「疾病是一種溝通，當藝術成為出口」—表達性藝術治療工作坊對憂鬱症患者在穩定期自我照顧提升之敘事研究

Abstract

本研究旨在探討表達性藝術治療工作坊對憂鬱症患者於穩定期自我照顧能力之提升，採用敘事研究方法，透過藝術創作歷程與個人故事的敘說，理解個體如何重新建構其面對疾病與自我照顧的經驗。研究參與者為八位已進入穩定期的憂鬱症成人，分別參與兩梯次、一日的表達性藝術治療工作坊。活動內容涵蓋牌卡媒材、繪畫創作、表達性書寫與團體分享，並進行半結構式深度訪談，結合創作作品進行文本與視覺資料的分析。研究結果顯示，參與者在創作歷程中逐步看見自身內在狀態，透過具象圖像表達壓抑情緒與生命歷程，進而發展出新的自我覺察、接納與照顧自身的敘事。此外，工作坊亦提供一個安全的團體空間，使參與者在互動中獲得理解與共感，進而強化其心理韌性與主體感。研究指出，創作過程中的自我反思與象徵轉化，有助於憂鬱症患者於穩定期重建自我照顧的能力與意願。本研究結果指出：（一）表達性藝術創作有助於促進自我覺察；（二）創作媒材能促進情緒轉化、鬆動舊有模式並重構生命意義；（三）本研究旨在探討表達性藝術治療工作坊對憂鬱症患者於穩定期自我照顧能力之提升，採用敘事研究方法，透過藝術創作歷程與個人故事的敘說，理解個體如何重新建構其面對疾病與自我照顧的經驗。研究參與者為八位已進入穩定期的憂鬱症成人，分別參與兩梯次、一日的表達性藝術治療工作坊。活動內容涵蓋牌卡媒材、繪畫創作、表達性書寫與團體分享，並進行半結構式深度訪談，結合創作作品進行文本與視覺資料的分析。研究結果顯示，參與者在創作歷程中逐步看見自身內在狀態，透過具象圖像表達壓抑情緒與生命歷程，進而發展出新的自我覺察、接納與照顧自身的敘事。此外，工作坊亦提供一個安全的團體空間，使參與者在互動中獲得理解與共感，進而強化其心理韌性與主體感。研究指出，創作過程中的自我反思與象徵轉化，有助於憂鬱症患者於穩定期重建自我照顧的能力與意願。本研究結果指出：（一）表達性藝術創作有助於促進自我覺察；（二）創作媒材能促進情緒轉化、鬆動舊有模式並重構生命意義；（三）自我照顧能力的歷程展現符合Orem三階段模型，亦觀察到部分參與者能從深刻的覺察直接跨越評估階段，進入自我照顧的實踐行動；（四）表達性藝術治療可作為憂鬱症穩定期之有效介入策略。本研究可作為心理諮商與輔導實務中，促進憂鬱症穩定期個體自我照顧能力之介入參考。自我照顧能力的歷程展現符合Orem三階段模型，亦觀察到部分參與者能從深刻的覺察直接跨越評估階段，進入自我照顧的實踐行動；（四）表達性藝術治療可作為憂鬱症穩定期之有效介入策略。本研究可作為心理諮商與輔導實務中，促進憂鬱症穩定期個體自我照顧能力之介入參考。

This study aimed to explore the impact of an expressive arts therapy workshop on enhancing self-care abilities in individuals with depression during the stable phase. Utilizing a narrative research approach, the study investigated how individuals reconstructed their experiences of illness and self-care through artistic creation and storytelling. The participants included eight adults who had been diagnosed with depression and were in a stable condition. They attended a one-day expressive arts therapy workshop held in two separate sessions. The workshop activities included the use of symbolic card media, visual art creation, expressive writing, and group sharing. Semi-structured in-depth interviews were conducted, and both textual and visual data were analyzed.The findings revealed that through the process of art-making, participants gradually became aware of their internal states, using concrete imagery to express suppressed emotions and life experiences. This facilitated the development of new narratives centered on self-awareness, acceptance, and self-care. The workshop also provided a safe group environment where participants experienced understanding and empathy through interaction, thereby enhancing psychological resilience and a sense of agency. The study further indicated that the process of self-reflection and symbolic transformation during artistic creation supported individuals in reconstructing their self-care abilities and motivation during the stable phase of depression.The key findings of this study were as follows: (1) expressive arts creation effectively promoted self-awareness; (2) artistic media facilitated emotional transformation, the loosening of rigid patterns, and the reconstruction of life meaning; (3) the process of developinThis study aimed to explore the impact of an expressive arts therapy workshop on enhancing self-care abilities in individuals with depression during the stable phase. Utilizing a narrative research approach, the study investigated how individuals reconstructed their experiences of illness and self-care through artistic creation and storytelling. The participants included eight adults who had been diagnosed with depression and were in a stable condition. They attended a one-day expressive arts therapy workshop held in two separate sessions. The workshop activities included the use of symbolic card media, visual art creation, expressive writing, and group sharing. Semi-structured in-depth interviews were conducted, and both textual and visual data were analyzed.The findings revealed that through the process of art-making, participants gradually became aware of their internal states, using concrete imagery to express suppressed emotions and life experiences. This facilitated the development of new narratives centered on self-awareness, acceptance, and self-care. The workshop also provided a safe group environment where participants experienced understanding and empathy through interaction, thereby enhancing psychological resilience and a sense of agency. The study further indicated that the process of self-reflection and symbolic transformation during artistic creation supported individuals in reconstructing their self-care abilities and motivation during the stable phase of depression.The key findings of this study were as follows: (1) expressive arts creation effectively promoted self-awareness; (2) artistic media facilitated emotional transformation, the loosening of rigid patterns, and the reconstruction of life meaning; (3) the process of developing self-care abilities aligned with Orem’s three-stage model, with some participants demonstrating the capacity to move directly from deep awareness to actionable self-care without a distinct evaluative phase; and (4) expressive arts therapy served as an effective intervention strategy during the stable phase of depression.This study provided practical implications for counseling and psychotherapy, offering a reference for promoting self-care among individuals with depression in clinical and therapeutic settings.g self-care abilities aligned with Orem’s three-stage model, with some participants demonstrating the capacity to move directly from deep awareness to actionable self-care without a distinct evaluative phase; and (4) expressive arts therapy served as an effective intervention strategy during the stable phase of depression.This study provided practical implications for counseling and psychotherapy, offering a reference for promoting self-care among individuals with depression in clinical and therapeutic settings.