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題名:諮商中的抗拒研究
書刊名:教育心理學報
作者:趙祥和陳秉華 引用關係
作者(外文):Tey, Siang HuaChen, Ping-hwa
出版日期:1998
卷期:30:1
頁次:頁149-168
主題關鍵詞:抗拒樣版式分析風格ResistanceTemplate analysis style
原始連結:連回原系統網址new window
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     本研究旨在探討諮商歷程中個案抗拒的形成、抗拒的反應、諮商員的處理策略與 技巧、 以及抗拒與諮商進展的關連, 以瞭解諮商中抗拒的內涵。 本研究採取發現式取向 (Discovery-Oriented) 諮商研究程序, 資料分析方法參考樣版式分析風格 (Template Analysis Style),針對一個大學女生接受十次個別諮商的錄音帶進行質的分析。 本研究的 結果有下列發現:1. 本研究中個案抗拒出現的時段遍佈整個諮商過程, 但主要集中在諮商 中期。抗拒的出現和諮商主題有關連,重要且困難的核心主題會使個案的抗拒增加,其中以 「自我」有關的主題最易產生抗拒。 2. 本研究中個案的抗拒形式以「抗拒覺察」最多,其 次依序為「抗拒諮商員」、「抗拒表達痛苦的情感」及「抗拒回憶」,最少的是「抗拒改變 」。 3. 本研究中個案抗拒處理的結果約有 70 %都有突破或進展,其中又以「抗拒改變」 和「抗拒諮商員」的兩種的突破比例最高,其次依序為「抗拒回憶」「抗拒覺察」及「抗拒 表達痛苦的情感」。 4. 本研究中個案在諮商中抗拒的發展和諮商主題脈絡是並行發展的, 而處理個案核心問題和處理個案抗拒反應是同時並進的。抗拒在諮商中顯示出其連續性、發 展性、互動性及功能性的特徵。 5. 關於諮商員對抗拒現象的處理策略與技巧上,本研究則 有下列發現:(1) 本研究的個案無論是在諮商中哪一個段落出現抗拒,諮商員予以同理、支 持與鼓勵,抗拒的突破就會增加;(2) 本研究諮商員會持續地幫助個案面對抗拒,並拓展出 新的主題或帶給諮商正面且深入的影響,使抗拒得以突破或進展;(3) 本研究諮商員要同時 使用策略與技巧,且以情感和認知介入互相輔助的多元方式來處理個案的抗拒。在本研究中 ,諮商員有效的處理策略和技巧包含有:策略性的引導、聯結過去相關的經驗或主題、同理 與探問的交互使用、由開放探問到具體探問、保證、鼓勵與讚賞、以及立即性的回饋探索此 時此刻狀態 (包括口語與非口語 ) 等。 而以同理、探問、引導、面質、解釋、分析等技巧 相互輔助的方式做情感和認知的介入。本研究就上述結果加以討論,並針對諮商員的訓練及 後續的研究分別提出建議。  
     The study aimed to understand the components of resistance in counse- ling.Therefore, the study discussed the fomation of resistance, the response of the client, the strategies and counseling techniques, and how resistance was related to counseling process. The study investigated the client auditape data through by qualitative analysis which revised from Template Analysis Style with Discovery-Oriented counseling research procedure. The findings were followings: 1)In the study, resistance of the client distributed over the counseling process, but particurlarly concentrated on the middle of the counseling. Resiestance are related to counseling issue, the difficult and important core issue would increast the client resistance, among them, the issue about "self". 2)The most popular form of clients' resistance was "oppose to insight" (43.1%), and the followings were "oppose to counselor" (20.7%). "oppose to express painful feeling" (17.2%), and "oppose th recall" (15.5%). the least was "oppose th change" (5.2%). 3) By treatment, approximately 70% of the client's resistance were broken through or made progress. Most of the "oppose to change" (66.9%) and "oppose to counselor"(50.0%) were sucessfully broken through, and the followings were "oppose to recall" (37.5%), "oppose to insight" (32.0%) and "oppose to express painful feelings" (30.0%) . 4) The development of the resistance paralleled the counseling issues, Dealing with core issue and coping with resistance were at the same time. During the process of counseling, resistance showed its characteristics including continual, developmental, interactive, and fundtional. 5) The findings of strategies and techniques were as followings: (1) Whenever resistance appeared during the counseling process, the support and encouragement the counselor provided would increase the possibility of resovlving. (2) To break the resistance through the counselor continued to help the client to face the resistance, to explore new issue or to affect client positively and deeply. (3) The counselor had the multiple ways to resolve the resistance. Bt emotional and cognitive treatment interactively, the counselor used starategies and counseling techniques at the same time. The effective startegies and techniques in the counseling inculding guiding strategically, connecting the past concerned experience or issue, empathizing and probing interactively, opened question and closed question, approval-ressurance, supporting, verbal and nonverbal immediate feedback, and etc. Suggestions were made for counselor training. Future studies were also discussed.
期刊論文
1.Mahrer, A. R.(1988)。Discovery-oriented psychotherapy research: Rationale, aims, and methods。American Psychologist,43(9),694-702。  new window
2.Cummings, A. L.、Hallberg, E.、Salmon, A.(1994)。Templates of client change in short-term counseling。Journal of Counseling Psychology,41(4),464-472。  new window
3.Chamberlian, P.、Patterson, G.、Reid, J.、Kavangh, K.、Forgatch, M.(1984)。Observation of client resistance。Behavior Therapy,15,144-155。  new window
4.Bischoff, M. M.、Tracey, J. G.(1995)。Client resistance as predicted by therapist behvavior: A study of sequential dependence。Journal of Counseling Psychology,42(4),487-495。  new window
5.Luborsky, L.、Barber, J. P.、Crits-Christoph, P.(1990)。Theory-based research for understanding the process of dynamic psychotherapy。Journal of Consulting and Clinical Psychology,58(3),281-287。  new window
6.Mahrer, A. R.、Murphy, L. K.、Gagnon, R.、Gingras, N.(1994)。The counsellor as a cause and cure of client resistance。Canadian Journal of Counselling,28(2),125-134。  new window
7.Rennie, D. L.(1994)。Clients' accounts of resistance in counselling: a qualitative analysis。Canadian Journal of Counselling,28(1),13-24。  new window
8.Patterson, G. R.、Forgatch, M. S.(1985)。Therapist behavior as a determinat for client noncompliance: a paradox for the behavior modifier。Journal of Consulting and Clinical Psychology,53,846-851。  new window
9.Otani, A.(1989)。Client Resistance in Counseling: Its Theoretical Rationale and Taxonomic Classification。Journal of Counseling and Development,67(8),458-461。  new window
10.Rennie, D. L.(1994)。Clients' deference in psychotherapy。Journal of Counseling Psychology,41,427-437。  new window
11.Tracey, T. J.、Fay, P. B.(1984)。The stages of successful time-limited counseling: An interactional examination。Journal of Counseling Psychology,31,13-27。  new window
12.Hill, C. E.、Nutt-Williams, E.、Heaton, K. J.、Thompson, B. J.、Rhodes, R. H.(1996)。Therapist retrospective recall of impasses in long-term psychotherapy: A qualitative analysis。Journal of Counseling Psychology,43(2),207-217。  new window
13.Mahalik, J. R.(1994)。Development of the client resistance scale。Journal of Counseling Psychology,41(1),58-68。  new window
會議論文
1.Govaerts, K. A.、Olson, D. H.(1983)。Client Resources: Client Characteristics, Coping Skills, and Compliance。The Annual Convention of the American Psychological Association。  new window
2.陳秉華(1994)。諮商改變歷程的研究新典範。國立彰化師大諮商歷程研究學術研討會。  延伸查詢new window
圖書
1.Patton, M. J.、Meara, N. M.(1992)。Psychoanalytic Counseling。New York, NY:John Wiley & Sons Ltd.。  new window
2.Kottler, J. A.(1992)。Compassionate Therapy: Working with Difficult Clients。Jossey Bass Inc.。  new window
3.Stark, M.(1994)。Working with Resistance。London:Jason Aronson Inc.。  new window
4.Strean, H. S.(1985)。Resovlving Resistances in Psychotherapy。New York:Wiley。  new window
5.Greenson, R. R.(1967)。The technique and practice of psychoanalysis。International Universities Press。  new window
圖書論文
1.Dixon, D. N.(1986)。Client resistance and social influence。The Social Influence Process in Counseling and Psychotherapy。Springfield, II:Thomas。  new window
2.Golden, W. L.(1989)。Resistance and change in cognitive-behavior therapy。Cognitive Psychotherapy: Stasis and Change。London:Cassell。  new window
3.Goldfried, M. R.(1982)。Resistance and clinical behavior therapy。Resistance: Psychodynamic and Behavioral Approaches。New York:London:Plenum press。  new window
4.Blatt, S. J.、Erlich, H. S.(1982)。Level of resistance in the psychotherapeutic process。Resistance-Psychodynamic and Behavioral Approaches。New York:London:Plenum。  new window
5.Cameron, R.(1978)。The clinical implementation of bahavior change techniques: A cognitive oriented conceptualization of therapeutic "compliance" and "resistance"。Cognitive Behavior Therapy: Research and Application。New York:London:Plenum。  new window
6.Lazarus, A. A.、Fay, A.(1982)。Resistance or rationalization? A cognitive-behavioral perspective。Resistance-Psychodynamic and Behavioral Approahes。New York:London:Plenum。  new window
7.Miller, W. L.、Crabtree, B. F.(1996)。Primary care research: A multimethod typology and qualitative road map。Doing Qualitative Research。London:SAGE Publications。  new window
8.Orlinsky, D. E.、Grawe, K.、Parks, B. K.(1994)。Process and outcome in psychotherapy: Noch Einmal。Handbook of psychotherapy and behavior change。New York, NY:John wily and Sons。  new window
9.胡幼慧、姚美華(1996)。一些質性方法上的思考:信度與效度?如何抽樣?如何收集資料、登錄與分析?。質性研究:理論、方法及本土女性研究實例。巨流圖書股份有限公司。  延伸查詢new window
 
 
 
 
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