本研究目的在於了解夢工作在短期藝術治療上的臨床應用，同時探究其治療效果，期待能夠應用於實務工作場域。本研究以質性分析中樣版式分析法以及紮根分析方法的概念，分成兩研究：研究一探索夢工作在短期藝術治療上的臨床應用情性，共計邀請5位研究參與者介於22-30歲之間，平均年齡26.6歲。研究者擔任諮商心理師的工作，對參與者皆進行8次的藝術治療歷程，每次約60分鐘治療歷程，並隨機於6-8次中抽取1-2次進行IPR人際訪談，從治療歷程與IPR訪談資料中，以發現取向質性方法進行分析，研究結果發展出一合適的夢工作應用在短期藝術治療上的工作模式樣版，主要包含三個階段：探索階段、洞察階段、行動與結束階段，每一階段中輔以藝術治療的介入，進行夢境探索工作。研究二為探究夢工作在短期藝術治療上的治療效果，採紮根方法進行分析，同時蒐集歷程與訪談質性資料，探討本工作模式之改變機制與治療效果。共計22位參與者，以及兩位治療師，依照時間與地點配對，分別進行6-8次，每次約60分鐘。22位參與者於治療結束之後，接受追蹤訪談，所得之質性歷程資料以手動分析文本方式進行紮根理論資料編碼與分析，結果歸納出夢工作的治療效果階段可分為治療開始前、正式治療期間與治療後，另分別有抗拒、治療師因素、個案個人覺察因素以及媒材因素等影響治療歷程的因素存在。期中來自於個人覺察因素，包含個人內在的轉化、來自個人與創作歷程與行為的療效、與治療師互動以及負向感受。據此結果提出一治療歷與療效內涵的改變機制模式。本研究依據研究結果進行研究討論，並對未來研究以及藝術治療實務工作提出相關建議。

The purpose of the study is to realize Hill’s the application of Dream work used in short-term art therapy and to explore the treatment outcome. Then the research result can be applied in clinical work. Based on the concept of qualitative study and Ground theory, two studies are conducted. Study on adopted template analysis approach, in which 5 participants received 8 therapy sessions. Participants of this study included 5 volunteers, aged between 22-30 years old (M=26.6). Materials obtained from two measurements, clinical therapy process and Interpersonal Process Recall, and compared by the qualitative method of discovery-oriented psychotherapy research approach. Afterwards, analysis was made of a variety of data, including the verbatim manuscript of eight sessions with 5 participants and their artworks, and my own drawings and notes. As a practicing art therapist, the researcher carried out weekly 50-60 minutes art therapy sessions over a period of eight weeks. After the analyzing the transcript of the five participants, the template of Dream work applied in short-term art therapy was developed, revised and expanded. Three stages, exploration stage, insight stage, action and ended stage were constructed and with detail art therapy intervention.
In study two, Grounded therapy was adopted to investigate the effectiveness of Hill’s Dream work applied in Art therapy process. Qualitative research was applied to realize 22 participants’ understanding of therapy process and content of therapeutic agents of this work model template. Participants was interviewed after receiving six to eight therapy sessions. Materials obtained from the interviews were transcribed and then analyzed by Grounded Theory methodology. The results indicate that three stages, before therapy process, the formal therapy process, after therapy process, with differed therapeutic effects. Among which, therapeutic factors can be further categorized to the client’s personal awareness factor, therapist’s factor, and art material factors which affected on the therapy process. According to the research results, the model of change mechanism on therapy processes and therapeutic agents were then provided. Finally, findings in this research were discussed and implications and suggestions for practice art work, clinical counseling work and future study were also provided.

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