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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 Toronto²
Nov. 23,2011          published in 5th APOTC                       1
Background




Nov. 23,2011   published in 5th APOTC   2
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” state
Nov. 23,2011          published in 5th APOTC       3
Methods




Nov. 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
    – KAWA model with Narrative Therapy skills




Nov. 23,2011         published in 5th APOTC      5
Methods

• KAWA Model (Iwama, 2006)
    – Eastern view
    – Metaphor for conversation base
• Narrative therapy(White,2007)
    – Re-Authoring conversation map
    – Externalizing
    – Re-Membering
    – Scaffolding
Nov. 23,2011          published in 5th APOTC   6
Results




Nov. 23,2011   published in 5th APOTC   7
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
Fellow-up Questions




Nov. 23,2011      published in 5th APOTC   9
Results:
           After Conversation(Ⅰ)

               What did they learn by
               painting their KAWA?




Nov. 23,2011      published in 5th APOTC   10
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
Results:
               After Conversation(Ⅱ)

                   What’s the difficulties
                       in the process
                   of using KAWA model?



Nov. 23,2011          published in 5th APOTC   12
The difficulties

               • Poor reflective ability before
                this process

               • The cross-sectional view of
                KAWA isn’t common



Nov. 23,2011        published in 5th APOTC   13
Results:
               After Conversation(Ⅲ)

                 What are the influences
                      after using
                    KAWA model?




Nov. 23,2011         published in 5th APOTC   14
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
Results:
               After Conversation(Ⅳ)

     What are the thoughts rising
      after looking at the KAWA
                again?




Nov. 23,2011          published in 5th APOTC   16
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 resources


Nov. 23,2011        published in 5th APOTC            17
Discussions




Nov. 23,2011   published in 5th APOTC   18
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
Discussions

               • KAWA model with
                narrative therapy
                – Re-construct powerful life
                  river
                – Help to find “meaning in
                  life”
                – Appreciate both “Yin &
                  Yang” of self

Nov. 23,2011       published in 5th APOTC      20
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
Thank you for
                  your attention~
                       Hsin Hsiu, Yeh
               Email: essentialyeh@gmail.com




Nov. 23,2011        published in 5th APOTC     22

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

  • 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 Toronto² Nov. 23,2011 published in 5th APOTC 1
  • 2. Background Nov. 23,2011 published in 5th APOTC 2
  • 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” state Nov. 23,2011 published in 5th APOTC 3
  • 4. Methods Nov. 23,2011 published in 5th APOTC 4
  • 5. Methods • Case Study Design – 6 Students • Process: – 2.5 hours/student – 4 open-ended questions after 7 days – KAWA model with Narrative Therapy skills Nov. 23,2011 published in 5th APOTC 5
  • 6. Methods • KAWA Model (Iwama, 2006) – Eastern view – Metaphor for conversation base • Narrative therapy(White,2007) – Re-Authoring conversation map – Externalizing – Re-Membering – Scaffolding Nov. 23,2011 published in 5th APOTC 6
  • 7. Results Nov. 23,2011 published in 5th APOTC 7
  • 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. Fellow-up Questions Nov. 23,2011 published in 5th APOTC 9
  • 10. Results: After Conversation(Ⅰ) What did they learn by painting their KAWA? Nov. 23,2011 published in 5th APOTC 10
  • 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. Results: After Conversation(Ⅱ) What’s the difficulties in the process of using KAWA model? Nov. 23,2011 published in 5th APOTC 12
  • 13. The difficulties • Poor reflective ability before this process • The cross-sectional view of KAWA isn’t common Nov. 23,2011 published in 5th APOTC 13
  • 14. Results: After Conversation(Ⅲ) What are the influences after using KAWA model? Nov. 23,2011 published in 5th APOTC 14
  • 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. Results: After Conversation(Ⅳ) What are the thoughts rising after looking at the KAWA again? Nov. 23,2011 published in 5th APOTC 16
  • 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 resources Nov. 23,2011 published in 5th APOTC 17
  • 18. Discussions Nov. 23,2011 published in 5th APOTC 18
  • 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. Discussions • KAWA model with narrative therapy – Re-construct powerful life river – Help to find “meaning in life” – Appreciate both “Yin & Yang” of self Nov. 23,2011 published in 5th APOTC 20
  • 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. Thank you for your attention~ Hsin Hsiu, Yeh Email: essentialyeh@gmail.com Nov. 23,2011 published in 5th APOTC 22