues. Fourth, the conducive factors to recovery from career traumas are widely distributed over “Personal strengths”, “Interpersonal relationships”, “Environmental resources” and “Culture and Spirituality” areas, each factor could be aroused or created by situations, and every single factor can leads others to make chain reaction. Base on above findings, author gives advice on policy making and practice work for indigenous people’ career development.
4

單親家庭親子優勢團體-親子互動與生活適應之研究 / The effectiveness of a strengths-based group work for single mother and their child on mother-child interactions and life adaption

徐于婷, Hsu, Yu Ting Unknown Date (has links)
本研究探討優勢觀點在單親親子團體方案中之操作情形及實際成效,長達七週的團體方案,以親子互動關係作為整體方案的焦點及主軸,並以冒險體驗及優勢觀點團體穿插的方式進行活動方案的整體設計及帶領。 資料收集方式為質量並行,在團體前、團體結束及團體結束後一個月,進行三次量化問卷施測;在團體方案開始及結束時,分別訪談參與團體之母親成員及團體領導者,以深入探討團體方案對參與家庭產生的影響及改變。 研究參與者共有四個家庭,研究結果簡要說明如下: 一、在量化資料方面: 1.親子互動關係:半數子女成員在親子互動關係方面,在「關愛」、「敬重」及「卑順」層面有正向的改變;而母親成員三次施測變動幅度不大,親子關係的六大面向中,「敬重」及「卑順」層面有正向的改變。 2.生活適應及身心健康:子女成員在生活適應方面,半數的子女成員在參與團體後有較佳的適應狀況,一位成員並無改變,一位成員適應狀況下滑;而四位母親成員之身心健康狀況並未因為團體方案的介入而有明顯的改善。 二、質性資料方面: 1.生活適應方面:離婚初期的婦女在經濟、就業、住所、子女教養等面向,遭遇無充足資源,並面臨在經濟就業及家庭照顧之間的抉擇。而社福資源、學校資源、心理諮商、醫療資源、就業的周邊效益、與外界接觸及環境因素是幫助這些婦女適應之適應因子。 2.親子互動關係:多數團體成員表示參與團體後親子關係有正向改變:(1)摩擦程度減少、(2)相處及肢體接觸增加、(3)學習新的親子互動方式、(4)親子界線的彈性及調整、(5)更理解彼此想法、(6) 增進對彼此的包容與耐心。 3.除親子關係的改善外,母親及子女在個人面也都有不同的改變,包含:(1)母親成員的改變有:看待事情的角度改變,重新理解親子關係的衝突,甚至有成員也應用到對於離婚事件的重新解讀、更多的反思及自我感增加;(2)子女成員的改變有:願意自我分享、耐心及自信增加、信任他人及學習獨自處理問題。 本文歸納優勢觀點在單親親子團體中的實務運用,及優勢觀點為基礎的親子團體是如何促進團體成員在親子互動關係的改善外,也企圖瞭解婦女在離婚初期在經濟、就業、住所、子女教養等面向之適應歷程,關注婦女們在單親過程所展現的不同樣態及適應因子,期待有助於家庭社會工作的實務發展及開展優勢觀點在不同層面的運用。 / This study applied strengths perspective on the single mother and child group with a focus on (a)the interaction between mother and child.(b) life adaption . Four families participated in the group; they met once a week and last for 7 weeks. The group activities were based on the protocol of Project Adventure and strengths perspective. This study adopted both quantitative and qualitative methods. The quantitative data was collected from both mother and child members at three times: before and after the group activity began, as well as one month after the last session. The results showed that: (a) Mother-child interaction-- 50% of the child members showed positive changes on 3 aspects (caring, respect and obedience), the mother members showed less changes, but still had positive effects on respect and obedience. (b) Life adaption & physical and mental health: 50% of the child members showed positive changes on life adaption. No significant change was found on the mothers The analysis of the qualitative data indicated that: (a) Resources on welfare, schooling, counseling, medical and employment could help the mother member to achieve better life adaption. (b) The interactions between mother and child revealed positive changes, including less conflict, more physical contacts, willing to learn new ways of interaction, flexible mother-child boundaries, being more patient and tolerance. (c) The mother members could reframe the meaning of divorce and conflicts, and had more self reflection. The child members were more willing to share feelings, had more patient and confidence, trusting others and learn to solve problems on their own. These findings suggest that the Strengths based group work were beneficial to the single mothers and their child. However, more studies are needed to replicate the program and further examine its effectiveness.

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