「無惱療法」對思覺失調症個案的臨床療效研究--以正念正知原理為基礎=The Study on Clinical Outcomes of “Non-suffering Therapy” Toward Patients with Schizophrenia: Mindfulness and Clear Comprehension Principles Based Method
The study aimed to investigate the clinical outcomes of “Non-suffering therapy”, which based on mindfulness and clear comprehension principles, toward patients with schizophrenia. Twelve remitted schizophrenic inpatients were the study subjects, and quantitative and qualitative methods were used in this study. In the experimental protest-posttest control group design study, twelve inpatients are randomly assigned into the experimental group and the control group. The independent variable in the quantitative part is the group treatment for “Non-suffering Therapy.” The experimental group received sixteen sessions of group therapy, and the control group didn’t receive any group therapy. Except for the independent variables, these two groups were under the same medical treatments. The dependent variables including of positive symptoms, negative symptoms, general psychopathology, and personal and social functions were assessed by Positive and Negative Symptoms Scales, Personal and Social Performance Scales, Chinese Caregiver Version , and Clinical Global Impression. Meanwhile, Critical Incident Analysis were used in the qualitative part, the six members in the experiment group were interviewed with Critical Incident Technique after each session. The qualitative results were used to help for the interpretation of the quantitative results, and the construction of the group members’ changing mechanisms and processes. The followings were the findings of this study: 1. “Non-suffering therapy” was applicable to the remitted schizophrenic patients. 2. “Non-suffering therapy” showed clinical therapeutic outcome to the negative symptoms, general psychopathology, and personal and social function. 3. “Non-suffering therapy” has inconsistent results towards the clinical therapeutic outcome and the perception of helpful contents of the remitted schizophrenic patients according to different perception levels of insight meditation techniques and changing mechanisms and processes. According to the study results, this study proposed suggestions regarding the clinical outcome of “Non-suffering therapy” towards the schizophrenic patients including suggestions about the clinical treatment and the practice of counseling and suggestions regarding future studies, so as to serve as references for psychiatric practitioners and counselors and further researchers.
