本研究目的在探討EMDR運用於關係創傷之解離當事人之治療成效，採質性方法之多個案研究設計，研究對象為兩位出現解離人格部分，呈現情緒、行為和特質轉變並有控制困難之當事人。本研究之治療介入由一位EMDR治療師進行，依循EMDR標準治療程序，依相關研究建議做調整。研究者蒐集治療師之晤談紀錄、研究者觀察紀錄、訪談紀錄及當事人提供之相關文件等質性資料，進行當事人之生命故事、治療歷程與改變分析。
　　研究發現，研究參與者於EMDR治療後，解離部分皆有所融合與統整，過往創傷記憶帶來的情緒困擾已大幅降低，對自己有較正向觀點，於治療中找到自我安撫的能力，面對挫折的能力提升，並轉化創傷帶來之衝擊成為自我成長的養分，對未來生活更有信心與他人的互動關係亦獲得改善。六個月後的追蹤訪談顯示結果仍持續。最後對未來研究及實務提出進一步建議，以供參考。

關鍵字：EMDR、關係創傷、解離

The purpose of the study was to explore the applicability and efficacy of EMDR with relational trauma and dissociation. Subjects were two clients who shows signs of dissociative part, having compulsive behavior and sudden shift of emotion, behavior and attitude. It’s a multiple case study expanding the current study of EMDR through the use of qualitative approach. The treatment was administered by an EMDR therapist following the adaptive EMDR standard protocol. Description of the life story, related treatment procedures and changes were analyzed from clinical records, observer’s records, interview of the clients, and the documents provided by the clients during and after the treatment.
The results show the impact of significant improvement on the clients, such as the integration of dissociative parts, the decreasing of emotional and compulsive behaviors, the disappearance of the disturbance, the self-concept turned more positive from negative, more easily to sooth themselves when feeling frustrated, more energy to release from the overwhelming past experience, standing firmer toward future life, and getting along well with other. Results maintained after 6 months follow-up. Based on the results and discussions, further clinical and academic suggestions are proposed.

Keywords: EMDR Therapy, Relational Trauma, Dissociation.

中文部分
王豐彬譯（2007）：人際關係與大腦的奧秘（原作者：Siegel, D. J.）台北：洪葉。（原出版年：2002）
朱品潔（2011）：個人失落與EMDR之介入：個案研究（未出版之碩士論文）。國立臺灣師範大學，台北。
周海濤、李永賢、張蘅譯（2009）：個案研究：設計與方法（原作者：Yin, R. K.）。（原出版年：2003）
尚榮安譯（2001）：個案研究法法（原作者：Yin, R. K.）。新北市：弘智。（原出版年：1994）
林佩璇（2000）：個案研究及其在教育研究上的應用。載於中正大學教育學研究所主編，質的研究方法（239-259）。高雄：麗文。
施宏達、陳文琪譯（2004）。從創傷到復原（原作者：Herman, J.）。台北：遠流。（原出版年：1992）
胡嘉琪（2014）：從聽故事開始療癒：創傷後的身心整合之旅。台北：張老師。
張芬芬譯（2006）。質性研究資料分析（原作者：Miles, M. B., & Huberman, A. M.）。台北：雙葉。（原出版年：1994）
張美惠譯（2004）。鏡子裡的陌生人（原作者：Steinberg, M., & Schnall, M.）。台北：張老師。（原出版年：2001）
莊玉玫譯（2000）：晚安，愛蜜莉：給女兒的枕邊詩（原作者：Straus, C.）。台北：方智。（原出版年：1998）
陳品皓、羅愔愔、曾孟頤、蔡佳縈譯（2014）：認知治療：基礎與進階（原作者：Beck, J. S., Beck, A. T., Jordan, J. V., & Carroll, A.）。台北：揚智。（原出版年：2011）
陳麗英、胡甄容、陳美秀、朱品潔譯（2013）。EMDR應用於兒童心理治療之藝術（原作者：Adler-Tapia, R., & Settle, C.）。台北：心理。（原出版年：2008）
楊淑智譯（2003）：我想安心長大：如何讓孩子有安全感（原作者：Greespan, S. I.）。台北：張老師。（原出版年：2002）
鄔佩麗（2005）：輔導與諮商心理學。台北：東華。
鄔佩麗（2008）：危機處理與創傷治療。台北：學富。
翟宗悌等譯（2011）。EMDR：基本原理、範本及程序。台北：學富（原作者：Shapiro, F.）。（原出版年：2001）
謝馨儀（2011）：EMDR介入PTSD治療歷程與效果之個案研究（未出版之碩士論文）。國立臺灣師範大學，台北。

英文部分
Ainsworth, M. D. S. (1973). The development of infant-mother attachment. In B. Cardwell & H. Ricciuti (Eds.). Review of child development research (pp. 1-94). Chicago, IL: University of Chicago Press.
Alexander, P. C. (2013). Relational trauma and disorganized attachment. In J. Ford & C. Courtois (Eds.), Treating complex traumatic stress disorders in adolescents and children (pp. 39-61). NY: Guilford Press.
Allen, J. G. (2001). Traumatic relationships and serious mental disorders. United Kingdom: Wiley, John & Sons.
American Psychiatric Association. (2000). Quick reference to the diagnostic criteria from DSM-IV-TR (4th ed.). Washington, D.C: American Psychiatric Association.
American Psychiatric Association. (2013). Desk reference to the diagnostic criteria from DSM-5 (5th ed.). Washington, DC: American Psychiatric Publishing.
Bowen, M. (1978). Family therapy in clinical practice. New York, NY: Jason Aronson.
Bowlby J. (1969). Attachment and loss: Vol. 1. loss. New York, NY: Basic Books.
Bowlby, J. (1982). Attachment and loss (2nd ed.). New York, NY: Basic Books.
Braun, B. G. (1988). The BASK model of dissociation. Dissociation, 1(1), 4-23.
Cook, A., Blaustein, M., Spinazzola, J., & Van der kolk, B. (2003). Complex trauma in children and adolescents: White paper from the National Child Traumatic Stress Network Complex Trauma Task Force. Retrieved from National Child Traumatic Stress Network: retrived from 2016.2.1 http://www.nctsn.org/products/complex-trauma-children-and-adolescents-2003
Courtois, C. A., & Ford, J. D. (2013). Treatment of complex trauma: A sequenced, relationship-based approach. New York: The Guilford Press.
Cozolino, L. J. (2006). The neuroscience of human relationships: Attachment and the developing social brain. NY: Norton, W. W. & Company.
Croitoru, T. (2014). The Emdr revolution: Change your life One memory at a time (the client’s guide). United States: Morgan James Publishing.
Ebrinc, S., Semiz, U. B., Basoglu, C., Cetin, M., Agargun, M. Y., Algul, A., & Ates, A. (2008). Self-mutilating behavior in patients with dissociative disorders: the role of innate hypnotic capacity. The Israel journal of psychiatry and related sciences, 45(1), 39–48.
Evans, T. (2015). Counselling skills for becoming a wiser practitioner: Tools, techniques and reflections for building practice wisdom. United Kingdom: Jessica Kingsley Publishers.
Fine, C. G., & Berkowitz, A. S. (2001). The Wreathing protocol: The Imbrication of hypnosis and EMDR in the treatment of Dissociative identity disorder and other Dissociative responses. American Journal of Clinical Hypnosis, 43(3-4), 275–290.
Fishbain, D. A. (1994). Secondary gain concept. APS Journal, 3(4), 264–273.
Fishman. D. B. (2013). The pragmatic case study method for creating rigorous and systematic, practitioner-friendly research. Pragmatic Case Studies in Psychotherapy. 9(4).2. Retrieved from 2016. 4.30. http://pcsp.libraries.rutgers.edu
Fonagy, P., & Target, M. (1997). Attachment and reflective function: Their role in self-organization. Development and Psychopathology, 9(04), 679-700 .
Ford, J. D., & Courtois, C. A. (Eds.). (2013). In Treating complex traumatic stress disorders in children and adolescents: Scientific foundations and therapeutic models. United States: Guilford Publications.
Forgash, C., & Copeley, M. (Eds.). (2008). Healing the heart of trauma and dissociation with EMDR and EGO state therapy. United States: Springer Publishing Company.
Gold, S. N. (2000). Not trauma alone: Therapy for child abuse survivors in family and social context. Philadelphia, PA: Brunner-Routledge.
Gomez-Perales, N. (2015). Attachment-focused trauma treatment for children and adolescents: Phase-oriented strategies for addressing complex trauma disorders. United Kingdom: Routledge.
Gonzalez, A., & Mosquera, D. (2012). EMDR and dissociation: The progressive approach. SC: A. I.
Grant, R. (2013). The dissociation handbook. manuscript submitted for publication, Oakland, California.
Hari, J. (2016). Chasing the scream: The First and last days of the war on drugs. United Kingdom: Bloomsbury Publishing PLC.
International Society for the Study of Trauma and Dissociation (2005a). Child/Adolescent FAQ's. Retrieved July 14, 2016, from http://www.isst-d.org/default.asp?contentID=100
International Society for the Study of Trauma and Dissociation (2005b). Dissociation FAQ’s. Retrieved May 7, 2016, from http://www.isst-d.org/default.asp?contentID=76
International Society for the Study of Trauma and Dissociation (2011). Guidelines for treating Dissociative identity disorder in adults, Third revision: Summary version. Journal of Trauma & Dissociation, 12(2), 188–212.
James, B. (1994). Handbook for treatment of attachment-trauma problems in children. NY: Simon & Schuster.
Kluft, R. P. (1994). . In R. M. Klein & B. K. Doane (Eds.), Psychological concepts and Dissociative disorders: Symposium: Papers. Hillsdale, NJ: Erlbaum.
Leeds, A. M. (2009). Resources in EMDR and other trauma-focused psychotherapy: A review. Journal of EMDR Practice and Research, 3(3), 152–160.
Liotti, G. (2006). A model of dissociation based on attachment theory and research. Journal of Trauma & Dissociation, 7(4), 55–73.
Luxenberg, T., Spinazzola, J., & Van der Kolk (2001) . Complex trauma and disorders of extreme stress (DESNOS) diagnosis, Part One: Assessment. Directions in Psychiatry, 21(25),373-394.Hobart, NY: The Hatherleigh Company.
McLeod, J. (2010). Case study research: In counseling and psychotherapy. Thousand Oaks, CA: Sage Publications.
Mollon, P. (1996). Multiple selves, multiple voices: Working with trauma, violation, and dissociation. New York: Wiley, John & Sons.
O’neil, D. (2008). Dissociation and the dissociative disorders: DSM-V and beyond. London: Routledge.
Oyebode, F. (2008). Sim’s Symptoms in the mind: An introduction to descriptive psychopathology (2nd ed.). London: W.B. Saunders Company.
Parnell, L. (2013). Attachment-focused EMDR: Healing relational trauma. New York: NY: W. W. & Company.
Paulsen, S. (1995). Eye movement desensitization and reprocessing: Its cautious use in the dissociative disorders. Dissociation, 7(1), 32-44.
Paulsen, S. (2009). Looking through the eyes of trauma and dissociation: An illustrated guide for Emdr therapists and clients. Charlston, SC: Booksurge Publishing.
Putnam, F. (1985). Dissociation as a response to extreme trauma. In R. P. Kluft (Ed.), Childhood antecedents of multiple personality disorders (2nd ed; pp. 66-97). Washington, D.C.: American Psychiatric Publishing.
Rosenbloom, D., Williams, M. B., & Watkins, B. E. (2010). Life after trauma: A workbook for healing. New York, NY: Guilford Publications.
Ross, C. A., & Halpern, N. (2009). Trauma model therapy: A treatment approach for trauma, dissociation and complex Comorbidity. Richardson, TX: Manitou Communications.
Sanderson. C. (2010). Introduction to counselling survivors of interpersonal trauma. London, England: Jessica Kingsley Publishers.
Schore, A. N. (2001). The effects of early relational trauma on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal, 22(1-2), 201–269.
Schore, A. N. (2010). Relational trauma and the developing right brain. In B. Tessa (Ed.), Relational trauma in infancy: Psychoanalytic, attachment and neuropsychological contributions to parent-Infant psychotherapy (pp. 19-47). NY: Routledge.
Schore, A. N. (2013). Relational trauma, brain development, and dissociation. In J. Ford & C. Courtois (Eds.), Treating complex traumatic stress disorders in adolescents and children (pp. 3-23). NY: Guilford Press.
Shapiro, R. (2009). Attachment-based depression: Healing the “hunkered-down”. In Shapiro, R. (Eds.). EMDR Solutions Ⅱ: For depression, eating disorders, performances, and more (pp. 90-105). New York, NY: Norton & Company.
Stosny, S. (1995). Treating attachment abuse: A compassionate approach. NY: Springer Publishing Company.
Turkus, J. A. (1992). The Spectrum of Dissociative Disorders: An Overview of Diagnosis and Treatment. Retrieved January 17, 2016 from http://www.fortea.us/english/psiquiatria/spectrum.htm
Vaillant, G. E. (2012). Triumphs of experience: The men of the Harvard Grant Study. MA: Harvard University Press.
Van der Hart, O., Groenendijk, M., Gonzalez, A., Mosquera, D., & Solomon, R. (2013). Dissociation of the personality and EMDR therapy in complex trauma-related disorders: Applications in the stabilization phase. Journal of EMDR Practice and Research, 7(2), 81–94.
Van der Hart, O., Nijenhuis, E. R. S., & Steele, K. (2006). The haunted self: Structural dissociation and the treatment of chronic traumatization. New York: Norton, W. W. & Company.
Van der Kolk, B. (2005). Developmental trauma disorder: Towards a rational diagnosis for children with complex trauma histories. Retrieved from http://www.traumacenter.org/products/pdf_files/preprint_dev_trauma_disorder.pdf
Van Der Kolk, B. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. NY: Viking Books.
Van Der Kolk, B. A., & Fisler, R. (1995). Dissociation and the fragmentary nature of traumatic memories: Overview and exploratory study. Journal of Traumatic Stress, 8(4), 505–525.