研究生: |
林欣怡 Lin Hsin-Yi |
---|---|
論文名稱: |
焦點解決短期諮商對外向行為問題兒童輔導效果之研究 A Study of the Effects of Solution-Focused Brief Therapy on Children with Externalizing Behavior Problems. |
指導教授: |
許維素
Hsu, Wei-Su |
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: | 2011 |
畢業學年度: | 99 |
語文別: | 中文 |
論文頁數: | 233 |
中文關鍵詞: | 焦點解決短期諮商 、外向性行為問題 、兒童 、個案研究 |
英文關鍵詞: | Solution-Focused Brief Therapy, externalizing behavior problems, children, case study |
論文種類: | 學術論文 |
相關次數: | 點閱:218 下載:21 |
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本研究旨在瞭解焦點解決短期諮商(Solution-Focused Brief Therapy,簡稱SFBT)對外向行為問題(externalizing behavior problems)兒童的輔導效果。以三位外向行為問題兒童為研究對象,分別進行每週一次,約八到十四次的焦點解決短期諮商的個別晤談,採質性個案研究取向,分別以諮商過程逐字稿、個案諮商後問卷、家長及導師諮商前後訪談資料,等不同觀點加以分析探討,結果如下:
發現三位個案在經過焦點解決短期諮商後,在五個方面展現出輔導效果及改變情形,而不同觀察者對改變之認定與觀察角度具有差異性:
一、三位個案個別的整體行為改變
焦點解決短期諮商過程中,卜派所產生的整體改變有:在攻擊他人、好發脾氣、容易跟人起衝突方面有進步,在接受大人的規定和指示上有改善,甚至學到更為有效、正向的方式來取代自己想攻擊他人與想破壞物品的衝動。
而辛巴整體改變的反應有:在好爭辯、拒絕聽從規定、勸導或反抗大人的指示上都有了程度方面的改善,願意偶爾配合老師的要求與糾正,之前大起大落的情緒現在有持續小小些微的進步中。
對柯南所產生的整體改變有:不主動去招惹別人,也盡量不去理會他人對自己不友善的攻擊行為,能接受事先約定好的設限範圍。
二、外向性行為問題減少:(1)對他人具有威脅性的外顯攻擊行為有稍許的變化或調整;以及(2)在情緒上較能調節,遵守規範之態度有改進,但衝動性格難控制。
三、正向行為增加:(1)變得較能接受現實,而非低估自己行為對他人的敵對性與平心靜氣接受違常行為之後果;(2)均在表情達意的能力技巧上有所增進;(3)處於適應困難的生活中,仍能保有對自己的正向態度;(4)逐漸展現出成熟與負責的行為;(5)嘗試融入團體當中,執行任務行為;以及(6)學習因應人際衝突,嘗試有效增進人際關係之策略。
四、對內在狀態改變的詮釋:(1)在認知內容上的詮釋有了調整或自身有進一步的覺察;以及(2)情緒與認知彼此相互影響。
五、課業表現:(1)在學習態度方面,學習意願有提升;(2)在學科成績方面,喜歡的科目成績有進步;以及(3)作業表現方面,能願意繳交作業並且字體變整齊。
最後,研究者依據研究結果進行討論,並針對諮商實務工作者,以及未來研究提出相關建議。
This study was to examine the effects of solution-focused brief therapy on children with externalizing behavior problems. Three children diagnosed with externalizing behavior problems participated in the study and received eight to fourteen solution-focused brief therapies individually and respectively. Qualitative method was adopted in the data collection and incorporated the instruments of therapy transcripts, an post-therapy questionnaire, and interviews with parents and teachers.
The results showed that after solution-focused brief therapies, the positive effects and changes were found in five aspects as follows:
1. Changes in overall behavior: an improvement can be seen in Case A who became more effective and positive in receiving rules and orders instead of having attention of attacking others or damaging things. Case B used to be quarreled and rebellious in obeying rules and listening to the instructions, but was changed to cooperating with teachers’ demands and corrections. Case C was unwilling to provoke others, tolerant of others unfriendly behaviors against him and kept his promises to the set agreement between him and teachers.
2. Decline in externalizing behavior problems: first, their externalizing behaviors against others were decreased steadily; and then, they were more able to control their emotions and their attitudes toward obeying rules were improved, but it was sometimes difficult to control their own impulse characters.
3. Increase of positive behaviors: they became realistic and were aware of the hostile effects of their acts on others, and accept the consequences of their behaviors. Also, the ability of expressing their opinions and feelings was risen, and positive attitudes toward difficult situations appeared. Moreover, they were more mature and responsible for their behaviors, and participated in groups so as to fulfill tasks. Finally, they learned to deal with conflicts and adopted strategies to improve relationship with others.
4. Changes of inner condition: positive attitudes toward others and awareness of the ego, i.e. their previous inappropriate behaviors; a beneficial influence between emotions and thoughts.
5. Improvement in academic performance, e.g. learning attitudes, scores of favorite subjects, and willingness to finish homework in an appropriate way.
The research findings demonstrate the positive effects of solution-focused brief therapy on children with externalizing behavior problems. Thus, several recommendations of this study can be deduced for the implications of SFBT in clinical practice and also for future research.
key word:Solution-Focused Brief Therapy,externalizing behavior problems ,children,case study
一、中文部份
王富美(2004):社會訊息處理歷程教育方案對國小高攻擊行為兒童輔導效果之研究。國立臺南大學特殊教育學系碩士論文。
王明傳(2001):兒童期外向行為問題與學業成就的結構關係模式之驗證。國立台灣師範大學教育心理與輔導研究所碩士論文。
王海捷(1997):情緒管理策略對國小攻擊兒童攻擊行為情緒困擾及生活適應之效果研究。國立嘉義師範學院國民教育研究所碩士論文。
王櫻芬(1996):社交技巧訓練對國小攻擊傾向兒童之攻擊行為、社交技巧與自我效能之影響效果研究。國立高雄師範大學輔導學系碩士論文。
皮玉鳳(1989):生氣控制訓練對國小高攻擊性兒童輔導效果之研究。國立台灣師範大學教育心理與輔導研究所碩士論文。
杜怡蓁(2008):焦點解決短期諮商對國小攻擊傾向兒童之輔導歷程研究。國立臺南大學教育學系輔導教學碩士班碩士論文市。
何仲蓉(2002):焦點解決諮商對個案復原力建構之影響研究。國立彰化師範大學輔導與諮商系碩士論文。
吳淑芳、江鵬珠、蔡金凉(2008):柔軟心‧輔導情—兒童適應困難的輔導實務。臺北市:洪葉文化。
吳秋燕(1999):社會技巧訓練對增進國小問題行為兒童社會適應能力教學成之研究。國立彰化師範大學特殊教育研究所碩士論文。
吳芳萍(1996):認知行為取向團體輔導對國小高攻擊性兒童輔導效果之研究。國立屏東師範學院初等教育學系碩士論文。
吳武典(1985):青少年問題與對策。臺北市:張老師
林怡光(2004):焦點解決短期諮商在兒童輔導上的應用。輔導季刊,40(3),21-28。
林素秋(2002):音樂治療活動對國小四至六年級學童之攻擊與人際關係問題輔導研究。國立屏東師範學院心理輔導教育研究所碩士論文。
林旖旎(2001):整合性短期心理諮商模式理論架構與應用。輔導季刊,37(l), 13-19。
林佩璇(2000):質的研究方法。高雄:麗文文化。
邱獻輝(2003):兒童心理治療:以焦點解決短期治療為基礎的整合觀點。輔導季刊,19(3),47-55。
洪莉竹(2007):稻草變黃金—焦點解決諮商訓練手冊。台北:張老師文化。
洪莉竹(1998):焦點解決短期諮商在親職教育上的應用(下)。諮商與輔導,150,7-10。
蔡玉華(2004):焦點解決團體諮商對國小兒童負向情緒輔導效果之研究。國立花蓮師範學院輔導碩士班碩士論文。
洪榮照(1999):兒童攻擊行為相關因素與認知行為策略輔導效果之研究。國立彰化師範大學特殊教育學系博士論文。
唐子俊、黃詩殷、王慧瑛(2005):青少年心理障礙快速診斷手冊。台北:心理。
徐澄清(1969):心理衛生工作從學校做起。臺北市:幼獅文化事業公司。
康馨如(2005):兒童焦點解決短期心理諮商初探。諮商與輔導,234,6-9 。
許維素(2006):SFBT應用在教師輔導效能。載於李玉嬋、林世莉、洪莉竹、張佳雯、張德聰、許維素、陳秉華、葉貞屏、樊雪春(合著):焦點解決諮商的多元應用(313-364)。台北市:張老師。
許維素(2003a):焦點解決短期心理治療的應用。臺北市:天馬出版社。
許維素(2003b):師生抗SARS:焦點解決短期諮商思維的加入。學生輔導雙月刊 ,87,96-106。
許維素、樊雪春、洪莉竹、賈紅鶯、李玉嬋、張德聰:(1998)。焦點解決短期諮商。臺北市:張老師文化。
陳意文(2005):使用焦點解決短期諮商(SFBT)與兒童工作之感想。諮商與輔導,234,36-39。
陳清泉(2001):焦點解決諮商效果之研究—巡迴架構分析法的應用。國立台灣師範大學教育心理與輔導研究所博士論文。
陳東陞(1996):行為偏差兒童的社會技能教學。載於馮觀富等著:兒童偏差行為的輔導與治療(149-189)。臺北市:心理出版社。
陳淑玲(1994):攻擊傾向兒童在讀書治療中之改變歷程研究。國立臺南大學諮商與輔導學系碩士論文。
黃愷宜(2009):以焦點解決取向團體諮商協助高風險家庭兒童之行動研究國立台北教育大學心理與諮商學系碩士論文。
黃智淵(2007):焦點解決短期心理諮商在兒童輔導工作上的運用。師說,201,23-25。
黃筱雯(2006):國小學童解決取向諮商架構之行動研究。國立台北教育大學教育心理與諮商學系碩士論文。
黃麗芬(2004):焦點解決取向團體諮商對低自尊國中生之影響研究。國立彰化師範大學輔導與諮商學系碩士論文。
黃月霞(2002):兒童輔導與諮商—了解兒童.諮商服務.技巧訓練。台北市:五南出版社。
黃月霞(1998):兒童輔導與諮商。台北:桂冠。
黃德祥(1994):學生違規及暴力行為的成因與處理。載於黃政傑、李隆盛(主編):班級經營—理念與策略(115-129)。臺北市:師大書苑。
游麗蓉(2002):閱讀治療取向的小團體輔導對國小攻擊行為傾向兒童自我概念影響歷程之研究。國立台中師範學院國民教育研究所碩士論文。
張德聰(1999):運用焦點解決法於成人生涯轉換諮商效果之研究。國立台灣師範大學教育心理與輔導研究所博士論文。
楊虹姿(2010):焦點解決取向輔導提升國小注意力缺失過動症兒童學校適應能力之研究。國立台北教育大學心理與諮商學系碩士論文。
廖鳳池、王文秀、田秀蘭(1997):兒童輔導原理。臺北市:心理出版社。
鄭文烽(2004):焦點解決取向團體諮商對國中青少年偏差行為之輔導歷程與效果研究。國立中正大學犯罪防治研究所碩士論文。
鄭曉楓(2002):認知行為取向團體輔導對國小攻擊傾向兒童之攻擊及攻擊行為影響效果研究信念。國立新竹師範學院國民教育研究所碩士論文。
潘淑滿(2003):質性硏究 : 理論與應用。台北市:心理出版社。
薛惠琪(2004):品行症與對立反抗症。載於梁培勇(主編):兒童偏差行為(127-142)。台北市:心理出版社。
簡紅珠(1997):在新世紀的學校教育脈絡中建構良性互動與有效學習的班級環境。國教世紀, 178期,頁13-16。
李慧貞、潘祥齡、周秀姝、陳素惠等譯(2006):建構解決之道的會談:焦點解決短
期治療。台北市:湯姆出版社。De Jong, P., & Berg, I. K. (2002). Interviewing
for solutions, Pacific Grove, CA: Wadsworth.
邱珍琬譯(2002):焦點解決在國高中的運用。臺北市:天馬文化。Murphy, J. J.(1997).
Solution-focused counseling in middle and high schools, Alexandria, VA:
American Counseling Associations.
尚榮安譯(2005):個案研究法。台北:弘智文化。Robert K. Yin(2001). Case Study
Research, Thousand Oaks, CA: Sage Publications.
連廷誥、連廷嘉、連秀鸞譯(2006):認識諮商研究。台北市:心理出版社。McLeod,
J.(2003). An introduction to counseling, Berkshire, England: Open University
Press.
黃漢耀譯(2004):兒童與青少年焦點解決短期諮商。台北市:張老師文化。Berg,
I. K. & Steiner, T.(2003). Children’s solution work, New York: W.W. Norton & Co.
黃漢耀譯(2006):克服逆境的孩子—焦點解決諮商的家庭策略。台北市:張老師。Selekman, M. D.(1997). Solution-focused therapy with children: Harnessing
family strengths for systemic change, NY: Guilford Press.
蔡翊楦、陳素惠、張曉佩、王昭琪、許維素譯(2005):學校輔導中的焦點解決短期諮商。台北市:心理出版社。Sklare, G. B.(2003). Brief counseling that works:
A solution-focused approach for school counselors and administrators(2nd ed.),
Thousand Oaks, CA: Corwin Press.
羅湘敏、楊碧桃、黃秋霞、王智梅譯(2008):情緒及行為障礙學生教育。台北市:心理出版社。Kauffman, J. M.(2005). Characteristics of emotional and
behavioral disorders of children and youth(8th ed.), Upper Saddle River, NJ:
Prentice-Hall.
二、西文部份
Alasdair J. Macdonald (2007).Solution-Focused Therapy: Theory,Research& Practice.
SAGE Publications Ltd
Achenbach, T., & Edelbrock, C.(1978). The classification of childhood psychotherapy:
A review and analysis of empirical efforts. Psychological Bulletin, 85, 1275-
1301.
Berg, I. K. & Steiner, T. (2003). Children’s Solution Work. New York: W. W. Norton &
Company.
Berg, I. K. & Dolan, Y. (2001). Tales of solutions: a collection of hope-inspiring stories.
Published by arrangement with W. W, Norton & Company, Inc.
Bennett, ,K.J., Lipman, E.L., Racine Y., & Offord D.R. (1998). Annotation:Do
measures of externalising behavior in normal populations predict later outcome?
: Implications for targeted interventions to prevent conduct disorder. Joumal of
Child Psychology and Psychiatry,39(8),1059-1070.
Campbell,S.B., Pierce,E.W., Moore.G., Marakovitz, S., & Newby,K. (1996). Boys’
externalizing problems at elementary school age: Pathways from early behavior
problems, maternal control, and family stress. Development and
psychopathology, 8,701-719.
Crick,N.R., & Dodge, K. A. (1994). Social information-processing mechanisms in
reactive and proactive aggression. Child Development,67, 993-1002.
Corey, G. (2005). Theory and practice of Counseling and psychotherapy.(7th ed.) 。
Thomson Learning, CA:Brooks/Cole.
Cssat, C.D.,Norton, H.J., & Boyle-Whitesel,M.(1999). Identification of elementary
school children at risk for disruptive behavlor disturbance:Validation of a
combined screening method. Journal of the American Academy of Child and
Adolescent Psychiatry,38(10) ,1246-1253.
De Jong, P. & Berg, I. K. (2002). Interviewing for solutions. Candan: Wadsworth Group.
Deater-Deckard, K., & Plomin,R. (1999). An adoption study of the etiology of teacher
and parent reports of externalizing behavior problems in middle childhood.
Child Development, 70 (1),144-154.
De Jon, P., & Miller, S. D. (1995). How to interview for client strength. Social Work,
40, 729-736.
Dodge,K.A., Pettit, G.S., & Bates, J.E. (1994). Socialization mediators of the relation
between socioeconomic status and child conduct problems. Child Development,
65, 649-665.
De Shazer, S. (1985). Keys to solution in brief therapy. New Yark: W. W. Norton
Gingerich, W. J. & Wabeke, T. (2001). A Solution-Focused Approach to Mental Health
Intervention in School Settings. Children and School. V.1, N.23, pp.33-47.
Goldenberg, I. & Goldenberg, H. (1996). Family Therapy: An Overview (4th.). Pacific
Grove CA: Brooks/Cole Publishing Company.
Hymel, S., Rubin, K.H., Rowden, L. & Lemare, L.(1990).Children’s peer relationships :
Longitudinal Prediction of Internalizing and Externalizing Problems from
Middle to Late Childhood. Child Development, 61 (6), 2004-2021.
Kupersmidt, J. B. & Coie, J. D. (1990). Preadolescent Peer Status, Aggression. And
School Adjustment as Predictors of Externalizing Problems in Adolescence.
Child Development ,61,1350-1362.
Keenan K.,Shaw D, Delliquadri E.,Giovannelli J., & Walsh B. (1998). Evidence for the
continuity of early problem behaviors:Application of a development model.
Joumal of Abnormal Child Psychology, 26(6),441.-454.
Kuo, M., Mohler,B., Raudenbush, S.L., & Earls,F.J.(2000). Assessing exposure to
violence using multiple informants:Application of hierarchical linear model.
Journal of Child Psychology and Psychiatry, 41 (8),1049-1056.
Loeber, R., Burke,J.D., Lahey,B.,Winters, A., &Zera, M. (2000). Oppositional defiant
and conduct disorder: A review of the past 10 years, part I. Journal of the
American Academy of Child and Adolescent Psychiatry,39(12), 1468-1484.
Lochman, J. E. ,White, K. J., & Wayland, K. K.(1991). Cognitive-behavioral assessment
and treatment with aggresion children. In P.C. Kendall(ed.). Child and
adolescent therapy: Cognitive-behavioral procedures, pp.25-65. New York:
Guilford.
Murphy, J. J. (1997). Solution-focused counseling in middle and high schools. American
Counseling Association.
Murphy. J. J. (1994). Working With What Works: A Solution-Focuscd Approach to
School Behavior Problems. The School Counselor, Vol.42 , 58-65.
O’Connel, B. (1998). Solution- focused therapy. London:SAGE.
Smith, I C. ( 2005). Solution-focused brief therapy with people with learning
disabilities: a case study. British Journal of Learning Disabilities, 33(3),
102-105
Sue Young, R & Holdorf, G. ( 2003). Using Solution focused brief therapy in individual
referrals for bullying. Educational Psychology in Practice, 19(4), 271-282
Stevens,J., Quittner,A.L., & Abikoff, H. (1998). Factors influencing elementary school
teachers’ ratings of ADHD and ODD behaviors. Joumal of Clinical Child
Psychology,27(4),406-414.
SKlare, G. B. (1997). Brief counseling that works: A solution-focused approach for
school counselor .California: Corwin Press, Inc.
Selekman, M. D. (1997). Solution-focused therapy with children: Harnessing family
strengths for systemic change. New York: Guilford Press.
Walter J. L., & Peller J.E. (1992). Becoming solution-Focused in brief therapy. New
York : Brunner/Mazel Publishers.
Webb, W. H. (1999). Solutioning: solution-focused interventions for counselors. New
York:W. W. Norton.