Empower                      psychiatric                      fieldwork students                      in Taiwan:          ...
BackgroundNov. 23,2011   published in 5th APOTC   2
Background• Taiwan OT fieldwork training• Challenges      – Self-identity & uncertainty future      – Stress Management   ...
MethodsNov. 23,2011   published in 5th APOTC   4
Methods• Case Study Design    – 6 Students• Process:    – 2.5 hours/student    – 4 open-ended questions after 7 days    – ...
Methods• KAWA Model (Iwama, 2006)    – Eastern view    – Metaphor for conversation base• Narrative therapy(White,2007)    ...
ResultsNov. 23,2011   published in 5th APOTC   7
Results:                Common Issues• Confucian Relationalism (Hwang, 2000,2001)    – Care about “Persons-in-Relation”   ...
Fellow-up QuestionsNov. 23,2011      published in 5th APOTC   9
Results:           After Conversation(Ⅰ)               What did they learn by               painting their KAWA?Nov. 23,20...
The Inspires               • Empower themselves                 – Self-reflection                 – Redefine with a positi...
Results:               After Conversation(Ⅱ)                   What’s the difficulties                       in the proces...
The difficulties               • Poor reflective ability before                this process               • The cross-sect...
Results:               After Conversation(Ⅲ)                 What are the influences                      after using     ...
The Influences               • Self-Reflection and Self-                Awareness↑                 – Find “the chains of  ...
Results:               After Conversation(Ⅳ)     What are the thoughts rising      after looking at the KAWA              ...
The Effects               • “Everything continue                flowing in their life river”                 – Even positi...
DiscussionsNov. 23,2011   published in 5th APOTC   18
Discussions               • “How to find harmony state                in life?”                 – The Confucian Relational...
Discussions               • KAWA model with                narrative therapy                – Re-construct powerful life  ...
References• Antonovsky, A. (1987). Unraveling the Mastery of Health. How  People Manage Stress and Stay Well. Jossey-Bass,...
Thank you for                  your attention~                       Hsin Hsiu, Yeh               Email: essentialyeh@gmai...
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Empower psychiatric fieldwork students in taiwan, nov. 23, 2011(on facebook)

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Empower psychiatric fieldwork students in taiwan, nov. 23, 2011(on facebook)

  1. 1. Empower psychiatric fieldwork students in Taiwan: using KAWA model experience Hsin Hsiu, Yeh¹ & Michael, K., Iwama² Dept. of Psychiatric OT, Taipei City Hospital¹ & Graduate Dept. of Rehabilitation Sciences, University of Toronto²Nov. 23,2011 published in 5th APOTC 1
  2. 2. BackgroundNov. 23,2011 published in 5th APOTC 2
  3. 3. Background• Taiwan OT fieldwork training• Challenges – Self-identity & uncertainty future – Stress Management • interpersonal & time management• Empower way: KAWA & Narrative – self reflection↑ – meaningfulness↑• Common desires: – Harmony/ “Yin & Yang” stateNov. 23,2011 published in 5th APOTC 3
  4. 4. MethodsNov. 23,2011 published in 5th APOTC 4
  5. 5. Methods• Case Study Design – 6 Students• Process: – 2.5 hours/student – 4 open-ended questions after 7 days – KAWA model with Narrative Therapy skillsNov. 23,2011 published in 5th APOTC 5
  6. 6. Methods• KAWA Model (Iwama, 2006) – Eastern view – Metaphor for conversation base• Narrative therapy(White,2007) – Re-Authoring conversation map – Externalizing – Re-Membering – ScaffoldingNov. 23,2011 published in 5th APOTC 6
  7. 7. ResultsNov. 23,2011 published in 5th APOTC 7
  8. 8. Results: Common Issues• Confucian Relationalism (Hwang, 2000,2001) – Care about “Persons-in-Relation” – “Persons-in-Relation” was represented as ”support” & “obstacle”. – Conflict between “Being Themselves” & “The Expectation of Significant Others” – The sense of belongings to their “Systems of Social Relationships” Nov. 23,2011 published in 5th APOTC 8
  9. 9. Fellow-up QuestionsNov. 23,2011 published in 5th APOTC 9
  10. 10. Results: After Conversation(Ⅰ) What did they learn by painting their KAWA?Nov. 23,2011 published in 5th APOTC 10
  11. 11. The Inspires • Empower themselves – Self-reflection – Redefine with a positive view – Being themselves – Manage resources • “The Chains of Association” – Result meaningfulness↑Nov. 23,2011 published in 5th APOTC 11
  12. 12. Results: After Conversation(Ⅱ) What’s the difficulties in the process of using KAWA model?Nov. 23,2011 published in 5th APOTC 12
  13. 13. The difficulties • Poor reflective ability before this process • The cross-sectional view of KAWA isn’t commonNov. 23,2011 published in 5th APOTC 13
  14. 14. Results: After Conversation(Ⅲ) What are the influences after using KAWA model?Nov. 23,2011 published in 5th APOTC 14
  15. 15. The Influences • Self-Reflection and Self- Awareness↑ – Find “the chains of association” and its value→ meaningfulness (Antonovsky, 1987) – Help to find more resources→ manageability (Antonovsky, 1987)Nov. 23,2011 published in 5th APOTC 15
  16. 16. Results: After Conversation(Ⅳ) What are the thoughts rising after looking at the KAWA again?Nov. 23,2011 published in 5th APOTC 16
  17. 17. The Effects • “Everything continue flowing in their life river” – Even positive or negative things • Being themselves with a positive view – Using more flexible way to resolve or find resourcesNov. 23,2011 published in 5th APOTC 17
  18. 18. DiscussionsNov. 23,2011 published in 5th APOTC 18
  19. 19. Discussions • “How to find harmony state in life?” – The Confucian Relationalism V.S. Western culture • Balance between “the expectation of significant others” and “being themselves”Nov. 23,2011 published in 5th APOTC 19
  20. 20. Discussions • KAWA model with narrative therapy – Re-construct powerful life river – Help to find “meaning in life” – Appreciate both “Yin & Yang” of selfNov. 23,2011 published in 5th APOTC 20
  21. 21. References• Antonovsky, A. (1987). Unraveling the Mastery of Health. How People Manage Stress and Stay Well. Jossey-Bass, San Francisco.• Hwang, K.K. (2000). Chinese Relationalism: Theoretical construction and methodological considerations. Journal for the Theory of Social Behavior, 30(2), 155-178.• Hwang, K.K. (2001). The deep structure of Confucianism: A social psychological approach. Asian Philosophy, 11(3), 179-204.• Iwama, M. (2006). The Kawa Model: Culturally Relevant Occupational Therapy. Edinburgh : Churchill Livingstone- Elsevier.• White, M. (2007). Maps of Narrative Therapy. New York: W. W. Norton. Nov. 23,2011 published in 5th APOTC 21
  22. 22. Thank you for your attention~ Hsin Hsiu, Yeh Email: essentialyeh@gmail.comNov. 23,2011 published in 5th APOTC 22
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