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研究生: 林煜智
論文名稱: 心理助人工作者與遭遇恐怖情人求助者之重要諮商議題探討
A Study of Counseling Topics between Mental Health Professionals and Clients of Intimate Partner Violence
指導教授: 王麗斐
Wang, Li-Fei
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: 2014
畢業學年度: 102
語文別: 中文
論文頁數: 155
中文關鍵詞: 恐怖情人諮商
英文關鍵詞: counseling, violent lover
論文種類: 學術論文
相關次數: 點閱:777下載:110
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  • 本研究旨在探討心理助人者與遭遇恐怖情人案主的工作歷程中,所出現的重要議題。本研究邀請了五位心理助人者,使用半結構的方式進行深度訪談。並以現象學的哲學為研究基礎,運用主題分析法進行資料分析與歸納。本研究的結果發現如下:
    一、 受訪者接案當下的重要議題為:(1)遭遇的挑戰:危機判斷和通報議題、心理助人者發現案主無法離開恐怖情人、負向的互動脈絡;(2)介入的內涵:針對危機進行情境進行處遇與增加案主自我探索和覺察;(3)接案中的轉捩點:來自諮商處遇的影響,或是生活中的其他因素導致;(4)督導的影響與介入:督導的建議當下可以執行,但有些建議是需要時間學習和應對;(5)結案的脈絡。
    二、 心理助人者結案後的反思主題為:(1) 回顧當下沒有去碰觸的議題和意義;(2) 反思脈絡後形成新觀點;(3) 未來想要修正的諮商介入;(4) 心理助人者個人對於遭受親密關係暴力案主的復原力建議。

    最後根據本研究的結論與發現,對諮商實務工作者提出的討論要點如下:通報歷程是需要不斷溝通的、危機處理的意義討論、案主離開恐怖情人的擺盪、探索和親密關係暴力相似的人際議題、會談時間的長度、個人議題在諮商中的干擾、對案主復原概念化的評估。並對未來的研究者提出建議。

    The purpose of this research is to explore the topics between health mentals professionals and clients of intimate partner violence. 5 therapists were invited for a semi-structured in-depth interview, and the research design was according to the principles of phenomenological approach and the data is encoded according to thematic analysis.

    The result and conclusions are as follows:
    1. The important topics among counseling: (1)The challenges to encounter: Crisis assessment and security reports, health mentals professionals found clients don’t want to leave the violent relationships, and there are negative interactions between the counselors and the clients;(2)the meanings of counseling intervention: Crisis intervention, enhancing the clients’ self-awareness;(3)the turn point of counseling: It came from counseling interventions, or from life events ;(4)the influences and suggestions of supervisers: Some suggestions could be immediately implemented, while some suggestions may need extra time for further learning and consideration; (5)the context of termination.
    2. Therapist's self-reflection upon case termination: (1) Reflection of issues that has not been addressed in the sessions;(2)establishment of new perpestives;(3) modification of interventions; (4)suggestion of the resiliency of intimacy violence victims from the counselors.

    Based of the results of the study, suggestions were purposed for therapists, as follows:(1)It’s necessary to communicate repeatedly to security reports;(2)the meaning of crisis interventions;(3)the clients’ hesitation of leaving violent lovers;(4) explore the similar interpersonal patterns;(5)the length of counseling;(6)the counter-transference of the therapist should be fully aware;(7)the assessment of clients’ recovery conceptualization. In addition, suggestions were purposed for future reasearch.

    致謝詞 i 中文摘要 iii 英文摘要 v 目次 vii 表次 ix 圖次 xi 第一章 緒論 1 第一節 研究動機 1 第二節 研究目的 5 第三節 名詞解釋 6 第二章 文獻探討 7 第一節 親密關係暴力的現況、成因分析及因應方式 7 第二節 暴力創傷經驗和復原 15 第三節 未婚親密關係暴力諮商實務上的困境 18 第三章 研究方法 25 第一節 研究取向與方法 25 第二節 研究參與者 27 第三節 研究工具 31 第四節 研究程序 34 第五節 資料處理與分析 38 第六節 質性研究可信度指標 42 第七節 研究倫理 44 第四章 研究結果 47 第一節 受訪者與遭遇恐怖情人案主的接案簡要脈絡 47 第三節 受訪者在結案後的反思 88 第五章 研究討論、限制與未來建議 119 第一節 研究討論 119 第二節 究限制和建議 133 參考文獻 137 中文部分 137 英文部分 140 附錄 147 附錄一 訪談大綱 147 附錄二 研究訪談邀請 148 附錄三 研究訪談同意書 150 附錄四 研究檢核表 152 附錄五 危機處理七大階段 153

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