九二一震災後的心理重建工作千頭萬緒，無論在制度層面、心理層面、與重建人員本身的調適層面，都有許多成長與改進的空間。本文分就各層面的問題提出討論與建議。　　在制度層面，現有各項資源有待整合，專業認證制度與證照制度有待建立。資源整合方面，包括了資訊的整合，人力的整合，與訓練的整合。專業認證制度與證照制度方面，有關諮商心理師領域的專業人員與工作權責急需建立可供規範的法規。 　　在心理層面，心理重建工作包括了長期工作關係的培養，如何安身與安心，如何在災民的需要上看到責任，生活作息正常化，注意個別差異，讓受難者自己長出力量，本土性災後心理復建模式的建立，以及如何將災變的經驗轉化成生活的能量，進一步形成生命的哲學等。 　　在心理輔導重建人員本身的調適層面，討論了兩種普遍的現象：第一，如何在災後心理復建的工作上團隊合作;第二，如佝處理心理輔導人員自己的工作壓力，包括了解限制，確定現有的生存空問;掌握資源，尋找維生的物資;尋求支持，在網絡內相互打氣;以及相信直覺，生命自己尋出路等。

　　　　　The general purpose of this paper is to discuss critical issues of psychological reconstruction after the massive earthquake occurred in the middle area in Taiwan in the 21st of September 1999. In constitutional domain, we need to integrate the resources available including information, human resources, and training. In addition, the issues of counseling psychologists' certificate and licensure must be addressed. In psychological resilient domain, the critical issues of conducting mental health including how to set up long-term working relationships, how to settle down physical environment prior to ease mental disturbance, how to generate our responsibility base on their needs, how to normalize their daily life, how to treat PTSD according to individual difference, how to empower their inner energy, how to set up indigenous intervention model based on native experiences, and how to transfer personal post-trauma experience into life philosophy. In personnel domain, there are two prevalent phenomenon observed in this article: first, social workers, psychologists, counselors, and psychiatrists were working alone and failed to working as a team; second, the helpers need to take care of their own stress.