| Summary: | 碩士 === 國立東華大學 === 族群關係與文化研究所 === 98 === Abstract
This study explores how psychiatric patients under medication can better avoid “the revolving door phenomenon,” and develop a near-normal life within their communities. Research into why patients tend to have difficulty moving beyond hospitalization often places the blame on society itself: either a flawed welfare policy or system, or a society which is immature and often labels patients as “Others.” By inducing autonomous modifications, this study advocates the development of stronger ties with the world around them on behalf of the mentally disordered and the achievement of self management as well as self-confidence without crying out for “anti-stigmatization” or “social acceptance.” The author employs qualitative research methods to enhance the socialization process of 12 outpatients from a psychiatric hospital in Hualien County, Taiwan. Through trials in the field, a performative model of self-management and autonomy arises from the concept of “being-becoming-doing,” based on a revision of Gary Kielhofner’s “MOHO” model. This study concludes that for patients to achieve socialization, a guiding program is required which is based on a maturity framework, timely empowerment, and the undoing of authority. This program must meet the levels of a patient’s ability and motivation, in which continual and accurate evaluations are necessary to keep the patient on a steady pathway of progress, in case that the resulting psychological damage to the patient may be irreversible.
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