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題名：一位門診病人參與團體心理治療之療效因子與改變過程研究--以人際與心理動力取向團體心理治療為例
書刊名：輔導與諮商學報
作者：陳均姝／陳登義／施欣欣
作者(外文)：Chen, Chun-shu／Chen, Teng-yi／Shih, Hsin-hsin
出版日期：2006
卷期：28:1
頁次：頁1-27
主題關鍵詞：療效因子；團體心理治療；改變過程；人際取向團體心理治療；心理動力取向團體心理治療；Therapeutic factors；Group psychotherapy；Change process；Interpersonal group psychotherapy；Psychodynamic group psychotherapy
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(6) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:58
  • 點閱點閱:99
本研究的目的在探討團體心理治療對個別成員的療效因子與改變過程。研究方法採用質性研究法，運用半結構的深度訪談、臨床觀察及文件資料分析方法，以一位長期參與(約兩年60次)人際與心理動力取向團體心理治療的門診病人為研究對象，分析其主觀知覺之團體療效因子及其促成的影響與改變過程。研究結果顯示，該個案在參與團體治療中，知覺到團體中多樣療效因子的影響，這些因子又分別直接或間接促動四類改變過程內涵，該些改變過程內涵彼此間有相互牽動的關連，並隨著團體治療經驗的累積與加深，具有反覆循環性，其改變如螺旋狀般地不斷推進，尤其是後階段團體的改變更形明顯。本研究發現的療效因子有「自我瞭解」、「人際學習」、「家庭關係的體驗與暸解」、「發展社交技巧」、「宣洩與自我揭露」、「傳達資訊」、「團體凝聚力」、「利他主義」、「普同感」、「存在性因素」、「灌輸希望」以及「行為模仿與認同」。療效因子所促動的四類改變過程內涵為：「催化改變與改變準備」、「經驗自我與覺察探索」、「洞察與自我整合」及「改變自我與行動」。依據個案之改變過程內涵的特色、深度及團體進展的時間性，本研究將個案在團體治療中的改變過程區分為三個改變階段，分別為：「現有困擾與憂鬱情緒的釐清與處理」、「衝突情緒及防衛機轉的釐清與處理」及「核心衝突的處理與修通」。本研究依據以上研究結果提出團體心理治療實務與研究方面的建議。
The purpose of this study is to explore the change process and therapeutic factors in group psychotherapy of specific member. Semi-structured interviews, clinical observation and document analysis methods were used to collect research data from an outpatient in (60 sessions in two years ) the interpersonal and psychodynamic group psychotherapy. The qualitative research method was used to analyze the collected data. The result of the study shows that the outpatient perceives the influence of various therapeutic factors in group psychotherapy. These factors directly or indirectly activate four kinds of change process. These change processes are interrelated with each other. As the group experiences of that member were accumulated and intensified, the change process proceeds circularly and repeatedly. The change process moves forward constantly in a spiral form. The group process appears even more obvious in the latter stage of the group psychotherapy. The therapeutic factors from the outpatient's perception include self understanding, interpersonal learning, experience and understanding of family relationship, development of socializing techniques, catharsis and self disclose, imparting information, group cohesiveness, altruism, universality, existential factors, instillation of hope and imitative behavior and identity. Four kinds of change process activated by these therapeutic factors are: facilitating and preparing for change, experiencing the self and enhancing self-awareness and self-exploration, obtaining insight and achieving self-integration, and cultivating change in self and action. According to the characteristics, depth and change process of the outpatient in group psychotherapy, the change process in group psychotherapy can be divided into three change stages: to clarify and to deal with the problems and depression, to distinguish and to intervene with the inner conflicting emotions and defense mechanism, to work through the core conflicts. Suggestions on group works as well as future studies were discussed based on the results of this research.
期刊論文
1.張達人、黃梅羹、那姍姍、陳良娟、鄧世雄(19980900)。喪親者之團體心理治療--一位傷慟者領悟歷程。中華心理衛生學刊，11(3)，69-80。new window  延伸查詢new window
2.Kivlighan, D. M.、Goldfine, D. C.、Kivlighan, D. M., Jr.(1991)。Endorsement of Therapeutic Factors as a Function of Stage of Group Development and Participant Interpersonal Attitudes。Journal of Counseling Psychology，38，150-158。  new window
3.Shechtman, Z.、Perl-Dekel, O.(2000)。A Comparison of Therapeutic Factors in Two Group Treatment Modalities: Verbal and Art Therapy。Journal for Specialists in Group Work，25，288-304。  new window
4.Bloch, S.、Reibstein, J.(1980)。Perceptions by patients and therapists of therapeutic factors in group psychotherapy。British Journal of Psychiatry，137，274-278。  new window
5.林美珠、王麗斐(19981200)。團體治療性與反治療性重要事件之分析。中華輔導學報，6，35-59。new window  延伸查詢new window
6.Kivlighan, D. M.、Multon, K. D.、Brossart, D. F.(1996)。Helpful impacts in group counseling: Development of a multidimensional rating system。Journal of Counseling psychology，43，347-355。  new window
7.王麗斐、林美珠(20001200)。團體治療性因素量表之發展與編製。中華輔導學報，9，1-24。new window  延伸查詢new window
8.Burlingame, G. M.、Fuhriman, A. J.、Mosier, J.(2003)。The differential effectiveness of group psychotherapy: A meta-analytic perspective。Group Dynamics: Theory, Research & Practice，7(1)，3-12。  new window
9.Bulter, T.,、Fuhriman, A.(1983)。Curative factors in group therapy: A review of recent literature。Small Group Behavior，14(2)，131-142。  new window
10.Kivlighan, D. M. Jr.,、Mullison, D.(1988)。Participants’ perception of therapeutic factors in group counseling: The role of interpersonal style and stage of group development。Small Group Behavior，19(4)，452-468。  new window
11.Lieberman, M. A.,、Golant, M.(2002)。Leader behavior as perceived by cancer patients in professionally directed support groups and outcomes。Group Dynamics: Theory, Research, and Practice，6，267-276。  new window
12.Lorentzen, S.,、Hoglend, P.(2002)。The change process of a patient in long-term group psychotherapy: Measuring and describing the change process。Group Analysis，35 (4)，P500-525。  new window
13.Shaughnessy, P.,、Kivlighan, D. M.(1995)。Using group participants’perceptions of therapeutic factors from client typologies。Small Group Research，26(2)，250-268。  new window
14.Wanlass, J., Moreno, J. K.,、Thomson, H. M.(2005)。Group therapy for eating disorders: A retrospective case study。Journal for Specialists in Group Work，30(1)，p47-66。  new window
學位論文
1.蘇完女(2001)。以「未完成事件」為主題之團體諮商的治療因素、改變機制以及成員的改變歷程之分析研究(博士論文)。彰化師範大學。new window  延伸查詢new window
2.許原山(2005)。團體心理治療應用在精神科門診病患之成效研究，台中市。  延伸查詢new window
圖書
1.Hill, C. E.、O'Brien, K. M.(1999)。Helping skills: Facilitating exploration, insight, and action。Washington, DC：American Psychology Association。  new window
2.Yalom, Irvin D.(1995)。The theory and practice of group psychotherapy。Basic Books。  new window
3.Yalom, Irvin D.(1985)。The Theory and Practice of Group Psychotherapy。Basic Books。  new window
4.Bendar, R. L.,、Kual, T.(1994)。Experiential group research。Handbook of psychotherapy and behavioral change(4th ed.)。NY。  new window
5.Crouch, E. C., Bloch, S.,、Wanlass, J.(1994)。Therapeutic factors: Interpersonal and intrapersonal mechanisms。Handbook of group psychotherapy。NY。  new window
6.Hansen, J. C., Warner, R.W.,、Smith, E. J.(1980)。Group counseling: theory and process(2nd ed.)。Chicago。  new window
7.Kaul, T. J.,、Bendar, R. L.(1986)。Experiential group research: Result, questions, and suggestions。Handbook of Psychotherapy and behavior change(3rd ed.)。NY。  new window
8.Kivlighan, D. M. Jr., Coleman, M. N.,、Anderson, D. C.(2000)。Process, outcome and methodology in group counseling research。Handbook of counseling psychology 3rd ed.。NY。  new window
9.Kivlighan, D. M. Jr.、Holmes, S. E.(2004)。The importance of therapeutic factors—A typology of therapeutic factors studies。Handbook of group counseling and psychotherapy。Thousand Oaks, CA。  new window
10.唐子俊、唐慧芳、孫肇玢、Rutan, J. S., Stone, W. N. auth.(2001)。Psychodynamic group psychotherapy (心理動力團體治療)。台北。  延伸查詢new window
圖書論文
1.Burlingame, Gary M.、Fuhriman, Addie J.、Johnson, Jennifer(2004)。Process and outcome in group counseling and psychotherapy: A perspective。Handbook of group counseling and psychotherapy。Sage Publications, Inc.。  new window
2.Burlingame, G. M.、Mackenzie, K. R.、Strauss, B.(2003)。Evidence-base small group treatments。Handbook of Psychotherapy and Behavior Change。NY：John Wiley。  new window
 
 
 
 
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