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The two industrially disabled in their teenage were crashed at their hands by the press machines, the other married industrially disabled was hurt at his vertebra for the electric shock. The researcher intervened to help them and their families for more than one year as a psychotherapist in a social service institution for labor. The data is mainly from the records of the researcher who wrote down when she worked with the industrially disabled, and the retrospective interviews to the three disabled and their family. This research finds that the adaptive process of the industrially disabled is the process of rebuilding self-image. The adaptive process is similar to the process of the ordinarily disabled, but it owns some characteristics for the sake of the work injury. The personal meaning of work, the power struggle between the employer and the disabled employee, the function of the law and the insurance of labor, and the view of the society to work injury influence the adaptive process of the industrially disabled. The adaptive process can be indistinctly divided into four stages, "emotional arousal", "anxiety", "despair" and "autonomy". And there are the crucial points before the industrially disabled enters the next stage. The psychotherapist of the industrially disabled in the adaptive process is to act as the roles of "a crisis therapist" and "a rehabilitation counselor". She or he actively integrates the resources and safeguard the right of the disabled, comforts the disabled and their family, improves their abilities of coping problems brought by work injury, and prevents the worsening of the problem and the recurrence of work injury. Besides the suggestions on the prevention and remedies of work injury, the suggestions for the industrially disabled, the family, the employers, the school and the government are discussed.
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