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題名:密集式焦點治療團體處理哀傷之技術與效果研究
作者:楊淑娥
作者(外文):Shu-E Yang
校院名稱:國立彰化師範大學
系所名稱:輔導與諮商學系
指導教授:吳秀碧
張德榮
學位類別:博士
出版日期:2004
主題關鍵詞:哀傷治療密集式焦點治療團體諮商效果greif therapyintensive focal therapygroupcounseling effect
原始連結:連回原系統網址new window
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密集式焦點治療團體處理哀傷之技術與效果研究
摘要
本研究主旨在對「複雜性哀傷」之失落者提供低結構、密集式的團體諮商,探討諮商對其焦點問題的改變情形及技術的影響。採質性研究法,招募七位成年女性參與四天共24小時團體諮商。研究發現如下:
一、Raphael的焦點治療模式有助於哀傷治療焦點的選擇。
二、哀傷經驗改變的主軸是依循「再經驗→宣洩」及「觀察鏡照→矯正關係」兩條脈絡交互循環。
三、密集式焦點治療團體有助於改善哀傷症候,當成員解決了哀傷歷程中受阻的問題,因哀傷伴隨而來的其他症狀亦隨之緩解或消失。
四、密集式的焦點治療主要以當前的失落為處理焦點,對於多重哀傷者,可能在團體進行期間喚起早期經驗,而在當下無法完全被處理,治療成效有限。
五、「情感上接受死亡事實」為朝向哀傷復原的重要指標。當成員發展出在情感上接受已逝親人離去,後續即可看到更多正向的改變。
六、宣洩為重要治療因素,但是對不同的哀傷症候的效果不一。對抑制性哀傷者有助於哀傷情緒的降低。對於認知扭曲之哀傷者,若只有宣洩而未有認知層面的改變,對其哀傷症候的協助有限。長期哀傷者通常合併其他症候,宣洩與治療效果不明顯。
七、行動化技術(空椅、角色扮演、演夢與雕塑)有助於抑制性哀傷、扭曲性哀傷與衝突性哀傷症候的改善。
The study of Treatment Techniques and Effects of
Intensive Focal Therapy Group for Griever
Shu-E Yang
Abstract
This study aimed to provide complicated grievers with low-structured and intensive group therapy and to explore how the therapy affected the changes of focal problems and treatment techniques. A qualitative research method was adopted. The purposive sample included seven adult females with grief of different duration, who received group therapy in four days (two weekends and two Sundays). Results based on pre-and post-treatment individual measures and detailed group observational records were analyzed. The findings are as follows.
1. Raphael’s focal therapy modal was helpful in choosing grief treatment focus.
2. The changes of group members’ grief experience seemed to process through the cycle of “re-experiencing to catharsis” and the cycle of “ mirroring to relationship repairing” alternatively.
3. Intensive focal therapy group was helpful in improving group members’ grief syndromes. When the members remove the obstacles in grief process, other grief-caused syndromes were also be eased or disappeared.
4. Action techniques (empty chair, role playing, dream play and sculpturing) were helpful for the improvement of inhibited mourning , distorted mourning as well as conflicted mourning.
參考書目
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陳珠璋、吳就君( 民72 )。由演劇到領悟:心理演劇方法之實際應用。台北:張老師出版社。
游淑瑜 ( 民87 )。隱喻治療技術:隱喻故事創作的技術、方法與實例。諮商與輔導,149,19-24。

黃士鈞( 民92 )。個案的隱喻經驗:從隱喻出現到個案改變的過程。國立彰化師範大學博士論文計劃,未出版。
劉安真、黃慧涵、梁淑娟、顏妃伶譯( 民84 )。團體諮商-策略與技巧。台北:五南出版社。
蘇完女(民86)。空椅技術在諮商中的運用。輔導與諮商,138,26-29。


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