兒童身體虐待倖存者之療癒歷程──破土而生，迂迴成長

The Process of Healing Child Physical Abuse: Sprouting and Twining

背景：兒童身體虐待對個體健康造成嚴重的影響和傷害。療癒是幫助個體重整創傷意義，協助回到正常生活之必要歷程。了解兒童身體虐待倖存者療癒時在社會脈絡中的互動歷程，才能貼近真實的療癒經驗。目的：了解兒童身體虐待倖存者如何看待自己受創至療癒之經驗歷程，並探究其自我與社會互動的建構過程和關係。方法：以紮根理論為基礎，採立意與理論性選樣，選擇8位20歲以上，兒時遭受身體虐待並自覺有療癒經驗者。資料蒐集為半結構式訪談，依紮根理論編碼系統進行資料分析。結果：兒童身體虐待倖存者之療癒是破土而生，迂迴成長的歷程，由三個互相影響的核心範疇：茁壯、關係和倫理形成理論模式。療癒歷程是倖存者不斷建立互動關係，並在盤根錯節的家庭羈絆與倫理責任框架下自我茁壯與成長的過程。結論：實務應用兒童身體虐待倖存者之療癒是茁壯、關係與倫理的整合歷程。專業人員照護倖存者時需辨識倫理之影響，以發展合適的措施而促進療癒。

Background: Child physical abuse impacts the physical and psychological health of survivors. Healing child abuse is an essential process that helps survivors reorganize the meaning of the trauma and pursue a normal life. Considering the trauma of child physical abuse within the social context allows the experiences of individual survivors to be reflected in their process of healing. Purpose: To explore the social interaction and construction process of healing experienced by survivors of child physical abuse. Methods: A qualitative research design using grounded theory was applied. Purposive and theoretical sampling was used to recruit survivors of childhood physical abuse who had experienced healing. Semi-structured, in-depth interviews were used and data were analyzed using open, axial, and selective coding. Results: The process of healing child physical abuse in this study was a process of sprouting and twining. Three core categories emerged: thriving, relationships, and ethics. The healing process was analogous to a seed growing in poor soil, sprouting out from the ground, and striving to live by seeking support. The survivors constantly established interactive relationships with their selves and with others and struggled to keep family bonds grounded and growing within the frame of ethics. Conclusions/Implications for Practice: The healing process of sprouting and twining for child physical abuse survivors in Taiwan integrates thriving, relationships, and ethics. Professionals working with child-physical-abuse survivors must recognize conflicts in ethics. Strategies should be developed to assist survivors to cope with the impact of childhood trauma in order to facilitate the healing process.