多家屬團體在復健病房的實施

Multiple Family Therapy at the Psychiatric Rehabilitation Ward

多家屬治療在一九五○年代起成為治療精神疾病的處遇方案之一，係以數位病患及其家人一起參與團體的方式進行，主要目標在於改變病患與所處環境之間的關係，而其實施結果經證實確有顯著成效。本文首先闡述多家屬治療的理為與實施過程，並提出作者在復健病房進行的多家屬團體治療實例。成員參與團體之後，主觀的收獲為(1)對精神疾病與治療的認知增加，(2)孤單感降低，(3)對未來比較有方向感及(4)互相學習不同經驗；作者另外發現成員有三方面的改變：(1)情緒獲得紓解，(2)彼此了解增加及(3)緊張關係鬆動。惟在實施次數時間的限制下，團體主題擴展及成員潛力與自主性開發之目標均未能達成。作者藉著本文拋磚引玉，期待更多尋常人士的投入參與，提供病患與家屬較為長期的多家屬治療方案。

Multiple family therapy (MFT) became one of the management strategies for patients with schizophrenia since 1950.Several identified patients with their families co-joined in the group therapy to improve the relationship between them and their environment. Furthermore, positive results were found by previous research. In this paper, theories and group and group process of MFT were reviewed, and one MFT group performed at our rehabilitation ward was also presented. After 8 sessions of MFT, the group members subjectively gained improvement in (1) .increasing the knowledge of mental illness and treatment (2) .reducing feeling of loneliness (3) .being more positive about the future (4) .learning different experiences from others. Besid, other benefits such as emotion release, increasing understanding to each other and relieving family tension were also noted. However, the goals for expansion of group topics and development of potentiality and autonomy in group members were not achieved due to the limited sessions. Since the advantages of MFT were obvious in the treatments of schizophrenic patients, more involvement of multiple disciplines was recommended.