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題名：以全球資訊網為介面之認知治療網路即時諮商研究：以憂鬱情緒當事人為例
書刊名：教育心理學報
作者：張勻銘／王智弘 引用關係
作者(外文)：Chang, Yun-ming／Wang, Chih-hung
出版日期：2009
卷期：41:1
頁次：頁45-67
主題關鍵詞：網路；網路諮商；認知治療；憂鬱情緒；Cognitive therapy；Depressive mood；Internet；On-line counseling
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(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:95
  • 點閱點閱:35
本研究目的為瞭解以全球資訊網為網路即時諮商介面運用認知治療於憂鬱情緒當事人之經驗。本研究邀請三位女性憂鬱情緒當事人分別參與9次、12次及23次網路即時諮商。研究方法以質性研究之內容分析法為主，並收集「貝克憂鬱量表第二版」分數之量化資料。研究結果發現與討論分為兩部分，1.當事人之經驗：（1）辨識自動化思考與往下想技巧有助於當事人的認知檢核，行為技術可運用於嚴重憂鬱情緒之當事人；（2）認知治療網路諮商對中度憂鬱情緒當事人A與當事人B之憂鬱情緒減緩有所助益，對重度憂鬱情緒當事人C則具支持作用。2.諮商員之經驗：（1）文字溝通能清楚呈現當事人的想法與認知歷程，有助於介入策略的實施；（2）諮商內容紀錄可作為家庭作業素材，亦有利督導；（3）表情符號功能有助於諮商員掌握當事人的情緒狀態；（4）資料傳輸功能有助時間規劃與不良功能認知紀錄表等介入策略。最後再提出具體建議，供網路諮商實務工作者與未來研究參考。
This study aimed at understanding the client experience when cognitive therapy for depression was applied via in-vivo counseling through world-wide web. Three female clients with depressive mood were invited to participate in 9, 12, or 23 on-line counseling sessions. Qualitative methodology was used and content analysis was applied. Data from the Beck Depression Inventory (2nd Edition) were also collected. Results are reported and discussed in two sections. 1. Client experience: (1) identifying automatic thoughts and downward arrow techniques were helpful for clients to evaluate their cognitions; behavior techniques could be used for clients with severe depressive mood. (2) web-based online cognitive therapy helped reduce the depressive mood of client A and client B who had mild depressive mood, and helped provide support for Client C who had severe depressive mood. 2. Counselor experience. (1) Communicating through words helped clients clearly recognize their thoughts and cognitive journey, which was helpful for implementation of intervention strategies; (2) Records of counseling content could be used for homework assignment and for clinical supervision; (3) emoticons could help counselors grasp clients’ emotional states. (4) data transmission functions could help session time planning and introducing intervention strategies such as attaching record of dysfunctional cognitions. Finally, practical suggestions were provided for future research and practice of web-based counseling.
期刊論文
1.張景然(2000)。準諮商員的網路即時諮商經驗：一個諮商訓練課程的初探性實驗。中華輔導學報，9，89-129。new window  延伸查詢new window
2.王沂釗(20010500)。輔導教師如何介入學生之網路沈迷行為。學生輔導，74，58-67。  延伸查詢new window
3.柯慧貞、陸汝斌、柯永河(19900600)。內因性與非因性憂鬱症患者在藥物治療前後之認知偏差比較。中華精神醫學，4:2，頁129-136。  延伸查詢new window
4.王智弘、楊淳斐(20060300)。一次單元諮商模式的概念與應用。輔導季刊，42(1)，1-11。new window  延伸查詢new window
5.王智弘、楊淳斐(20011200)。網路諮商中可行之理論取向與實務技巧。輔導季刊，37(4)，20-27。new window  延伸查詢new window
6.盧孟良、車先蕙、張尚文、沈武典(20021200)。中文版貝克憂鬱量表第二版之信度和效度。臺灣精神醫學，16(4)，301-310。new window  延伸查詢new window
7.Murphy, L. J.、Mitchell, D. L.(1998)。When writing helps to heal: e-mail as therapy。British Journal of Guidance & Counseling，26，21-32。  new window
8.Beck, Aaron T.(1993)。Cognitive therapy: Past, present, and future。Journal of Consulting and Clinical Psychology，61(2)，194-198。  new window
9.王智弘(19950600)。個別諮商過程中涉及的倫理問題。輔導學報，18，191-224。new window  延伸查詢new window
10.Anderson, P.、Jocobs, C.、Rothbaum, B. O.(2004)。Computer-supported Cognitive Behavioral Treatment of Anxiety Disorders。Journal of Clinical Psychology，60(3)，253-267。  new window
11.Elleven, R. K.、Allen, J.(2004)。Applying Technology to Online Counseling: Suggestions for the Beginning E-therapist。Journal of Instructional Psychology，31(3)，223-228。  new window
12.Fox, E.、Acton, T.、Wilding, B.、Corcoran, J.(2004)。Service Development Report: An Assistant Psychologist's Perspective on the Use of Computerised Cognitive Behavioural Therapy in a GP Practice in Barnet。Quality in Primary Care，12，165-169。  new window
13.Gega, L.、Marks, I.、Mataix-Cols, D.(2004)。Computer-aided CBT Self-help for Anxiety and Depressive Disorders: Experience of a London Clinic and Future Directions。Journal of Clinical Psychology，60(2)，147-157。  new window
14.Laszlo, J. V.、Esterman, G.、Zabko, S.(1999)。Therapy Over the Internet? Theory, Research & Finances。CyberPsychology & Behavior，2(4)，293-307。  new window
15.Rabasca, L.(2000)。Taking Telehealth to the Next Step。Monitor on Psychology，31(4)，36-37。  new window
16.Rassau, A.、Arco, L.(2003)。Effects of Chat-based On-line Cognitive Behavior Therapy on Study Related Behavior and Anxiety。Behavioural and Cognitive Psychotherapy，31，377-381。  new window
17.Riva, G.、Bacchetta, M.、Baruffi, M.、Rinaldi, S.、Vincelli, F.、Molinari, E.(2000)。Virtual Reality Based Experiential Cognitive Treatment of Obesity and Binge-Eating Disorders。Clinical Psychology and Psychotherapy，7，209-219。  new window
18.Riva, G.、Vincelli, F.(2001)。Virtual Reality as an Advanced Imaginal System: A New Experiential Approach for Counseling and Therapy。International Journal of Action Methods，54(2)，51-64。  new window
19.Robinson, P.、Serfaty, M.(2003)。Computers, E-mail and Therapy in Eating Disorders。European Eating Disorders Review，11(3)，210-222。  new window
20.Scott, J.、Teasdale, J. D.、Paykel, E.、Johnson, A. L.、Abbott, R.、Hayhurst, H.、Moore, R.、Garland, A.(2005)。Effects of Cognitive Therapy on Psychological Symptoms and Social Functioning in Residual Depression。Fucus，3(1)，122-130。  new window
21.Tate, D. F.、Zabinski, M. F.(2004)。Computer and Internet Applications for Psychological Treatment: Update for Clinicians。Journal of Clinical Psychology，60(2)，209-220。  new window
22.Walling, A. D.(2004)。Can the Internet Be Used to Treat Depression?。American Family Physician，70(7)，1368-1370。  new window
23.Wright, J. H.、Wright, A. S.、Salmon, P.、Beck, A. T.、Kuykendall, J.、Goldsmith, L. J.、Zickel, M. B.(2002)。Development and Initial Testing of a Multimedia Program for Computer-assisted Cognitive Therapy。American Journal of Psychotherapy，56(1)，76-87。  new window
會議論文
1.王智弘(2003)。臺灣地區網路諮商的發展現況與未來展望。  延伸查詢new window
2.王智弘(2006)。政府部門員工心理健康服務運用網路諮商之探討。  延伸查詢new window
3.王智弘、林清文、劉志文、魏嘉宏(2001)。「輔導與諮商」教育資源網站之建構過程－「臺灣心理諮商資訊網」的實驗與展望。  延伸查詢new window
4.王智弘、楊淳斐(2004)。一次單元諮商模式。  延伸查詢new window
5.林朝誠(2001)。誰在用心上網。  延伸查詢new window
6.楊豐兆、王智弘、黃健峰(2005)。基於多重代理人架構的網路即時諮商系統之研究。  延伸查詢new window
學位論文
1.鄭惠君(2006)。焦點解決網路即時諮商對大學生人際困擾輔導成效及相關議題之探討(碩士論文)。國立暨南國際大學。  延伸查詢new window
2.黃健峰(2005)。基於多重代理人架構的網路即時諮商系統之研究(碩士論文)。大葉大學。  延伸查詢new window
3.李偉斌(2002)。網路即時諮商中工作同盟--晤談感受與諮商員口語反應之歷程分析(碩士論文)。國立屏東師範學院。  延伸查詢new window
4.李書藝(2004)。以網路即時通為媒介之焦點解決取向網路即時諮商研究(碩士論文)。國立彰化師範大學。  延伸查詢new window
5.卓翠玲(2007)。人際困擾當事人接受網路即時諮商之研究。  延伸查詢new window
6.林昭伶(2004)。臺灣心理諮商資訊網的留言版使用者之知覺歷程研究。  延伸查詢new window
7.施文正(2006)。心理健康主題網路討論區之使用者經驗分析－以「臺灣心理諮商資訊網」為例。  延伸查詢new window
圖書
1.Beck, A. T.、Steer, R. A.、Brown, G. K.、陳心怡(2006)。貝克憂鬱量表第二版(BDI-II)指導手冊。臺北市：中國行為科學社。  延伸查詢new window
2.American Psychiatric Association、孔繁鐘(1999)。DSM-IV精神疾病的診斷與統計。合記圖書出版社。  延伸查詢new window
3.Beck, G. A. T.、Rush, A. J.、Shaw, B. F.、Emery, G.(1979)。Cognitive therapy of depression。New York：Guilford Press。  new window
4.Beck, J. S.(1995)。Cognitive Therapy: Basics and Beyond。New York, NY：Guilford Press。  new window
5.Beck, Aaron T.(1976)。Cognitive Therapy and the Emotional Disorders。New York：International Universities Press。  new window
6.Day, S. X.、Schneider, P. L.(2000)。The Subjective Experiences of Therapists in Face-to-face, Video, and Audio Sessions。Cybercounseling and Cyberlearning: Strategies and Resources for the Millennium。Alexandria, VA。  new window
7.Haberstroh, S.(2002)。A Grounded Theory of Relating Therapeutically Online: Voices of Clients, Counselors and Supervisors。A Grounded Theory of Relating Therapeutically Online: Voices of Clients, Counselors and Supervisors。Texas, TX。  new window
8.Wolman, B. B.(1982)。Ethical Problems in Termination of Psychotherapy。Ethics and Values in Psychotherapy: A Guidebook。New York, NY。  new window
其他
1.Lee, C.(1998)。Counseling and the Challenges of Cyberspace。  new window
2.Polauf, J.(1997)。Telehealth: E-mail as a Modality for Crisis Intervention。  new window
3.Suler, J.(2001)。The Future of Online Psychotherapy and Clinical Work。  new window
圖書論文
1.Collie, R. K.、Mitchell, D.、Murphy, L.(2000)。Skills for on-line counseling: Maximum impact at minimum bandwidth。Cybercounseling and cyberlearning: Strategies and resources for the millennium?。Alexandria, VA：American Counseling Association。  new window
 
 
 
 
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