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| 題 名 | 短期親子遊戲治療運用於ADHD兒童之母親參與經驗之個案研究=A Case Study on Short-Term Filial Therapy for Mother of Child with ADHD |
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| 作 者 | 蘇桂慧; 黃宗堅; | 書刊名 | 本土諮商心理學學刊 |
| 卷 期 | 15:4 2024.12[民113.12] |
| 頁 次 | 頁241-315 |
| 分類號 | 178.8 |
| 關鍵詞 | 注意力不足／過動症; 家庭文化; 親子遊戲治療; Attention deficit/hyperactivity disorder; ADHD; Family culture; Filial therapy; |
| 語 文 | 中文(Chinese);英文(English) |
| 中文摘要 | 本研究目的在探討短期親子遊戲治療運用於注意力不足／過動症（Attention Deficit /Hyperactivity Disorder，簡稱 ADHD）兒童之母親參與經驗之個案研究。ADHD 其核心 症狀為注意力不足、衝動與過動，影響家庭、學校、生活及人際衝突等問題，家長的教 養壓力極大期望獲得協助。尤其，華人家庭文化下，母親經常擔任主要照顧者的角色， 教養 ADHD 兒童的巨大壓力更需要被理解。因此，本研究運用 Garry L. Landreth 兒童中 心親子遊戲治療模式之原則，規劃六週短期親子遊戲治療方案，並增加針對母親的「暖 心時刻」期能促進問題行為的改善，並增強傾聽母親於家庭文化影響下之感受。本研究 參與者為具有 ADHD 兒童之母親，採個案研究法進行。研究結果發現短期親子遊戲治 療對於 ADHD 兒童與母親的影響為（一）母親的覺察與改變方面展現「反映感覺，肯定 改變」、「把主控權還給孩子」、「穩定個人情緒」；（二）孩子的進步方面展現在「自主性 的提升」、「同理感受，勇於面對」、「情緒穩定度提升」、「自控感提升」。另外，對於家庭 文化脈絡下的母親參與經驗則顯現在三方面：（一）「母親教養情緒的煎熬」包括焦慮情 緒與內心壓力被看見；（二）「覺察家庭文化框架的影響」包括大家庭教養壓力與關係的 緊繃、孝道文化期望乖巧順從、望子成龍的期待；（三）「家庭關係開啟曙光」包括家庭 關係的鬆綁與界限、核心家庭互動關係的改變。綜上所述，短期親子遊戲治療模式對母 親帶領 ADHD 兒童具有持續性幫助，並且藉由規劃暖心時刻，傾聽與理解母親的情緒 感受，進而影響 ADHD 兒童的情緒穩定度，促進家庭互動關係的改善。惟本研究參與人 數僅為單組是其限制，但短期親子遊戲治療仍值得依循，提升文化敏覺性以供實務工作 參考。 |
| 英文摘要 | The purpose of this study is to explore the experience of mother’s participating in a short-term filial therapy program for child with Attention Deficit/Hyperactivity Disorder (ADHD). ADHD is characterized by core symptoms of inattention, impulsivity, and hyperactivity, which affect family dynamics, school performance, daily life, and interpersonal relationships. Parents experience significant parenting stress and seek assistance. Particularly in Chinese family culture, mothers often assume the primary caregiving role and face immense pressure in raising children with ADHD, which needs to be understood. Therefore, this study utilizes the principles of Garry L. Landreth's Child-Centered Filial Therapy model to design a six-week short-term filial therapy program. Additionally, a "heartwarming moment" session for the mother is included to promote the improvement of problematic behaviors and enhance understanding of the mother's feelings under the influence of family culture. The participant of this study is a mother of a child with ADHD, and the research was conducted using a case study approach. The findings revealed that short-term filial therapy had the following impacts on both ADHD child and his mother, and can be divided into two major aspects: For the mother, there were three main effects: First, the mother became more aware of her own emotions and was able to timely recognize and reflect her child's feelings, giving positive reinforcement to the child's changes. Second, through learning, the mother improved her parenting perspectives and skills, practiced gradually returning control to her child, and sought resources to help with difficulties. Third, the mother felt more emotionally stable, as being listened to and understood made her feel relaxed, and she became better at recognizing and adjusting the parenting techniques. As for the child with ADHD, there was four main impacts: First, the child's autonomy increased, and he took the initiative to plan his own schedules. Second, the child was able to develop empathy, bravely face and apologize for mistakes caused by his disruptive behaviors. Third, the mother reported that her child's emotional stability improved significantly. Fourth, the child also tried to practice restraining impulsive behaviors at school to reduce disruptions. |
本系統中英文摘要資訊取自各篇刊載內容。