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人溺,己溺? ──性侵害防治社工替代性創傷歷程研究<P>The Research of Vicarious Traumatic Process for Sexual Assault Prevention Social Workers.

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  • 最後更新日期:109-05-13
  • 資料點閱次數:113
「替代性創傷」係指助人者因深刻同理倖存者的遭遇而受創,其架構涵括了助人者的認知、生理、心理層面,應用廣泛,惜目前國內相關的文獻並不多。本研究的目的,在於以替代性創傷理論為基準,針對性侵害防治社工的工作歷程進行探討。為此,研究者與五位自我評估曾經承受過替代性創傷,有一年以上以性侵害防治為主工作經驗的社工員聯繫,並邀請他們參與訪談。訪談結果透過「「類別─內容」與「類別─形式」兩種敘事分析法進行分析,獲得的結果謹摘要如下: 一、以「起、承、轉、合」的劇情結構進行分析,發現性侵害防治社工的工作歷程各階段主題,分別為(一)「陌生與調適」(二)「投入與創傷」(三)「困境與成長」(四)「結束與新生」 二、性侵害防治社工最易承受替代性創傷的層面,首先是參考架構中的認同感,以及自體能力和自我資源;其次是對於安全的心理需求和記憶知覺;再次則是參考架構中的世界觀與靈性。此外,信任、尊重、親密、控制這四個心理需求,也有社工在工作過程中受到損傷。 三、社工用以因應替代性創傷的策略,在專業層面為「專業進修」與「支持團體」,在機構層面則是「機構支持」和「網絡支持」。於個人層面,則包括了「自我覺察」、「靈性復原」、「心理治療」、「劃定界線」、「建立連結」以及「離開壓力環境」共六項。 四、在回顧其性侵害防治社工工作歷程時,社工們皆認為從事性侵害防治工作為他們帶來收獲與成長。至於在工作過程中所承受的創傷,社工們則能「從創傷中找到意義」,將之視為力量的來源,並因此覺得即使擔任性侵害防治社工的過程有許多困難、痛苦的時刻,這些回憶仍是有價值且不可取代的。 根據研究的成果,研究者對社工的養成教育、性侵害防治社工的在職訓練,以及公私立機構給予社工的個案量、福利政策方面提出建言。最後則針對研究限制及整個研究過程提出個人反思。

“Vicarious traumatization” means that it is the trauma encountered by the person who provides help and this is because that person empathizes with the survivor. Its structure encompasses the layers in recognition, physical and mental aspects and its applications can be wide and far reaching whereas current domestically relevant documentations are few and far between. Thus the objective of this research rests at the fact that by adopting vicarious traumatization theory as the baseline approach, it explores the work histories of the social workers engaged in sexual assault programs. Based upon this, this researcher conducted interviews with five social workers who had at least 1 year working experience centered on sexual assault prevention and had experienced vicarious traumatization. The findings from the interviews were analyzed through two narrative analyses: “category--content” and “category--format” and summary of the findings are listed as follow: 1. The story structure in “initiation, undertaking, transformation and conclusion” is used for analysis and it reveals that the work process of the social workers of sexual assault prevention can be summarized into the following themes: 1. “Unfamiliarity and adjustment”; 2. “Commitment and trauma”; 3. “Predicament and growth”; 4. “Ending and rebirth”. 2. The aspects which the social worker of sexual assault prevention would most likely bear are that, first of all it is the recognition within the reference structure as well as the self capability and self resource; next, the psychological needs and memory awareness for safety followed with the worldview and spirituality within the reference structure. Other than these, trust, respect, intimacy and control, the so called psychological needs are also subject to damage during the work process of social worker.

3. As for the strategy stemmed from coping vicarious traumatization by the social worker, we have found that at the professional level, they are “professional advancement studies” and “support groups” whereas in the institutional level, they are “institutional support” and “website support”. On the individual levels, they include “self awareness”, “spiritual recovery”, “psychological therapy”, “borderline definition”, “establishment of connection”, “leaving the stressful environment behind”, a total of 6 items. 4. In retrospect, while social workers of sexual assault prevention viewing their work processes, all of them would recognize the fact that by engaging in sexual assault prevention project, it brings forth both the reward and growth. As for traumatization they are born during the work process, the social workers manage to treat “finding the significance from traumatization” as the source of strength, moreover, they feel that even there are plenty of moments in trial and tribulation while serve as the social workers for sexual assault prevention, nonetheless these memories are invaluable and indispensible. This thesis intends to provide recommendations to social worker’s workload and welfare policy provided by both the public and private institutions, according to research findings which base upon the views of researcher towards the social worker’s cultivation education, on-the-job training for social worker of sexual assault prevention. Lastly, a personal introspection is provided according to research constraint as well as the whole re

資料來源:http://handle.ncl.edu.tw/11296/ndltd/15358711969211089884

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