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研究生: 李明晉
論文名稱: 人際歷程心理治療中依附議題個案關係模式之改變歷程研究
A Study on the Changing Process of the Relational Patterns of Attachment Issues in Interpersonal Process Psychotherapy
指導教授: 陳秀蓉
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: 2014
畢業學年度: 102
語文別: 中文
論文頁數: 349
中文關鍵詞: 人際歷程心理治療依附議題敘事結構分析核心衝突關係主題
論文種類: 學術論文
相關次數: 點閱:236下載:32
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  • 個體早期與主要照顧者的依附關係影響深遠,除對個體的內在運作模式有所影響外,也會對其人際關係模式,甚至是成人關係有相當程度的影響。本研究目的為探討依附議題的個案,接受人際歷程心理治療後,其在核心衝突主題與人際敘事結構上的改變為何。研究者以人際依附風格量表篩選2名歸屬於非安全依附的個案(一位為焦慮型依附,另一位為排除型依附),確認個案瞭解研究目的與流程,並簽署研究同意書後,再進行約15-20次的人際歷程心理治療。研究者將在第2與16次(或是最後一次)晤談後,進行關係軼事範例訪談;另一方面,也在第2、6、11、16次(或是最後一次)晤談後,實施貝克憂鬱量表第二版、貝克焦慮量表的施測,以對於個案核心衝突關係主題的變化進行量、質化資料收集。另外,研究者亦將每次晤談進行錄音,並主要將第2、6、11、16次(或是最後一次)晤談內容謄成逐字稿,以作為個案在治療歷程中核心衝突關係主題與人際敘事結構的改變歷程的資料收集。經由上述資料收集之後,研究者以敘事結構分析、核心衝突關係主題法進行質化資料處理。最後統整相關研究成果,並提出未來研究的相關建議。

    第一章 緒論…………………………………………………………………… 1 第一節 研究動機與目的………………………………………………… 1 第二節 名詞釋義………………………………………………………… 4 第二章 文獻探討……………………………………………………………… 6 第一節 依附與核心關係衝突.................................................................... 6 第二節 人際歷程心理治療之治療歷程................................................... 15 第三章 研究方法……………………………………………………………… 37 第一節 研究對象……………………………………………………… 37 第二節 研究人員……………………………………………………… 38 第三節 研究工具……………………………………………………… 39 第四節 研究程序……………………………………………………… 44 第五節 資料分析方法.………………………………………………… 47 第六節 研究之信、效度檢核................................................................... 53 第四章 研究結果................................................................................................. 55 第一節 敘事結構分析之研究結果............................................................. 55 第二節 核心衝突關係主題之研究結果................................................... 177 第五章 綜合分析與討論...................................................................................... 265 第一節 敘事結構之綜合分析與討論......................................................... 265 第二節 核心衝突關係主題法之綜合分析與討論................................... 285 第六章 結論與建議.............................................................................................. 322 第一節 研究結論.......................................................................................... 322 第二節 研究限制.......................................................................................... 327 第三節 研究反思與建議.............................................................................. 328 參考文獻………………………………………………………………………… 329 附錄……………………………………………………………………………… 337 附錄一………………………………………………………………………… 337 附錄二………………………………………………………………………… 338 附錄三………………………………………………………………………… 339 附錄四………………………………………………………………………… 340 附錄五………………………………………………………………………… 341 附錄六………………………………………………………………………… 342 附錄七………………………………………………………………………… 344 附錄八………………………………………………………………………… 346 附錄九………………………………………………………………………… 347 附錄十………………………………………………………………………… 348 附錄十一……………………………………………………………………… 349 表目次 表2-2-1 治療同盟破裂的介入策略……………………………………..... 33 表3-5-1 敘事結構分析表…………………………..................................... 47 表4-1-1 不同治療階段中敘事主題摘要表………………………………. 55 表4-1-2 主題5-1敘事結構要素分析表………………………………… 59 表4-1-3 主題5-6敘事結構要素分析表………………………………… 63 表4-1-4 主題5-8敘事結構要素分析表………………………………… 66 表4-1-5 主題10-1敘事結構要素分析表………………………………… 70 表4-1-6 主題10-5敘事結構要素分析表………………………………… 73 表4-1-7 主題10-6敘事結構要素分析表………………………………… 78 表4-1-8 主題15-1敘事結構要素分析表………………………………… 82 表4-1-9 主題15-5敘事結構要素分析表………………………………… 86 表4-1-10 主題15-8敘事結構要素分析表………………………………… 91 表4-1-11 主題15-12敘事結構要素分析表……………………………… 95 表4-1-12 主題15-14敘事結構要素分析表……………………………… 98 表4-1-13 主題15-15敘事結構要素分析表……………………………… 102 表4-1-14 主題15-16敘事結構要素分析表……………………………… 105 表4-1-15 主題20-1敘事結構要素分析表……………………………….. 108 表4-1-16 主題20-2敘事結構要素分析表…………………………………. 112 表4-1-17 主題20-3敘事結構要素分析表…………………………………. 114 表4-1-18 主題20-7敘事結構要素分析表…………………………………. 116 表4-1-19 主題20-10敘事結構要素分析表……………………………… 119 表4-1-20 主題20-14敘事結構要素分析表……………………………… 121 表4-1-21 主題4-1敘事結構要素分析表………………………………… 123 表4-1-22 主題4-7敘事結構要素分析表………………………………… 126 表4-1-23 主題4-11敘事結構要素分析表………………………………… 128 表4-1-24 主題4-14敘事結構要素分析表…………………………………. 131 表4-1-25 主題4-22敘事結構要素分析表………………………………… 134 表4-1-26 主題8-1敘事結構要素分析表………………………………… 137 表4-1-27 主題8-4敘事結構要素分析表…………………………………. 139 表4-1-28 主題8-9敘事結構要素分析表………………………………… 143 表4-1-29 主題8-10敘事結構要素分析表………………………………… 147 表4-1-30 主題12-1敘事結構要素分析表………………………………… 150 表4-1-31 主題12-2敘事結構要素分析表…………………………………. 155 表4-1-32 主題12-5敘事結構要素分析表…………………………………. 158 表4-1-33 主題12-7敘事結構要素分析表…………………………………. 161 表4-1-34 主題12-8敘事結構要素分析表…………………………………. 165 表4-1-35 主題15-1敘事結構要素分析表…………………………………. 167 表4-1-36 主題15-3敘事結構要素分析表……………………………….… 170 表4-1-37 主題15-4敘事結構要素分析表………………………………… 173 表4-1-38 主題15-10敘事結構要素分析表……………………………… 176 表4-2-1 前後測不同關係對象的核心衝突關係主題摘要表…………… 178 表4-2-2 RE-父1核心衝突關係主題摘要表……………………………… 181 表4-2-3 RE-父2核心衝突關係主題摘要表……………………………… 183 表4-2-4 RE-母1核心衝突關係主題摘要表……………………………… 185 表4-2-5 RE-母2核心衝突關係主題摘要表……………………………… 188 表4-2-6 關係事件(RE)-男友1核心衝突關係主題摘要表……………. 190 表4-2-7 RE-男友2核心衝突關係主題摘要表…………………………… 194 表4-2-8 RE-男友3核心衝突關係主題摘要表…………………………… 196 表4-2-9 RE-心1核心衝突關係主題摘要表……………………………… 198 表4-2-10 RE-心2核心衝突關係主題摘要表……………………………… 200 表4-2-11 RE-心3核心衝突關係主題摘要表……………………………… 201 表4-2-12 RE-父1核心衝突關係主題摘要表……………………………… 203 表4-2-13 RE-父2核心衝突關係主題摘要表……………………………… 205 表4-2-14 RE-母1核心衝突關係主題摘要表……………………………… 207 表4-2-15 RE-母2核心衝突關係主題摘要表……………………………… 209 表4-2-16 RE-男友1核心衝突關係主題摘要表…………………………… 211 表4-2-17 RE-男友2核心衝突關係主題摘要表………………………….... 213 表4-2-18 RE-男友3核心衝突關係主題摘要表…………………………… 215 表4-2-19 RE-心1核心衝突關係主題摘要表……………………………… 217 表4-2-20 RE-心2核心衝突關係主題摘要表……………………………… 218 表4-2-21 RE-心3核心衝突關係主題摘要表……………………………… 220 表4-2-22 RE-父1核心衝突關係主題摘要表……………………………… 222 表4-2-23 RE-父2核心衝突關係主題摘要表……………………………… 225 表4-2-24 RE-母1核心衝突關係主題摘要表……………………………… 228 表4-2-25 RE-同學1核心衝突關係主題摘要表………………………….... 231 表4-2-26 RE-同學2核心衝突關係主題摘要表…………………………… 234 表4-2-27 RE-同學3核心衝突關係主題摘要表…………………………… 235 表4-2-28 RE-心1核心衝突關係主題摘要表……………………………… 237 表4-2-29 RE-心2核心衝突關係主題摘要表……………………………… 239 表4-2-30 RE-心3核心衝突關係主題摘要表……………………………… 240 表4-2-31 RE-父1核心衝突關係主題摘要表……………………………… 242 表4-2-32 RE-母1核心衝突關係主題摘要表……………………………… 246 表4-2-33 RE-母2核心衝突關係主題摘要表……………………………… 249 表4-2-34 RE-同學1核心衝突關係主題摘要表…………………………… 251 表4-2-35 RE-同學2核心衝突關係主題摘要表…………………………… 253 表4-2-36 RE-同學3核心衝突關係主題摘要表…………………………… 255 表4-2-37 RE-心1核心衝突關係主題摘要表……………………………… 257 表4-2-38 RE-心2核心衝突關係主題摘要表……………………………… 258 圖目次 圖2-2-1 不安全依附之模式………………………………………………. 18 圖2-2-2 個案投射性認同與治療師內射性認同之互動………………… 25

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