● 中文摘要：

　　本研究之目的在探究藥物成癮者戒癮後再度施用藥物之復發決定因素，研究對象為臺北戒治所之十位成年男性受戒治人，以質化研究之深度訪談方法蒐集資料。 研究分析出復發決定因素可分為回溯性復發決定因素及預測性復發決定因素，回溯性復發決定因素乃分析受訪者過去實際之復發經驗而得，依其為受訪者再次用藥之前及當時之事件、情緒或想法分為前導因素及觸發因素，再依其類別各區分為內在--個人因素與外在--環境因素；預測性之復發決定因素則是請受訪者「想像未來出所後可能復發的情境及原因？」，即受訪者主觀預測其可能的復發因素，亦依其類別區分為內在--個人因素與外在--環境因素。茲將本研究之結果分述如下： 壹、回溯性之復發決定因素 一、前導因素 （一）內在--個人因素 1.對於藥物的渴求且缺乏適當的因應方法；2.對於藥物的非理性或錯誤認知；3.沒有想要戒藥或戒藥動機薄弱；4.生活無意義感。 （二）外在--環境因素 1.生活挫折事件的影響；2.人際影響因素；3.法律狀態引發的復發內言；4.外在監控程度降低；5.家庭關係中的共謀。 二、觸發因素 （一）內在--個人因素 1.對於藥物持續的渴求且缺乏因應方法；2.對於藥物的非理性或錯誤認知；3.沒有想要戒藥或戒藥動機薄弱；4.自認合理的用藥藉口；5.戒藥的自我效能感低落；6.酒精的影響；7.尋求內在衝突的解脫。 （二）外在--環境因素 1.挫折事件引發的負面情緒持續發酵；2.社交壓力與需求；3.藥物可及性高；4.為了各種理由試藥；5.經濟狀況許可。 貳、預測性之復發決定因素 一、內在--個人因素 1.戒藥信心薄弱且缺乏戒癮方法；2.困於難纏的渴求藥物中；3.生活沒有重心。 二、外在--環境因素 1.人際因素；2.家庭因素；3.生活挫折事件乍然到來；4.藥物線索出現；5.有錢能使鬼推磨；6.為了生計而須接觸藥物；7.因法律問題產生的投機心理。 最後，希冀此研究結果能提供藥癮戒治工作者之實務參考，以據此發展具體有效之治療方案，預防復發之發生，進而減少社會問題及社會成本。

● English Abstract:

     The purpose of this research is to explore the factors that cause the relapse of drug addicts. The participants of this study are ten court-ordered adults who are immured at Taipei Drug Abuser Treatment Center. This study is a qualitative research that generalizes a conclusion from interviewing ten drug abusers. The results of this research reveal that the determinants of relapse can be categorized into two kinds. One is retrospective, and another is prospective. The retrospective relapse determinants also can be differentiated into the previous determinants and the catalytic determinants. Then, the retrospective and prospective relapse determinants are separated into two categories: intra-personal determinants and external-environmental determinants. Next are the detail contents.

一、Retrospective Relapse Determinants

（一）The Previous Relapse Determinants 1. Intra-personal determinants (1) Craving for drug and lack of coping skills. (2) The irrational or erroneous belief of the drug. (3) No motivation or weak commitment to abstinence. (4) Meaninglessness of life. 2. External-environmental determinants (1) The effect of life frustration. (2) The influence of interpersonal relationship. (3) Problems with the law. (4) Reduction of external monitor. (5) Codependence in the family.

（二）The Catalytic Relapse Determinants 1. Intra-personal determinants (1) Continuing craving for drug and lack of coping skills. (2) The irrational or erroneous belief of the drug. (3) No motivation or weak commitment to abstinence. (4) Rationalizations for using the drug. (5) Low self-efficacy to abstinence. (6) The effect of alcohol. (7) Seeking release from internal conflict. 2. External-environmental determinants (1) The negative emotion that result from the life frustration. (2) Social pressure and demand. (3) Availability of drug. (4) Testing the drug for the various reasons. (5) Financial capability.

二、Prospective Relapse Determinants

（一） Intra-personal determinants 1. Have no confidence and skills to abstinence from drugs. 2. To suffer from drug craving. 3. Meaninglessness of life.

（二）External-environmental determinants 1. The influence of interpersonal relationship. 2. The family factors. 3. Unexpected life frustration. 4. Have drug-related event. 5. Financial capability. 6. Surrounded by the drugs for life. 7. Problems with the law. Finally, we hope that the result of this research will provide the consultation to the practice workers who treat the addicts. That will contribute to develop the therapeutic programs and prevent relapse, thus, it will reduce the social problems and the cost.

● 文章連結：

http://handle.ncl.edu.tw/11296/ndltd/51936036853415246455

● 資料來源：

臺灣博碩士知識加值系統