| Coronary heart disease(CHD)has become one of the common chronic diseases that seriously endanger the health of the elderly and affect their quality of life.Previous studies have found that CHD ranks first among the causes affecting women’s health and death,and female patients are often more prone to anxiety due to multiple physiological,psychological and social factors,which will have many negative effects on the disease treatment,prognosis and quality of life of female patients.Therefore,while paying attention to the physical health of elderly female patients with CHD,social workers cannot ignore their mental health.This practical study takes three elderly female patients with CHD deeply affected by anxiety in community D as the service object and research object.The purpose is to explore how the case work method based on Narrative Therapy can alleviate the anxiety caused by CHD.There are three stages in case service: First,deconstruct the life story with problems as the main line;Second,construct a life story full of hope and meaning;Third,consolidate the life story full of hope and meaning.The study found that Narrative Therapy can effectively help service objects find positive feeder stories from rich,thick and intelligent life experiences,so as to explore their own advantages,improve self-identity,and then rewrite the life story,rekindle the hope of life and rebuild the meaning of life,and alleviate the anxiety caused by CHD.The evaluation methods of service effectiveness mainly include the pre and post measurement of Self-rating Anxiety Scale(SAS)and the evaluation of service objects.This study is a localized exploration of Narrative Therapy in the field of social work practice of Chinese elderly women.In the context of Chinese culture,Narrative Therapy needs to integrate Chinese elements and Chinese wisdom in order to tell Chinese stories well.In this way,this study integrates Chinese cultural elements such as family,filial piety,destiny and delicious food into the case based on Narrative Therapy,which is conducive to the continuous growth of the subject of the service object,the deepening of self-identity,the refinement of life wisdom and the development of life meaning,and is conducive to the service object to absorb exogenous forces in the daily life world and self-empowerment of endogenous forces in the experience of coping with anxiety.When applying the tree of life of Narrative Therapy,this study endows the metaphor and carrier of life tree with Chinese cultural meanings,such as harmonious symbiosis,conforming to nature,knowing one’s destiny,vigorous and self-improvement,so that the service object can insight and excavate these cultural significance deposits precipitated in its own spiritual environment from the perspective of history,society and culture,and then embed these deposits into the framework of its life story,to enhance the strength to resist the storm of anxiety.Another Chinese cultural meaning contained in the tree of life is that its character can quite symbolize the spiritual connotation of Chinese women’s introversion,tenacity,integrity and simplicity.This symbolic meaning can cause the emotional resonance and spiritual empathy of the service object,and then urge it to interpret these spiritual connotations penetrated into its life text from a positive dimension,so as to activate its endogenous power to deal with the storm of anxiety. |
