本研究以華人文化脈絡為背景，探討我國諮商與心理治療專業工作者之反移情處理能力、孝道信念與順道行為對治療效能之影響。本研究邀請具有兩年以上個別諮商或心理治療之經驗、且從事成年個別諮商或心理治療之專業工作者(男性5位，女性61位，平均年齡33歲)及一位與其晤談三次以上的個案(男性17位，女性48位，平均年齡24歲)共同參與研究。參與研究之治療師需在當次晤談結束後立即填寫反移情因素量表、孝道信念量表以及符合父母期望量表，以測量其反移情處理能力、孝道信念與順道行為。在治療效能方面，則由治療師與個案雙方在晤談結束後均填寫工作同量表及晤談感受問卷以作為治療效能之評定指標。研究結果發現，反移情處理能力會直接影響治療師與個案雙方所知覺的工作同盟以及治療師的晤談感受；此外，反移情處理能力亦會透過治療師之焦慮間接影響這三個變項。在文化因素方面，研究發現治療師之相互性孝道信念會直接影響治療師所知覺之工作同盟，而順道行為則對治療效能無顯著的影響。最後，研究者根據研究結果提出理論、實務與研究上之建議。

This research examined how the countertransference management, filial piety and living up to parental expectation influenced on the efficacy of counseling and psychotherapy. There were 66 counselors and therapists (5 men, 61 women, with the average age 33 years old, having at least 2 years professional experience) engage in the study. A total of 65 clients (17men, 48women, with the average age 24 years old) were recruited in this study together, who receive psychotherapy with the above counselors/therapists at least 3 times. Counselors or therapists were required to fill a package of the Countertransference Factors Inventory (CFI), Reciprocal Filial Piety (RFP), Personal Maturity (PM) of Parental Expectation Inventory (PEI) and State Anxiety Inventory (SAI) immediately after the session. Besides, counselors/therapists and clients also filled the Working Alliance Inventory (WAI) and the Session Evaluation Questionnaire (SEQ) after the session. The result revealed that countertransference management directly influenced on the working alliance of both counselors/therapists and clients, and it also impacted directly on the session experiences of counselors/therapists. In addition, countertransference management had the indirect effect on these three variables by anxiety.

一、中文資料
利翠珊、林麗文(民87)。代間連結、孝道焦慮與婚姻滿意度。中華家政學刊，27，84-101。
李亦園(民85)。傳統中國價值觀與華人健康行為特性。載於曾文星(主編)，華人的心理與治療(29-52頁)。台北，桂冠。
李美枝(民87)。中國人親子關係的內涵與功能：以大學生為例。本土心理學研究，9，3-52。
李雅文(民95)。早年家庭暴力經驗與創傷修通對心理治療者效能影響之研究。國立台灣師範大學教育心理與輔導研究所碩士論文。
林淑君(民87)。心理治療者的反移情研究。國立台灣師範大學教育心理與輔導研究所碩士論文。
洪素珍、楊大和、黃燕珠譯(民91)。創傷與治療師：亂倫生存者心理治療中的反移情與替代性受創。台北市，五南。
洪莉竹(民91)。與諮商有關的文化議題。諮商與輔導，198，23-28。
洪莉竹、陳秉華(民92)。諮商員專業發展歷程之文化反省經驗。教育心理學報，35，1-18。
康琇喬(民92)。早年家庭暴力經驗、孝道與心理健康相關研究。國立台灣師範大學教育心理與輔導研究所碩士論文。
張學善(民87)。諮商員反移情之分析研究。國立彰化師範大學輔導研究所博士論文。
陳秉華(民84)。諮商中大學生心理分離-個體化衝突改變歷程研究。教育心理學報，28，145-176。
陳秉華(民90)。華人「人我關係協調」之諮商工作架構。測驗與輔導，167，3511-3515。
陳斐娟(民85)。諮商歷程中的重要事件、工作同盟與諮商結果之分析研究。國立彰化師範大學輔導研究所碩士論文。
陸洛、高旭繁、陳芬憶(民95)。傳統性、現代性、及孝道觀念對幸福感的影響：一項親子對偶設計。本土心理學研究，25，243-278。
黃光國(民84)。展現時代精神的新孝觀。載於林麗雲(主編)，中國人的新孝觀 (4-7頁)。台北，張老師。
楊國樞(民81)。中國人的蛻變。台北，桂冠。
楊淑萍(民84)。青少年依附關係、自我尊重與生涯發展之相關研究。國立台灣師範大學教育心理與輔導研究碩士論文
葉光輝(民85)。親子互動的困境與衝突及其因應方式—孝道觀點的探討。中央研究院民族研究所集刊，82，65-114。
葉光輝、黃宗堅、邱雅沂(民95)。現代華人的家庭文化特徵：以台灣北部地區若干家庭的探討為例。本土心理學研究，25，141-196。
劉姿君(民84)。大學生自我認定狀態與其生涯決定程度及自我分化水準之關係研究。國立台灣師範大學教育心理與輔導研究所碩士論文。
謝珮玲(民91)。心理治療師在心理治療歷程之反移情經驗研究。立台灣師範大學教育心理與輔導研究所博士論文。

二、英文資料
Atkinson, D. R., Morten, G., & Sue, D. W. (1993). Counseling American minorities: A cross cultural perspective (2nd ed.). Dubuque, LA: Wm. C. Brown.
Bandura, A., Lisherm D. H., & Miller, P. E. (1960). Psychotherapist’s approach-avoidance reactions to patient’s expressions of hostility. Journal of Counseling Psychology, 24, 1-8.
Beutler, L. E., Malik, M., Laimohamed, S., Harwood, T. M., Talebi, H., Noble, S., & Wong, E. (2004). Therapist variables. In M. J. Lambert (Eds.), Handbook of psychotherapy and behavior change (5th ed., pp227-306). New York: Wiley.
Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16, 252-260.
Cain, N. R. (2000). Psychotherapists with personal histories of psychoatric hospitalization: Countertransference in wounded healers. Psychiatric Rehabilitation Journal, 24, 22-29.
Chu, J., & Sue, S. (1984). Asian/Pacific-Americans and group practice. Social Work With Groups, 7, 23-36.
Chung, R. C. Y., & Bemak, F. (2002). The relationship of culture and empathy in cross-culture counseling. Journal of Counseling and Development, 80, 154-159.
Crits-Christoph, P., Baranackie, K., Kurcias, J. S., Carrooll, K., Luborsky, L., McLellan, T., Woody, G., Thopson, L., Gallaier, D., & Zitrin, C. (1991). Meta-analysis of therapist and analysis of comparative studies of psychotherapists. Journal of Consulting and Clinical Psychology, 59, 20-26.
Cummings, A. L., Slemon, A. G., & Hallberg, E. T. (1993). Session evaluation and recall of important of counselor experience. Journal of Counseling Psychology, 40, 156-165.
Cutler, R. L. (1958). Countertransference effects in psychotherapy. Journal of Consulting Psychology, 22,349-356.
De Araujo, M. P. (2002). Don't ask, don't tell: Licensed therapists' and intern therapists' experiences of disclosing their personal histories of childhood sexual abuse to supervisors, professors, and colleagues. Dissertation Abstracts International, 63, 4895
Dunkle, J. H. & Friendlander, M. L. (1996). Contributions of therapist experience and personal characteristics to the working alliance. Journal of counseling psychology, 43, 456-460.
Frank, J. D., & Frank, J. B. (1991). Persuasion and Healing, 3rd ed., Baltimore: The Johns Hopkins University Press.
Friedman & Gelso (2000). The development of the inventory of countertransference behavior. Journal of Clinical Psychology, 58, 1221-1235.
Gelso, C. J., & Carter, J. A. (1985). The relationship in counseling and psychotherapy: Components, consequences, and theoretical and antecedents. The Counseling Psychologist, 13, 155-243.
Gelso, C. J., & Hayes, J. A. (1998).Countertransference: The therapist’s contribution to the “unrealistic” relationship. The Psychotherapy relationship: Theory, research and practice, New york: Wiley.
Gelso, C. J., & Hayes, J. A. (2001). Countertransference management. Psychotherapy, 38, 418-422.
Gelso, C. J., Fassinger, R, E., Gomez, M. J., & Latts, M. G. (1995). Countertransference reaction to lesbian clients: The role of homophobia, counselor gender, and countertransference management. Journal of Counseling Psychology , 42, 356-364.
Gim, R. H., Atkinson, D. R., & Kim, S. J. (1991). Asian-American acculturation, counselor ethnicity and cultural sensitivity, and ratings of counselors. Journal of Counseling Psychology, 38, 57-62.
Hayes (2004). Countertransference and the concept of the wounded healer in bereavement therapy. Unpublished.
Hayes, J. A. (1998). Therapist perspectives on countertransference: Qualitative data in search of a theory. Journal of Counseling Psychology, 45, 468-482.
Hayes, J. A., & Gelso, C. J. (1991). Effects of therapist-trainees’ anxiety and empathy on countertransference behavior. Journal of Clinical Psychology, 47, 284-290.
Hayes, J. A., Gelso, C. J., Van Wagoner, S. L., Diemer, R. A. (1991). Manage countertransference: What the experts think. Psychological Reports, 69, 139-148.
Hayes, J. A., Riker, J. R., & Ingram, K. M. (1997). Countertransference behavior and management in brief counseling: A field study. Psychotherapy Research, 7, 145-153.
Heimann, P. (1950). On counter-transference. International Journal of Psycho-analysis, 31, 81-84
Hill, C. E., & Corbett, M. M. (1993). A perspective on the history of process and outcome research on counseling psychology. Journal of Counseling Psychology, 40, 3-24.
Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the working alliance inventory. Journal of Counseling Psychology, 36, 223-233.
Horvath, A. O., & Luborsky, L. (1993). The role of the therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology, 61, 561-573.
Horvath, A. O., & Symonds, B. D. (1991). Relation between working alliance and outcome in psychotherapy: A meta-analysis. Journal of Counseling Psychology, 38, 139-149.
Hwang, K. K. (2000). Chinese relationalism: Theoretical construction and methodological consideration. Journal for the theory of social behavior 30, 155-178.
Kim, B. S. K., Atkinson, D. R., & Yang, P. H. (1999). The Asian values scale: Factor analysis, validation, and reliability. Journal of Counseling Psychology, 46, 342-352.
Kim, B. S. K., Ng, G. F., & Ahn, A. (2005). Effects of clients expectation for counseling success, client-counselor worldview match, and client adherence to Asian and European American culture values on counseling process with Asian Americans. Journal of counseling psychology, 52, 67-76.
Kokotovic, A. M., & Tracy, T. J. (1986). Analysis of sequence and pattern in process research. Journal of Counseling Psychology, 33, 170-181.
Leong, F. T. L. (1986). Counseling and psychotherapy with Asian-Americans: Review of the literature. Journal of Counseling Psychology, 33, 196-206.
Leong, F. T. L., Wanger, N. S., & Kim, H. H. (1995). Group counseling expectations among Asian American students: The role of culture-specific factors. Journal of Counseling Psychology, 42, 217-222.
Levensohn, C. (2005). Female social work clinicians with a history of childhood sexual abuse and their ability to maintain empathy in working with female adult survivors of childhood sexual abuse. Dissertation Abstracts International, 66, 347
Ligiero, D. P., & Gelso, C. J. (2002). Countertransference, attachment, and the working alliance: The therapist’s contributions. Psychotherapy, 39, 3-11.
Little, L. & Hamby, S. L. (1996). Impact of a clinician's sexual abuse history, gender, and theoretical orientation on treatment issues related to childhood sexual abuse. Professional Psychology: Research & Practice. 27, 617-625.
Mallinckrodt, B. (1993). Session impact, working alliance, and treatment outcome in brief counseling. Journal of Counseling Psychology, 40, 25-32.
Mallinckrodt, B. (1994). Session impact in counseling process research: Comment on Elliott and Wexler (1994) and Stiles et al. (1994). Journal of Counseling Psychology, 41, 185-190.
Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological review, 98, 224-253.
Martin, D. J., Garske, J. P., & Davis, K. M. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68, 438-450.
McClure, B. A., & Hodge, R. W. (1987). Measuring countertransference and attitude in therapeutic relationships. Psychotherapy, 24, 325-335.
Miller, G. A., Wagner, A, Britton, T. P., & Gridley, B. E. (1998). A framework for understanding the wounded healer. Counseling and Values, 42, 124-133.
Orlinsky, D. E., Ronnestad, M. H. & Willutzki, U. (2004). Fifty years of psychotherapy process-outcome research: Continuity and change, Handbook of psychotherapy and behavior change (5th ed., pp307-389). New York: Wiley.
Pederson, P. B. (2000). Handbook for developing multicultural awareness(3rd ed.). Alexandria, VA:ACA.
Robbins, S. B., & Jolkovski, M. P. (1987). Managing countertransference feelings: An interactional model using awareness of feeling and theoretical framework. Journal of Counseling Psychology, 34, 276-282.
Rosenberger, E. W., & Hayes, J. A. (2002). Origins, consequences, and management of countertransference: A case study. Journal of Counseling Psychology, 49, 221-232.
Saunders, S. M., & Howard, K. I. (1989). The therapeutic bond scales: Psychometric characteristics and relationship to treatment effectiveness. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 323-330.
Sexton, H. C., Hembre, K., & Kvarme, G. (1996). The interaction of the alliance and therapy microprocess: A sequential analysis. Journal of Consulting and Clinical Psychology, 64, 471-480.
Springman, R. R. (1986). Countertransference: clarification in supervision. Contemporary Psychoanalysis, 22, 252-277.
Stiles, W. B. (1980). Measurement of the impact of psychotherapy sessions. Journal of Consulting and Clinical Psychology, 48,176-185.
Sue, D. W. (1990). Culture-specific strategies on counseling: A conceptual framework. Professional Psychology: Research and Practice, 21, 424-433.
Sue, D. W. (1994). Asian-American mental health and help-seeking behavior: Comment on Solberg et al. (1994), Tata and Leong (1994), and Lin (1994). Journal of Counseling Psychology, 41, 292-295.
Sue, S. (1977). Community mental health services to minority groups: Some optimism, some pessimism. American Psyhologist, 32, 616-624.
Sue, S. (1977). Community mental health services to minority groups: Some optimism, some pessimism. American Psychologist, 32, 616-624.
Sue, S. (1998). In search of cultural competence in psychotherapy and counseling. Journal of American Psychologist, 53, 440-448.
Sue, S., & Morishima, J. K. (1985). The mental health of Asia Americans. San Francisco: Jossey-Bass.
Tata, S. P., & Leong, F. T. L. (1994). Individualism-collentivism, social-network orientation and acculturation as predictors of attitudes toward seeking professional psychological help among Chinese Americans. Journal of Counseling Psychology, 41, 280-287.
Tryon, G. S. (1990). Session depth and smoothness in relation to concept of engagement in counseling. Journal of Counseling Psychology, 37, 248-253.
Umans, L. P. (1998). Countertransference in the treatment of child victims of sexual abuse. Dissertation Abstracts International , 59, 960.
Wampold, B. E. (2001). Therapist effects: An ignored but critical factor. In B. E. Wampold (Ed.). The great psychotherapy debate: Models, methods, and findings. Mahwah: Lawrence Erlbaum Associates.
Wang, L., & Heppner, P. P. (2002). Assessing the impact of parental expectations and psychological distress on Taiwaness college students. The Counseling Psychologist, 30, 482-608.
Waring, S. L. (1997). Countertransference reactions with physical child abuse: The influence of tolerance of ambiguity, experience and expression of anger, and childhood history of parental physical abuse among female therapists,. Dissertation Abstracts International, 58, 4477.
Whiston, S. C., & Sexton, T. L. (1993). An overview of psychotherapy outcome research: Implications for practice. Professional Psychology: Research and Practice, 24, 43-51.
Yang, K. S. (2003). Beyond Maslow’s culture linear theory: A preliminary statement of the double-Y model of basic human needs. The Nebraska symposium on motivation: Cross-culture differences in perspectives on the self,49,176-255.
Yeh, K. H., & Bedford, O. (2003). A test of the Dual Filial Piety model. Asian Journal of Social Psychology, 6, 215-228.
Yeh, K. H., & Bedford, O. (2004). Filial belief and parent-child conflict. International Journal of Psychology, 39, 132-144.
Yulis, S., & Kiesler, D. J. (1968). Countertransference response as a function of therapist anxiety and content of patient talk. Journal of Consulting and Clinical Psychology, 32, 414-419.