摘要
This article presents a case study for the ＂community＂ approach to social work. It is the case of an elderly client whose social adaptation level had multiple problems associated with weakened networks at a higher rate area of seniors in Japan. Specifically, the ＂community＂ approach adopted here was the Refined Short-term Reconstructing Meaningful Life-worlds （RSRM）, which defines ＂community＂ as a circular system of speech acts and meaning construction. This social constructionist approach is shown to improve the client＇s adaptation level in the ＂community＂ where a differentiation force is activated using circular questions. This force allows the client to make beneficial life-worlds. The RSRM also has a concrete intervention procedure. First, the client, who was in her eighties with depression, delusional disorder, slight dementia, and urination neurosis, was encouraged to tell her problematic story. To differentiate speech acts in her ＂community＂, circular questions, positive reframing and solution-focused skills were used. Then she was encouraged to practice her newly acquired speech acts in her ＂community＂. She regained the ability to communicate with other persons with confidence, and she could extend the ＂community＂ networks to practice her newly acquired communication skills. Through her practices in her extended ＂community＂, her multivariate problems were resolved.
