Social Case Work Intervention Study On Narrative Therapy To Enhance The Self-esteem Level Of Disabled Elderly People In Institutions

As the aging population in China continues to deepen,the number of disabled elderly people is also increasing,and the elderly care situation is becoming increasingly severe.Faced with practical difficulties such as family miniaturization,intergenerational geographical division,and lack of community care resources,institutional elderly care has increasingly become a rigid demand for disabled elderly people.However,domestic elderly care institutions pay less attention to the psychological and spiritual needs of disabled elderly people,and the psychological and mental health status of disabled elderly people in institutions is not optimistic.The problem of low self-esteem seriously affects the psychological and mental health of elderly people with institutional disability,which is closely related to their quality of life in their later years.Based on an advantage perspective,this study attempts to explore the path to improving the self-esteem level of elderly individuals with low self-esteem and disability in institutions through narrative therapy of social case work.Firstly,from July to August 2022,the author conducted observations,interviews,and surveys on the disabled elderly and staff members of the Y Elderly Apartment in X County.The basic information and self-esteem status of 19 disabled elderly people in the apartment were collected,organized,and analyzed.Research has found that the formation of low self-esteem among disabled elderly people in Y elderly apartments can be summarized as follows: at micro-level,self comparison with others and incorrect attribution methods;at the middle-level,Insufficient social support and poor institutional environment;at the macro-level,social value biases and traditional cultural influences.Next,the author selects three representative elderly individuals with low self-esteem and disability from institutions for social case work intervention.By guiding client to narrate life stories,externalize problems,seek unique results,rebuild and consolidate life stories,and witness and define rituals with others,the author aims to help client form correct cognition,accept themselves,improve self-evaluation,and strengthen their social support network,ultimately improving their self-esteem level.Research has confirmed that narrative therapy can significantly enhance the self-esteem level of elderly people with institutional disability,and has an advantage in enhancing their self-esteem level;The social case work method has a certain positive effect on improving the self-esteem level of disabled elderly people in institutions.Suggestion: Build a resource management system centered on institutional workers,with multiple linkage and multi-level and multifaceted efforts to enhance the self-esteem level of disabled elderly people in institutions;Build a platform to showcase the strengths and abilities of the elderly,and establish a support team to enhance the self-esteem level of disabled elderly people in institutions;The application of narrative therapy should be combined with the cultural background of the target audience,emphasizing localization and modernity.