敘事療法四步式應用於輕中度智障人士個案的行動研究―以香港樂智協會為例

Using Four-Step Narrative Therapy in Action Research for Individuals with Mild to Moderate Intellectual Disabilities: A Case Study of the Hong Kong Lok Chi Association

研究表明，智障人士的服務主要集中在基本生活照料上，但與一般人群相比，智障人士患有雙重診斷的風險明顯較高。儘管如此，針對雙重診斷智障人士的實踐研究較少，關於智障人士情緒健康的研究也十分有限，這對他們的長期健康發展不利。
研究目的 　本文旨在梳理敘事療法在智障人士中的應用，識別實踐智慧，以助力有效輔導。此外，進一步探討敘事療法如何促使智障人士參與後續行動方案。
研究方法 　本研究採用行動研究法，分為四個階段：第一階段為規劃改變；第二階段為行動與觀察；第三階段為過程反思與介入；第四階段為重新規劃，為第二循環行動研究做好修訂方案。
研究結論 　本文通過行動研究構建了「四步式敘事療法模型」，包括外化問題、發掘閃爍故事、重寫新故事和鞏固偏好身份認同。此模型旨在讓更多智障人士的聲音與行為被理解，幫助他們從有問題的身份認同中解放自我，重構偏好的身份認同。

"Research indicates that services for individuals with intellectual disabilities primarily focus on basic care, while this population demonstrates significantly higher risks of dual diagnosis compared to the general population. However, despite this disparity, evidence-based research regarding dual-diagnosis intellectually disabled individuals remains limited, and studies on emotional health among people with intellectual disabilities are similarly scarce, potentially compromising their long-term health development. Objectives This study aims to systematically examine and enhance the application of narrative therapy among individuals with intellectual disabilities, identifying practice wisdom to facilitate effective counseling. Additionally, it explores how narrative therapy can motivate individuals with intellectual disabilities to participate in subsequent action plans.
Methodology The research employs action research methodology, structured across four distinct phases: (1) planning for change; (2) action and observation; (3) reflection and intervention; and (4) re-planning to prepare for the subsequent cycle of action research.
Findings Through the action research process, this paper introduces a “Four-Step Narrative Therapy Model,” encompassing the externalizing problems, discovering sparkling stories, reauthoring new narratives, and consolidating preferred identities. This model aims to ensure that the voices and actions of individuals with intellectual disabilities are heard, assisting them liberate themselves from problematic identities and reconstruct their preferred identities formation."