题名

ADHD中輟復學生於安心學園之自我探索與成長經驗研究

并列篇名

The Research of an ADHD Returnee's Self-Exploration and Growth Experience in Anxin Transition School

DOI

10.3966/181815462021114303002

作者

高思明(Sz-Ming Gou)

关键词

中介教育 ; 心理社會發展 ; 中輟 ; 多元介入 ; 注意力不足過動症 ; ADHD ; alternative education ; dropout ; multimodal intervention ; psychosocial development

期刊名称

輔導與諮商學報

卷期/出版年月

43卷3期(2021 / 11 / 01)

页次

41 - 69

内容语文

繁體中文

中文摘要

本研究旨在探討兼具注意力不足過動症(attention-deficit/hyperactivity disorder, ADHD)與中輟復學生身分的阿佑,國三階段如何透過安置機構的協助逐漸改善ADHD症狀並提升心理社會發展,為了解其成長因素與歷程,研究者透過半結構式訪談和檔案文件進行質性研究,參與者有阿佑、三位師長和一位阿佑的好友。分析發現:(1)安置機構提供之協助有照顧保護、接納寬恕、亦師亦友的陪伴、耐心楷模、對話啟發,及多元試探與學習;(2)其中照顧保護、接納寬恕、亦師亦友的陪伴和耐心楷模可建立關懷信任的關係,此外照顧保護也可減少阿佑行為偏差的機會,耐心楷模有助其自我探索並減緩衝動,而對話啟發可促進自我覺察和問題解決技能,多元試探與學習有助於拓展潛能和視野以及自我探索;(3)阿佑該期間之成長因素除上述六項協助外,亦包括心智增長與體制改變兩項因素;(4)安置期間阿佑除情緒控制、問題解決等外顯行為獲得改善外,在同理心、自我覺察等內在成熟度上亦有成長。根據以上結果,本研究對協助ADHD青少年進行相關討論並提出建議。

英文摘要

The purpose of this study was to examine how Ayo, an ADHD returnee student, gradually improved his ADHD symptoms and psychosocial development through the assistance of residential care in his third grade of middle school. To identify the factors and process, the researcher conducts qualitative research through semi-structured interviews and documents. The research findings are as follows: Firstly, the assistance of residential care includes care and protection, acceptance and forgiveness, friend-like teachers' company, patience modeling, dialogue and illumination, and various exploration and learning approaches. Secondly, care, protection, acceptance, forgiveness, friend-like teachers' company and patience modeling are conducive to building a relationship of care and trust for Ayo. Besides, care and protection can diminish Ayo's behavioral deviation. The patience modeling promotes Ayo's self-exploration and emotional control. The teachers' dialogues and illumination facilitate Ayo's self-awareness and develop his problem-solving skills. Moreover, various exploration learning approaches are favorable to Ayo's potential, vision and self-exploration. Thirdly, in addition to the abovementioned six factors, incremental improvement in his mental function and the institutional change are the other two contributing factors for Ayo's growth. Lastly, during placement, Ayo's improvement includes explicit aspects, such as outer emotional control and behavior, and implicit aspects, like inner empathy and self-awareness. Based on the above results, relevant discussions on the assistance of ADHD teenagers are conducted and the following suggestions are offered in this study.

主题分类 社會科學 > 心理學
社會科學 > 教育學
参考文献
  1. 王文科,王智弘(2010)。質的研究的信度和效度。彰化師大教育學報,17,29-50。
    連結:
  2. 黃惠玲(2008)。注意力缺陷過動及換研究回顧。應用心理研究,40,197-219。
    連結:
  3. 黃惠玲(2008)。注意力缺陷過動及換研究回顧。應用心理研究,40,197-219。
    連結:
  4. 身心障礙及資賦優異學生鑑定辦法 ( 2013.09.02 )。 https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=H0080065
  5. Adoption and Safe Families Act of 1997, H.R. 867. (1997). https://www.congress.gov/105/plaws/publ89/PLAW-105publ89.pdf
  6. Ahmann, E.,Saviet, M.,Tuttle, L. J.(2017).Interventions for ADHD in children and teens: A focus on ADHD coaching.Pediatric Nursing,43(3),121-131.
  7. Alvord, M. K.,Grados, J. J.(2005).Enhancing resilience in children: A proactive approach.Professional Psychology: Research and Practice,36(3),238-245.
  8. American Academy of Pediatrics(2011).ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents.Pediatrics,128(5),1007-1022.
  9. American Psychiatric Association(2013).Diagnostic and statistical manual of mental disorders.American Psychiatric Association.
  10. Antshel, K. M.(2015).Psychosocial interventions in attention-deficit/hyperactivity disorder: Update.Child and Adolescent Psychiatric Clinics of North America,24(1),79-97.
  11. Barkley, R. A.(2013).Taking charge of ADHD: The complete, authoritative guide for parents.Guilford.
  12. Barkley, R. A.(2015).Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment.Guilford.
  13. Beck, J. S.(2011).Cognitive behavior therapy: Basics and beyond.Guilford.
  14. Bob, P.,Konicarova, J.(2018).ADHD, stress, and development.Springer.
  15. Buber, M.,Kaufmann, W.(Trans.)(1996).I and Thou.Touchstone.
  16. Chan, E.,Fogler, J. M.,Hammemess, P. G.(2016).Treatment of attention-deficit/hyperactivity disorder in adolescents: A systematic review.Journal of the American Medical Association,315(18),1997-2008.
  17. Clark, D. A.,Beck, A. T.,Alford, B. A.(1999).Scientific foundations of cognitive theory and therapy of depression.Wiley.
  18. Corbin, J.,Strauss, A.(2008).Basics of qualitative research: Techniques and procedures for developing grounded theory.SAGE.
  19. Döpfner, M.,Ise, E.,Metternich-Kaizman, W. T.,Schürmann, S.,Rademacher, C.,Breuer, D.(2015).Adaptive multimodal treatment for children with attention deficit-/hyperactivity disorder: An 18 month follow-up.Child Psychiatry & Human Development,46(1),44-56.
  20. Dvorsky, M. R.,Langberg, J. M.(2016).A review of factors that promote resilience in youth with ADHD and ADHD symptoms.Clinical Child and Family Psychology Review,19(4),368-391.
  21. Erikson, E. H.(1963).Childhood and society.W. W. Norton.
  22. Erikson, E. H.(1980).Identity and the life cycle.W. W. Norton.
  23. Evans, S. W.,Owens, J. S.,Bunford, N.(2014).Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder.Journal of Clinical Child & Adolescent Psychology,43(4),527-551.
  24. Flanagan, R.,Miller, J. A.(2010).Specialty competencies in school psychology.Oxford University Press.
  25. González, A.,Rodríguez, Y.,Faílde, J. M.,Carrera, M. V.(2016).Anxiety in the statistics class: Structural relations with self-concept, intrinsic value, and engagement in two samples of undergraduates.Learning and Individual Differences,45,214-221.
  26. Härtel, C. E. J.(Ed.),Zerbe, W. J.(Ed.),Ashkanasy, N. M.(Ed.)(2005).Emotions in organizational behavior.Erlbaum.
  27. Hofmann, S. G.,Asnaani, A.,Vonk, I. J.,Sawyer, A. T.,Fang, A.(2012).The efficacy of cognitive behavioral therapy: A review of meta-analyses.Cognitive Therapy and Research,36(5),427-440.
  28. Kendall, P. C.(2007).Cognitive-behavioral therapy for impulsive children: Therapist manual.Workbook.
  29. Kendall, P. C.(Ed.)(2006).Child and adolescent therapy: Cognitive‐behavioral procedures.Guilford.
  30. Leloux-Opmeer, H.,Kuiper, C.,Swaab, H.,Scholte, E.(2018).Similarities and differences in the psychosocial development of children placed in different 24-h settings.Journal of Child & Family Studies,27(4),1299-1310.
  31. Levey, E. K. V.,Garandeau, C. F.,Meeus, W.,Branje, S.(2019).The longitudinal role of self-concept clarity and best friend delinquency in adolescent delinquent behavior.Journal of Youth and Adolescence,48(6),1068-1081.
  32. Levine, E. S.,Anshel, D. J.(2011).'Nothing works!' A case study using cognitive-behavioral interventions to engage parents, educators, and children in the management of attention-deficit/hyperactivity disorder.Psychology in the Schools,48(3),297-306.
  33. Newman, B. M.,Newman, P. R.(2017).Development through life: A psychosocial approach.Cengage Learning.
  34. Noddings, N.(1986).Caring: A feminine approach to ethics and moral education.University of California Press.
  35. Noddings, N.(2012).The language of care ethics.Knowledge Quest,40(5),52-56.
  36. Noddings, N.(2002).Educating moral people: A caring alternative to character education.Teachers College Press.
  37. Noddings, N.(2012).The caring relation in teaching.Oxford Review of Education,38(6),771-781.
  38. Noddings, N.(2003).Is teaching a practice?.Journal of Philosophy of Education,37(2),241-251.
  39. Owens, J. S.,Goldfine, M. E.,Evangelista, N. M.,Hoza, B.,Kaiser, N. M.(2007).A critical review of self‐perceptions and the positive illusory bias in children with ADHD.Clinical Child and Family Psychology Review,10(4),335-351.
  40. Polanczyk, G. V.,Salum, G. A.,Sugaya, L. S.,Caye, A.,Rohde, L. A.(2015).Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents.Journal of Child Psychology and Psychiatry,56(3),345-365.
  41. Rief, S. F.(2015).The ADHD book of lists: A practical guide for helping children and teens with attention deficit disorders.Wiley.
  42. Riley, A.(2012).Exploring the effects of the 'Seasons for Growth' intervention for pupils experiencing change and loss.Educational and Child Psychology,29(3),38-53.
  43. Rogers, C. R.(1980).A way of being.Houghton Mifflin.
  44. Rogers, C. R.(1986).Rogers, Kohut and Erickson: A personal perspective on some similarities and differences.Person-Centered Review,1(2),125-140.
  45. Safren, S. A.,Sprich, S.,Chulvick, S.,Otto, M. W.(2004).Psychosocial treatments for adults with attention-deficit/hyperactivity disorder.Psychiatric Clinics of North America,27(2),349-360.
  46. Schultz, B. K.,Storer, J.,Watabe, Y.,Sadler, J.,Evans, S. W.(2011).School-based treatment of attention‐deficit/hyperactivity disorder.Psychology in the Schools,48(3),254-262.
  47. Tandon, P. S.,Sasser, T.,Gonzalez, E. S.,Whitlock, K. B.,Christakis, D. A.,Stein, M. A.(2019).Physical activity, screen time, and sleep in children with ADHD.Journal of Physical Activity and Health,16(6),1-7.
  48. Thomas, R.,Sanders, S.,Doust, J.,Beller, E.,Glasziou, P.(2015).Prevalence of attention-deficit/hyperactivity disorder: A systematic review and meta-analysis.Pediatrics,135(4),994-1001.
  49. Thornton, B.,Collins, M.,Daugherty, R.(2006).A study of resiliency of American Indian high school students.Journal of American Indian Education,45(1),4-16.
  50. Thornton, B.,Sanchez, J. E.(2010).Promoting resiliency among Native American students to prevent dropouts.Education,131(2),455-464.
  51. U.S. Department of Education (2020). 41th annual report to Congress on the implementation of the Individuals with Disabilities Education Act. Office of Special Education and Rehabilitative Services U.S. Department of Education (No. ED-OSE-12-C-0031) https://www2.ed.gov/about/reports/annual/osep/2019/parts-b-c/41st-arc-for-idea.pdf
  52. Wolraich, M. L.,Chan, E.,Froehlich, T.,Lynch, R. L.,Bax, A.,Redwine, S. T.,Ihyembe, D.,Hagan, J. F.(2019).ADHD diagnosis and treatment guidelines: A historical perspective.Pediatrics,144(4)
  53. Young, S.,Amarasinghe, J. M.(2010).Practitioner review: Non-pharmacological treatments for ADHD: A lifespan approach.Journal of Child Psychology and Psychiatry,51(2),116-133.
  54. 石英,池旭臺,李榮純,楊曉媚,鄭婉儀(2011).返璞歸真,重現風華:中輟復學輔導.教育部.
  55. 法務部保護司(2013):101 年少年兒童犯罪概況及其分析(編號:1010201453),法務部。https://www.moj.gov.tw/media/3788/462415585787.pdf?mediaDL=true
  56. 高淑芬(2013).家有過動兒:幫助 ADHD 孩子快樂成長.心靈工坊.
  57. 郭靜晃,黃明發(2013).發展心理學.揚智.
  58. 臺大醫院精神醫學部(2015)。注意力不足過動症。衛生福利部心理及口腔健康司。2020年9月22日,取自https://dep.mohw.gov.tw/domhaoh/cp-428-1360-107.html