人類職能模式及敘事治療於物質使用障礙症之戒治療效－－個案報告

The Addictive Therapeutic Effects of Human Occupation Model and Narrative Therapy in Substance Use Disorder-A Case Report

人類職能模式及敘事治療是透過提升生活調適及對自己的接納、有效且廣泛運用在精神疾病的復健治療，但是目前在運用於物質使用障礙症個案上仍鮮少有報告說明。本個案報告運用人類職能模式及敘事治療於一位使用十年安非他命及大麻之個案，藉由一般自我效能量表等六個量表的測量變化進行整體性的療效評估。於2020年5月27日至6月17日進行治療及資料蒐集，執行四次團體，發現個案自我效能和自尊提升，對藥物認同產生改變，並降低對藥物的渴求感，對於個案潛在問題能進行有效處置。這案例支持：運用人類職能模式及敘事治療顯示對物質使用障礙症個案預防復發的有效性。

The Model of Human Occupation and narrative therapy are approaches utilized to enhance life adaptation, self-acceptance, and effective and comprehensive rehabilitation in the treatment of mental illness. However, there are limited reports on their application in cases of substance use disorders. This case report describes the application of the Model of Human Occupation and narrative therapy in a case of a ten-year methamphetamine and cannabis user. The overall therapeutic efficacy was assessed through the measurement of changes using six scales, including the General Self-Efficacy Scale. The treatment and data collection took place from May 27, 2020, to June 17, 2020, involving four group sessions. It was observed that the client's self-efficacy and self-esteem improved, there was a shift in drug identification, a decrease in drug cravings, and effective handling of underlying issues. These findings demonstrate the effectiveness of the Model of Human Occupation and narrative therapy in preventing relapse in individuals with substance use disorders.