空軍非自願服務使用者受助經驗與心輔官實務因應：以傅柯權力觀點檢視

作者：巫冠宏 巫冠宏, 陳依翔 陳依翔 · 发表于：社會工作與社會福利學刊 · 年份：2025 · DOI：10.53106/295861272025020005002

研究目的：軍隊是典型的科層組織，軍事成員無不受到權力的宰制，然軍隊對於心理健康議題日益重視，也開始挹注心理輔導資源協助官兵。軍中心輔體系運行多年，少有研究關注權力脈絡下的互動關係與官兵受助經驗，故本研究旨在探討「官兵接受軍隊心輔服務時的受助經驗」與「軍職心輔官實務因應」。 研究方法：採質性研究中的深度訪談法，訪談九位受訪者：四位現職心輔官（心輔實務年資平均約四年）及五位非自願服務使用者（服役年資自六個月至八年之間），以傅柯（Foucault）微型權力視角，做為訪談資料之理論分析架構。 研究結果：結果顯示軍隊強調的集體性與軍事優先性，與助人專業中的人本價值有所扞格，在求助污名化與保密性不足之影響下，官兵怯於坦露心理脆弱，致使軍隊心輔工作易流於形式，無法發揮原有制度設計的功能，而心輔官的軍人與助人工作者雙重身分，導致效忠組織或案主優先的倫理兩難。 研究結論：個體在軍隊組織中須忌憚監控性高的權力，以避免被排除；軍隊主流價值凌駕專業價值，致使心輔官專業自主性低落，然心輔官仍需平衡組織目標與個案需求，展現助人專業特質，才能促進心輔工作進展。Research Purpose This study examined the experiences of military personnel in the air force utilizing mental health services for complex personal issues, in addition to exploring the responses from military mental health officers. The study investigated the behavioral contexts, feelings, and experiences of both the personnel required to seek mental health support and mental health officers. Using Foucault’s perspective on power, the study explored attitudes among involuntary service users toward military bureaucracy and the behaviors and coping strategies of military mental health officers. Method This study adopted a qualitative research design and interviewed nine participants. Of these participants, four were active-duty mental health officers with approximately 4 years of practical experience, on average; the remaining five were military personnel who had been required to seek mental health support and had lengths of service ranging from 6 months to 8 years. Through template analysis, this study established c...