| Summary: | 碩士 === 長榮大學 === 社會工作學系碩士班 === 98 === The aim of this study is to understand the self-concept of mental disabilities via the ecological system perspective. By using the ecological system perspective concept, we tried to investigate the self-concept of patients with mental illnesses and their unique interacting experiences with the environment. Qualitative modalities and advancing interviews were used .We recruited five schizophrenic or bipolar patients who could well express themselves and interviewed them by the interview guide. Thematic analysis was used to identify and clarify the themes.
After analyzing the data collected from 5 interviewees, we concluded our findings in three dimensions: 1) the self-concept of mental disabilities and its formation; 2) the relation between the system and the self-concept of mental disabilities; and 3) the changes of the self-concept of mental disabilities. We found the formation and changes of the self-concept of mental disabilities are closely related to the interacting experiences between the individuals and their environment. Even though the level of interacting experiences influence differed from person to person, however, the participants with more positive self-concept changes could have more reasonable self-recognition, and either reframe their problems of environment or develop the effective coping behaviors, in order to lessen the influence of social values.
Our findings including: 1) Promote the cooperation with the whole family as one unit; 2) Adjust the community mental health services; 3) Engage in the change of our social environment continually, and 4) Engage in social movement and advocacy offer some reflection and further concrete suggestions on the current practice of community mental health services.
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