躁症病患的情緒覺察與人際調適

Emotional Awareness and Interpersonal Adjustment in a Manic Patient

本文旨在協助一位躁症個案提升自我的情緒覺察與人際調適的護理過程。照護期間從2007年9月20日至10月11日，透過每週行為過程紀錄、護理計劃、病房討論會以及病歷，發現個案有情緒障礙、低自尊和人際問題之間不良循環的困擾。藉由與個案建立治療性人際關係與會談，以真誠、接納、關懷、同理的態度，運用人際心理治療方法的原則重點，協助個案覺察情緒，分析影響情緒的因素，發展有效的情緒調適策略以改善人際互動。

This paper addresses nursing procedures related to helping a manic patient promote emotional awareness and interpersonal adjustment. The caring period ran from September 20 through October 11, 2007. Using weekly records of interviewing process, care plans, team meetings, and medical charts, we found the case to suffer from a vicious cycle of emotional disturbance, low self esteem, and interpersonal problems. Using a therapeutic relationship and interviews that adopted a genuine, accepting, concerned and empathetic caring attitude, the author applied the principal focus of an interpersonal psychotherapy method to help the case become aware of her emotions, analyze key emotional influencers, and develop effective emotional adjustment strategies to improve interpersonal interaction.