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篇名
空軍非自願服務使用者受助經驗與心輔官實務因應:以傅柯權力觀點檢視
並列篇名
Experiences of Involuntary Service Users of in the Air Force and the Responses of Military Mental Health Officers in Practice: An Examination from Foucault's Perspective on Power
作者 巫冠宏陳依翔
中文摘要

研究目的:軍隊是典型的科層組織,軍事成員無不受到權力的宰制,然軍隊對於心理健康議題日益重視,也開始挹注心理輔導資源協助官兵。軍中心輔體系運行多年,少有研究關注權力脈絡下的互動關係與官兵受助經驗,故本研究旨在探討「官兵接受軍隊心輔服務時的受助經驗」與「軍職心輔官實務因應」。<br>研究方法:採質性研究中的深度訪談法,訪談九位受訪者:四位現職心輔官(心輔實務年資平均約四年)及五位非自願服務使用者(服役年資自六個月至八年之間),以傅柯(Foucault)微型權力視角,做為訪談資料之理論分析架構。<br>研究結果:結果顯示軍隊強調的集體性與軍事優先性,與助人專業中的人本價值有所扞格,在求助污名化與保密性不足之影響下,官兵怯於坦露心理脆弱,致使軍隊心輔工作易流於形式,無法發揮原有制度設計的功能,而心輔官的軍人與助人工作者雙重身分,導致效忠組織或案主優先的倫理兩難。<br>研究結論:個體在軍隊組織中須忌憚監控性高的權力,以避免被排除;軍隊主流價值凌駕專業價值,致使心輔官專業自主性低落,然心輔官仍需平衡組織目標與個案需求,展現助人專業特質,才能促進心輔工作進展。

英文摘要

Research Purpose This study examined the experiences of military personnel in the air force utilizing mental health services for complex personal issues, in addition to exploring the responses from military mental health officers. The study investigated the behavioral contexts, feelings, and experiences of both the personnel required to seek mental health support and mental health officers. Using Foucault’s perspective on power, the study explored attitudes among involuntary service users toward<br>military bureaucracy and the behaviors and coping strategies of military mental health officers.<br>Method This study adopted a qualitative research design and interviewed nine participants. Of these participants, four were active-duty mental health officers with approximately 4 years of practical experience, on average; the remaining five were military personnel who had been required to seek mental health support and had lengths of service ranging from 6 months to 8 years. Through template analysis, this study established code categories on the basis of a review of the literature and subsequently categorized the collected data. Data that could not be classified were rechecked, and additional categories were added as necessary. Coding was repeated until all data were categorized.<br>Results The results revealed that the military environment emphasizes collectivism, obedience, and a military-first attitude. Military values override professional ethics, resulting in low professional autonomy among military mental health providers. Personnel often hesitate to acknowledge psychological vulnerability because of pervasive stigma and concerns about confidentiality. Military mental health officers must demonstrate professional characteristics and build trusting professional relationships to achieve set goals. Strong military surveillance tends to provoke distrust among personnel, leading personnel to avoid seeking mental health services to prevent being marginalized by the organization.<br>Conclusion The study drew the following conclusions: First, individuals must be aware of surveillance and military power to avoid exclusion. Second, military values often take precedence over helping professional values, diminishing the autonomy of military mental health officers. Third, military mental health officers face personal risks and feel distanced from and distrusted by other officers and by soldiers. Possessing professional autonomy enables military mental health providers to demonstrate their expertise, which is a critical foundation for effective counseling. The study recommends destigmatizing help-seeking behaviors, establishing an independent military counseling command system, and ensuring the specialization and dedicated use of mental health officers in the hope of building a more complete professional military support system.<br>Based on the research finding, suggestions for military organization and mental health practice were proposed.

起訖頁 35-76
關鍵詞 污名化專業自主形式主義軍隊心輔工作傅柯StigmatizationProfessional AutonomyFormalismMilitary mental health resourcesFoucault
刊名 社會工作與社會福利學刊
出版單位 台灣社會工作教育學會
期數 202502 (5期)
DOI 10.53106/295861272025020005002  複製DOI  DOI申請
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