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創傷療癒－安心減壓工作主講人 : 李燕蕙南華大學生死學系副教授暨學生輔導中心主任 2009.08.29

創傷療癒－安心減壓工作 ,[object Object],[object Object],[object Object],[object Object]

一、災後重建工作階段與任務 ◎ 危機處理者 ◎ 支持者 ● 緊急安置 ● 臨時生活庇護 ● 遺族慰助 ● 協助處理死者殯葬事宜災後一月內第一階段協助角色協助任務期間階段

一、災後重建工作階段與任務 ◎ 諮商 / 輔導者 ◎ 社區工作者 ● 生活秩序重建 ● 創傷後壓力症候群輔導 ● 就學與就業輔導災後一個月至災後半年第二階段協助角色協助任務期間階段

一、災後重建工作階段與任務 ◎ 社區工作者 ◎ 諮商 / 輔導者 ● 社區重建、長期安置 ● 創傷後壓力症候群輔導 ● 自殺防治 ● 就學與就業輔導災後半年至災後若干年第三階段協助角色協助任務期間階段

二、創傷後壓力症候群 (PTSD) ,[object Object],[object Object],[object Object],[object Object]

( 一 ) 災難的再次經驗 ,[object Object],[object Object],[object Object]

( 二 ) 逃避反應 ,[object Object],[object Object],[object Object],[object Object],[object Object]

( 三 ) 高度的警覺性 ,[object Object],[object Object],[object Object],[object Object]

三哀悼任務與悲傷輔導目標 ,[object Object],[object Object],[object Object],[object Object],[object Object]

四、安心減壓工作（ Debriefing ）主要是去分享當場、現在與事後的相關感受，詢問的內容可以是：「整個事件那部分對你而言最為困難？」「自災變發生至今，在你心目中那一幅圖像最為突顯？」「這個事件的那部分正造成你最深的苦痛？」反應階段成員介紹自己的名字，並陳述災變當天在自己身上所發生的事，他看到什麼及做了些什麼，以呈現事件的事實。事實階段領導者引導成員分享，在當時得知是大災難時，他們的第一個想法是什麼。思考階段領導者介紹自己->簡述小組會報過程->建立基本規則（保密原則）。介紹階段

四、安心減壓工作（ Debriefing ）此時成員可提出任何問題，也可說出想說而之前未說的事情。領導者可以協助成員發展出行動計畫或預防措施，例如他們希望能做些什麼以使事情變得更好。再進入階段在成員表達出個人的症狀，並且瞭解自己的症候是對不正常情況的正常反應之後，針對各種症狀，領導者可教導小組成員一些因應壓力的技巧或資源。教導階段在成員可以分享事件對個人造成的衝擊之後，領導者在此階段則要成員分享他們所經驗到的任何生理的、情緒的、認知的或行為上的症兆或症狀。此時領導者要以肯定、支持的態度提供再保證，使成員瞭解自己的任何症狀都是正常的。症狀階段

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