從創傷到連結：消防員心理急救團體之支持性臨床介入模式

From Trauma to Connection: A Supportive Clinical Model of Psychological First Aid Group for Firefighters

本專文分享一項針對鋰電池廠火災事件後消防員所實施之單次心理急救（Psychological First Aid，PFA）團體介入的臨床實務經驗與反思。消防員長期暴露於高壓與創傷事件，心理健康風險顯著。本次介入整合PFA核心原則與團體心理治療的支持性元素，旨在提供安全的情緒支持環境，協助消防員穩定情緒、正常化創傷反應、強化因應能力，並促進資源連結。文章介紹方案設計理念、結構化流程與臨床策略，並呈現團體歷程中的互動動力與治療觀察。最後，從臨床實務角度反思此短期介入在消防員文化脈絡下的成效、挑戰與限制，並結合Yalom團體治療因子理論進行分析，以期為第一線救災人員之心理健康支持與創傷復原提供具體參考與臨床啟示。

This special article presents the clinical practice and reflections of a single-session Psychological First Aid (PFA) group intervention implemented for firefighters following a lithium battery factory fire in Kaohsiung, Taiwan. Firefighters are at high risk for exposure to traumatic stress, making early psychological support essential. The intervention integrated the core principles of PFA with supportive elements of group psychotherapy to provide a safe and structured environment that stabilized emotions, normalized trauma reactions, enhanced coping skills, and facilitated linkage to further resources. The article outlines the program’s design, structured process, and clinical strategies, highlighting key therapeutic dynamics observed during the group process. From a clinical perspective, the paper discusses the effectiveness, challenges, and limitations of this brief intervention model within the cultural context of firefighters. Drawing upon Yalom’s therapeutic factors of group psychotherapy, the analysis illustrates how the program fostered universality, cohesion, and altruism among participants. The findings aim to offer practical guidance and clinical insights for developing culturally sensitive, time-efficient psychological support models for first responders exposed to traumatic events.