{"id":9208,"date":"2017-08-07T00:00:00","date_gmt":"2017-08-06T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=e0f8205d57860a24b0ebd14277f50e8c"},"modified":"2018-08-17T18:11:28","modified_gmt":"2018-08-17T10:11:28","slug":"%e8%a9%b1%e8%aa%9e%e6%ac%8a%e4%b9%8b%e7%88%ad-%e5%b0%88%e5%ae%b6%e8%87%b3%e4%b8%8a%ef%bc%9f-%e9%86%ab%e6%b2%bb%e6%83%85%e7%b7%92%e7%97%85-%e6%82%a3%e8%80%85%e9%83%bd%e6%9c%89say","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e8%a9%b1%e8%aa%9e%e6%ac%8a%e4%b9%8b%e7%88%ad-%e5%b0%88%e5%ae%b6%e8%87%b3%e4%b8%8a%ef%bc%9f-%e9%86%ab%e6%b2%bb%e6%83%85%e7%b7%92%e7%97%85-%e6%82%a3%e8%80%85%e9%83%bd%e6%9c%89say\/","title":{"rendered":"\u8a71\u8a9e\u6b0a\u4e4b\u722d \u5c08\u5bb6\u81f3\u4e0a\uff1f \u91ab\u6cbb\u60c5\u7dd2\u75c5 \u60a3\u8005\u90fd\u6709say"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u3011\u5728\u73fe\u4eca\u865f\u7a31\u570b\u969b\u5927\u90fd\u6703\u7684\u9999\u6e2f\uff0c\u6578\u64da\u548c\u5c08\u5bb6\u5c31\u662f\u6b0a\u5a01\uff0c\u64c1\u6709\u5c0d\u5404\u7a2e\u4eba\u548c\u4e8b\u7684\u8a6e\u91cb\u548c\u8a71\u8a9e\u6b0a\u3002\u6108\u591a\u4eba\u8ddf\u96a8\u4f60\uff0c\u8ad6\u8ff0\u5c31\u6108\u6709\u4ee3\u8868\u6027\u3002\u6700\u5f8c\u6240\u8b02\u300c\u771f\u76f8\u3001\u771f\u5be6\u300d\uff0c\u5176\u5be6\u4e0d\u904e\u662f\u6700\u591a\u4eba\u652f\u6301\u7684\u89c0\u9ede\u800c\u5df2\u3002<\/p>\n

\u5c0d\u65bc\u53d7\u60c5\u7dd2\u75c5\u5f71\u97ff\u7684\u670b\u53cb\uff0c\u8eab\u908a\u4eba\u7684\u614b\u5ea6\u548c\u884c\u52d5\uff0c\u5c0d\u7576\u4e8b\u4eba\u80fd\u5426\u638c\u63e1\u81ea\u8eab\u5eb7\u5fa9\u6b0a\u5229\u6709\u6c7a\u5b9a\u7684\u5f71\u97ff\u3002\u5bb6\u4eba\u53ca\u52a9\u4eba\u5c08\u696d\u8005\uff0c\u61c9\u8a72\u53cd\u601d\u4ed6\u5011\u64c1\u6709\u7684\u6b0a\u529b\u53ca\u5176\u5c0d\u65bc\u7576\u4e8b\u4eba\u7684\u5f71\u97ff\u3002\u4ec0\u9ebc\u5c0d\u65bc\u7576\u4e8b\u4eba\u300c\u6700\u597d\u300d\uff0c\u8ab0\u6700\u6e05\u695a\u5462\uff1f\u4ed6\u5011\u7684\u751f\u547d\u53c8\u5c6c\u8ab0\u5462\uff1f<\/p>\n

\u500b\u6848\u4e00\uff1a\u526f\u4f5c\u7528\u5927\u60f3\u63db\u85e5 \u91ab\u751f\u53cd\u5c0d<\/p>\n

Billy\u66fe\u64c1\u6709\u7406\u60f3\u7684\u8077\u696d\uff0c\u5f8c\u4f86\u53d7\u6291\u9b31\u548c\u5e7b\u807d\u5f71\u97ff\uff0c\u88ab\u8feb\u63d0\u65e9\u9000\u4f11\u3002\u75c5\u5f8c\u5b50\u5973\u3001\u592a\u592a\u548c\u91ab\u751f\u7686\u8cea\u7591\u4ed6\u7684\u5de5\u4f5c\u548c\u81ea\u7406\u80fd\u529b\uff0c\u9664\u4e86\u4e0d\u8d0a\u6210\u4ed6\u5c0b\u627e\u517c\u8077\uff0c\u4ea6\u6703\u6bcf\u5929\u76e3\u5bdf\u4ed6\u5403\u85e5\uff0c\u751a\u81f3\u4e0d\u540c\u610f\u4ed6\u55ae\u7368\u5916\u51fa\u3002\u5176\u5be6Billy\u4e5f\u6709\u4e0a\u7db2\u4e86\u89e3\u81ea\u5df1\u7684\u75c5\u51b5\uff0c\u89ba\u5f97\u67d0\u4e9b\u897f\u85e5\u7684\u526f\u4f5c\u7528\u592a\u5927\uff0c\u5e0c\u671b\u5617\u8a66\u4e0d\u540c\u85e5\u7269\uff0c\u751a\u6216\u5e0c\u671b\u914d\u5408\u4e2d\u85e5\u548c\u904b\u52d5\u53bb\u8abf\u6821\u85e5\u7269\u5291\u91cf\u3002\u53ef\u662f\u91ab\u751f\u8b66\u544a\u4ed6\u300c\u4e0d\u8981\u4e82\u4f86\u300d\uff0c\u4ea6\u5429\u5490\u5bb6\u4eba\u966a\u4ed6\u8986\u8a3a\uff0c\u78ba\u4fdd\u4ed6\u4e0d\u8981\u80e1\u601d\u4e82\u60f3\uff0c\u4e56\u4e56\u5403\u85e5\u3002<\/p>\n

\u500b\u6848\u4e8c\uff1a\u91ab\u8b77\u7d30\u5fc3\u807d \u60a3\u8005\u653e\u5fc3\u8b1b<\/p>\n

Catherine\u88ab\u60c5\u7dd2\u53ca\u6709\u95dc\u6b7b\u4ea1\u7684\u601d\u60f3\u5f71\u97ff\u591a\u5e74\uff0c\u5728\u666e\u901a\u79d1\u8a66\u904e\u5f88\u591a\u85e5\u7269\u5f8c\u5fb5\u72c0\u4e5f\u672a\u898b\u6539\u5584\uff0c\u7d50\u679c\u9700\u8981\u5165\u9662\u8abf\u6821\u85e5\u7269\u3002\u5979\u7684\u7236\u89aa\u5f88\u652f\u6301\u5979\uff0c\u5118\u7ba1\u4ed6\u5c0d\u5973\u5152\u9700\u77ed\u66ab\u96e2\u5bb6\u611f\u5230\u4e0d\u6368\uff0c\u4f46\u56e0\u70ba\u81ea\u8eab\u591a\u5e74\u524d\u4e5f\u6709\u88ab\u60c5\u7dd2\u56f0\u64fe\u548c\u85e5\u7269\u6cbb\u7642\u7684\u7d93\u9a57\uff0c\u4ed6\u5f88\u7406\u89e3\u5973\u5152\u7684\u56f0\u96e3\u3002\u91ab\u8b77\u5718\u968a\u4e5f\u5f88\u5c0a\u91cdCatherine\uff0c\u91ab\u751f\u5011\u5f88\u9858\u610f\u7d30\u5fc3\u8046\u807d\u5979\u8b1b\u8ff0\u670d\u7528\u4e0d\u540c\u85e5\u7269\u5f8c\u7684\u53cd\u61c9\u548c\u72c0\u51b5\uff0c\u4ee4Catherine\u53ef\u4ee5\u6301\u958b\u653e\u7684\u614b\u5ea6\uff0c\u653e\u5fc3\u5206\u4eab\u81ea\u5df1\u7684\u6545\u4e8b\u548c\u4f5c\u4e0d\u540c\u5617\u8a66\u3002<\/p>\n

\u4e0a\u8ff0\u5169\u500b\u500b\u6848\uff0c\u5bb6\u4eba\u548c\u91ab\u8005\u5c0d\u75c5\u4eba\u7684\u53cd\u61c9\u8fe5\u7570\uff0c\u503c\u5f97\u5927\u5bb6\u53cd\u601d\ufe55\u7a76\u7adf\u8ab0\u64c1\u6709\u95e1\u91cb\u300c\u60c5\u7dd2\u75c5\u300d\u7684\u8a71\u8a9e\u6b0a\uff1f\u54ea\u4e9b\u614b\u5ea6\u548c\u505a\u6cd5\u6700\u6709\u5229\u65bc\u75c5\u4eba\u5eb7\u5fa9\u5462\uff1f<\/p>\n

\u8ca0\u9762\u6a19\u7c64 \u50ac\u751f\u300c\u75c5\u4eba\u6a21\u5f0f\u300d<\/p>\n

\u53d7\u300c\u60c5\u7dd2\u75c5\u300d\u5f71\u97ff\u7684\u4eba\uff0c\u90fd\u88ab\u8cbc\u4e0a\u5f88\u591a\u8ca0\u9762\u7684\u6a19\u7c64\u3002\u5f88\u591a\u89e3\u91cb\u7cbe\u795e\u75c5\u7684\u6b0a\u5a01\u7406\u8ad6\uff0c\u90fd\u5efa\u57fa\u65bc\u4e00\u500b\u5047\u8a2d\ufe55\u7576\u4e8b\u4eba\u90fd\u662f\u751f\u7406\u6216\u5fc3\u7406\u51fa\u73fe\u554f\u984c\uff0c\u80fd\u529b\u65b9\u9762\u6709\u6240\u7f3a\u4e4f\u6216\u4e0d\u7b26\u5408\u4e3b\u6d41\u793e\u6703\u7684\u671f\u671b\u3001\u8981\u6c42\u3002\u7d50\u679c\u554f\u984c\u88ab\u5167\u5316\uff0c\u7576\u4e8b\u4eba\u6d3b\u51fa\u4e86\u5927\u5bb6\u6240\u671f\u671b\u7684\u300c\u75c5\u4eba\u6a23\u5f0f\u300d\uff0c\u5373\u6027\u683c\u8ca0\u9762\u60b2\u89c0\u3001\u6c92\u6709\u5de5\u4f5c\u52d5\u529b\u3001\u5c0d\u751f\u6d3b\u7f3a\u4e4f\u8208\u8da3\u7b49\u7b49\u3002\u6700\u5f8c\u6574\u500b\u5bb6\u5ead\u9677\u5165\u4e00\u7247\u6101\u96f2\u6158\u9727\u4e2d\uff0c\u7d42\u65e5\u96e3\u898b\u6b61\u5bb9\u3002\u66f4\u751a\u8005\u662f\u9023\u75c5\u8005\u5bb6\u4eba\u3001\u91ab\u8b77\u4eba\u54e1\u548c\u793e\u5de5\u7b49\u52a9\u4eba\u5c08\u696d\u8005\uff0c\u4e5f\u8a8d\u5b9a\u75c5\u4eba\u6839\u672c\u5c0d\u81ea\u5df1\u72c0\u51b5\u7f3a\u4e4f\u4e86\u89e3\uff0c\u4ea6\u6c92\u6709\u80fd\u529b\u548c\u77e5\u8b58\u53bb\u4f5c\u51fa\u300c\u5408\u9069\u300d\u7684\u6c7a\u5b9a\u3002\u7d50\u679c\u75c5\u8005\u7684\u65e5\u5e38\u751f\u6d3b\u4ee5\u81f3\u6709\u95dc\u5fa9\u5eb7\u7684\u7a2e\u7a2e\u6c7a\u5b9a\uff0c\u4f8b\u5982\u91ab\u85e5\u3001\u751f\u6d3b\u548c\u5de5\u4f5c\u5b89\u6392\u7b49\uff0c\u90fd\u88ab\u5bb6\u4eba\u53ca\u5c08\u5bb6\u5de6\u53f3\uff0c\u751a\u81f3\u9023\u8868\u9054\u81ea\u8eab\u7684\u6b0a\u5229\u4e5f\u88ab\u525d\u596a\u548c\u5f97\u4e0d\u5230\u5c0a\u91cd\u3002<\/p>\n

\u25a0\u5c08\u5bb6\u672d\u8a18<\/p>\n

\u95dc\u611b\u8b8a\u58d3\u8feb \u597d\u5fc3\u505a\u58de\u4e8b<\/p>\n

\u5c0d\u53d7\u60c5\u7dd2\u554f\u984c\u56f0\u64fe\u7684\u4eba\u800c\u8a00\uff0c\u5982\u679c\u80fd\u5920\u904b\u7528\u8a9e\u8a00\u6216\u4e00\u4e9b\u6070\u7576\u5f62\u5f0f\u53bb\u8868\u9054\u81ea\u5df1\u7684\u751f\u547d\u6545\u4e8b\uff0c\u4e26\u70ba\u81ea\u5df1\u904e\u53bb\u7684\u7d93\u9a57\u8ce6\u4e88\u7368\u7279\u7684\u610f\u7fa9\uff0c\u4e8b\u5be6\u4e0a\u4ed6\u5011\u64c1\u6709\u4e3b\u5bb0\u81ea\u5df1\u547d\u904b\u7684\u6b0a\u5229\u3002\u7136\u800c\u9019\u500b\u8a71\u8a9e\u6b0a\u5f88\u5bb9\u6613\u88ab\u4eba\u596a\u53bb\u548c\u74dc\u5206\uff0c\u5c24\u5176\u662f\u4e00\u756a\u597d\u610f\u7684\u5bb6\u4eba\u548c\u91ab\u8b77\u4eba\u54e1\u3002<\/p>\n

\u5176\u5be6\u5efa\u7acb\u6e20\u9053\u8b93\u75c5\u4eba\u767c\u8072\uff0c\u52a9\u4eba\u5c08\u696d\u8005\u548c\u5bb6\u4eba\u5c31\u53ef\u4ee5\u591a\u4e86\u89e3\u4ed6\u5011\u7684\u72c0\u51b5\uff0c\u4e26\u4f5c\u51fa\u66f4\u9069\u5207\u548c\u5408\u5b9c\u7684\u652f\u63f4\u3002\u7c21\u55ae\u800c\u8a00\uff0c\u5c31\u662f\u5fc3\u61f7\u4fe1\u4efb\u3001\u63a5\u7d0d\u548c\u5c0a\u91cd\u75c5\u4eba\u7684\u614b\u5ea6\uff0c\u78ba\u8a8d\u548c\u80af\u5b9a\u4ed6\u5011\u7684\u751f\u547d\u6545\u4e8b\u3001\u75c5\u60a3\u6b77\u7a0b\u548c\u500b\u4eba\u9ad4\u6703\u3002<\/p>\n

\u958b\u653e\u5f0f\u63d0\u554f \u591a\u8046\u807d\u75c5\u4eba<\/p>\n

\u57f7\u884c\u4e0a\uff0c\u8046\u807d\u662f\u95dc\u9375\u4e00\u74b0\u3002\u4e0d\u6253\u65b7\u75c5\u4eba\u5206\u4eab\uff0c\u5229\u7528\u958b\u653e\u5f0f\u63d0\u554f\uff0c\u62c9\u95ca\u8a71\u984c\uff0c\u5f9e\u75c5\u4eba\u7d93\u9a57\u51fa\u767c\uff0c\u767c\u6398\u6bcf\u6bb5\u7d93\u6b77\u6240\u8ce6\u4e88\u4ed6\u5011\u7684\u610f\u7fa9\uff0c\u540c\u6642\u4ee5\u597d\u5947\u5fc3\u63a2\u8a0e\u4ed6\u5011\u904e\u53bb\u9762\u5c0d\u5fb5\u72c0\u7684\u7b56\u7565\uff0c\u4e86\u89e3\u7576\u4e2d\u7684\u6399\u624e\u548c\u5f97\u5931\u3002\u6709\u6642\u75c5\u4eba\u7684\u7b56\u7565\u53ef\u80fd\u6709\u5225\u65bc\u91ab\u751f\u548c\u5bb6\u4eba\u7684\u60f3\u6cd5\uff0c\u540c\u6642\u6548\u679c\u4ea6\u53ef\u80fd\u672a\u5982\u4ed6\u5011\u7684\u7406\u60f3\uff1b\u4f46\u52a9\u4eba\u5c08\u696d\u8005\u548c\u5bb6\u4eba\u53ea\u8981\u5805\u6301\u548c\u4ed6\u5011\u540c\u884c\uff0c\u966a\u4f34\u4ed6\u5011\u9762\u5c0d\u75c5\u60a3\u904e\u7a0b\u7684\u7a2e\u7a2e\uff0c\u4e26\u767c\u6398\u4ed6\u5011\u5c0d\u5404\u7a2e\u7d93\u9a57\u7684\u8a6e\u91cb\uff0c\u7e7c\u800c\u5354\u52a9\u4ed6\u5011\u767c\u73fe\u5408\u9069\u7684\u65b9\u6848\u548c\u61c9\u5c0d\u884c\u52d5\uff0c\u75c5\u4eba\u5c31\u80fd\u6536\u5fa9\u4ed6\u5011\u7684\u8a71\u8a9e\u6b0a\uff0c\u53bb\u8a6e\u91cb\u3001\u63a5\u7d0d\u548c\u64c1\u62b1\u81ea\u5df1\u4f9d\u7136\u7f8e\u9e97\u548c\u5145\u6eff\u5e0c\u671b\u7684\u4eba\u751f\uff0c\u4ea6\u4ee4\u5bb6\u4eba\u91cd\u73fe\u7b11\u5bb9\uff0c\u771f\u6b63\u9054\u81f3\u300c\u5bb6\u5bb6\u597d\u5fc3\u60c5\u300d\u3002<\/p>\n

\u5bb6\u4eba\u548c\u5c08\u696d\u4eba\u58eb\u82e5\u5e0c\u671b\u5354\u52a9\u53d7\u60c5\u7dd2\u56f0\u64fe\u7684\u4eba\u8d70\u904e\u5e7d\u8c37\uff0c\u5fc5\u9808\u5e38\u62b1\u7740\u958b\u653e\u614b\u5ea6\uff0c\u4e0d\u8981\u8b93\u81ea\u5df1\u7684\u5c08\u696d\u5224\u65b7\u8207\u77e5\u8b58\u51cc\u99d5\u5728\u7576\u4e8b\u4eba\u7684\u7d93\u9a57\u4e4b\u4e0a\u3002\u5426\u5247\u6211\u5011\u5f88\u5bb9\u6613\u300c\u597d\u5fc3\u505a\u58de\u4e8b\u300d\uff0c\u4ee4\u81ea\u5df1\u7684\u95dc\u611b\u6210\u70ba\u4e86\u5c0d\u4ed6\u5011\u7684\u53e6\u985e\u58d3\u8feb\uff0c\u751a\u81f3\u5835\u585e\u4e86\u75c5\u4eba\u8868\u9054\u81ea\u5df1\u548c\u4ee5\u6700\u5408\u9069\u7684\u65b9\u6cd5\u9762\u5c0d\u56f0\u5883\u7684\u6a5f\u6703\u3002<\/p>\n

\u6587\uff1a\u8b1d\u6a39\u57fa\uff08\u9999\u6e2f\u5927\u5b78\u793e\u6703\u5de5\u4f5c\u53ca\u793e\u6703\u884c\u653f\u5b78\u7cfb\u6559\u6388\uff0c\u793e\u6703\u79d1\u5b78\u5b78\u9662\u7cbe\u795e\u5065\u5eb7\u53ca\u793e\u6703\u653f\u7b56\u5c0f\u7d44\u53ec\u96c6\u4eba\uff09\u3001\u80e1\u53ef\u5152\uff08\u9999\u6e2f\u57fa\u7763\u6559\u8f14\u5c0e\u670d\u52d9\u8cc7\u6df1\u8f14\u5c0e\u54e1\uff09<\/p>\n

\u5716\uff1a\u8cc7\u6599\u5716\u7247<\/p>\n

\u7de8\u8f2f\uff1a\u6c88\u71d5\u5a9a<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20170807\/news\/_07yc101.jpg;https:\/\/health2.mingpao.com\/ftp\/Health2\/20170807\/news\/_07YC003_.jpg\u5c0a\u91cd\u4fe1\u4efb\u2014\u2014\u6211\u5011\u61c9\u8a72\u4fe1\u4efb\u548c\u5c0a\u91cd\u75c5\u4eba\uff0c\u80af\u5b9a\u75c5\u60a3\u7684\u9ad4\u6703\uff0c\u6709\u52a9\u5e6b\u52a9\u4ed6\u5011\u627e\u51fa\u6700\u5408\u9069\u9762\u5c0d\u56f0\u5883\u7684\u65b9\u6cd5\u3002\uff08\u76f8\u4e2d\u4eba\u8207\u672c\u6587\u7121\u95dc\uff09\uff08\u8cc7\u6599\u5716\u7247\uff09;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】在現今號稱國際大都會的香港，數據和專家就是權威，擁有對各種人和事的詮釋和話語權。愈多人跟隨你，論述就愈有代表性。最後所謂「真相、真實」，其實不過是最多人支持的觀點而已。<\/p>\n

對於受情緒病影響的朋友，身邊人的態度和行動，對當事人能否掌握自身康復權利有決定的影響。家人及助人專業者，應該反思他們擁有的權力及其對於當事人的影響。什麼對於當事人「最好」，誰最清楚呢？他們的生命又屬誰呢？<\/p>\n

個案一：副作用大想換藥 醫生反對<\/p>\n

Billy曾擁有理想的職業，後來受抑鬱和幻聽影響，被迫提早退休。病後子女、太太和醫生皆質疑他的工作和自理能力，除了不贊成他尋找兼職，亦會每天監察他吃藥，甚至不同意他單獨外出。其實Billy也有上網了解自己的病况，覺得某些西藥的副作用太大，希望嘗試不同藥物，甚或希望配合中藥和運動去調校藥物劑量。可是醫生警告他「不要亂來」，亦吩咐家人陪他覆診，確保他不要胡思亂想，乖乖吃藥。<\/p>\n

個案二：醫護細心聽 患者放心講<\/p>\n

Catherine被情緒及有關死亡的思想影響多年，在普通科試過很多藥物後徵狀也未見改善，結果需要入院調校藥物。她的父親很支持她，儘管他對女兒需短暫離家感到不捨，但因為自身多年前也有被情緒困擾和藥物治療的經驗，他很理解女兒的困難。醫護團隊也很尊重Catherine，醫生們很願意細心聆聽她講述服用不同藥物後的反應和狀况，令Catherine可以持開放的態度，放心分享自己的故事和作不同嘗試。<\/p>\n

上述兩個個案，家人和醫者對病人的反應迥異，值得大家反思﹕究竟誰擁有闡釋「情緒病」的話語權？哪些態度和做法最有利於病人康復呢？<\/p>\n

負面標籤 催生「病人模式」<\/p>\n

受「情緒病」影響的人，都被貼上很多負面的標籤。很多解釋精神病的權威理論，都建基於一個假設﹕當事人都是生理或心理出現問題，能力方面有所缺乏或不符合主流社會的期望、要求。結果問題被內化，當事人活出了大家所期望的「病人樣式」，即性格負面悲觀、沒有工作動力、對生活缺乏興趣等等。最後整個家庭陷入一片愁雲慘霧中，終日難見歡容。更甚者是連病者家人、醫護人員和社工等助人專業者，也認定病人根本對自己狀况缺乏了解，亦沒有能力和知識去作出「合適」的決定。結果病者的日常生活以至有關復康的種種決定，例如醫藥、生活和工作安排等，都被家人及專家左右，甚至連表達自身的權利也被剝奪和得不到尊重。<\/p>\n

■專家札記<\/p>\n

關愛變壓迫 好心做壞事<\/p>\n

對受情緒問題困擾的人而言，如果能夠運用語言或一些恰當形式去表達自己的生命故事，並為自己過去的經驗賦予獨特的意義，事實上他們擁有主宰自己命運的權利。然而這個話語權很容易被人奪去和瓜分，尤其是一番好意的家人和醫護人員。<\/p>\n

其實建立渠道讓病人發聲，助人專業者和家人就可以多了解他們的狀况，並作出更適切和合宜的支援。簡單而言，就是心懷信任、接納和尊重病人的態度，確認和肯定他們的生命故事、病患歷程和個人體會。<\/p>\n

開放式提問 多聆聽病人<\/p>\n

執行上，聆聽是關鍵一環。不打斷病人分享，利用開放式提問，拉闊話題，從病人經驗出發，發掘每段經歷所賦予他們的意義，同時以好奇心探討他們過去面對徵狀的策略，了解當中的掙扎和得失。有時病人的策略可能有別於醫生和家人的想法，同時效果亦可能未如他們的理想；但助人專業者和家人只要堅持和他們同行，陪伴他們面對病患過程的種種，並發掘他們對各種經驗的詮釋，繼而協助他們發現合適的方案和應對行動，病人就能收復他們的話語權，去詮釋、接納和擁抱自己依然美麗和充滿希望的人生，亦令家人重現笑容，真正達至「家家好心情」。<\/p>\n

家人和專業人士若希望協助受情緒困擾的人走過幽谷，必須常抱着開放態度，不要讓自己的專業判斷與知識凌駕在當事人的經驗之上。否則我們很容易「好心做壞事」，令自己的關愛成為了對他們的另類壓迫，甚至堵塞了病人表達自己和以最合適的方法面對困境的機會。<\/p>\n

文：謝樹基（香港大學社會工作及社會行政學系教授，社會科學學院精神健康及社會政策小組召集人）、胡可兒（香港基督教輔導服務資深輔導員）<\/p>\n

圖：資料圖片<\/p>\n

編輯：沈燕媚<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20170807\/news\/_07yc101.jpg;https:\/\/health2.mingpao.com\/ftp\/Health2\/20170807\/news\/_07YC003_.jpg尊重信任——我們應該信任和尊重病人，肯定病患的體會，有助幫助他們找出最合適面對困境的方法。（相中人與本文無關）（資料圖片）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":9292,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[101,938,29,97],"class_list":["post-9208","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-101","tag-938","tag-29","tag-97"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 14:23:47","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/9208"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=9208"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/9208\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/9292"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=9208"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=9208"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=9208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}