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研究生: 盧鴻文
Lu, Hung-Wen
論文名稱: 諮商心理師與社工師在協助遭逢家庭內性侵害兒童進行家庭重聚之處遇經驗探究
Exploring the Intervention Experience of Counseling Psychologists and Social Workers in Helping Children who Suffer from Intra-family Sexual Abuse for Family Reunification
指導教授: 田秀蘭
Tien, Hsiu-Lan
學位類別: 博士
Doctor
系所名稱: 教育心理與輔導學系
Department of Educational Psychology and Counseling
論文出版年: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 264
中文關鍵詞: 諮商心理師社工師遭逢家庭內性侵害兒童家庭重聚
英文關鍵詞: counseling psychologist, social worker, children suffering from intra-family sexual abuse, family reunification
DOI URL: https://doi.org/10.6345/NTNU202202085
論文種類: 學術論文
相關次數: 點閱:329下載:36
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本研究旨在瞭解諮商心理師與社工師在協助遭逢家庭內性侵害的兒童,進行家庭重聚的工作經驗,主要包括家庭重聚的處遇與評估、困境經驗與有效解決策略、以及兩專業間的合作,進而達成功之家庭重聚。本研究採以質性研究中社會建構取向的紮根理論為研究方法,進行半結構的深度訪談。本研究共邀請 14 位諮商心理師與 13 位社工師。研究結果發現:1.家庭內性侵害之家庭重聚經驗內涵包含處遇計畫的形塑與執行、家庭重聚的評估向度、以及分階段的介入歷程與工作要點;2.實務困境則為兒童能力有限、加害者的危險因子無法減少、司法對家庭重聚影響力、原生家庭改變不易、介入與監控功能有限、資源聯繫與整合的困難;3.困境因應的策略為促進家庭關係的聯結、誘發系統的改變、在司法上呈現中立態度、增加返家前後的評估介入、因地制宜;4.合作經驗為多專業的各司其職,責任分工,以及專業間的合作共生,共利互惠。本研究根據研究結果提出:諮商心理師與社工師協助遭逢家庭內性侵害兒童進行家庭重聚之生態互動模式。此模式以家庭為單位的逐步漸進工作方式、家庭韌力與優勢取向為底蘊,模式內涵為透過諮商心理師與社工師專業間的合作,協助遭逢家庭內性侵害與其家庭的處遇工作,並協助向外連結其生態系統,建立夥伴關係的生態互動合作。最後,本研究針對研究結果進行討論,並針對實務與未來研究提出建議。

This study aims at understanding the work and experience of counseling psychologists and social workers in helping children who suffered from intra-family sexual abuse and proceeded with their family unification. It mainly focuses on the intervention and evaluation for family reunification, the experience of dilemmas and effective resolution strategies, and the interdisciplinary cooperation, which lead to the successful accomplishment of family reunification. This study adopted the research method which is based on constructivist grounded theory with qualitative analysis, and conducted semi-structured in-depth interviews. A total of 14 counseling psychologists and 13 social workers were invited to participate in this study. Research results reveal that: 1. The experience of family reunification for those who suffered from intra-family sexual abuse included the forming and execution of an intervention plan, the evaluation orientations of family reunification, the staged intervention process and respective work focuses; 2. practical dilemmas included the limits of children’s ability, failure in reducing the perpetrator’s risk factors, the judiciary’s influence on family reunification, the difficulty in changing the family of origin, the limited performance of intervention and monitoring work, and the difficulty in linking and consolidating resources; 3. strategies for coping with the dilemmas include enhancing internal connections within family, inducing systematic change, presenting judicial impartiality, intensifying evaluations and interventions before and after the concerned person returned home, and devising proper measures to match individual conditions; 4. the experience of interdisciplinary cooperation is mostly characterized by professional responsibility assignment, interdisciplinary interdependence, mutual benefit, and reciprocity. Based on the research results, an ecosystem-interactive model of family reunification is recommended for counseling psychologists and social workers to help children having suffered from intra-family sexual abuse. In this model, a family-based progressive work approach is adopted, which is rooted in the foundation of family resilience and the strength approach. Through interdisciplinary cooperation, counseling psychologists and social workers offer help to the victims of intra-family sexual abuse and intervene in their families. Assistance is also given to make connection with the external ecosystem, so as to build an ecosystem-interactive partnership. Finally, the research results are discussed and recommendations for practical work and future studies are proposed in this study.

致謝辭 i 中文摘要 iii 英文摘要 v 目次 vii 表次 xi 圖次 xiii 第一章 緒論 1 第一節 研究動機與背景 1 第二節 研究目的與問題 12 第三節 名詞釋義 13 第二章 文獻探討 17 第一節 家庭內性侵害之家庭創傷與復原 17 第二節 兒童虐待之家庭重聚的內涵 29 第三節 專業間的生態系統合作 39 第三章 研究方法 47 第一節 研究取向與方法 47 第二節 研究參與者 50 第三節 研究工具 54 第四節 研究程序 62 第五節 資料分析 64 第六節 研究品質之評估 68 第七節 研究倫理 71 第四章 研究結果 75 第一節 家庭內性侵害之家庭重聚處遇經驗的內涵 75 第二節 家庭重聚的實務困境、因應策略,及專業間的合作經驗 121 第三節 成功家庭重聚的關鍵要素 159 第五章 研究討論與建議反思 187 第一節 家庭內性侵害之家庭重聚的處遇意涵 187 第二節 家庭內性侵害之家庭重聚的實務困境、因應策略與專業間合作 之相關議題探討 196 第三節 建構家庭韌力與優勢取向的家庭內性侵害之家庭重聚模 式 209 第四節 研究限制與建議 220 第五節 研究反思 226 參考文獻 231 中文部分 231 西文部分 237 附錄 247 附錄一 研究邀請函 247 附錄二 研究參與者知情同意書 248 附錄三 協同分析者參與保密同意書 251 附錄四 逐字稿謄寫保密同意書 252 附錄五 訪談大綱 253 附錄六 研究反思札記 254 附錄七 編碼簿 255 附錄八 諮商心理師研究分析結果表 256 附錄九 社工師研究分析結果表 260 附錄十 倫理審查核可證明書 264

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