簡易檢索 / 詳目顯示

研究生: 王歆韶
Wang, Hsin-Shao
論文名稱: 思覺失調症患者家庭成員知覺家庭韌力之敘事研究
A Narrative Study on Perceived Family Resilience of Family Members of Patients with Schizophrenia
指導教授: 王玉珍
Wang, Yu-Chen
口試委員: 田秀蘭
Tien, Hsiu-Lan
謝文宜
Shieh, Wen-Yi
王玉珍
Wang, Yu-Chen
口試日期: 2022/07/11
學位類別: 碩士
Master
系所名稱: 教育心理與輔導學系
Department of Educational Psychology and Counseling
論文出版年: 2022
畢業學年度: 110
語文別: 中文
論文頁數: 334
中文關鍵詞: 家庭韌力思覺失調症敘事研究
英文關鍵詞: family resilience, schizophrenia, narrative research
研究方法: 敘事分析
DOI URL: http://doi.org/10.6345/NTNU202201768
論文種類: 學術論文
相關次數: 點閱:207下載:32
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
  • 本研究旨在探討思覺失調症患者家庭成員知覺家庭韌力發展之經驗,包含家庭韌力的發展歷程、家庭面對的困境與挑戰,以及家庭韌力的特質。研究採敘事研究取向,以半結構深度訪談法,針對四位思覺失調症患者家庭成員搜集資料,以「整體—內容」、「類別—內容」進行資料分析。研究結果如下:
    本研究四位研究參與者的家庭韌力發展經驗可分為五階段,分別為:困境出現、家庭韌力醞釀到形成、家庭韌力受到挑戰、家庭韌力鞏固再發展、家庭韌力帶來家庭轉化,而本研究四名研究參與者的家庭所遭遇到的困境與挑戰,分別為:精神疾病的困難照顧、沈重的家庭照顧負擔、情緒與關係的傷害、疾病污名下的家庭孤立、隱晦的表達使溝通受阻。
    本研究四名研究參與者的家庭韌力特質可歸納為四大類別共十六項家庭韌力特質,分別有(一)克服逆境的正向信念,包含對家庭的愛與認同、接受且為逆境賦予意義、迎向未來的正面展望、信仰與靈性的超越力量;(二)彈性的家庭組織,包含替代角色的功能、強而有力的領導與決策、相互支持與合作、關係的連結與凝聚、允許離家的彈性界線;及(三)積極的溝通與問題解決,包含清晰直接的溝通、坦白的情感分享、同理與接納、因應疾病的問題解決;以及(四)家庭外的資源與幫助,包含親屬與大家族成員的支援、社區鄰里與學校師長提供幫助、醫療專業與社區資源的支持。
    最後,根據研究結果,提出對於國家政策、臨床工作者與未來研究的建議。

    The aim of this study was to explore the development of family resilience by family members of schizophrenic patients, focusing on the developmental process of family resilience, the difficulties and challenges faced by families, and the traits of family resilience. This research adopts a narrative research orientation and uses semi-structured interviews to collect data from four family members of patients with schizophrenia. The data were then analyzed in terms of “holistic content” and “categorical content.” The results of this study are as follows:
    The development of family resilience for the four research participants in this study can be divided into five stages: The emergence of difficulties, the formation of family resilience, the challenges of family resilience, the consolidation and redevelopment of family resilience, and the family transformation brought out by family resilience. Difficulties and challenges encountered by the families of the four research participants in this study includes: difficulty in caring for mental illness, heavy family burdens, harmful emotions and relationships, communication barriers caused by implicit expressions, and family isolation caused by social stigma.
    The family resilience traits of the four research participants in this study can be classified into four categories with a total of 16 traits. (1) Positive beliefs: love and recognition towards family, meaning making of adversity, stimulation for a positive outlook, transcendence through religion or spirituality; (2) Flexible family structure: alternating roles, strong authoritative leadership, mutual support and cooperation, connection and cohesion, flexible boundaries for escape; (3) Active communication and problem solving: clear and direct communication, open emotional expression, empathy and acceptance, problem solving in response to illness; and (4) Social resources: support from extended family members, neighbors, school teachers, medical professionals, and community resources.
    The suggestions were based on the research results and will be provided to national policy, clinicians, and future researchers.

    謝詞 i 中文摘要 iii 英文摘要 v 目次 vii 表次 ix 圖次 xi 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的與問題 5 第三節 名詞釋義 5 第二章 文獻探討 9 第一節 思覺失調症及其家庭 9 第二節 家庭韌力的概念與相關研究 19 第三節 思覺失調症患者家庭韌力 32 第三章 研究方法 41 第一節 敘事研究法 41 第二節 研究參與者 42 第三節 研究工具 44 第四節 研究實施程序 47 第五節 資料整理與分析 49 第六節 研究信實度 53 第七節 研究倫理 59 第四章 研究結果 63 第一節 小草長成大樹——萍兒的生命故事 63 第二節 永不放棄的愛就是家——如意的生命故事 112 第三節 突破困境後勇敢站立——小艾的生命故事 164 第四節 真實關係中有愛的力量——緋比的生命故事 209 第五節 綜合討論 273 第五章 研究結論與建議 299 第一節 研究結論 299 第二節 研究限制與建議 302 第三節 研究者的覺察與反思 305 參考文獻 307 中文部分 307 英文部分 320 附錄 327 附錄 1 訪談大綱 327 附錄 2 研究邀請函 328 附錄 3 研究參與者同意書 330 附錄 4 訪談札記 332 附錄 5 研究參與者檢核表 333

    方仁君(2020):《智能障礙者主觀知覺其家庭復原力之探索性研究》(未出版碩士論文),淡江大學。[Fang, R.-J. (2020). Study with intellectual disability subjective perception on family resilience (Unpublished master’s thesis). Tamkang University.]
    王智弘、劉淑慧、孫頌賢、夏允中(2017):〈主編的話-文化脈絡中的危機、轉機與復原力:本土諮商心理學研究的方向、目標與策略〉。《中華輔導與諮商學報》,50,1–28。[Wang, C.-H., Liu, S.-H., Sun, S.-H., & Shiah, Y.-J. (2017). Editor's note-crisis, chance, resilience and culture context: Probing into the direction, goal and strategy of indigenous counseling psychology. Chinese Journal of Guidance and Counseling, 50, 1–28.] https://doi.org/10.3966/172851862017120050001
    王舒慧(2013):《精神分裂症者疾病歷程:患者及家屬觀點之分析》(未出版碩士論文),朝陽科技大學。[Wang, S.-H. (2013). Disease course in schizophrenia: An analysis of patients and their familie’s viewpoint (Unpublished master’s thesis). Chaoyang University of Technology.]
    古思潔(2016):《家庭復原力與父母身心健康狀況之相關研究:以發展遲緩兒童家庭為例》(未出版碩士論文),長榮大學。[Gu, S.-J. (2016). The impact of family resilience on the well-being of developmental delayed parents: A study of Tainan city (Unpublished master’s thesis). Chang Jung Christian University.]
    任玉智、黃惠滿、許秀月(2011):〈精神分裂病人其主要照顧者之烙印經驗及因應行為〉。《高雄護理雜誌》,28(3),5–18。[Jen, Y.-C., Hung, H.-M., & Hsu, S.-Y. (2011). The stigma experience and coping behaviors of schizophrenic patients' caregivers. The Kaohsiung Journal of Nursing, 28(3), 5–18.] https://doi.org/10.6692/KJN-2011-28-3-2
    江依恬(2009):《疾風知勁草-身心障礙兒家庭韌性》(未出版碩士論文),國立臺灣師範大學。[Jiang, Y.-T. (2009). Family resilience within the families with handicapped children (Unpublished master’s thesis). National Taiwan Normal University.]
    米紐慶、羅斯曼、貝克(2009):《厭食家族:探索心身症的家庭脈絡》 (李淑珺譯)。心靈工坊文化。(原著出版年:1978) [Minuchin, S., Rosman, B. J., & Baker, L. (2009). Psychosomatic families: Anorexia nervosa in context (S. -J. Lee, Trans.). PsyGarden Publishing Company. (Original work published 1978)]
    朱偲韻(2016):《關係中的韌力探究─以兩位自閉症兒童母親的親子關係為例》(未出版碩士論文),國立東華大學。[Choo, S.-Y. (2016). Resilience in relationships: Examples from two mothers and their autistic child (Unpublished master’s thesis). National Dong Hwa University.]
    伍淑蘭(2007):《一個暴力家庭之家庭韌力初探》(未出版碩士論文),中國文化大學。[Wu, S.-L. (2007). A study of family resilience of a domestic violence family (Unpublished master’s thesis). Chinese Culture University.]
    吳佳芬(2018):《探討慢性思覺失調症病人復元歷程中與家人互動經驗》(未出版碩士論文),中臺科技大學。[Wu, J.-F. (2018). To explore the experiences of chronic schizophrenia patients' family interactions during the recovery (Unpublished master’s thesis). Central Taiwan University of Science and Technology.]
    吳佳芬、靖永潔(2020):〈探究慢性思覺失調症病人復元歷程中與家人互動經驗〉。《精神衛生護理雜誌》,15(2),6–13。[Wu, C.-F., & Ching, Y.-C. (2020). Exploring the family interactional experience of patients having chronic schizophrenia during their recovering process. The Journal of Psychiatric Mental Health Nursing, 15(2), 6–13.] https://doi.org/10.6847/TJPMHN.202012_15(2).01
    吳佳霖、劉宜釗、簡玉坤、葉在庭(2014):〈思覺失調症患者正負性症狀、心智推理與情緒辨識之關聯研究〉。《臨床心理學刊》,8(2),15–25。[Wu, C.-L., Liu, I.-C., Gen, W.-K., & Yeh, Z.-T. (2014). The relationship between positive and negative symptoms, theory of mind and emotion cognition in patients with Schizophrenia. Archives of Clinical Psychology, 8(2), 15–25.] https://doi.org/10.6550/ACP.0802.002
    吳就君、黃梅羹、胡海國、蔡春美、鄭若瑟、張宏俊、鄭夙芬(2001):〈精神分裂症病患照顧者表露情緒與社會心理因素之關係-兩年追蹤研究〉。《臺大社會工作學刊》,4,1+3–44。[Wu, C.-C., Hung, M.-K., Hwu, H.-G., Tsai, C.-M., Cheng, J.-J., Chang, H.-J., & Cheng, S.-F. (2001). The relationship for psychosocial factors and expressed emotion of caregivers over a two-year period. NTU Social Work Review, 4, 1+3–44.] https://doi.org/10.6171/ntuswr2001.04.01
    李佳諭(2012):《高風險家庭復原力的展現》(未出版碩士論文),東吳大學。[Lee, C.-Y. (2012). High-risk families show resilience (Unpublished master’s thesis). Soochow University.]
    李其熺(2019):《初顯成年期子女經歷父母罹癌的心理健康研究:以家庭韌力作為調節變項》(未出版碩士論文)。國立臺北教育大學。[Lee, C.-H. (2019). Mental health of emerging adults undergoing parental cancer: Family resilience as the moderating variable (Unpublished master’s thesis). National Taipei University of Education.]
    李奇勵(2011):《女性單親家庭親子韌力開展歷程》(未出版碩士論文),國立臺灣大學。[Lee, C.-L. (2011). The resilient development process of families headed by females with their children (Unpublished master’s thesis). National Taiwan University.]
    李嘉娟(2020):《輕度泛自閉症青年經歷家庭韌力發展的敘說研究》(未出版碩士論文),國立屏東大學。[Lee, C.-C. (2020). A narrative study on the development of family resilience in young people with mild autism (Unpublished master’s thesis). National Pingtung University.]
    李鴻昇(2020):《母親罹患思覺失調症之子女家庭角色轉換歷程之敘事研究》(未出版碩士論文),國立彰化師範大學。[Li, H.-S. (2020). A narrative study on the family role transition process of children of mothers with schizophrenia (Unpublished master’s thesis). National Changhua Normal University.]
    邱淑貞、蕭淑貞(1998):〈社區精神分裂病患家庭功能與自我照顧之相關性〉。《中華公共衛生雜誌》,17,206–213。[Chiou, S.-J., & Shiau, S.-J. (1998). Relation between self-care and family functioning among
    宋麗玉(2005):〈精神障礙者之復健與復元:一個積極正向的觀點〉。《中華心理衛生學刊》,18(4),1–29。[Song, L.-Y. (2005). Rehabilitation and recovery of persons with psychiatric disability: A progressive and positive perspective. Formosa Journal of Mental Health, 18(4), 1–29.] https://doi.org/10.30074/FJMH.200512_18(4).0001
    林宜蓁(2018):《從家庭韌力視角看繼親家庭的發展歷程-繼親子女的觀點》(未出版碩士論文),國立暨南國際大學。[Lin, Y.-C. (2018). The development process and family resilience of step families: The perspectives of children in stepfamilies (Unpublished master’s thesis). National Chi Nan University.]
    林青霈(2014):《以家庭韌力觀點探究大學生親子衝突經驗-以生涯抉擇為例》(未出版碩士論文),國立臺南大學。[Lin, C.-P. (2014). A study of college students’ experiences of parent-child conflict from the family resilience perspective-using career choice as an example (Unpublished master’s thesis). National University of Tainan.]
    林盈彣(2017):《初探慢性思覺失調症病患所背負之社會角色與功能在性別上的差異:從家屬的經驗談起》(未出版碩士論文),中國醫藥大學。[Lin, Y.-W. (2017). Initial exploration of social roles and function in gender differences for patients with chronic schizophrenia: The experience of caregivers (Unpublished master’s thesis). China Medical University.]
    林美伶、熊秉荃、林淑蓉、胡海國(2002):〈精神分裂症患者之烙印處境〉。《慈濟醫學雜誌》,14,381–388。[Lin, M.-L., Hsiung, P.-C., Lin, S.-J., & Hwu, H.-G. (2002). The stigma experience of patients with schizophrenia. TZU CHI Medical Journal, 14, 381–388.] https://doi.org/10.6440/TZUCMJ.200212.0381
    林美珠、溫錦真(2018):〈臺灣心理與諮商敘事研究之回顧與展望〉。《中華輔導與諮商學報》,53,81–116。[Lin, M.-J., & Wen, C.-C. (2018). Review and prospect of narrative research in the field of psychology and counseling in Taiwan. Chinese Journal of Guidance and Counseling, 53, 81–116.] https://doi.org/10.3966/172851862018100053004
    林慧婷(2014):《精神分裂症患者家庭功能與復元之相關性研究》(未出版碩士論文),國立臺北大學。[Lin, H.-T. (2014). Investigation study on the correlation of schizophrenia patient’s family function and recovery (Unpublished master’s thesis). National Taipei University.]
    胡海國(1995):〈精神分裂症患者早期病程的社會功能〉。《當代醫學》,265,953–956。[Hwu, H.-G. (1995). Social functioning in the early course of schizophrenia. Medicine Today, 265, 953–956.] https://doi.org/10.29941/MT.199511.0020
    胡海國(1996):〈精神分裂症患者家屬對精神分裂症之態度〉。《當代醫學》,272,513–517。[Hwu, H.-G. (1996). Attitudes of family members of schizophrenia patients towards schizophrenia. Medicine Today, 272, 513–517.] https://doi.org/10.29941/MT.199606.0024
    郭芬如(2013):《精神障礙者家屬之照顧經驗》(未出版碩士論文)。國立臺灣師範大學。[Kuo, F.-J. (2013). Narratives of family caregivers of people with mental illness (Unpublished master’s thesis). National Taiwan Normal University.]
    陳玟玲(2012):《精神分裂症患者主要照顧者照顧負荷之相關因素探討》(未出版碩士論文),美和科技大學。[Chen, W.-L. (2012). The related factors of burden in schizophrenia caregivers (Unpublished master’s thesis). Meiho University.]
    陳信佩(2007):《家庭是療癒的聖杯嗎?精神分裂症患者對家庭關係解讀與家庭支持需求之研究》(未出版碩士論文),輔仁大學。[Chen, S.-P. (2007). Is family the holy cup of healing? A study of the interpretation of family relationship and the need of family support in the eyes of schizophrenia (Unpublished master’s thesis). Fu Jen Catholic University.]
    陳書玲(2011):《乳癌倖存者及其家人之逆境因應與家庭韌力研究》(未出版碩士論文),國立新竹教育大學。 [Chen, S.-L. (2011). A study of adversity coping and family resilience of breast cancer survior and her families (Unpublished master’s thesis). National Hsinchu University of Education.]
    陳慈君(2009):《那彩虹橋的韌性—神經母細胞瘤家庭之患病經驗與治療過程》(未出版碩士論文),國立臺灣大學。[Chen, T.-J. (2009). Resilience of the rainbow bridge-The illness experience and treatment process of families with a Neuroblastoma child (Unpublished master’s thesis). National Taiwan University.]
    高淑清(2008):《質性研究的18堂課—首航初探之旅》。麗文文化。[Kao, S.-C., (2008). Zhixing yanjiu de18 tang ke shouhang chutan zhil. Li-Wen Publishing.]
    徐開慧(2015):《手足罹患思覺失調症之壓力因應模式》(未出版碩士論文),中山醫學大學。[Syu, K.-H. (2015). The coping style of siblings of persons with schizophrenia (Unpublished master’s thesis). Chung Shan Medical University.]
    夏慧玲、葉玲玲、黃光華(2009):〈精神分裂症患者主要照顧者之照顧需要研究〉。《精神衛生護理雜誌》,4,9–18。[Hsia, H.-L., Yeh, L.-L., & Hung, K.-H. (2009). Care needs for patients with schizophrenia of chief caregivers. The Journal of Psychiatric Mental Health Nursing, 4, 9–18.] https://doi.org/10.6847/TJPMHN.200906_4(1).0002
    張正昌(2008):《新加坡男性愛滋病患家庭復原力歷程之探討》(未出版碩士論文),國立暨南國際大學。 [Chang, C.-C. (2008). Study of the process of family resilience on Singapore male HIV/AIDS patient (Unpublished master’s thesis). National Chi Nan University.]
    張秀如、林佳靜、蕭淑貞(2006)。精神分裂病患家庭的生活經驗。醫護科技學刊,8,186–196。[Chang, H.-J., Lin, C.-C., & Shiau, S.-J. (2006). Experience of families living with schizophrenia. The Journal of Health Science, 8, 186–196.] https://doi.org/10.6563/TJHS.2006.8(3).3
    張育瑛(2016):《思覺失調症患者手足的生命經驗初探》(未出版碩士論文),國立臺北大學。[Chang, Y.-Y. (2016). Exploring the sibling’s life experiences that who have a schizophrenia sibling (Unpublished master’s thesis). National Taipei University.]
    敖昱婷(2019):《罹患失智症老人的家庭調適歷程及家庭韌力之研究》(未出版碩士論文),國立屏東大學。[Ao, Y.-T. (2016). Adjustment processes and family resilience for the families of elderly with dementia (Unpublished master’s thesis). National Pingtung University.]
    梅黎晞(2006):《精神分裂症病患對家庭維繫的衝擊─從配偶角度探討》(未出版碩士論文),國立東華大學。[Mei, L.-H. (2006). The impact of schizophrenia patients on family maintenance: From the perspective of spouses (Unpublished master’s thesis). National Dong Hwa University.]
    黃小玲(2009):《愛的力量—從經歷哥哥車禍死亡看見自己及家人的哀傷與韌力之自我敘說研究》(未出版碩士論文),國立臺灣師範大學。[Huang, X.-L. (2009). The power of love: A self-narrative study of the grief and resilience of myself and my family from experiencing the death of my brother in a car accident (Unpublished master’s thesis). National Taiwan Normal University.]
    黃玉珠、王育慧(2015):〈伴我路遙遙-家屬及公衛護理師照護社區精神病患之現況與困境〉。《護理雜誌》,62(4),26–33。[Hung, Y.-C., & Wang, Y.-H. (2015). A long way home: The current state of care provided by family caregivers and public health nurses to persons with mental illness in the community. The Journal of Nursing, 62(4), 26–33.] https://doi.org/10.6224/JN.62.4.26
    黃宗正、劉智民、劉震鐘、謝明憲、簡意玲、胡海國(2011):〈精神分裂症的臨床與精神病理〉。《臺灣醫學》,15,365–374。[Hung, T.-J., Liu, C.-M., Liu, C.-C., Hsieh, M.-H., Chien, Y.-L., & Hwu, H.-G. (2011). Clinical aspect and psychopathology of schizophrenia. Formosa Journal of Medicine, 15, 365–374.] https://doi.org/10.6320/FJM.2011.15(4).04
    黃智榆(2011):《罹患癌症病童的母親不確定感、家庭韌力與生活品質之相關性》(未出版碩士論文),國立陽明大學。[Huang, C.-Y. (2011). Relationships between uncertainty, family resilience and quality of life in mothers of children with cancer (Unpublished master’s thesis). National Yang-Ming University.]
    黃琬鈞(2017):《一位照顧思覺失調症患者的母親之敘事研究》(未出版碩士論文),國立臺東大學。[Huang, W.-C. (2017). A narrative research on a life experience of a mother with schizophrenia child (Unpublished master’s thesis). National Taitung University.]
    黃詩涵(2020):《思覺失調症病人家屬照顧者的調適歷程和照顧負荷》(未出版碩士論文),國立臺灣大學。[Huang, S.-H. (2020). Adaptive process and burden of schizophrenia patients’ caregivers (Unpublished master’s thesis). National Taiwan University.]
    華許(2008):《家族再生:逆境中家庭韌力與療癒》(江麗美、李淑珺、陳厚愷譯)。心靈工坊。(原著出版年:2006)[Walsh, F. (2008). Strengthening family resilience (L. -M. Jiang., S. -J. Li., & H. -K. Chen, Trans.) PsyGarden Publishing Company. (Original work published 2006)]
    辜矞卉(2016):《思覺失調症病患主要照顧者照護之生活經驗》(未出版碩士論文),長庚科技大學。[Ku, Y.-H. (2016). The lived experiences of primary caregivers who care the people living with schizophrenia (Unpublished master’s thesis). Chang Gung University of Science and Technology.]
    楊子鐳(2014):《逆風飛翔:從生態系統觀探究高風險家庭韌力經驗之個案研究》(未出版碩士論文),國立嘉義大學。[Yang, T.-L. (2014). Flying against the wind: A case study of family resilience in a high-risk family’s experience from ecological systems’ perspective (Unpublished master’s thesis). National Chiayi University.]
    楊智凱(2010):《找尋家庭韌力:以三個罕見疾病兒童家庭為例》(未出版碩士論文),東吳大學。[Yang, C.-K. (2010). Finding the power of family resilience: Take the three families of rare diseases child as the examples (Unpublished master’s thesis). Soochow University.]
    楊逸鴻(2005):〈精神分裂病患主要照顧者之情緒表露〉。《北市醫學雜誌》,2,803–809。[Yang, Y.-H. (2005). Expressed emotion in the primary caregivers of schizophrenia patients. Taipei City Medicine Journal, 2, 803–809.] https://doi.org/10.6200/TCMJ.2005.2.9.05
    楊寶圜(2012):《置身預期性失落之家庭韌力經驗的本質結構:以學齡期脊髓性肌肉萎縮兒童家庭探討》(未出版碩士論文),國立陽明大學。 [Yang, B.-H. (2012). The essential structure of situatedness of anticipatory loss of family resiliency: The family having a school-age child with spinal muscular atrophy (Unpublished master’s thesis). National Yang Ming University.]
    葉思妤(2013):《青少年家庭韌力知覺量表之編製與相關研究》(未出版碩士論文),國立彰化師範大學。[Yeh, S.-Y. (2013). Compilation and related research of adolescent family resilience perception scale (Unpublished master’s thesis). National Changhua Normal University.]
    葉瑋(2018):《當家有精障者─家庭韌性之相關因素探討》(未出版碩士論文),國立臺灣大學。[Ye, W. (2018). Families living with mental illness: Factors associated with family resilience (Unpublished master’s thesis). National Taiwan University.]
    鄭峰銘(2006):《更生人家庭復原力之研究》(未出版碩士論文),國立嘉義大學。 [Cheng, F.-M. (2006). A Study on the family resilience of a male inmate (Unpublished master’s thesis). National Chiayi University.]
    蔡素妙(2002):《九二一受創家庭復原力之變化分析研究》(未出版碩士論文),國立彰化師範大學。[Tsai, S.-M. (2002). An analytical study on the resilience process of the families traumatized by 921 earthquake (Unpublished master’s thesis). National Changhua Normal University.]
    潘淑滿(2003):《質性研究:理論與應用》。心理出版社。[Pan, S.-M., (2003). Qualitative research: Theory and applications. Pychological Publishing.]
    劉紹蔚(2014):《健康手足照顧接受居家照顧精神分裂症病患之經驗》(未出版碩士論文),長庚大學。[Liu, S.-W. (2014). The healthy siblings’caring experience of schizophrenic patients with home visit care (Unpublished master’s thesis). Chang Gung University.]
    蕭淑貞、楊秋月、葉櫻媛、黃瑞媛、陳美雲、吳麗萊(1999):〈精神病患的家庭結構、疾病症狀與壓力調適之探討〉。《The Kaohsiung Journal of Medical Sciences》,15,359–371。[Hung, T.-J., Liu, C.-M., Liu, C.-C., Hsieh, M.-H., Chien, Y.-L., & Hwu, H.-G. (1999). The study of family structure, illness symptom, and stress adaptation of psychotic patients. The Kaohsiung Journal of Medical Sciences, 15, 359–371.] https://doi.org/10.6452/KJMS.199906.0359
    謝旻紜(2016):《手足擔任思覺失調症患者主要照顧者之經驗歷程》(未出版碩士論文),弘光科技大學。[Hsieh, M.-Y. (2016). Sibling’s experiences as the primary caregiver of patient with schizophrenia (Unpublished master’s thesis). Hungkuang University.]
    韓佩凌、陳柏霖(2017):《正向心理學理論與實務》。雙葉。[Han, P.-L., & Chen, B.-L. (2017). Positive psychology. Yehyeh Book Gallery.]
    簡春安、鄒平儀(1998):《社會工作研究法》。巨流。[Jian, C.-A., & Zou, P.-I. (1998). Social work research. Chuliu Book Company.]
    顏瑞隆(2016):《輕度成人自閉症者成長歷程中的家庭韌力探究》(未出版碩士論文),國立臺灣師範大學。[Yan, J.-L. (2016). Exploring resilience in families with living with adults with mild autism (Unpublished master’s thesis). National Taiwan Normal University.]
    Aldersey, H., & Whitley, R. (2015). Family influence in recovery from severe mental illness. Community Mental Health Journal, 51, 467–476. https://doi.org/10.1007/s10597-014-9783-y
    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
    Avdi, E., & Georgaca, E. (2007). Discourse analysis and psychotherapy: A critical review. European Journal of Psychotherapy and Counselling, 9, 157–176. https://doi.org/10.1080/13642530701363445
    Bateson, G., Jackson, D. D., Haley, J., & Weakland, J. (1956). Toward a theory of schizophrenia. Behavioral Science, 1, 251–264.
    Benzies, K., & Mychasiuk, R. (2009). Fostering family resiliency: A review of the key protective factors. Child & Family Social Work, 14, 103–114. https://doi.org/10.1111/j.1365-2206.2008.00586.x
    Bishop, M., & Greeff, A. P. (2015). Resilience in families in which a member has been diagnosed with schizophrenia. Journal of Psychiatric & Mental Health Nursing, 22, 463–471. https://doi.org/10.1111/jpm.12230
    Bolton, K. W., Hall, J. C., Blundo, R., & Lehmann, P. (2017). The role of resilience and resilience theory in solution-focused practice. Journal of Systemic Therapies, 36(3), 1–15. https://doi.org/10.1521/jsyt.2017.36.3.1
    Boss, P. (2002). Family stress management: A contextual approach (2nd ed.). SAGE Publications.
    Bowen, M. (1985). Family therapy in clinical practice. Scribner.
    Brivio, E., Guiddi, P., Scotto, L., Giudice, A. V., Pettini, G., Busacchio, D., Didier, F., Mazzocco, K., & Pravettoni, G. (2021). Patients living with breast cancer during the coronavirus pandemic: The role of family resilience, coping flexibility, and locus of control on affective responses. Frontiers in Psychology, 11, Article 567230. https://doi.org/10.3389/fpsyg.2020.567230
    Buchbinder, M., Longhofer, J., & Mccue, K. (2009). Family routines and rituals when a parent has cancer. Families, Systems & Health: The Journal of Collaborative Family HealthCare, 27, 213–227. https://doi.org/10.1037/a0017005
    Buckingham, S. L., & Brodsky, A. E. (2015). 'Our differences don’t separate us’: Immigrant families navigate intrafamilial acculturation gaps through diverse resilience processes. Journal of Latina/o Psychology, 3, 143–159. https://doi.org/10.1037/lat0000042
    Chen, X., Mao, Y., Kong, L., Li, G., Xin, M., Lou, F., & Li, P. (2016). Resilience moderates the association between stigma and psychological distress among family caregivers of patients with schizophrenia. Personality & Individual Differences, 96, 78–82. https://doi.org/10.1016/j.paid.2016.02.062
    Cohen, L., Ferguson, C., Harms, C., Pooley, J. A., & Tomlinson, S. (2011). Family systems and mental health issues: A resilience approach. Journal of Social Work Practice, 25, 109–125. https://doi.org/10.1080/02650533.2010.533754
    Crowe, A., & Lyness, K. P. (2014). Family functioning, coping, and distress in families with serious mental illness. The Family Journal, 22, 186–197. https://doi.org/10.1177/1066480713513552
    Dolbin, M. M. L., Smith, G. C., & Hayslip, B. (2021). Reunification in custodial grandfamilies: An examination of resilient family processes. Family Relations, 70, 225–245. https://doi.org/10.1111/fare.12487
    Dolbin-Macnab, M. L., Jarrott, S. E., Moore, L. E., O’hora, K. A., De Chavonnes Vrugt, M., & Erasmus, M. (2016). Dumela mma: An examination of resilience among South African grandmothers raising grandchildren. Ageing & Society, 36, 2182–2212. https://doi.org/10.1017/S0144686X15001014
    Duckworth, A. L., Steen, T. A., & Seligman, M. E. P. (2005). Positive psychology in clinical practice. Annual Review of Clinical Psychology, 1, 629–651. https://doi.org/10.1146/annurev.clinpsy.1.102803.144154
    Duncan Lane, C., Meszaros, P. S., & Savla, J. (2017). Measuring Walsh’s family resilience framework: Reliability and validity of the family resilience assessment among women with a history of breast cancer. Marriage & Family Review, 53, 667–682. https://doi.org/10.1080/01494929.2016.1263588
    Fernandes, J. B., Fernandes, S. B., Almeida, A. S., & Cunningham, R. C. (2021). Barriers to family resilience in caregivers of people who have schizophrenia. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing, 53, 393–399. https://doi.org/10.1111/jnu.12651
    Fitryasari, R., Nursalam, N., Yusuf, A., Hargono, R., Lin, E. C., & Tristiana, R. D. (2021). Development of a family resiliency model to care of patients with schizophrenia. Scandinavian Journal of Caring Sciences, 35, 642–649. https://doi.org/10.1111/scs.12886
    Glatt, S. J., Faraone, S. V., & Tsuang, M. T. (2019). Schizophrenia: The facts (4nd ed.). PsyGarden Publishing Company.
    Goldenberg, H., & Goldenberg, I. (2011). Family therapy: an overview. Cengage Learing.
    Graves, J. M., Marsack-Topolewski, C. N., & Shapiro, J. (2020). Emerging adult siblings of individuals with schizophrenia: Experiences with family crisis. Journal of Family Issues, 41, 2002–2021. https://doi.org/10.1177/0192513X20905327
    Greeff, A., Vansteenwegen, A., & Ide, M. (2006). Resiliency in families with a member with a psychological disorder. American Journal of Family Therapy, 34, 285–300. https://doi.org/10.1080/01926180600637465
    Guada, J. (2012). The unique coping strategies of African American families with a loved one with schizophrenia: The use of the family crisis oriented personal evaluation scale. Journal of Family Social Work, 15, 171–186.
    Henry, C. S., Sheffield Morris, A., & Harrist, A. W. (2015). Family resilience: Moving into the third wave. Family Relations, 64, 22–43. https://doi.org/10.1111/fare.12106
    Hernandez, M., Barrio, C., & Yamada, A. ‐M. (2013). Hope and burden among latino families of adults with schizophrenia. Family Process, 52, 697–708. https://doi.org/10.1111/famp.12042
    Johnson, S. (2002). Emotionally focused couples therapy for truma survivors. Guilford Press.
    Kring, A. M., Johnson, S. L., Davison, C. D., & Neale, J. M. (2016). Abnormal psychology (13th ed.). John Wiley & Sons.
    Lieblich, A., Tuval-Mashiach. R., & Zilber, T. (1998). Narrative research: Reading, analysis and interpretation. Sage Publications.
    Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE Publications.
    Lieblich, T., Tuval-Mashiach, R., & Ziber, T. (1998). Narrative research: Reading analysis. SAGE Publications.
    Liu, N., & Zhang, J. (2020). Experiences of caregivers of family member with schizophrenia in China: A qualitative study. Perspectives in Psychiatric Care, 56, 201–212. https://doi.org/10.1111/ppc.12412
    Luthar, S. S., & Cicchetti, D. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562. https://doi.org/10.1111/1467-8624.00164
    Marsh, D. T., Lefley, H. P., Evans-Rhodes, D., Ansell, V. I., Doerzbacher, B. M., LaBarbera, L., & Paluzzi, J. E. (1996). The family experience of mental illness: Evidence for resilience. Psychiatric Rehabilitation Journal, 20(2), 3–12. https://doi.org/10.1037/h0095390
    Masten, A. S., & Monn, A. R. (2015). Child and family resilience: A call for integrated science, practice, and professional training. Family Relations: An Interdisciplinary Journal of Applied Family Studies, 64, 5–21. https://doi.org/10.1111/fare.12103
    Masten, A. S. (2007). Resilience in developing systems: Progress and promise as the fourth wave rises. Development & Psychopathology, 19, 921–930. https://doi.org/10.1017/S0954579407000442
    Maurović, I., Liebenberg, L., & Ferić, M. (2020). A review of family resilience: Understanding the concept and operationalization challenges to inform research and practice. Child Care in Practice, 26, 337–357. https://doi.org/10.1080/13575279.2020.1792838
    Newman, R. (2005). APA's resilience initiative. Professional Psychology: Research and Practice, 36, 227–229. https://doi.org/10.1037/0735-7028.36.3.227
    Nirmala, B. P., Vranda, M. N., & Reddy, S. (2011). Expressed emotion and caregiver burden in patients with schizophrenia. Indian Journal of Psychological Medicine, 33, 119–122. https://doi.org/10.4103/0253-7176.92052
    Nuechterlein, K. H., Barch, D. M., Gold, J. M., Goldberg, T. E., Green, M. F., & Heaton, R. K. (2004). Identification of separable cognitive factors in schizophrenia. Schizophrenia Research, 72, 29–39. https://doi.org/10.1016/j.schres.2004.09.007
    Oh, S., & Chang, S. J. (2014). Concept analysis: Family resilience. Open Journal of Nursing, 4, 980–990. https://doi.org/10.4236/ojn.2014.413105
    Patterson, J. M. (2002). Integrating family resilience and family stress theory. Journal of Marriage & Family, 64, 349–360. https://doi.org/10.1111/j.1741-3737.2002.00349.x
    Patterson, J. M., & Garwick, A. W. (1994). The impact of chronic illness on families: A family systems perspective. Annals of Behavioral Medicine, 16, 131–142.
    Peleg, O., & Arnon, T. (2013). Are differentiation levels associated with schizophrenia? Deviant Behavior, 34, 321–338. https://doi.org/10.1080/01639625.2012.726176
    Power, J., Goodyear, M., Maybery, D., Reupert, A., O, H. B., Cuff, R., & Perlesz, A. (2016). Family resilience in families where a parent has a mental illness. Journal of Social Work, 16, 66–82. https://doi.org/10.1177/1468017314568081
    Reiss, D. (1981). The family’s construction of reality. Harvard University Press.
    Richardson, G. E. (2002). The metatheory of resilience and resiliency. Journal of Clinical Psychology, 58, 307–321.
    Rocchi, S., Ghidelli, C., Burro, R., Vitacca, M., Scalvini, S., Vedova, A. M. D., Roselli, G., Ramponi, J. P., & Bertolotti, G. (2017). The Walsh family resilience questionnaire: The Italian version. Neuropsychiatric Disease & Treatment, 13, 2987–2999. https://doi.org/10.2147/NDT.S147315
    Rolland, J. S. (1987). Family systems and chronic illness: A typological model. Journal of Psychotherapy & the Family, 3, 143–168. https://doi.org/10.1300/J287v03n03_10
    Santesteban-Echarri, O., MacQueen, G., Goldstein, B. I., Wang, J., Kennedy, S. H., Bray, S., Lebel, C., & Addington, J. (2018). Family functioning in youth at-risk for serious mental illness. Comprehensive Psychiatry, 87, 17–24. https://doi.org/10.1016/j.comppsych.2018.08.010
    Skolnick, A. S., & Skolnick, J. H. (2007). Family in transition (4th ed.). Pearson.
    Smith-Osborne, A. (2007). Life span and resiliency theory: A critical review. Advances in Social Work, 8, 162–178.
    Suresky, M. J., Zauszniewski, J. A., & Bekhet, A. K. (2014). Factors affecting disruption in families of adults with mental illness. Perspectives in Psychiatric Care, 50, 235–242. https://doi.org/10.1111/ppc.12047
    Torrey, E, F. (2019). Surviving schizophrenia: A family manual (7th ed.). HarperCollins Publishers.
    Walsh, F. (2003). Family resilience: A framework for clinical practice. Family Process, 42, 1–18. https://doi.org/10.1111/j.1545-5300.2003.00001.x
    Walsh, F. (2016). Family resilience: A developmental systems framework. European Journal of Developmental Psychology, 13, 313–324. https://doi.org/10.1080/17405629.2016.1154035
    Werner, E. E. (1995). Resilience in development. Current Directions in Psychological Science, 4, 81–84.
    Werner, E. E., & Smith, R. S. (1992). Overcoming the odds: High risk children from birth to adulthood. Cornell University Press.

    下載圖示
    QR CODE