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研究生: 楊筑甯
論文名稱: 遊戲治療師對性受虐兒童之創傷處遇研究
指導教授: 葉貞屏
Yeh, Chen-Ping
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: 2007
畢業學年度: 95
論文頁數: 177
中文關鍵詞: 性受虐兒童遊戲治療遊戲治療師創傷處遇
論文種類: 學術論文
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  • 本研究探究遊戲治療師對性受虐兒童之創傷處遇。本研究採質性取向研究典範,針對八位遊戲治療師以半結構式訪談法進行訪談,蒐集遊戲治療師對性受虐兒童的實務工作中,其創傷觀點、創傷處遇觀點與創傷處遇技巧,最後對訪談資料加以分析整理,最後研究結果如下:
    一、影響性受虐的創傷的因素是多元的,並且性受虐創傷對兒童的影響是巨大與深遠的,然而由於取向、經驗與訓練之差異,遊戲治療師對性受虐與創傷的關連性的觀點不完全一致。
    二、不強調主動介入處遇創傷。因此評估是全面的,並且在遊戲治療中動態進行的,此外創傷處遇的觀點亦傾向非指導性的態度。
    三、創傷處遇是廣泛與彈性的。治療模式除了個別遊戲治療,強調納入照顧者與周遭系統。此外,無論取向為何治療師皆有主動處遇的部分:分為強調主動處遇、視脈絡與個案準備度主動處遇,以及輕微主動處遇。
    四、遊戲治療師強調治療關係是最重要的。治療關係與創傷處遇是返覆交織進行的。
    五、創傷議題處遇也強調納入照顧者合作一起處遇創傷議題,並大致依照其主動介入程度而有不同處遇方式。
    六、現實因素與治療師因素影響遊戲治療師對性受虐兒童的創傷處遇。現實因素包含次數限制、不成熟結案、環境穩定性,與個案天生特質。治療師因素則包括治療師的取向、經驗與訓練。
    關鍵字: 性受虐兒童、遊戲治療、遊戲治療師、創傷處遇

    目錄 謝詞 I 中文摘要 II 英文摘要 III 第一章 緒論 1 第一節研究背景與動機 1 第二節 研究目的與問題 8 第三節 名詞釋義 8 第二章 文獻探討 11 第一節 創傷兒童的處遇 11 第二節性受虐兒童的創傷處遇 19 第三節 遊戲治療師對性受虐兒童的創傷處遇 42 第三章 研究方法 50 第一節 研究典範與方法 50 第二節 研究參與者 52 第三節 研究工具 57 第四節 研究程序 58 第五節 資料分析與整理 61 第六節 研究信度與效度檢核 70 第四章 研究結果 74 第一節 遊戲治療師的治療取向、性受虐兒童的接案背景與處遇模式 74 第二節 遊戲治療師對性受虐兒童創傷的觀點 82 第三節 遊戲治療師對性受虐兒童的創傷處遇觀點 91 第四節 遊戲治療師對性受虐兒童的創傷處遇技巧 104 第五章 綜合討論 130 第一節 遊戲治療師對性受虐兒童的創傷觀點 130 第二節 遊戲治療師對性受虐兒童的創傷處遇觀點與技巧 134 第三節 遊戲治療師對性受虐創傷議題的處遇技巧 141 第四節 影響遊戲治療師對性受虐創傷的處遇觀點與技巧的因素 147 第六章 結論與建議 151 第一節 結論 151 第二節 建議 156 參考書目 161 壹、中文部分 161 貳、英文部分 162 附錄 170 附錄一訪談大綱 170 附錄二 訪談札記 171 附錄三 研究邀請函 172 附錄四研究同意書 174 附錄五 逐字稿謄寫知後同意書 175 附錄六 逐字稿注意事項 176 附錄七 研究檢核函 177

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