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研究生: 沈青燕
Ching-Yen,Shen
論文名稱: 心理師遭逢當事人自殺身亡經驗之敘說研究
The Narrative Research of psychologists encounter the experience of clients completed suicide
指導教授: 鄔佩麗
Wu, Pei-Li
學位類別: 碩士
Master
系所名稱: 教育心理與輔導學系
Department of Educational Psychology and Counseling
論文出版年: 2009
畢業學年度: 97
語文別: 中文
論文頁數: 164
中文關鍵詞: 心理師當事人自殺身亡敘說研究
英文關鍵詞: psychologist, client, completed suicide, The Narrative Research
論文種類: 學術論文
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  • 摘要

    本研究的目的主要探索台灣心理師遭逢當事人自殺身亡之失落經驗,包括了解此事件對心理師的衝擊反應為何?當時有何主觀的心理需求?其因應失落經驗之心理調適歷程為何?影響心理師心理調適歷程的重要因素有哪些?當事人自殺身亡經驗帶給心理師的個人體會與學習有哪些?藉此理解其困境,以作為相關人員因應與協助時的參考,並且喚起國內專業助人養成教育之重視,來提供建議。
    本研究總共訪問三位具有心理師證照且從事實務工作之助人者,他們曾經在諮商期間或之後,或者在自殺危機事件的處理過程中,經歷過當事人自殺身亡事件,且主觀認定此失落經驗對自身有所影響,而事件的發生至少都超過6個月以上者。
    本研究採質性研究取向之敘說研究為研究方法,透過深入訪談法、結合半結構式的訪談大綱來蒐集文本資料,並以Lieblich et al.,(1998)「整體-內容」分析概念來撰寫三位研究參與者遭逢當事人自殺身亡後的生命故事,以呈現她們的心理調適歷程,並且以「整體-類別」的分析概念來理解故事脈絡中的類別概念,針對研究問題,從各個故事中,分別提出研究結果。
    最後,研究者將根據上述結論加以討論並提出建議,以供實務與後續相關研究參考。

    Abstract
    The Narrative Research of Psychologists Encounter the Experience of clients completed suicide

    The purpose of this study to explore the main parties in Taiwan
    psychologists encounter completed suicide of loss experience,
    at that time, what subjective did psychologist needs? Its loss experience in response to the course of psychological adjustment for that?

    The impact of psychological Normal course of psychological adjustment has an important factor in what? parties committed suicide brought the experience of psychologists with the study of personal experience of what has? to understand their plight, as related to personnel and assistance in response to a reference, and to arouse a professional to help others develop great importance to education, to provide recommendations.

    In this study, a total of three visits with a psychologist license and engaged in practical work to help others, who once in counseling during or after, or in suicide crisis treatment process, the parties have committed suicide have experienced events, and subjective and that this loss experience have an impact on their own, while the incident happened at least more than 6 months or more.

    This study used qualitative research-oriented study of narrative research methods, through in-depth interviews, combined with half-structured interviews to collect the text of the information and to Lieblich et al. (1998) "holistic - the content of" Analysis of the concept of writing .The three research participants encounter a party committed suicide after the life story to show the course of their psychological adjustment, and with " content-category method" analysis of the concept to understand the context of the type of story concepts, questions for study, from the various stories , respectively findings.

    Finally, researchers will be discussed in light of the foregoing conclusions and make recommendations for practical and relevant follow-up study.

    目錄 第一章 緒論 第一節 研究動機與目的 1 第二節 研究問題 6 第三節 名詞解釋 6 第二章 文獻探討 第一節 心理師遭逢當事人自殺身亡經驗之相關研究 8 第二節 失落文獻回顧 26 第三節 創傷、創傷後成長之探討 31 第四節 敘說研究 35 第三章 研究方法與步驟 第一節 研究方法的選擇 39 第二節 研究者 41 第三節 研究參與者 46 第四節 研究工具 48 第五節 研究倫理 50 第六節 研究的歷程與步驟 53 第七節 資料的整理與分析 57 第八節 質性研究的準則 60 第四章 文本分析結果 第一節 香琴的故事 62 第二節 悅翎的故事 91 第三節 夏寧的故事 115 第五章 結論與建議 第一節 綜合分析與結論 132 第二節 研究者的觀察與詮釋 152 第三節 研究建議與限制 155 參考文獻 中文部份 156 英文部分 158 附錄 附錄ㄧ、研究訪談大綱 162 附錄二、研究邀請函 163 附錄三、訪談同意書 164 表目次 表2-1治療師遭逢當事人自殺身亡經驗後的衝擊經驗統整表 13 表2-2治療師遭逢當事人自殺身亡經驗所造成的負面影響與正向影響 17 表2-3治療師遭逢當事人自殺身亡後,其心理調適歷程三個階段 18 表2-4訓練實習治療師因應當事人自殺身亡事件的五階段 21 表2-5 敘說研究三種類型Mishler(1995) 36 表2-6 敘說分析兩向度 36 表2-7 四個敘說分析向度 37 表3-1 受訪者的基本資料表 47 表3-2研究參與者訪談地點表 55 表3-3 編碼方式表 57

    參考文獻
    中文部份
    孔繁鐘、孔繁錦編譯(2000): DSM-Ⅳ精神疾病診斷準則手冊。台北:合記。
    牛格正編(1996): 諮商實務的挑戰處理特殊個案的倫理問題。台北:張老師。
    王文科(1999): 教育研究法。台北:五南。
    王永智,鄧明宇譯(2003): 敘說分析。台北:五南。
    朱嘉琪與鄔佩麗(1998): 台灣婦女女性意識發展歷程之研究-以三位女性主
    義者的生命故事為例。教育心理學報,第30卷,第1期,第51-71頁。
    朱侃如(2008): 為什麼要自殺?。台北,立緒。
    朱秀琴(2006): 專業主義與哀悼-精神科醫師遭遇自殺身亡病患的社會與
    心理影響之研究。南華大學生死學研究所碩士論文,未出版。

    李如珺(2005): 諮商師自我照顧經驗研究-以協助自殺企圖者為例。國立高
    雄師範大學輔導與諮商研究所碩士論文,未出版。
    李開敏,林方皓,張玉仕,葛書倫譯(2004): 悲傷輔導與悲傷治療。台北:
    心理。
    李開敏主編(2002): 與悲傷共渡。台北,心理。
    呂欣芹與方俊凱(2008): 自殺事件發生後助人者的失落與悲傷。諮商與輔
    導,266期,第39-41頁。
    林美珠(2000): 敘事研究:從生命故事出發。輔導季刊,36卷,4期,第
    27-34頁。
    林曉玉(2006): 軍中諮商心理師面對自殺個案倫理衝突經驗之敘說研究 。
    國立臺北教育大學教育心理與諮商學系碩士論文,未出版。
    吳芝儀譯(2008): 敘事研究:詮釋與分析。嘉義:濤石文化。
    吳芝儀、李奉儒譯(1995): 質的評鑑與研究。臺北:桂冠。
    張美惠譯(2006): 當綠葉緩緩落下。台北:張老師文化。
    侯南隆 (2000): 我不是壞小孩-喪親少年的生命故事與偏差行為。南華大
    學生死學研究所碩士論文,未出版。
    胡幼慧主編(1996): 質性研究:理論、方法及本土女性研究實例。台北:
    巨流圖書公司。
    章薇卿譯(2007): 走在失落的幽谷-悲傷因應指引手冊。台北: 心理。.
    畢恆達(1996): 詮釋學與質性研究。載於胡幼慧(主編)質性研究:理論、
    方法及本土女性研究實例(頁27-45)。台北:巨流圖書公司。
    陳向明(2002): 教師如何做質的研究。台北:洪葉。
    陳家雯(2003): 創傷後成長或抑制心理歷程以藥物成癮者為例。國立臺灣
    大學心理學研究所碩士論文,未出版。
    陳琴富譯(1997): 假如我死時你不在我身邊。台北:張老師文化。
    黃瑞琴(1999): 質的教育研究方法。台北:心理。
    黃欣妏(2005): 資深諮商師處理個案自殺行為之經驗探討。國立新竹教育大學教育心理與諮商研究所碩士論文,未出版。
    楊淑涵(2002): 選擇非傳統學習領域之四技女生生涯決定歷程之敘說研究。
    國立台灣師範大學教育心理與輔導研究所碩士論文,未出版。
    鄔佩麗(2008): 危機處理與創傷治療。台北:學富。
    蔡篤堅 (2002): 台灣外科醫療發展史。台北:唐山。
    劉相弦 (2007): 諮商師常見的困境、調適方式與尋求諮商的態度。諮商與
    輔導,263期,第20-24頁。

    英文部分
    Anderson, G. O. (2005). Who, what, when, where, how, and mostly why? A
    therapist's grief over the suicide of a client. Women & Therapy, 28(1),25-34.
    Brown, H. N. (1989). Patient suicide and therapists in training. In D. Jacobs &
    H. N. Brown (Eds.), Suicide: Understanding and responding: Harvard Medical School perspectives (pp. 415-434). Madison, CT: International Universities Press.
    Brown, H. N. (1987a). The impact of suicide on therapists in training.
    Comprehensive Psychiatry, 28, 101-113.
    Brown, H. (1987b). Patient suicide during residency training (I): Incidence,
    implications, and program response. Journal of Psychiatric Education, 11,
    201-216.
    Bongar, B. (2001). The suicidal patient: Clinical and legal standards of care
    (2nd ed.).Washington, DC: American Psychological Association.
    Calhoun, L. G. & Tedeschi, R. G. (2001). Posttraumatic growth: the positive
    lessons of loss. In Robert A. Neimeyer (Eds), Meaning Reconstruction & the
    Experience of loss (pp.157-172). Washington, DC: American Psychological
    Association.
    Campbell, F. R. (2006). Aftermath of suicide: The clinician's role. In R. I.
    Simon & R.E. Hales (Eds.), The American Psychiatric Publishing Textbook
    of Suicide Assessment and Management (pp. 459-476). Washington, DC:
    American Psychiatric Publishing, Inc.
    Carter, R. E. (1971). Some effects of client suicide on the therapist.
    Psychotherapy: Theory, Research, and Practice, 8, 287-289
    Chemtob, C. M., Hamada, R. S., Bauer, G., Kinney, B., & Torigoe, R. Y. (1988).
    Patients' suicides: Frequency and impact on psychiatrists. American Journal
    of Psychiatry, 145, 224-228.
    Chemtob, C. M., Bauer, G. B., Hamada, R. S., Pelowski, S. R., & Muraoka, M. Y.
    (1989). Patient suicide: Occupational hazard for psychologists and
    psychiatrists. Professional Psychology: Research and Practice, 20, 294-300.
    Cochran, L. (1990). Narrative as a paradigm for career research. In R.A.Young
    & W.A.Borgen (Eds.),Methodological Approaches to the Study of
    Career(pp57-59).New York: Praeger.
    Collins, J. M. (2003). Impact of patient suicide on clinicians. Journal of the
    American Psychiatric Nurses Association, 9, 159-162.
    Cooper, C. (1995). Patient suicide and assault: Their impact on psychiatric
    hospital staff. Journal of Psychosocial Nursing and Mental Health Services,
    33(6), 26-29.
    Davis, C. G. (2001). The tormented and the transformed :understanding
    responses to loss and trauma. In Robert, A Neimeyer (Eds), Meaning
    Reconstruction & the Experience of loss (pp.137-155). Washington, DC:
    American Psychological Association.
    Dayton, T. (2000). Trauma and Addiction: Ending the cycle of pain through
    emotional literacy.Health Communications.Inc.
    Dewar, I.G., Eagles, J.M., Klein, S., Gray, N., & Alexander, D.A. (2000).
    Psychiatric trainees' experiences of, and reactions to, patient suicide. British
    Journal of Psychiatry, 24, 20-23.
    Feldman, S. R., Moritz, S. H., Benjamin, G., & Andrew H. (2005). Suicide and
    the law: A practical overview for mental health professionals. Women &
    Therapy, 28(1), 95-103.
    Foster, V.A., & McAdams, C.R., III. (1999). The impact of client suicide in
    counselor training: Implications for counselor education and supervision.
    Counselor Education & Supervision, 39, 22-33.
    Fox, R., & Cooper, M. (1998). The effects of suicide on the private practitioner:
    A professional and personal perspective. Clinical Social Work Journal, 26,
    143-157.
    Gorkin, M. (1985). On the suicide of one's patient. Bulletin of the Menninger
    Clinic, 49, 1-9.
    Grad, O. T. & Michel, K. (2005). Therapists as client suicide survivors. Women
    & Therapy, 28(1), 71-81.
    Horn, P. J. (1994). Therapists' psychological adaptation to client suicide.
    Psychotherapy, 31, 190-195.
    Hendin, H., Lipschitz, A., Maltsberger, J. T., Haas, A. P., & Wynecoop, S. (2000).
    Therapists' reactions to patients' suicides. Am J Psychiatry, 157(12),
    2022-2027.
    Hermans,HJ.M,(1992). Telling and retelling one’s self-narrative: a contextual
    approach to life-span development. Human Development ,35,361-375.
    Hillman,J.L.(2002). Crisis Intervention and trauma new approaches to
    evidence-based practice.New York: Kluwer Academic/Plenum Publishers.
    James, D. M. (2005). Surpassing the quota: Multiple suicides in a
    psychotherapy practice . Women & Therapy, 28(1), 9-24..
    Jones, F. A. (1987). Therapists as survivors of client suicide. In E. J. Dunne, J.
    L. McIntosh, & K. Dunne-Maxim (Eds), Suicide and its aftermath:
    Understanding and counseling the survivors (pp.126-141). New York:
    Norton.
    Litman, R. (1965). When patients commit suicide. American Journal of
    Psychotherapy, 19, 570-576.
    Midence, K., Gregory, S., & Stanley, R. (1996). The effects of patient suicide
    on nursing staff. J Clin Nurs, 5(2), 115-120.
    Marshall, K. A. (1980). When a patient commits suicide. Suicide Life Threat
    Behav, 10(1), 29-40.
    Kapoor, A. (2002t). Suicide: The effect on the counselling psychologist.
    Counselling Psychology Review, 17(3), 28-35.
    Kleespies, P. M., Smith, M. R., & Becker, B. R. (1990). Psychology interns as
    patient suicide survivors: Incidence, impact, and recovery. Professional
    Psychology: Research and Practice, 21, 257-263.
    Kleespies, P. M. (1993). The stress of patient suicidal behavior: Implications
    for interns and training programs in psychology. Professional Psychology:
    Research and Practice, 24, 477-482.
    Kleespies, P. M., Penk, W. E., & Forsyth, J. P. (1993). The stress of patient
    suicidal behavior during clinical training: Incidence, impact, and recovery.
    Professional Psychology: Research and Practice, 24, 293-303.
    Kübler-Ross, E(1970). On death and dying.New York: MacMillan.
    McAdams, C. R., III, & Foster, V. A. (2000). Client suicide: Its frequency and
    impact on counselors. Journal of Mental Health Counseling, 22, 107-121.
    McAdams C. R., III, & Foster, V. A. (2002, Fall). An Assessment of Resources
    for Counselor Coping and Recovery in the Aftermath of Client Suicide.
    Journal of Humanistic Counseling, Education & Development, 41(2),
    232-241.
    Marshall, K. A. (1980). When a patient commits suicide. Suicide Life Threat
    Behav, 10(1), 29-40.
    Menninger, W. W. (1991). Patient suicide and its impact on the psychotherapist.
    Bulletin of the Menninger Clinic, 55, 216-227.
    O'Reilly, R. L., Truant, G. S., & Donaldson, L. (1990). Psychiatrists' experience
    of suicide in their patients. Psychiatric Journal of the University of Ottawa,
    15, 173-176.
    Patton, M. Q. (1990). Qualitative evaluation and research methods. Newbury
    Park, C. A.: Sage.
    Rando, T. A. (1995). Grief and mourning:Accommodating to loss. In H. N.
    Rycroft, P. (2005). Touching the heart and soul of therapy: Surviving client
    suicide . Women & Therapy, 28(1), 83-94.
    Schultz, D. (2005). Suggestions for supervisors when a therapist experiences a
    client's suicide . Women & Therapy, 28(1), 59-69.
    Stroebe, M. S., & Stroebe, W. (1998). Model of coping. In J. H. haroey (Ed.),
    Perspective on Loss: A Sourcebook. Philadelphia: Brunner Mazel.
    Spiegelman, J. S. & Werth, J. L., Jr. (2005). Don't forget about me: The
    experiences of therapists-in-training after a client has attempted or died by
    suicide. Women & Therapy, 28(1), 35-57.
    Tedeschi, R.G., Park, C. L., &Calhoun L.G., (1995). Trauma and
    transformation: Growing in the aftermath of suffering. Thousand Oaks,
    CA: Sage
    Tedeschi, R.G., Park, C. L., &Calhoun L.G. (1998). posttraumatic growth :
    Conceptual issues. In R. G. Tedeschi, C. L. Park, & L. G. Calhoun (Eds.),
    CA: Sage
    Tedeschi, R. G. (1999). Violence transformed: Posttraumatic growth in
    survivors and their societies. Aggression and Behavior, 4(3), 319-341.
    Weiner, K. M. (Ed.). (2005). Special full issue of the journal Women &
    Therapy, Volume 28(1), 2005, with the same pagination published also as:
    Therapeutic and legal issues for therapists who have survived a client
    suicide: Breaking the silence. New York, NY: Haworth Press.

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