1. Empower
psychiatric
fieldwork students
in Taiwan:
using KAWA model
experience
Hsin Hsiu, Yeh¹ & Michael, K., Iwama²
Dept. of Psychiatric OT, Taipei City Hospital¹
&
Graduate Dept. of Rehabilitation Sciences,
University of Toronto²
Nov. 23,2011 published in 5th APOTC 1

2. Background
Nov. 23,2011 published in 5th APOTC 2

3. Background
• Taiwan OT fieldwork training
• Challenges
– Self-identity & uncertainty future
– Stress Management
• interpersonal & time management
• Empower way: KAWA & Narrative
– self reflection↑
– meaningfulness↑
• Common desires:
– Harmony/ “Yin & Yang” state
Nov. 23,2011 published in 5th APOTC 3

4. Methods
Nov. 23,2011 published in 5th APOTC 4

5. Methods
• Case Study Design
– 6 Students
• Process:
– 2.5 hours/student
– 4 open-ended questions after 7 days
– KAWA model with Narrative Therapy skills
Nov. 23,2011 published in 5th APOTC 5

6. Methods
• KAWA Model (Iwama, 2006)
– Eastern view
– Metaphor for conversation base
• Narrative therapy(White,2007)
– Re-Authoring conversation map
– Externalizing
– Re-Membering
– Scaffolding
Nov. 23,2011 published in 5th APOTC 6

7. Results
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8. Results:
Common Issues
• Confucian Relationalism (Hwang, 2000,2001)
– Care about “Persons-in-Relation”
– “Persons-in-Relation” was represented
as ”support” & “obstacle”.
– Conflict between “Being Themselves” & “The
Expectation of Significant Others”
– The sense of belongings to their “Systems of
Social Relationships”
Nov. 23,2011 published in 5th APOTC 8

9. Fellow-up Questions
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10. Results:
After Conversation(Ⅰ)
What did they learn by
painting their KAWA?
Nov. 23,2011 published in 5th APOTC 10

11. The Inspires
• Empower themselves
– Self-reflection
– Redefine with a positive view
– Being themselves
– Manage resources
• “The Chains of Association”
– Result meaningfulness↑
Nov. 23,2011 published in 5th APOTC 11

12. Results:
After Conversation(Ⅱ)
What’s the difficulties
in the process
of using KAWA model?
Nov. 23,2011 published in 5th APOTC 12

13. The difficulties
• Poor reflective ability before
this process
• The cross-sectional view of
KAWA isn’t common
Nov. 23,2011 published in 5th APOTC 13

14. Results:
After Conversation(Ⅲ)
What are the influences
after using
KAWA model?
Nov. 23,2011 published in 5th APOTC 14

15. The Influences
• Self-Reflection and Self-
Awareness↑
– Find “the chains of
association” and its value→
meaningfulness (Antonovsky,
1987)
– Help to find more
resources→ manageability
(Antonovsky, 1987)
Nov. 23,2011 published in 5th APOTC 15

16. Results:
After Conversation(Ⅳ)
What are the thoughts rising
after looking at the KAWA
again?
Nov. 23,2011 published in 5th APOTC 16

17. The Effects
• “Everything continue
flowing in their life river”
– Even positive or negative things
• Being themselves with a
positive view
– Using more flexible way to
resolve or find resources
Nov. 23,2011 published in 5th APOTC 17

18. Discussions
Nov. 23,2011 published in 5th APOTC 18

19. Discussions
• “How to find harmony state
in life?”
– The Confucian Relationalism
V.S. Western culture
• Balance between “the expectation
of significant others” and “being
themselves”
Nov. 23,2011 published in 5th APOTC 19

20. Discussions
• KAWA model with
narrative therapy
– Re-construct powerful life
river
– Help to find “meaning in
life”
– Appreciate both “Yin &
Yang” of self
Nov. 23,2011 published in 5th APOTC 20

21. References
• Antonovsky, A. (1987). Unraveling the Mastery of Health. How
People Manage Stress and Stay Well. Jossey-Bass, San
Francisco.
• Hwang, K.K. (2000). Chinese Relationalism: Theoretical
construction and methodological considerations. Journal for
the Theory of Social Behavior, 30(2), 155-178.
• Hwang, K.K. (2001). The deep structure of Confucianism: A
social psychological approach. Asian Philosophy, 11(3), 179-204.
• Iwama, M. (2006). The Kawa Model: Culturally Relevant
Occupational Therapy. Edinburgh : Churchill Livingstone-
Elsevier.
• White, M. (2007). Maps of Narrative Therapy. New York: W. W.
Norton.
Nov. 23,2011 published in 5th APOTC 21

22. Thank you for
your attention~
Hsin Hsiu, Yeh
Email: essentialyeh@gmail.com
Nov. 23,2011 published in 5th APOTC 22