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題名:諮商人員處理自我傷害個案經驗之分析研究
作者:管貴貞 引用關係
作者(外文):Kuei-Chen Kuan
校院名稱:國立彰化師範大學
系所名稱:輔導與諮商學系所
指導教授:蕭文
學位類別:博士
出版日期:2007
主題關鍵詞:諮商人員的反應諮商人員的因應自我傷害counselor 's responsescounselor 's copingself-mutilation
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(1) 博士論文(3) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:0
  • 點閱點閱:153
本研究主要目的在了解諮商人員處理自我傷害個案的經驗,包括在處理中諮商人員的反應、諮商人員如何因應這些反應,及對諮商人員在專業和個人層面的影響。
本研究訪問九位處理過三次以上自我傷害個案的諮商人員,每位受訪者進行二到三次的深度訪問,以回顧敘述的方式來描述個人的經驗,將收集的資料轉謄成為逐字稿,作為資料分析的文本,再以質性研究方法中的現象學進行資料分析,相關研究結果如下:
一、每位受訪者都處理過二種以上類型的自我傷害個案,以割腕最常見,其次
是割身體其他部位。大部分受訪者接受結束生命是解決問題的方式之一,
但是不得已的選擇。在處理這類個案的關鍵是「個案的自我接納」、「諮
商關係的建立」、「善用就醫時間」、「建立輔導網路」和「留電話的掙
扎」五方面。
二、受訪者在處理自我傷害的過程中出現的反應包括「情緒的負擔」、「沉重
的壓力」、「反移情的行為」、「替代性創傷的情緒」和「倦怠」五種反
應,害怕和焦慮是最常見的情緒負擔,沉重的壓力和反移情的行為是受訪
者共同的反應,超過半數有倦怠的狀況。
三、諮商人員面對處理自我傷害個案反應時,他們會以「尋求專業的解惑」、
「社會網絡的情緒支持」、「閱讀文獻」、「整合資源」、「自我反
思」、「堅持信念」和「滋養生活」方式來因應,尋求專業解惑是受訪者
最常採用的方式。
四、處理自我傷害個案對諮商人員的影響,包括「調整諮商方式與心態」、
「對諮商專業的肯定」、「關照與肯定自我」、「生活的變動」、「生命
的回觀」和「離職」六方面,幾乎所有受訪者都調整諮商方式與心態,有
人更加肯定諮商的幫助,也有人離開原來的職場。
依據本研究結果提出具體建議,以提供諮商教育、實務工作者和研究者作為參考。
The purpose of the study was to gain a deeper understanding of counseling with self-mutilating individuals. The study examined counselors’ reactions to the process of counseling, their coping styles, and the impact of counseling on their individual and professional lives. This study adopted a phenomenological research approach. Nine counselors who had worked with at least three self-mutilating individuals were recruited by purposive sampling. In depth-interviews lasting 2-3 sessions were conducted to collect data. Data were transcribed and analyzed for themes and patterns.
All participants reported working with at least two kinds of self-mutilation. Wrist- cutting was the most common pattern of self-mutilation, followed by body-cutting. The majority of the participants expressed acceptance that the decision to end one’s life is a choice that can be used to resolve problems but felt that this is not the only choice. Five components that contributed to the process of effective counseling were identified: fostering clients’ self-acceptance, establishing rapport with clients, helping clients to see a psychiatrist, establishing a counseling service network for clients, and struggling to leave a personal cellular phone number of the counselor to the client.
Responses reported by counselors in dealing with self-mutilating cases included emotional burdens, feeling stressed out, countertransference, affection resulting from vicarious traumatization, and burnout. The coping patterns reported by counselors included seeking professional help for problem solving, gaining emotional support from social networks, reviewing professional literature, integrating resources for clients, self-introspecting, keeping professional beliefs, and nourishing life.
The impact on counselors of working with self-mutilating cases is reflected by six themes: adjusting personal counseling styles and attitudes, valuing the counseling profession, validating self and self-care, changing life styles, re-thinking the meaning of life, and quitting one’s job. A discussion of the findings suggests a need for counselor education and future research focused on issues related to working with self-mutilating cases.
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