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題名：遊戲治療師實務困境與因應之探究分析
書刊名：中華輔導與諮商學報
作者：高淑貞／蔡群瑞
作者(外文)：Kao, Shu-chen／Tsai, Chiun-ruei
出版日期：2009
卷期：26
頁次：頁1-45
主題關鍵詞：治療困境；遊戲治療；遊戲治療師；督導；Play therapy；Play therapist；Supervision；Therapeutic predicament
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(3) 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:91
  • 點閱點閱:83
遊戲治療是兒童心理工作的主要模式，但是國內目前對遊戲治療的訓練與督導資源並不足夠，而遊戲治療是一門獨特的專業領域，要有效發揮遊戲治療對兒童的心理療癒功效，治療師必須要有一定的訓練，以面對進行遊戲治療過程中的諸多挑戰。研究者因此想探究目前國內的遊戲治療師在使用遊戲治療模式時，其所遭遇的困難有哪些？本研究採用質性方法，藉由深度訪談十七位從事遊戲治療的實務工作者，以瞭解其主觀治療困境並進行跨案例綜合性分析。研究結果整理出十四個困境要素，分別是運用技術的不確定與困難、遊戲治療師的焦慮議題、來自個案的挑戰、個案概念化的困難、不確定評估的內涵與指標、預期具體效果的壓力、來自家庭的阻力、工作環境的壓力、督導資源的貧乏、期望協助專業知能的提升、理想督導的期待、具體發揮對孩子的正向影響力、成就感與動機、以及尋求解決專業困境的管道。可進一步歸納為五大主題：遊戲治療歷程中的困難、評估遊戲治療效果的困難、來自脈絡因素的干擾、遊戲治療督導不足與期待、以及回應困境的自我調整。本文針對上述主題分述受訪者與研究者觀點並加討論。最後，根據研究結果進行相關困境主題的討論，並提出因應之道與建議，以供遊戲治療師、訓練與督導者、專業發展關注之參考。
Play therapy is the current dominant model in working with child-clients. However, resources for training and supervision are not sufficient to meet the needs in continuing education of play therapists. Play therapy is a specialty which requires special trainings. The researcher believes that proper continuing education can be provided only through accurate understandings of play therapists' work difficulties. Reflecting this viewpoint, this study focuses on investigating and exploring the difficulties in play therapists' experiences. The research data was gathered by qualitative methods through interviewing with 17 play therapists and analyzing the interview transcripts. Results show that play therapists reported fourteen factors belonging to five main themes of therapeutic predicaments. They are unsureness and difficulties of techniques, anxiety issues of the play therapist, challenges from clients, difficulties of case conceptualization, unsureness of assessment, pressure from expected effectiveness, disturbances from clients' families, pressure from work environment, lack of supervision resource, desire of promoting professional abilities, expectation of an ideal supervisor, positive effects on the child, sense of achievement and motivation, and ways to resolve predicaments. The five main themes include difficulties in the play therapy process, unsureness of effectiveness of play therapy, pressure and conflict from the working context, unmeet supervision needs, and self-adapting to the difficulties. According to the findings, it is evident that play therapists confront various challenges in their clinical work. Based on the results, meaning of the findings and continuing education and supervision concerns for the play therapists are discussed. Suggestions for play therapy educators and practitioners as well as for further research are given.
期刊論文
1.Ray, D. C.、Armstrong, S. A.、Warren, E. S.、Balkin, R. S.(2005)。Play Therapy Practices among Elementary School Counselors。Professional School Counseling，8(4)，360-365。  new window
2.葉貞屏(19940300)。小學校園中的遊戲治療。諮商與輔導，99，8-13。  延伸查詢new window
3.Kranz, P. L.、Lund, N. L.、Kottman, T.、Kranz, P.(1996)。Let's Play: Inclusion of a Play Therapy Course or Program into a Graduate Curriculum。International Journal of Play Therapy，5(1)，65-72。  new window
4.Kranz, P.、Lund, N. L.、Kottman, T.(1998)。Play Therapists' Opinions Concerning the Education, Training, and Practice of Play Therapists。International Journal of Play Therapy，7(1)，73-87。  new window
5.Leblanc, M.、Ritchie, M.(2001)。A Meta-analysis of Play Therapy Outcomes。Counseling Psychology Quarterly，14(2)，149-163。  new window
6.Ray, D.、Bratton, S.、Rhine, T.、Jones, L.(2001)。The effectiveness of play therapy: Responding to the critics。International Journal of Play Therapy，10(1)，85-108。  new window
7.Holloway, Elizabeth L.、Neufeldt, Susan Allstetter(1995)。Supervision: Its Contributions to Treatment Efficacy。Journal of Consulting and Clinical Psychology，63(2)，207-213。  new window
8.林瑞吉(20001000)。諮商督導研究之回顧與評析。諮商與輔導，178，2-9。  延伸查詢new window
9.賀孝銘、吳秀碧、張德榮(20010600)。不同層級準諮商員「個案概念化」能力之差異比較研究。彰化師大輔導學報，22，1-31。new window  延伸查詢new window
10.高淑貞(20050900)。因何而為？--遊戲治療師之治療態度研究。中華輔導學報，18，1-36。new window  延伸查詢new window
11.王文秀(19981200)。諮商師被督導經驗對其諮商挫折之因應及其專業成長之影響研究。中華輔導學報，6，1-34。new window  延伸查詢new window
12.梁培勇(20060900)。兒童遊戲治療起始期的困境。中華心理衛生學刊，19(3)，255-278。new window  延伸查詢new window
13.葉兆祺(2004)。遊戲治療在國小輔導之應用。南投文教，21，57-59。  延伸查詢new window
14.Enzer, N. B.(1989)。Recent trends in the recruitment of child and adolescent psychiatrists: An overview of general and faculty needs。Academic Psychiatry，13(4)，176-188。  new window
15.Johnson, L., McLeod, E. H.,、Fall, M.(1997)。Play therapy with labeled children in the schools。Professional School Counseling，1 (1)，31-34。  new window
16.Kranz, P.,、Lund, N. L.(1994)。Recommendations for supervising play therapists。International Journal of Play Therapy，3 (2)，45-52。  new window
17.Lambert, S. F., LeBlance, M., Mullen, J. A., Ray, D., Baggerly, J., White, J.,、Kaplan, D.(2007)。Learning more about who play in session: The national play therapy in coun-seling practices project (phase I)。Journal of Counseling & Development，85，42-46。  new window
18.Mariellen, G.(1997)。Empowering techniques of play therapy: A method for working with sexually abused children。Journal of Mental Health Counseling，19(2)，130-142。  new window
19.Phillips, R. D.,、Landreth, G. L.(1995)。Play therapists on play therapy: I. A report of methods, demographics and professional practices。International Journal of Play Therapy，4(1)，1-26。  new window
20.Phillips, R. D.,、Landreth, G . L.(1998)。Play therapists on play therapy: II. Clinical issues in play therapy。International Journal of Play Therapy，6 (2)，1-24。  new window
21.Post, R.(1999)。Impact of child-centered play therapy on the self-esteem, locus of control, and anxiety of at-risk 4th, 5th, and 6th grade students。International Journal of Play Therapy，8，1-18。  new window
22.Ryan, V.,、Wilson, K.(2000)。Conducting child assessments for court proceedings: The use of non-directive play therapy。Clinical Child Psychology & Psychiatry，5(2)，267-280。  new window
會議論文
1.王純琪、張高賓、連廷嘉、王文秀(2006)。臺灣地區遊戲治療成效之後設分析初探研究。2006台灣遊戲治療學會年會暨遊戲治療多元與創新學術研討會。新竹。  延伸查詢new window
2.高淑貞(2005)。遊戲治療師專業生涯發展之敘說。彰化。107-118。  延伸查詢new window
研究報告
1.王文秀(2002)。遊戲治療者之實務經驗與受虐兒童不同遊戲治療模式效果之探討研究 (計畫編號：NSC90-2431-H-134-019)。台北：中華民國行政院國家科學委員會。  延伸查詢new window
學位論文
1.李花環(2000)。諮商員專業發展歷程之質性研究(博士論文)。彰化師範大學，彰化。new window  延伸查詢new window
2.鄭家雯(2004)。走出心靈迷霧--諮商師調適與因應接案無力感經驗之研究(碩士論文)。屏東師範學院。  延伸查詢new window
3.楊明磊(2001)。資深諮商工作者的專業發展--詮釋學觀點(博士論文)。國立彰化師範大學，彰化。new window  延伸查詢new window
4.曾璟婷(2004)。受虐兒童遊戲治療師實務經驗與專業發展之探究，彰化。  延伸查詢new window
圖書
1.Lincoln, Y. S.、Guba, E. G.(2000)。Paradigmatic controversies, and emerging confluences。The handbook of qualitative research。Beverly Hills, CA：Stage。  new window
2.Webb, Nancy Boyd(1999)。Play therapy with children in crisis : A casebook for practitioners。New York：Guilford Press。  new window
3.梁培勇(2006)。遊戲治療--理論與實務。台北：心理。  延伸查詢new window
4.Carmichael, K. D.(2006)。Play therapy: An introduction。Upper Saddle River, NJ：Pearson Education。  new window
5.Landreth, G. L.(2002)。Play Therapy: The art of the relationship。Muncie, IN：New York, NY：Accelerated Development：Brunner Routledge。  new window
6.Gil, E.(1991)。The healing power of play: Working with abused children。New York, NY：Guilford Press。  new window
7.Corey, G.、Corey, M. S.、Callanan, P.(2003)。Issues and ethics in the helping professions。Pacific grove, CA：Brooks/Cole。  new window
8.高淑貞(1998)。親子遊戲治療。台北：桂冠出版社。  延伸查詢new window
9.Axline, Virginia M.(1969)。Play therapy。New York, NY：Ballantine Books。  new window
10.Knell, Susan M.(1993)。Cognitive-Behavioral Play Therapy。Northvale, NJ：Jason Aronson Inc.。  new window
11.陳慶福、李雅真(2004)。遊戲治療入門。台北。  延伸查詢new window
12.Cattanach, A.(2003)。Introduction to play therapy。New York。  new window
13.Drewes, A. A., Carey, L. J.,、Schaefer, C. E.(2001)。School-based play therapy。US。  new window
14.Landreth, G. L.,、Sweeney, D. S.(2001)。Child-centered group play therapy。Innovations in play therapy。PA。  new window
15.Perry, L. H.,、Landreth, G. L.(2001)。Diagnostic assessment of children’s play therapy behavior。Innovations in play therapy。PA。  new window
16.Sweeney, D. S.,、Tatum, R. J.(2001)。What the play therapist needs to know about medications。Innovations in play therapy。PA。  new window
 
 
 
 
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