双盲个案:特殊病患间交互支持实务探索——以脑瘫儿与双相情感障碍服务个案为例

Double-blind Cases:Practical Exploration of Interactive Support between Special Patients:A Case Study of Cerebral Palsy and Bipolar Disorder

随着社会工作服务走向专精化,为实现特定服务对象需求的实务探索也更加精细。“双盲个案”以脑瘫儿与双相情感障碍个案服务为例,依据双盲实验原理设计服务方案,在为其提供社会工作服务的同时开发各自优势,在服务过程中融合了社会工作治疗、教育和支持的技术策略,并探索不同类型案主之间的交互支持技术。通过双盲个案的实验设计与具体执行实务发现,在谨慎控制外部环境因素和细致使用相关社会工作技术的情形下,脑瘫儿与双相情感障碍案主之间交互支持的双盲个案设计可以有效改善双方的社交微系统,促进彼此成长。同时,两类案主交互支持的形成,对改善其社交微系统有一定效果;而对两类案主家庭关系的重建和扩展支持是双盲个案得以有效延展的关键。

As the social work service becomes specialized,the practical exploration to realize the demand of specific service object tends to be more refined."Double-blind cases"in this paper take the case of cerebral palsy and bipolar disorder as an example.The practical process is based on the principle of double-blind experiment.The designing of service plans provides social work services for them,and develops their respective advantages.In the service process,it integrates the social work treatment,education and support technology strategies to explore the interactive support technology between different types of clients.Through the experimental design and specific implementation of double-blind cases,the practice found that in the double-blind case design,the interactive support between cerebral palsy children and bipolar disorder patients can effectively improve the social micro systems of both parties and promote each other's growth under the circumstances of careful control of external environmental factors and careful use of related social work technology.At the same time,it is also noted that the formation of interactive support for two types of clients has certain effects on improving their social micro-systems,and the reconstruction and expansion of the family relationship between the two types of clients is the key to the effective extension of double-blind cases.