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題名:處理自殺個案的倫理衝突--以一位軍中諮商心理師的經驗為例
書刊名:醫護科技學刊
作者:林曉玉洪莉竹 引用關係
作者(外文):Lin, Hsiao-yuHong, Li-zhu
出版日期:2006
卷期:8:4
頁次:頁318-328
主題關鍵詞:自殺個案倫理衝突敘說分析Suicidal clientEthical conflictNarrative analysis
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(4) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:2
  • 點閱點閱:68
軍中諮商心理師因場域的特殊性,以及組織對諮商師的角色期待,使得諮商師在面對自殺個案時容易產生倫理衝突事件與議題。而軍中的特殊情境,特別讓新手諮商師在面對自殺個案衍生的倫理議題時,感到衝突與兩難。本研究目的在探討諮商師於軍中情境脈絡下面對自殺個案的倫理衝突經驗,依研究目的衍生兩個研究問題:1. 諮商師在軍中情境脈絡下面對自殺個案的倫理衝突事件為何?2. 諮商師在軍中情境脈絡下面對自殺個案引發的倫理衝突議題為何? 本研究透過研究綱要的設計,邀請一位軍中諮商心理師進行四次一到兩個小時的訪談,訪談資料以敘說研究中的「敘說分析」法進行分析,研究結果分為『故事敘寫-倫理衝突事件』與『故事意義建構-倫理衝突議題』兩個部分。研究結果發現:本研究受訪者在面對自殺個案與軍中文化體制的角色期待過程中,其所經歷的倫理衝突事件包括:1. 給電話-糾結的承諾。2. 自殺送軍法?對諮商師想法的衝擊。3. 保密的限制與信任關係的挑戰;而研究者如何建構故事與軍中諮商面對自殺個案倫理衝突的議題則包括:1. 與當事人建立信任關係與遵守專業倫理間的掙扎;2. 面對當事人與組織間的角色兩難;3. 兼顧尊重案主意願與面對組織責任的挑戰。
Given the character and expectations of military organizations, counselors in the military have to face many ethical and professional conflicts and dilemmas, often involving suicidal clients. New counselors face numerous and unique ethical and professional issues and dilemmas, particularly when suicidal clients are involved. This study investigated the ethical conflicts experiences by military counselors treating suicidal clients. Two questions were addressed by this study. 1. What kind events of the ethical conflicts a military counselor has to face when treating suicidal clients under the military circumstances? 2. What kind issues of the ethical conflicts a military counselor has to face when dealing with suicidal clients under the military circumstances? The study population was one military counselor in this study. Based on the study design, a military counselor was interviewed four times total with one to two hours each. The interview data was analyzed by 胻arrative analysis? and was presented in one of two formats of 烋arration-conflict events and construct story meaning /conflict issues? The narrative analysis results indicate that, given the unique ethical and legal context of the military, the counselor treating suicidal clients face the following events of ethical conflicts: 1. Should the counselor giving out privileged phone number Providing personal information to suicidal clients or not 2. A suicidal client should have the treatment or have a punishment in the martial court A conflict thought on the counselor, 3. The counselor have the limit of confidentiality and the challenge of trustful relationship. The way for the counselor to interpret the narrative story meaning and the issues of the ethical conflicts experienced by the counselor include: 1. Balancing professional ethics with the practical need to establish a trusting relationship with the client, 2. The dilemma of a role when the military counselor has to play the client counselor and a employee of the organization, 3. The conflict between the professional responsibility to treat the client and the responsibility to the military organization.
期刊論文
1.王玉麟(20040100)。研究倫理與相關議題。教育資料與研究,56,82-88。new window  延伸查詢new window
2.孫敏華(19970900)。自殺危險警訊之研究--以軍中為例。應用心理學報,6,23-54。  延伸查詢new window
3.孫敏華(1998)。現職軍士官對女性軍人態度之研究。軍事社會科學半年刊,3,1-30。  延伸查詢new window
4.Kitchener, K. S.(1984)。Intuition, critical evaluation and ethical principles: The foundation for ethical decisions in counseling psychology。The Counseling Psychologist,12(3/4),43-55。  new window
5.孫敏華(20011200)。當前軍中心理衛生(輔導)工作的回顧與展望。軍事社會科學學刊,研究專輯,199-216。  延伸查詢new window
6.洪莉竹(2003)。諮商倫理中的多元文化議題。諮商與輔導,215,30 -34。  延伸查詢new window
7.洪莉竹(2006)。諮商心理師的「當為」與 「不當為」-重視諮商專業的倫理議題。中國輔導學會諮商心理學組電子報。  延伸查詢new window
8.胡正申(1999)。軍中心輔人員處遇自殺未遂個案之研究:以危機調適途徑探討。軍事社會科學半年刊,5,163 - 200。  延伸查詢new window
9.Favazza, A. R.(1989)。Normal and deviant self-mutilation。Transcultural psychiatric research review,26,113-127。  new window
10.White, V. E.、McCormick, L. J.、Kelly, B. L.(2003)。Counseling clients who self-injure: Ethical considerations。Counseling and Values,47(3),220-229。  new window
圖書
1.蕭宏恩(200409)。醫事倫理新論。台北:五南。  延伸查詢new window
2.Van Hoose, W. H.、Kottler, J. A.(1977)。Ethical and legal issues in counseling and psychotherapy。San Francisco, CA:Jossey-Bass。  new window
3.Corey, G.、Corey, M. S.、Callanan, P.(2003)。Issues and ethics in the helping professions。Pacific grove, CA:Brooks/Cole。  new window
4.Corey, Gerald F.、Callanan, Patrick、Corey, Marianne Schneider(1993)。Issues and ethics in the helping professions。Pacific Grove, California:Brooks/Cole Publishing Company。  new window
5.Riessman, Catherine Kohler、王勇智、鄧明宇(2003)。敘說分析。臺北:五南。  延伸查詢new window
6.Riessman, Catherine Kohler(1993)。Narrative Analysis: Qualitative Research Method。Sage Publications, Inc.。  new window
7.王麗文(1997)。澗邊幽草:心理治療的藝術。台北:心理。  延伸查詢new window
8.Szasz, T. S.(1989)。The ethics of psychoanalysis: The theory and method of autonomous psychotherapy。New York:Syracuse University。  new window
其他
1.洪莉竹(2005)。諮商中的倫理因境與判斷(中國輔導學會 2005 年諮商人員繼續教育課程),台北。  延伸查詢new window
圖書論文
1.林家興、王麗文(2000)。在組織中從事諮商工作。心理治療實務。台北:心理。  延伸查詢new window
2.林家興、王麗文(2000)。專業倫理。心理治療實務。台北:心理。  延伸查詢new window
3.詹德隆(1998)。倫理決定、情緒影響及德行培育的互動。專業倫理論文集。台北:輔仁大學基礎倫理學研習會。  延伸查詢new window
4.Pope, K. S.、Vasquez, M. J. T.(1991)。Responding to suicidal risk。Ethics in psychotherapy and counseling: A practical guide for psychologists。San Franciso:Jossey-Bass。  new window
 
 
 
 
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