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探索医务社会工作介入灾后心理救援的服务模式，以期推动我国医务社会工作的发展，同时，为我国灾害管理、科学救援提供可参考的经验。

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CommonID:DIR_71385690,ID:12162494,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:670369,name:第二章 医务社会工作介入鲁甸震后伤员的心理急救,ShortName:,SubName:,EnTitle:,EnShortTitle:,EnSubTitle:,Level:0,BookId:12162452,AbstractCH:

“8·03” 地震后，云南省民政厅即刻委派社会工作队伍进入灾区服务，其中的一支医务社工队伍，进入了昭通市第一人民医院、昭通市中医院和鲁甸县医院。在灾后第五天，医务社工开展了对医护人员、伤员及其家属的心理救援需求评估，以便为下一步工作提供指导。下文为本次心理救援需求评估的情况分析。

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灾后1~3个月，陆续有伤员出院，伤员的社会心理干预需求评估在动态地进行。以第一阶段的评估为基础，对三类伤员进一步进行更全面和系统的评估，建立伤员的心理档案，为社会心理干预提供循证的依据。本阶段需求评估的结果如下。

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CommonID:DIR_71385734,ID:12162506,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:670371,name:第四章 鲁甸震后伤员的心理复原力研究,ShortName:,SubName:,EnTitle:,EnShortTitle:,EnSubTitle:,Level:0,BookId:12162452,AbstractCH:

本研究运用质性研究的方法，探讨12例“8·03”地震后伤员中PTSD发生者与不发生者的心理复原力的特点及影响复原力的因素，以期为灾后心理复原力的干预研究提供可借鉴的经验。下面我们首先对复原力的相关文献进行梳理，从第二节开始介绍本研究的具体内容。

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近年来，全球各种类型的灾难频频发生，对灾难中丧亲者哀思处理的研究再度引起了学术界的关注，也使得精神分析对“悲伤过程假设”的观点具有了历久弥新的意义。相较于西方，我国的心理治疗研究起步较晚，如果我们将这些观点全盘引入我国，并将其作为灾难后心理援助的借鉴，必然有一些需要考虑的文化差异。但是，适当地运用西方的相关观点作为我们心理援助工作的理论参考，确有事半功倍的价值。

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在国际上，社会工作介入灾后心理援助已经比较成熟，例如，美国、日本、新加坡等国家已积累了相当丰富的灾后社会工作介入心理危机的经验，并逐渐形成了救助体系。

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21世纪人类仍然无法预测灾难的到来，世界正进入一个前所未有的危机频发期，各类灾难肆无忌惮地侵袭着地球，如地震、火灾、台风、洪涝灾害、雪灾、空难、矿难、沉船事故等。灾难威胁着人们的生命财产，打破了原有的社会生活环境，挫伤乃至摧毁了人们的安全感，给人们造成了巨大的精神创伤。

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