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題名：電話諮商的協助歷程：戒菸個案的觀點
書刊名：輔導與諮商學報
作者：張景然 引用關係／王珮蘭
作者(外文)：Chang, Ching-jan／Wang, Pei-lan
出版日期：2007
卷期：29:1
頁次：頁47-66
主題關鍵詞：戒菸；戒菸電話；質性研究；電話諮商；協助歷程；Helping process；Qualitative research；Quitline；Smoking cessation；Telephone counseling
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(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:24
  • 點閱點閱:54
本研究旨在探討個案在戒菸電話諮商中所出現戒菸前的心理衝突及面對與處理戒菸不同階段的體驗與歷程，藉由個案回溯諮商歷程中改變的契機，作為將來建立戒菸電話諮商中個案的改變模式。研究者採取質性研究中的文件分析法與深度訪談法進行資料收集與分析，藉此進行兩者相互資料比對，俾便以更為客觀的角度探討吸菸者在戒菸電話諮商中的歷程。透過三角校正工作進行分析、歸類與概念化，期使研究結果更具可信度。 研究結果發現十六名參與研究訪談的個案過去經歷數次戒菸失敗經驗，故一開始對於戒菸電話諮商抱著姑且一試的心態，在諮商員提供真誠、支持、關懷的態度中，個案才逐漸正視戒菸電話諮商，同時開始體驗戒菸歷程中出現種種生理不適應與心理掙扎，期間更面臨復發挑戰，甚至興起隱瞞諮商員的念頭，但在諮商員無條件的關懷與接納下坦承接受復發的困境，並重新設定戒菸目標，藉由短期諮商尋找個案正向資源，並且搭配認知與行為上的調整逐漸戒菸成功。 本研究建議戒菸個案除了在戒菸行為上可以搭配多種戒菸方法，心理上也可以透過自我內在語言改變戒除心理依賴，並且提前做好自我認同角色的改變。諮商工作者也可以嘗試運用家庭系統觀詮釋個案戒菸歷程，並在初期仔細評估個案的期待以作為後續諮商計畫的參考。
The purpose of the present study was to understand the junior high school dropout-at-risk students' dropout intention and related factors. The present study randomly surveyed 327 junior high school drop­out-at-risk students. There were eight instruments applied in this study: "academic performance" scale, "school relationship" scale, "others way" scale, "dropout intention" scale, "external commitment" scale, "joining out-school deviant peer group" scale, "academic self-esteem" scale and "behavior" scale. The data were analyzed with a number of descriptive statistic methods, Person correlation t-test and structured equation model. The results of this study were listed as follows. 1.The junior high school dropout-at-risk students had lower performance than the general junior high school students on the academic performance and academic self-esteem, rather than on deviant behaviors. 2.There was no significant difference in the school relationship between the junior high school dropout-at-risk students and the general junior high school students. 3.The academic performance and deviant behaviors of junior high school dropout-at-risk students were highly related to the school relationship. 4.The deviant behavior of junior high school dropout-at-risk students was highly related to joining out-school deviant peer group. 5.The academic performance, the school relationship, the deviant behaviors, and other behaviors of the junior high school dropout-at-risk students were highly related to the academic self-esteem. 6.The deviant behavior, joining out-school deviant peer group of the junior high school dropout-at-risk students were highly related to the external commitments. 7.The other behaviors and the external commitments of the junior high school dropout-at-risk students were highly related to the dropout intention. 8.The junior high school dropout-at-risk students' dropout intention and its related factors model were supported. According to the results, a number of specific suggestions for clinical workers and future researches were provided.
期刊論文
1.Zhu, Shu-Hong、Tedeschi, Gary J.、Anderson, Christopher M.、Pierce, John P.(1996)。Telephone counseling for smoking cessation: What’s in a call?。Journal of Counseling and Development: JCD，75(2)，93-102。  new window
2.Zhu S.-H., Rosbrook, B., Anderson, C. M., Gilpin, E., Sadler, G.,、Pierce, J. P.(1995)。The demographics of help-seeking for smoking cessation in California and the role of the California Smokers’ Helpine。Tobacco Control，4 (1)，9-15。  new window
3.Baer, J. S.、Holt, C. S.、Lichtenstein, E.(1986)。Self-Efficacy and Smoking Reexamined: Construct Validity and Clinical Utility。Journal of Consulting and Clinical Psychology，54(6)，846-852。  new window
4.Zhu, S. H.、Stretch, V.、Balabanis, M.、Rosbrook, B.、Sadler, G.、Pierce, J. P.(1996)。Telephone Counseling for Smoking Cessation: Effects of Single-Session and Multiple-Session Interventions。Journal of Consulting and Clinical Psychology，64(1)，202-211。  new window
5.Mermelstein, R.、Lichtenstein, E.、McIntyre, K.(1983)。Partner Support and Relapse in Smoking Cessation Programs。Journal of Consulting and Clinical Psychology，51，465-466。  new window
6.張德聰、潘瑞香、張景然(20060900)。單次與多次電話諮商戒菸成效之比較：以戒菸專線服務中心為例。中華心理衛生學刊，19(3)，213-229。new window  延伸查詢new window
7.張景然、王珮蘭(20041200)。吸菸行為的形成、持續、戒斷與復發歷程。中華心理衛生學刊，17(4)，29-66。new window  延伸查詢new window
8.Brownell, K. D.、Marlatt, G. A.、Lichtenstein, E.、Wilson, G. T.(1986)。Understanding and preventing relapse。American Psychologist，41(7)，765-782。  new window
9.潘怜燕、李蘭(19990600)。臺灣地區成年人吸菸盛行率及其與教育和職業之關係：菸害防制法實施前的狀況（1993∼1996）。中華公共衛生雜誌，18(3)，199-208。new window  延伸查詢new window
10.Prochaska, J. O.、DiClemente, C. C.、Norcross, J. C.(1992)。In search of how people change: Applications to addictive behaviors。American Psychologist，47(9)，1102-1114。  new window
11.李燕鳴(2001)。戒菸諮詢。台灣醫界，41 (5)，401-403。  延伸查詢new window
12.邱南英(1999)。非藥物的戒菸方法。大豐醫療資訊，166，5-6。  延伸查詢new window
13.郭許智和謝文斌(1997)。菸害危險性與戒菸研究之進展。當代醫學，24 (11)，16-19。  延伸查詢new window
14.陳晶瑩(2000)。如何幫助病人戒菸。當代醫學，27(1)，49-56。  延伸查詢new window
15.Cinciripini, P. M.、Lapitsky, L.、Seay S.、Wallfish, N.、Kitchens, K.、Vunakis, H. V.(1995)。The effects of smoking schedules on cessation outcome: Can we improve on common methods of gradual and abrupt nicotine withdrawal。Journal of Consulting and Clinical Psychology，63，388-399。  new window
16.Hellman, R., Cummings, K. M., Hanghey, B. P.,、Zielezny, M. A.(1991)。Predictors of attempting and succeeding at smoking cessation。Health Education Research，6 (1)，77-86。  new window
17.Lichtenstein, E., Glasgow, R. E.,、Abrams, D.(1986)。Social support in smoking cessation: In search of effective interventions。Behavior Therapy，17，607-619。  new window
18.Schwartz, J. L.(1992)。Methods of smoking cessation。Medical Clinics of North America，76(2)，451-476。  new window
學位論文
1.廖秀珠(1995)。戒菸者戒菸維持行為及其相關因素之探討--以臺北市某醫院之戒菸班為例(碩士論文)。國立臺灣大學，臺北。  延伸查詢new window
2.劉玉菁(1999)。以自我效能、社會支持探討某工廠男性吸菸員工之戒菸行為(碩士論文)。國立臺灣大學，臺北。  延伸查詢new window
3.蔡幸蓉(2002)。生命線協會專線推廣策略規劃--一個社會行銷觀點的個案研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
4.陳惠珍(1994)。戒菸活動之成本效果評估(碩士論文)。國立臺灣大學。  延伸查詢new window
5.謝淑卿(1993)。台灣地區成人菸害認知與行為衝突之探討。  延伸查詢new window
圖書
1.Orford J.(1985)。Excessive Appetites: A Psychological View of Addictions。Excessive Appetites: A Psychological View of Addictions。New York, NY：Wiley & Sons。  new window
2.Guba, E. G.、Lincoln, Y. S.(1984)。Naturalistic inquiry。Newbury Park, CA：Sage。  new window
3.American Psychiatric Association(1994)。Diagnostic and Statistical Manual of Mental Disorder: DSM-IV。Washington, D.C.：American Psychiatric Association。  new window
4.Marlatt, G. A.、Gordon, J. R.(1985)。Relapse prevention: Maintenance strategies in the treatment of addictive behaviors。New York：Guilford Press。  new window
5.Miller, William Richard、Rollnick, Stephen(1991)。Motivational interviewing-preparing people to change addictive behavior。Guilford Press。  new window
6.Patton, Michael Quinn(1990)。Qualitative evaluation and research method。Sage。  new window
7.Strauss, Anselm L.、Corbin, Juliet、徐宗國(1997)。質性研究概論。巨流圖書股份有限公司。  延伸查詢new window
8.洪莉竹(1998)。由開始到結束：焦點解決短期諮商的基本流程。《焦點解決短期心理諮商》。台北。  延伸查詢new window
9.潘震澤、Krogh, D.(2000)。幹嘛要吸菸？。台北。  延伸查詢new window
10.衛生署國民健康局和國家衛生研究院(2002)。台灣臨床戒菸指南。台北。  延伸查詢new window
11.McAlister, A.(1975)。Helping people quit smoking: Current progress。Applying behavioral science to cardiovascular risk。New York。  new window
12.Ney, T.,、Gale, A.(1989)。Smoking and human behavior。New York。  new window
 
 
 
 
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