運用優勢觀點於家屬團體之經驗分享～以北部某醫院精神科日間病房為例

The application of strength perspective on a family group at the psychiatric day care center of a general hospital in northern Taiwan.

Strengths perspective is an newly emerging social work field. It is been believed people in hardship having the ability to change and explore the potentially internal and external resources of human being. The strengths perspective would apply to family groups of patients with mental illness. The family often lacked for confidence, and had hopelessness to face the disease. They also blamed to clients and themself under suffering situations for a long period. The strengths perspective would provide a new view to family of patients with mental illness, helping family to explore capability of the patients, and supporting family in the recovery process.
The author leaded 3 family groups with strength perspective in the daycare unit of a medical center from 2010 to 2012. The group time was 2 hours every session, and lasted for six weeks. The group session was designed with the strength perspective principle and having the homework after every session. We had pre-evaluation and post-discussion in every session, and had a questionnaire for satisfaction to the group members in the ending of every session.
Reviewing experiences of the strength perspective applied for family groups, the author gave the group emotional supportive and observed the change in the members after these group therapies. Fist, patients' family would use difference views to treat patients from with disease model to with human model. Then they were aware of advancements of the patients. Second, the family of the patients at different stages of psychotic disease would learn more about mental illness knowledge, attitudes, and caring experiences. For example, the family of patients having initial disease course would early accept the fact of the patient's disease, and raise their medical compliance. The family of patients having chronic disease course would transform their caring experiences and attitudes. Third, the gender difference in father caring experiences was found because of caring roles conflicted with the tradition of eastern culture. Finally, the author worked with family in the daycare unit for 3 years, and found family and client had dynamic change in their relationship, specially the family involving the group treatment twice.
It is important to summarize the family group therapy with the strength perspectives in the daycare unit of medical center, and would suggest some limitations in the study.