研究生: |
楊舒雅 Yang, Shu-Ya |
---|---|
論文名稱: |
國中輕度智能障礙學生性教育方案-「我們的青春YES WE CAN」行動研究 Sexuality Education Program for Students with Mild Intellectual Disability in Junior High School – Action Research on "Our Youth Yes We Can" |
指導教授: |
邱春瑜
Chiu, Chun-Yu |
口試委員: |
邱春瑜
Chiu, Chun-Yu 楊佳羚 Yang, Chia-Ling 高松景 Gao, Song-Jing |
口試日期: | 2023/07/26 |
學位類別: |
碩士 Master |
系所名稱: |
特殊教育學系 Department of Special Education |
論文出版年: | 2023 |
畢業學年度: | 111 |
語文別: | 中文 |
論文頁數: | 188 |
中文關鍵詞: | 智能障礙 、性教育方案 、行動研究 |
英文關鍵詞: | intellectual disability, sex education programs, action research |
研究方法: | 行動研究法 |
DOI URL: | http://doi.org/10.6345/NTNU202301193 |
論文種類: | 學術論文 |
相關次數: | 點閱:176 下載:23 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究受到教學現場發生的議題以及身心障礙權利公約(CRPD)啟發,為國中輕度智能障礙學生進行以學生為本位的性教育方案。研究方法採行動研究法,研究過程參考Kyriazopoulou 和Weber(2009)針對融合教育政策的監控模式:輸入、過程、監控反思、結果來執行此行動研究。研究對象為新北市某國中分散式資源班的六位智能障礙學生。
研究者在執行方案前為能更聚焦學生需求,根據文獻擬定大綱焦點訪談6位學生、2位家長及2位青年智障者,以多方角度瞭解學生需求。研究者以此為基礎設計為期8堂的性教育方案,包含三個單元,分別為:身體自主權、網路色情及交友以及性病預防。根據多元資料分析及研究者省思,有以下發現:
一、「我們的青春YES WE CAN」性教育方案的規劃過程,除了採納學生本人、家長以及青年智障者對性教育的多元觀點外,還有加上研究者自身對於性教育的正向態度、CRPD精神所建構,並以自編教材、多元教學法為主。
二、「我們的青春YES WE CAN」性教育方案的實施過程中,從正向行為為出發點、營造正向環境,並將學生視為「有性的人」,能讓學生與研究者間進行想法上的交流與溝通,進而互相影響而有正面的改變。
三、學生在經歷「我們的青春YES WE CAN」性教育方案後,性態度趨於正向,性知識及技能也有明顯上升,但推行到現實生活中仍須性教育的持續支持。
四、研究者在經歷「我們的青春YES WE CAN」性教育方案後,除了專業性教育知識成長,更能藉由反思瞭解「性權」對於學生的重要性。
Convention on the Rights of Persons with Disabilities (CRPD) calls for a right-based disposition change in the field. As a response, this study aims to document the development and implementation of a student-centered sex education program for middle school students with mild intellectual disability. The researcher adopted an action research method grounded in the inclusive education policy analysis proposed by Kyriazopoulou and Weber (2009) and followed a four-step (i.e., input, process, monitoring, outcome) model for implementation. The research participants were six students with mild intellectual disabilities in a resource class from a middle school in New Taipei City.
To develop the program, the researcher focused on the needs of the students by reviewing the existing curriculum and conducting focus groups with stakeholders. Next, the researcher designed an 8-session sex education program, "Our Youth Yes We Can" (here after referred to as "the program"), with three major topics: body autonomy, internet dating and pornography, and STD prevention. The researcher acted as the instructor of all sessions, collected quantitative and qualitative data, and recorded reflections after each session. The mixed-method data analysis revealed the findings below:
1. During the development of the program, the researchers found it essential to integrate perspectives from multiple stakeholders (i.e., the six participating students, two of their parents, their case managers, and two young adults with intellectual disability) while referencing the core value of the CRPD and reflecting upon the instructor’s perspective towards sex education. Diverse materials and pedagogical strategies were helpful.
2. During the program's implementation, it is important to encourage positive behaviors, create a positive learning environment, and treat students as "sexual beings." These strategies allow the students and instructor to exchange ideas and facilitate smooth communication, resulting in positive changes.
3. After the program's implementation, participating students’ sexual attitudes became more positive, and their sexual knowledge and skills improved significantly. However, they still needed ongoing support for sex education.
4. After implementing the program, the researcher/instructor gained not only sex education knowledge but also established a greater understanding of the importance of "sexual rights for individuals with disabilities."
丁牧群(2020年7月7日)。台鐵司機性侵智障女獲輕判。蘋果日報。https://www.appledaily.com.tw/local/20200707/IEERERN6NZBQE2XU72U4DIT7WQ/
王秋嵐、黃小華 (2014)。國民中小學特教教師性別平等教育專業能力與培訓需求初探-從三位特教教師訪談出發。雲嘉特教期刊,20,52-59。
朱元祥、林燕卿(2011)。家長對智能障礙子女性教育的知識, 態度與溝通研究.。性學研究,2(2),65-86。
李永昌、廖聲玉、蔡維真(2011)。智能障礙者性教育課程與教學之探討。台東特教,33, 30-34。
杜正治(1994)。智障兒童的性騷擾:預防與處理。特殊教育季刊,52,14-17。
杜正治(2000)。臺灣地區國中及高職智障學生性教育教學成效研究。特殊教育研究學刊,18,15-38。
杜正治(2006)。探索智障生性教育的方向:從最近兩性緋聞談起。學生輔導,102,36-43。
沈姍姍(2005)。國民中小學性教育課程發展之研究-民國61-94年教科書內容分析〔未出版之碩士論文〕。國立新竹教育大學國民教育研究所。
李永昌、廖聲玉、 蔡維真(2011)。智能障礙者性教育課程與教學之探討。台東特教,33, 30-34。
武靜蕙、虞順光、高松景(2003)。台北巿某高職特教班家長對其輕度智障子女 實施性教育現況及需求研究。臺灣性學學刊,9(2),19-35。
林吟琪(2007)。角色扮演法對國小智能障礙學生性教育之教學成效〔未出版之碩士論文〕。國立臺灣師範大學特殊教育學系身心障礙特教學系。
林純真(2009)。智障青年的戀愛經驗及觀點之探討。臺灣性學學刊,林純真15(1),43-66。
林純真(2010)。智能障礙者性議題之百年進展。特殊教育季刊,117,16-25。
林純真(2011)。PLISSIT 模式應用在智能障礙者性議題之啟示。台灣性學學刊,17,53-68。
林燕卿(2010)。台灣性教育歷史回顧及未來發展方向。性學研究,1(2),1-14。
林燕卿(2010)。影響家長及教師對智能障礙者執行性教育的因素。特殊教育季刊,117,1-6。
林妙香、林淑莉(2013)。互動式多媒體性教育教學介入方案對特殊教育學校高職階段智能障礙學生性知識的學習成效。特殊教育季刊, 126,17-33。
林昀嫻(2019)。心智障礙者的避孕、絕育即中止懷孕。社區發展季刊,168,211-219。
周月清(2013)。發展與評估智障者性健康方案(第一年)期中報告。(NSC 101-2410-H-010-003-SS3)。行政院國家科學委員會專題研究計畫。
周月清(2020)。還我性健康權,而非只給我「性教育」智能障礙者青年性權意識介入方案簡介。性別平等教育季刊,90,18-25。
苑靈杉(2006)。國小智能障礙學生性教育課程的發展與實施之研究〔未出版之碩士論文〕。國立高雄師範大學特殊教育學系。
洪玉真(2009)。多媒體教育方案對特教學校高職部學生自我保護概念之研究〔未出版之碩士論文〕。國立臺東大學特殊教育學系。
教育部(2001)。九年一貫課程綱要健康與體與領域課程綱要。國民中小學課程與教學整合平台。https://cirn.moe.edu.tw/WebContent/index.aspx?sid=9&mid=193
教育部(2004)。國民教育階段九年一貫課程總綱綱要。國民中小學課程與教學整合平台。https://cirn.moe.edu.tw/WebContent/index.aspx?sid=9&mid=193
教育部(2017)。十二年國民基本教育健康與體與領域課程綱要。教育部國民及學前教育署。https://www.k12ea.gov.tw
教育部(2017)。十二年國民基本教育身心障礙相關之特殊需求領域課程綱要。教育部國民及學前教育署。https://www.k12ea.gov.tw
徐志雲(2018)。讓傷痕說話:一位精神科醫師遇見的那些彩虹人生。遠流。
晏涵文(2020)。性、兩性關係與性教育。心理。
高松景(2021)。身心障礙者性教育秘笈。國立臺灣師範大學。
楊佳羚(2002)。國中性教育的人類學初探-以性教育論述與課堂實踐為例〔未出版之碩士論文〕。國立清華大學人類學研究所。
楊士隆、鄭瑞隆、張究安、林俊仁、許明慧、陳姿君(2009)。女性智障者性侵被害情境與防治之研究。犯罪學期刊,12,117-156。
楊孟麗、謝水南(2021)。
黃璉華(1993)。談智障者的性教育.。護理雜誌,40(4),91-96。
黃榮真(2006)。智能障礙類教師實施 “性別平等教育” 現況之初探-以花蓮地區為例。花蓮教育大學學報,22,307-336。
黃冠閔(2021)。國民小學教師性別意識型塑及其課室實踐轉化之研究。〔未出版之碩士論文〕。國立臺灣師範大學課程與教學研究所。
國家教育研究院(2018)。議題融入說明手冊。國民中小學課程與教學整合平台。
https://cirn.moe.edu.tw/WebContent/index.aspx?sid=11&mid=7318
鈕文英(1989)。國中啟智班學生的性教育。特殊教育季刊,30,39-43。
鈕文英(2021)。質性研究方法篇。質性研究方法與論文寫作(三版)(頁 419-452)。雙葉。
陳螢蓁(2013)。繪本教學對身心障礙學生性別平等教育之行動研究〔未出版之碩士論文〕。國立臺中教育大學特殊教育學系。
許琇惠(2012)。擬真教具輔助教學對國中智能障礙學生性教育教學成效之研究〔未出版之碩士論文〕。國立臺灣師範大學特殊教育學系身心障礙特教教學系。
程勻芳、 李翠玲(2014)。繪本教學對高職階段中度智能障礙學生兩性交往知識與態度成效之研究。特殊教育學報,39, 39-53。
裴淑茵(2008)。家長對其智能障礙子女實施性教育、性溝通現況及需求之研究〔未出版之碩士論文〕。樹德科技大學人類性學研究所。
劉如恩、林燕卿(2015)。高雄市國中階段特教班教師在性教育教學困難與教學需求之研究。人文社會電子學報,11(1),1-22。
劉郁葶(2019)。障礙者吃飽喝足再說,為何我們總看不見,障礙者的性需求?臉紅紅。 https://womany.net/read/article/20081
潘慧玲、黃馨慧(2016)。性別平等教育議題融入課程的回顧與展望。課程與教學,19(2),1-26。
聯合國(2006)。身心障礙者權利公約。全國法規資料庫。
https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=Y0000064
薛承凱(2013)。角色扮演法對特殊學校高職部智能障礙學生性教育自我保護之教學成效〔未出版之碩士論文〕。國立臺灣師範大學特殊教育學系。
蕭偉智、魏秀芬(2009)。國中資源班學生性別平等教育課程設計與教學心得。特殊教育季刊,110,22-32。
龍芝寧(2021)。身心障礙者性教育教材教法-與智能障礙學生談性說愛。高松景(主編),身心障礙者性教育秘笈(頁30-41)。國立臺灣師範大學。
蘇淑惠(2013)。與智障生談性說愛: 高職智能障礙女學生性教育課程之行動研究。性別平等教育季刊,62,30-47。
AAIDD (2013). Joint position statement of AAIDD and the Arc. American Association on Intellectual and Developmental Disabilities. https://www.aaidd.org/news-policy/policy/position-statements/sexuality
Azzopardi‐Lane, C., & Callus, A. M. (2015). Constructing sexual identities: people with intellectual disability talking about sexuality. British Journal of Learning Disabilities, 43(1), 32-37.
Bennett, B., Vockell, E., & Vockell, K. (1972). Sex education for EMR adolescent girls: An evaluation and some suggestions. Journal of Special Educators of the Mentally Retarded, 9,3-7.
Brantlinger, E. A. (1985). Mildly mentally retarded secondary students' information about and attitudes toward sexuality and sexuality education. Education and Training of the Mentally Retarded, 99-108.
Ballan, M. (2001). Parents as sexuality educators for their children with developmental disabilities. Siecus Report, 29(3), 14.
Blanchett, W. J., & Wolfe, P. S. (2002). A review of sexuality education curricula: Meeting the sexuality education needs of individuals with moderate and severe intellectual disabilities.Research and Practice for Persons with Severe Disabilities, 27(1), 43-57.
Black, R. S., & Kammes, R. R. (2019). Restrictions, power, companionship, and intimacy: A metasynthesis of people with intellectual disability speaking about sex and relationships. Intellectual and Developmental Disabilities, 57(3), 212-233.
Caspar, L. A., & Glidden, L. M. (2001). Sexuality education for adults with developmental disabilities. Education and Training in Mental Retardation and Developmental Disabilities, 36(2), 172-177.
Cambridge, P., Carnaby, S., & McCarthy, M. (2003). Responding to masturbation in supporting sexuality and challenging behaviour in services for people with learning disabilities. Journal of Learning Disabilities, 7, 251–266.
Couwenhoven, T(2017)。智能障礙者的性教育:誰來教?教什麼?如何教?(林純真、劉瓊瑛譯)。心理。(原著出版於2007年)
Dukes, E., & McGuire, B. E. (2009). Enhancing capacity to make sexuality‐related decisions in people with an intellectual disability. Journal of Intellectual Disability Research, 53(8), 727-734.
Dewinter, J., Vermeiren, R. R. J. M., Vanwesenbeeck, I., & Van Nieuwenhuizen, C. (2016). Parental awareness of sexual experience in adolescent boys with autism spectrum disorder. Journal of Autism and Developmental Disorders, 46, 713-719.
East, L. J., & Orchard, T. R. (2014). Somebody else’s job: experiences of sex education among health professionals, parents and adolescents with physical disabilities in Southwestern Ontario. Sexuality and Disability, 32(3), 335-350.
European Expert Group on Sexuality Education. (2016). Sexuality education–what is it?. Sex Education, 16(4), 427-431.
Frawley, P., & Wilson, N. J. (2016). Young people with intellectual disability talking about sexuality education and information. Sexuality and Disability, 34(4), 469-484.
Frawley, P., & O’Shea, A. (2020). ‘Nothing about us without us’: sex education by and for people with intellectual disability in Australia. Sex Education, 20(4), 413-424.
Frawley, P. (2023). Access to Sexual Rights for all People with Disabilities: The Need to See and Include the Experiences of People with Intellectual Disability. Archives of Sexual Behavior, 1-6.
Treacy, A. C., Taylor, S. S., & Abernathy, T. V. (2018). Sexual health education for individuals with disabilities: A call to action. American Journal of Sexuality Education, 13(1), 65-93.
Garwood, M., & McCabe, M. P. (2000). Impact of sex education programs on sexual knowledge and feelings of men with a mild intellectual disability. Education and Training in Mental Retardation and Developmental Disabilities, 35(3), 269-283.
Grove, L., Morrison-Beedy, D., Kirby, R., & Hess, J. (2018). The birds, bees, and special needs: Making evidence-based sex education accessible for adolescents with intellectual disabilities. Sexuality and Disability, 36(4), 313-329.
Healy, E., McGuire, B. E., Evans, D. S., & Carley, S. N. (2009). Sexuality and personal relationships for people with an intellectual disability. Part I: service‐user perspectives. Journal of Intellectual Disability Research, 53(11), 905-912.
Isler, A., Tas, F., Beytut, D., & Conk, Z. (2009). Sexuality in adolescents with intellectual disabilities. Sexuality and Disability, 27(1), 27-34.
Jack R. Fraenkel, Norman E. Wallen, & Helen H. Hyun (2021)。教育研究法:研究設計實務(第三版)(楊孟麗、謝水南譯)。心理。(原著出版於2012年)
Katz, G., & Lazcano-Ponce, E. (2008). Sexuality in subjects with intellectual disability: An educational intervention proposal for parents and counselors in developing countries. Salud Publica de Mexico, 50(2), 239–254.
Kyriazopoulou, M., & Weber, H. (Eds.). (2009). Development of a set of indicators: For inclusive education in Europe. European Agency for Development in Special Needs Education.
Kijak, R. J. (2011). A desire for love: Considerations on sexuality and sexual education of people with intellectual disability in Poland. Sexuality and Disability, 29, 65–74.
Kramers-Olen, A. (2016). Sexuality, intellectual disability, and human rights legislation. South African Journal of Psychology, 46(4), 504-516.
Lindsay, W. R., Michie, A. M., Staines, C., Bellshaw, E., & Culross, G. (1994). Client attitudes towards relationships: Changes following a sex education programme. British Journal of Learning Disabilities, 22(2), 70-73.
Lumley, V. A., & Scotti, J. R. (2001). Supporting the sexuality of adults with mental retardation: Current status and future directions. Journal of Positive Behavior Interventions, 3(2), 109-119.
Löfgren-Mårtenson, L. (2012). “I want to do it right!” A pilot study of Swedish sex education and young people with intellectual disabilities. Sexuality and Disability, 30(2), 209-225.
Lafferty, A., McConkey, R., & Simpson, A. (2012). Reducing the barriers to relationships and sexuality education for persons with intellectual disabilities. Journal of Intellectual Disabilities, 16(1), 29-43.
Leadership for Empowerment and Abuse Prevention. (2019). People In Your Life. https://leap.partnership.vcu.edu/partner-guide/introduction-to-leap-video/session-1-video-people-in-your-life/
McCabe, M. P. (1999). Sexual knowledge, experience and feelings among people with disability. Sexuality and Disability, 17(2), 157-170.
McGillivray, J. A. (1999). Level of knowledge and risk of contracting HIV/AIDS amongst young adults with mild/moderate intellectual disability. Journal of Applied Research in Intellectual Disabilities, 12(2), 113-126.
McConkey, R., & Ryan, D. (2001). Experiences of staff in dealing with client sexuality in services for teenagers and adults with intellectual disability. Journal of Intellectual Disability Research, 45(1), 83-87.
Marten, K. K. (2006). Sex life and sexuality of individuals with developmental disabilitiesa critical review of the literature. [Unpublished doctoral dissertation]. University of Wisconsin-Stout.
McDaniels, B., & Fleming, A. (2016). Sexuality education and intellectual disability: Time to address the challenge. Sexuality and Disability, 34(2), 215-225.
Nelson, B., Odberg Pettersson, K., & Emmelin, M. (2020). Experiences of teaching sexual and reproductive health to students with intellectual disabilities. Sex Education, 20(4), 398-412.
O'Neill, J., Lima, S., Thomson Bowe, K., & Newall, F. (2016). The experiences and needs of mothers supporting young adolescents with intellectual disabilities through puberty and emerging sexuality. Research and Practice in Intellectual and Developmental Disabilities, 3(1), 37-47.
Pérez-Curiel, P., Vicente, E., Morán, M. L., & Gómez, L. E. (2023). The right to sexuality, reproductive health, and found a family for people with intellectual disability: a systematic review. International Journal of Environmental Research and Public Health, 20(2), 1587.
Robinson, S. (1984). Effects of a sex education program on intellectually handicapped adults. Australia and New Zealand Journal of Developmental Disabilities, 10, 21–26.
Roy, A., Roy, A., & Roy, M. (2012). The human rights of women with intellectual disability. Journal of the Royal Society of Medicine, 105(9), 384-389.
Rushbrooke, E., Murray, C., & Townsend, S. (2014). The experiences of intimate relationships by people with intellectual disabilities: A qualitative study. Journal of Applied Research in Intellectual Disabilities, 27(6), 531-541.
Szollos, A. A., & McCabe, M. P. (1995). Sexuality of people with mild intellectual disability: Perceptions of clients and caregivers. Australia and New Zealand Journal of Developmental Disabilities, 20, 205-222.
Shtarkshall, R. A., Santelli, J. S., & Hirsch, J. S. (2007). Sex education and sexual socialization: Roles for educators and parents. Perspectives on Sexual and Reproductive Health, 39(2), 116-119.
Swango-Wilson, A. (2008). Caregiver perceptions and implications for sex education for individuals with intellectual and developmental disabilities. Sexuality and Disability, 26(3), 167.
Schaafsma, D., Kok, G., Stoffelen, J. M., & Curfs, L. M. (2015). Identifying effective methods for teaching sex education to individuals with intellectual disabilities: A systematic review. Journal of Sex Research, 52(4), 412-432.
Stein, S., Kohut, T., & Dillenburger, K. (2018). The importance of sexuality education for children with and without intellectual disabilities: What parents think. Sexuality and Disability, 36(2), 141-148.
SEICUS(2018). The guidelines for comprehensive sexuality education. https://siecus.org/resources/the-guidelines/
Tepper, M. S. (2001). Becoming sexually able: Education to help youth with disabilities. Siecus Report, 29(3), 5-13.
Taylor Gomez, M. (2012). The S words: Sexuality, sensuality, sexual expression and people with intellectual disability. Sexuality and Disability, 30(2), 237-245.
Whitehouse, M. A., & McCabe, M. P. (1997). Sex education programs for people with intellectual disability: How effective are they?. Education and Training in Mental Retardation and Developmental Disabilities, 32(3) , 229-240.
Winges-Yanez, N. (2014). Why all the talk about sex? An authoethnography identifying the troubling discourse of sexuality and intellectual disability. Sexuality and Disability, 32(1), 107-116.
Wells, J., Clark, K. D., & Sarno, K. (2012). A computer‐based interactive multimedia program to reduce HIV transmission for women with intellectual disability. Journal of Intellectual Disability Research, 56(4), 371-381.
Women, U. N., & UNICEF. (2018). International technical guidance on sexuality education: an evidence-informed approach. UNESCO Publishing.
Wit, W., Roeg, D., & Embregts, P. J. (2023). Using Concept Mapping to Explore the Perspectives of People with Mild to Borderline Intellectual Disabilities Toward Sexual Health. Sexuality and Disability, 1-15.