| 摘要: | 本研究主要探究注意力不足過動症兒童（過動兒童）與其特殊手足之手足互動經驗，目的在瞭解家中有過動兒童時，其特殊手足與他們互動時的經驗與感受，以及對特殊手足的影響，甚至是對整個家庭成員的影響。研究方法為質性研究，邀請家中只有兩位小孩，分別為過動兒童與特殊手足，年齡介於8~12歲，三組共6名研究參與者，進行半結構式深度訪談，研究工具運用手偶與娃娃協助研究參與者表達，並運用內容分析法進行資料分析。研究結果說明如下：
一、 手足互動行為「利他關係靠近，事端關係疏離」：
過動兒童與其特殊手足的互動衝突多，且多數衝突為過動兒童引起的事端，所幸有利他行為，緩和彼此間的不愉快，除此之外，有其他的外在因素介入亦影響雙方的互動，例如：主要照顧者、3C產品與課業需求。
二、 特殊手足對過動兒童的感受「矛盾心情，過動兒童討人厭但又重要」：
特殊手足對過動兒童的情緒是複雜且矛盾，既喜歡過動兒童又討厭他，喜歡過動兒童的陪伴且為重要的家人，但討厭過動兒童的欺負與傷害。
三、 過動兒童對特殊手足的感受「特殊手足煩人又疏遠」：
過動兒童討厭特殊手足的不禮貌、不尊重與吵鬧，但有特殊手足在讓他不無聊，雖想親近特殊手足但感到有些距離。
四、 過動症對過動者家庭成員的影響「過動症增加家庭成員生活負荷」：
主要照顧者較關照過動兒童，以及給過動兒童較多資源，特殊手足感到寂寞與沮喪、過動兒童或特殊手足擔憂他人的歧視與不理解、過動兒童對於無法控制行為感到沮喪與無助。
研究者依據研究結果加以討論，提出研究限制與建議，提供實務工作者、過動兒童家庭，以及未來相關研究之建議。
This study mainly explores the sibling interaction experiences between the children with Attention Deficit/Hyperactivity Disorder (ADHD) and their siblings. The purpose is to understand the experiences and feelings of the special siblings interacting with the children with ADHD, as well as the influence on the special siblings, and even the impact on the whole family members. The research method adopts qualitative research. The researcher invited three groups of six participants, who have only two children in their family, respectively, a child with ADHD and a special sibling, and aged 8 to 12 years old. The study was conducted by semi-structured in-depth interviews. To assist the participants in expression, the researcher used puppets and dolls as research tools. The data analyzing was conducted by content analysis. The findings of this study are presented below:
1. The sibling interaction is “altruism relationship close and incident relationship alienated”.
There are many interaction conflicts between the children with ADHD and the special siblings, and most of the conflicts are caused by the children with ADHD. Fortunately, prosocial behavior can ease the unpleasantness between them. In addition, some other external factors can also have impact on the interaction between the two sides, such as primary caregivers, 3C products and the needs of study.
2. The feelings of the special siblings to the children with ADHD are” contradictory”. The children with ADHD are annoying, but they are also important to their special siblings.
The feelings of the special siblings to the children with ADHD are complex and contradictory. They like the children with ADHD, but they also hate them. They enjoy their company and regard them as important families. However, they don’t like the bullying and hurt of the children with ADHD.
3. The feelings of the children with ADHD to the special siblings are “annoying and alienated".
The children with ADHD can’t stand the impolite, disrespectful and noisy manner of the special siblings. Having the special siblings make them not feel bored. However, when they are trying to be close to the special siblings. They feel there was a distance between them and the special siblings.
4. The Effects of ADHD on their family members, “ADHD increases the life load of the family members".
The primary caregivers usually pay more attention on the children with ADHD and provide them with more resources. The ways they treat the children with ADHD often make the special siblings feel lonely and depressed. The children with ADHD and the special siblings are worry about other people's discrimination and incomprehension. The children with ADHD are frustrated and helpless about their uncontrollable behavior.
Based on the results of the study, the researcher put forward the limitations and the recommendations, and provided the practitioners, the families of the children with ADHD, and the future researches some recommendations. |
