题名

青少年童年逆境經驗之探究及校園創傷知情實踐

并列篇名

Exploration of Adolescents' Adverse Childhood Experiences and Trauma-Informed Practiced in Schools

DOI

10.6249/SE.202109_72(3).0023

作者

張閔淳(Min-Chun Chang)；陳慧娟(Huey-Jiuan Chen)

关键词

青少年 ； 童年逆境經驗 ； 内化問題 ； 外化問題 ； 校園創傷知情 ； adolescents ； adverse childhood experiences ； internalizing problems ； externalizing problems ； trauma-informed in school

期刊名称

中等教育

卷期/出版年月

72卷3期（2021 / 09 / 01）

页次

81 - 101

内容语文

繁體中文
中文摘要

童年逆境經驗對個體終身之健康與風險行為造成影響，Felitti及其同事（1998）在最初童年逆境經驗的研究中改變人們對於創傷的理解，其中最具革命性的觀點在於創傷的累積性風險和劑量反應對於個體的長期影響。本文目的旨在探討童年逆境經驗之内涵，同時嘗試從神經生理角度，探討創傷經驗與個體内、外化問題行為的關聯。有鑑於學校是協助兒青成長與適應的重要場域，因此本研究根據Fallot與Harris（2001）提出的「創傷知情」理論與相關實證研究發現，闡述校園創傷知情處遇模式，並提供教師班級經營與個別輔導之具體建議。期望能藉由培力教師創傷知情照護知識，理解學生發生適應不良行為之大腦和神經系統的運作方式，並據此採取合適的回應策略，以降低青少年再次受創機率，並順勢引導其培養心理韌性。
英文摘要

Adverse Childhood Experiences (ACE) has an impact on the lifelong health and risk behavior of individuals. The groundbreaking study by Felitti et al. changed our understanding of trauma. The most revolutionary difference is the long-term effects of the cumulative risk of trauma as well as dose-response on the individual. The paper aims to study the implications of ACEs while simultaneously exploring traumatic experiences' relevance to internalizing and externalizing of problem behaviors from a neurophysiological perspective. Since schools are regarded as important professional institutions for intervention and assisting children and adolescents coping with trauma, the paper elaborated the model of informed treatment of trauma on campus, and provide suggestions on the classroom management and individual counseling based on the study results of the ＂trauma informed＂ theory proposed by Fallot and Harris (2001). We hope that by empowering teachers' trauma-informed care and understanding how the student's brain and nervous system work when maladaptive behavior occurs and adopt appropriate response strategies to help children and adolescents with avoiding re-traumatization and acquiring resilience.
主题分类 社會科學 > 教育學
参考文献
  1. 張晏淋(2020)。談美國創傷知情學校對臺灣原鄉學校輔導工作的啟示。輔導季刊，56(4)，73-80。
    連結：
  2. Afifi, T. O.,Taillieu, T.,Salmon, S.,Davila, I. G.,Stewart-Tufescu, A.,Fortier, J.,Struck, S.,Asmundson, G. J. G.,Sareen, J.,MacMillan, H. L.(2020).Adverse childhood experiences (ACEs), peer victimization, and substance use among adolescents.Child Abuse & Neglect,106,104504.
  3. Aho, N.,Gren-Landell, M.,Svedin, C. G.(2016).The prevalence of potentially victimizing events, poly-victimization, and its association to sociodemographic factors: A Swedish youth survey.Journal of Inter-Personal Violence,31(4),620-651.
  4. Appleyard, K.,Egeland, B.,van Dulmen, M. H.,Sroufe, L.(2005).When more is not better: The role of cumulative risk in child behavior outcomes.Journal of Child Psychology and Psychiatry,46(3),235-245.
  5. Arnett, J. J.(2018).Adolescence and Emerging Adulthood.Upper Saddle River, N.J.:Pearson, Prentice Hall.
  6. Baroni, B.,Day, A.,Somers, C.,Crosby, S.,Pennefather, M.(2016).Use of the Monarch Room as an alternative to suspension in addressing school discipline issues among court-involved youth.Urban Education,1-21.
  7. Bellis, M. A.,Hughes, K.,Ford, K.(2019).Life course health consequences and associated annual costs of adverse childhood experiences across Europe and North America: A systematic review and meta-analysis.Lancet Public Health,4,e517-e528.
  8. Bernard, K.,Butzin-Dozier, Z.,Rittenhouse, J.,Dozier, M.(2010).Cortisol production patterns in. young children living with birth parents vs children placed in foster care following involvement of Child Protective Services.Archives of Pediatrics and Adolescent Medicine,164,438-443.
  9. Bernard, K.,Dozier, M.,Bick, J.,Gordon, M. K.(2015).Intervening to enhance cortisol regulation. among children at risk for neglect: Results of a randomized clinical trial.Development and Psychopathology,27(3),829-841.
  10. Blase, K.,Vermetten, E.,Lehrer, P.,Gevirtz, R.(2021).Neurophysiological approach by self-control of your stress-related autonomic nervous system with depression, stress and anxiety patients.International Journal of Environmental Research and Public Health
  11. Brooks, J. E.(2006).Strengthening resilience in children and youth: Maximizing opportunities through the schools.Children and Schools,28,69-76.
  12. Brown, R. P.,Gerbarg, P. L.(2005).Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: Part I-Neurophysiologic model.Journal of Alternative & Complementary Medicine,11(1),189-201.
  13. Burke, N. J.,Hellman, J. L.,Scott, B. G.,Weems, C. F.,Carrion, V. G.(2011).The impact of adverse childhood experiences on an urban pediatric population.Child Abuse and Neglect,35,408-413.
  14. Chafouleas, S. M.,Johnson, A. H.,Overstreet, S.,Santos, N. M.(2016).Toward a blueprint for. trauma-informed service delivery in schools.School Mental Health,8,144-162.
  15. Cole, S. F.,O’Brien, J. G.,Gadd, M. G.,Ristuccia, J.,Wallace, D. L.,Gregory, M.(2005).Helping. traumatized children learn: Supportive school environments for children traumatized by family violence.Boston:Massachusetts Advocates for Children.
  16. Corrigan, F. M.,Fisher, J. J.,Nutt, D. J.(2011).Autonomic dysregulation and the window of tolerance model of the effects of complex emotional trauma.Journal of Psychopharmacology,25(1),17-25.
  17. Crosby, S. D.(2015).An ecological perspective on emerging trauma-informed teaching practices.Children and Schools,37(4),223-230.
  18. Crosby, S. D.,Howell, P.,Thomas, S.(2018).Social justice education through trauma-informed teaching.Middle School Journal,49(4),15-23.
  19. Crosby, S.,Somers, C.,Day, A.,Baroni, B.(2016).Working with traumatized students: A. preliminary study of measures to assess school staff perceptions, awareness, and instructional responses.Journal of Therapeutic Schools and Programs,8(1),59-70.
  20. Day, A. G.,Baroni, B.,Somers, C.,Shier, J.,Zammit, M.,Crosby, S.,Hong, J. S.(2017).Trauma. and triggers: Students’ perspectives on enhancing the classroom experiences at an alternative residential treatment- based school.Children & School,39(4),227-237.
  21. Day, A.,Somers, C.,Baroni, B.,West, S.,Sanders, L.,Peterson, C.(2015).Evaluation of a trauma-informed school intervention with girls in a residential facility school: Student perceptions of school environment.Journal of Aggression, Maltreatment & Trauma,24(10),1086-1105.
  22. Dickerson, S. S.,Kemeny, M. E.,Aziz, N.,Kim, K. H.,Fahey, J. L.(2004).Immunological effects of induced shame and guilt.Psychosomatic Medicine,66,124-131.
  23. Dong, M.,Anda, R. F.,Felitti, V. J.,Dube, S. R.,Williamson, D. F.,Thompson, T. J.,Giles, W. H.(2004).The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction.Child Abuse & Neglect,28,771-784.
  24. Dorado, J. S.,Martinez, M.,McArthur, L. E.,Liebovitz, T.(2016).Healthy Environments and Response to Trauma in Schools (HEARTS): A school-based, multi-level comprehensive prevention and intervention program for creating trauma-informed, safe and supportive schools.School Mental Health,8,163-176.
  25. Dube, S. R.,Anda, R. F.,Felitti, V. J.,Chapman, D.,Williamson, D. F.,Giles, W. H.(2001).Childhood abuse, household dysfunction and the risk of attempted suicide throughout the life span: Findings from Adverse Childhood Experiences Study.Journal of the American Medical Association,286,3089-3096.
  26. Dube, S. R.,Anda, R. F.,Felitti, V. J.,Valerie, J.,Edwards, V. J.,Croft, J. B.(2002).Adverse childhood experiences and personal alcohol abuse as an adult.Addictive Behaviors,27,713-725.
  27. Durlak, J. A.,Weissberg, R. P.,Dymnicki, A. B.,Taylor, R. D.,Schellinger, K. B.(2011).The. impact of enhancing students’ social and emotional learning: A meta-analysis of school-based universal interventions.Child Development,82,405-432.
  28. Esaki, N.,Larkin, H.(2013).Prevalence of adverse childhood experiences (ACEs) among child service providers.Families in Society,94(1),31-37.
  29. Evans, G. W.,Li, D.,Whipple, S. S.(2013).Cumulative risk and child development.Psychological Bulletin,139,1342-1396.
  30. Fallot, R. D.,Harris, M.(2001).A trauma-informed approach to screening and assessment.New Directions for Mental Health Services,89,23-31.
  31. Fallot, R. D.,Harris, M.(2008).Trauma-informed approaches to systems of care.Trauma. Psychology Newsletter,3,6-7.
  32. Felitti, V. J.,Anda, R. F.,Nordenberg, D.,Williamson, D. F.,Spitz, A. M.,Edwards, V.,Marks, J. S.(1998).Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study.American Journal of Preventive Medicine,14,245-258.
  33. Fisher, P. A.,Stoolmiller, M.,Gunnar, M. R.,Burraston, B. O.(2007).Effects of a therapeutic intervention for foster preschoolers on diurnal cortisol activity.Psychoneuroendocrinology,32,892-905.
  34. Gerbarg, P. L.,Brown, R. P.,Streeter, C. C.,Katzman, M.,Vermani, M.(2019).Breath Practices for Survivor and Caregiver Stress, Depression, and Post-traumatic Stress Disorder: Connection, Coregulation, Compassion.Integrative and Complementary Medicine,4(3)
  35. Gilbert, L. K.,Breiding, M. J.,Merrick, M. T.,Thompson, W. W.,Ford, D. C.,Dhingra, S. S.,Parks, S. E.(2015).Childhood adversity and adult chronic disease: An update from ten states and the District of Columbia.American J of Preventive Medicine,48,345-349.
  36. Grevstad, J. A.(2010).Grevstad, J. A. (2010). Adverse childhood experiences and juvenile justice. PowerPoint delivered to Washington State Family Policy Council, Walla Walla, WA..
  37. Gunnar, M. R.,Vazquez, D. M.(2001).Low cortisol and a flattening of expected daytime rhythm: Potential indices of risk in human development.Development and Psychopathology,13,515-737.
  38. Hamby, S.,Elm, J. H. L.,Howell, K. H.,Merrick, M. T.(2021).The cumulative burden of childhood adversities transforms the science and practice of trauma and resilience.American Psychologist,76(2),230-242.
  39. Harris, M.(Ed.),Fallot, R. D.(Ed.)(2001).Using Trauma Theory to Design Service Systems. New Directions for Mental Health Services.San Francisco:Jossey-Bass.
  40. Herrenkohl, T. I.,Hong, S.,Verbrugge, B.(2019).Trauma-informed programs based in schools: Linking concepts to practices and assessing the evidence.American Journal of Community Psychology,64(3-4),373-388.
  41. Hertel, R.,Kincaid, S. O.(2016).Compassionate schools: Responding to kids impacted by adversity, trauma and toxic stress.Optimizing learning outcomes: Proven brain-centric, trauma-sensitive practices,New York, NY:
  42. Hinnant, J. B.,Erath, S. A.,El-Sheikh, M.(2015).Harsh parenting, parasympathetic activity, and. development of delinquency and substance use.Journal of Abnormal Psychology,124(1),137-151.
  43. Hughes, K.,Bellis, M. A.,Hardcastle, K. A.,Sethi, D.,Butchart, A.,Mikton, C.,Jones, L.,Dunne, M. P.(2017).The effect of multiple adverse childhood experiences on health: A systematic review and meta-analysis.The Lancet Public Health,2(8),356-366.
  44. Hunt, T. K. A.,Slack, K. S.,Berger, L. M.(2017).Adverse childhood experiences and behavioral. problems in middle childhood.Child Abuse and Neglect,67,391-402.
  45. Husen, T.(Ed.),Postlethwaite, T. N.(Ed.)(1994).International encyclopedia of education.New York, NY:Elsevier Science.
  46. Kincaid, S.,Wolpow, R.(2010).Kindness, kith, kin, compassion, and community: a response model connecting human services and education to address trauma.Human Services Today,7(1),1-13.
  47. Kolacz, J.,Kovacic, K. K.,Porges, S. W.(2019).Traumatic Stress and the Autonomic Brain-gut Connection in Development: Polyvagal Theory as an Integrative Framework for Psychosocial and Gastrointestinal Pathology.Psychobiol,61,796-809.
  48. Kroupina, M. G.,Fuglestad, A. J.,Iverson, S. L.,Himes, J. H.,Mason, P. W.,Gunnar, M. R.(2012).Adoption as an intervention for institution- ally reared children: HPA functioning and developmental status.Infant Behavior and Development,35,829-837.
  49. LaNoue, M. D.,George, B. J.,Helitzer, D. L.,Keith, S. W.(2020).Contrasting cumulative risk and multiple individual risk models of the relationship between Adverse Childhood Experiences (ACEs) and adult health outcomes.BMC Medical Research Methodology,20(1),1-10.
  50. McBurnett, K.,Lahey, B. B.,Rathouz, P. J.,Loeber, R.(2000).Low salivary cortisol and persistent aggression in boys referred for disruptive behavior.Archives of General Psychiatry,57,38-43.
  51. Ogden, P.,Minton, K.,Pain, C.(2006).Trauma and the body: a sensorimotor approach to psychotherapy.New York, NY:Norton.
  52. Oh, D. L.,Jerman, P.,Marques, S. S.,Koita, K.,Boparai, S. K. P.,Harris, N. B.,Bucci, M.(2018).Systematic review of pediatric health outcomes associated with childhood adversity.BMC Pediatrics,18(1),83.
  53. Perkonigg, A.,Kessler, R. C.,Storz, S.,Wittchen, H. U.(2000).Traumatic events and post-traumatic stress disorder in the community: Prevalence, risk factors and comorbidity.Acta Psychiatrica Scandinavica,101,46-59.
  54. Perry, B. D.(2009).Examining child maltreatment through a neurodevelopmental lens: Clinical applications of the neurosequential model of therapeutics.Journal of Loss and Trauma,12,240-255.
  55. Porges, S. W.(2011).The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation.New York, NY:WW Norton & Company.
  56. Porges, S. W.(2001).The polyvagal theory: Phylogenetic substrates of a social nervous system.International Journal of Psychophysiology,42,123-146.
  57. Portwood, S. G.,Lawler, M. J.,Roberts, M. C.(2021).Science, practice, and policy related to adverse childhood experiences: Framing the conversation.American Psychologist,76(2),181.
  58. Rolfsnes, E. S.,Idsoe, T.(2011).School-based intervention programs for PTSD symptoms: A review and meta-analysis.Journal of Traumatic Stress,24,155-165.
  59. Shonk, S. M.,Cicchetti, D.(2001).Maltreatment, competency deficits, and risk for academic and behavioral maladjustment.Developmental Psychology,37(1),3-17.
  60. Siegel, D. J.(1999).The Developing Mind.New York, NY:Guilford.
  61. Soleimanpour, S.,Geierstanger, S.,Brindis, C. D.(2017).Adverse childhood experiences and resilience: Addressing the unique needs of adolescents.Academic Pediatrics,17,108-114.
  62. Substance Abuse and Mental Health Services Administration(2014).,未出版
  63. Tebes, J. K.,Champine, R. B.,Matlin, S. L.,Strambler, M. J.(2019).Population health and trauma-informed practice: Implications for programs, systems, and policies.American Journal of Community Psychology,64(3-4),494-508.
  64. Tsehay, M.,Necho, M.,Mekonnen, W.(2020).The role of adverse childhood experience on. depression symptom, prevalence, and severity among school going adolescents.Depression Research and Treatment,1-9.
  65. Wesarg, C.,Van Den Akker, A. L.,Oei, N. Y. L.,Hoeve, M.,Wiers, R. W.(2020).Identifying pathways from early adversity to psychopathology: A review on dysregulated HPA axis functioning and impaired self-regulation in early childhood.European Journal of Developmental Psychology
  66. Wheeler, K.(2007).Psychotherapeutic strategies for healing trauma.Perspectives in Psychiatric Care,43(3),132-141.
  67. Whitson, M. L.,Bernard, S.,Kaufman, J. S.(2012).The effects of cumulative risk and protection on problem behaviors for youth in an urban school-based system of care.Community Mental Health Journal,1-11.
  68. Wolpow, R.,Johnson, M. M.,Hertel, R.,Kincaid, S. O.(2009).The heart of learning and teaching: Compassion, resiliency, and academic success.Olympia, WA:Washington State Office of Superintendent of Public Instruction (OSPI) Compassionate Schools.
  69. 王麗斐,杜淑芬,羅明華,楊國如,卓瑛,謝曜任(2013)。生態合作取向的學校三級輔導體制：WISER模式介紹。輔導季刊，49(2)，4-11。
  70. 留佩萱(2019)。【創傷知情學校系列Part 2】用創傷知情眼光理解孩子。人本教育札記，363，48-51。
  71. 衛生福利部統計處 (2021 )。兒童少年保護一通報處理情形。取自https://dep.mohw.gov.tw/dos/lp-2985-113.html
被引用次数
  1. 連綠蓉(2023)。創傷知情在學校輔導工作上之應用。諮商與輔導，451，30-32。
  2. (2023)。替代性照顧政策下機構服務深化經驗初探──以家扶花蓮希望學園為例。社區發展季刊，183，123-139。
  3. (2024)。從榮格心理學探討沙遊治療－在童年逆境經驗個案之應用。諮商與輔導，460，28-30。
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