本文個案從小面對失能和危害性的家庭，加上案父對家人的暴力和虐待行為，負向坎坷的成長經驗，造成個案的精神分裂，引發筆者於98 年1 月6 日至7 月12 日期間運用病歷查閱、觀察、會談及五大層面評估等方式進行個案資料的收集，發現個案有[對他人暴力行為]、[社交互動障礙]、[長期性低自尊]三個護理問題。筆者於照護個案的過程中，藉由三階段暴力的處置，情緒和衝動控制與管理，社交和主見、及「賦能」等訓練，使個案的暴力、社交、和自尊等問題獲得改善。筆者建議長照精神護理人員宜多與住民間密切連結，以營造一個精神住民溫暖氛圍之「新家庭」，於此新家系統中重建自己的能力、自尊、和人際關係。

The case in the paper was living in a disable and compromised family with a violent and abused father toward family members. The negative and rough growing experience of the case has inspired the author to apply the methods of checking charts, observation, conversation, and five aspects assessment to collect data of the case from January 6 to July 12, 2009 and identified three nursing problems of [other-directed violence]、 [impaired social interaction]、[chronic low self-esteem]. The author cared
the case by way of three stages of violent interventions, the training of controlling and managing emotion and impulse, social interaction, own judgment and empowerment to solve the case’s problems of violence, social interaction, and low self-esteem. The author suggested psychiatric nurses in the long term care facility may connect with residents frequently and closely to develop a warm atmosphere to have psychiatric residents owned「a new family」and rebuild own abilities, self-esteem, and human relationship in the new family system.