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題名:身心障礙兒童母親罪惡感之諮商歷程研究
作者:張英熙 引用關係
作者(外文):Chang, Ying-shi
校院名稱:國立彰化師範大學
系所名稱:輔導學系
指導教授:吳秀碧, 李安德
學位類別:博士
出版日期:1998
主題關鍵詞:罪惡感改變機轉諮商歷程身心障礙兒母親guilt feelingchanging mechenismcounseling processmother with a handicapped child
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  本研究之目的有三,一在探討諮商對身心障礙兒童母親罪惡感的影響
,二是探討罪惡感的改變機轉,三則是探討引發改變機轉的諮商策略。採
質的研究法,召募六位身心障礙兒的母親,分別進行三至六次諮商。分析
之資料來自接案會談、諮商過程及各次諮商後訪問錄音逐字稿。研究結果
如下:一.六位當事人共有21項與障礙兒有關之罪惡感的陳述。經諮商17
項罪惡感減少,2項罪惡感敏感度增加。2項未於諮商中處理,二.當事人
指認罪惡感的改變機轉共有十項,分別是1.了解、接納與肯定自我。2
.調整對障礙兒的期待。3.體驗接納罪惡感,改變管教方式。4.情緒
精力舒解,產生正向及週延的觀點。5.提高管教效能。6.增加親子相
處時間。7.重新評估並承擔合理的責任。8.評價罪惡感或其反應。9
.減少當事人壓力源。10.情緒控制力提高。三.引發當事人罪惡感改
變機轉的諮商策略可歸為六類,1.探究困擾。2.肯定當事人。3.處
理當事人內在衝突。4.引發情緒,試探罪惡感。5.教導管教技術及生
活管理技巧。6.提昇情緒管理能力。整合本研究發現對罪惡感諮商、障
礙兒母親諮商實務工作、諮商師訓練及未來研究提出建議。
The purpose of this thesis was to explore the effects of
counseling upon guilty feelings, the mechanisms which
effectively lead to a chang inthe clients'''''''' feelings of guilt,
and the various counseling strategies which can initiate such
mechanisms. Qualitative methodology was adopted for this. Six
mothers, who had handicapped children and related guilty
feelings, parti-cipated in this research. Each participant
recieved 3 to 6 sessions of coun-seling . The transcripts of the
intaking interview, of the counseling sessions、and of the
interview following each counseling session, were all submitted
to analysis. The findings are as follows: The six
participants presented 21 descriptions of their guilty feelings.
After counseling, 17 of those guilty feelings were found
reduced, whereas 2appeared intensified. The 2 others were not
dealt with. Reflecting upon them-selves and the various
changes operated in their guilty feelnigs during thosecounseling
sessions, the clients identified 10 different mechanisms which
wereat work in themselves. They are as follows: 1. Self-
understanding, self-acceptance and self-assertion. 2.
Readjusting their own expectations toward their handicapped
children. 3. Allowing oneself to experience and accept
thoseguilt feelings, and modifying the mother-child interaction
style. 4. Emotionalrelief bringing about a more positive and
global point of view. 5. Improving their parenting skills. 6.
Increacing the time spent with their children. 7. Reevaluating
their own responsibili-ties and courageously shouldering those
responsibilites which were reason-able. 8. Reevaluating their
guilty feelings as well as their reactions to those feelings. 9.
Reducing the sources of pre-ssure. 10. Progress in their ability
to cope with emotions. Six counsling strategies were
found especially effective in triggering the above mechanisms of
change: 1. Thoroughly examining the client''''''''s trouble.2.
Confirming the cient. 3. Dealing with the client''''''''s inner
conflicts. 4. Rising emotions and testing guilty feelings. 5.
Teaching parenting and livingskills. 6. Improving the client''''''''s
capacity to cope with emotions. Based on the findings of
this research, several suggestions are made re-garding the
counseling of clients with guilty feelings, the counseling of
mothers with hadicapped children, the training of counselors, as
well as suggestions for further research in this area.
 
 
 
 
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