研究生: |
李素芬 Su-Fen Lee |
---|---|
論文名稱: |
憂鬱症團體領導者心理位移之經驗及影響分析研究 The experience and influence of psychological displacement on leaders of depression support groups |
指導教授: | 金樹人 |
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: | 2009 |
畢業學年度: | 98 |
語文別: | 中文 |
論文頁數: | 282 |
中文關鍵詞: | 憂鬱症團體 、團體領導者 、心理位移 、心理位移書寫法 |
英文關鍵詞: | depression support group, group leaders, psychological displacement, psychological displacement paradigm in diary-writing(PDPD) |
論文種類: | 學術論文 |
相關次數: | 點閱:253 下載:58 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究旨在探討團體領導者心理位移之經驗與影響。資料來源為11位非結構性憂鬱症團體領導者於每次團體之後,運用心理位移書寫法書寫團體之102份文本以及在其經過8-10次書寫之後所進行之個別訪談,共計22小時的逐字稿。所得資料以現象學取向研究方法進行分析,結果發現,團體領導者透過心理位移書寫:(一)經驗到「我」、「你」、「他」、「再回到我」以及綜合性整體位格各自有其特徵與功能,並且有其產生的原因;也經驗到在不同位格上,深度與廣度不同,且不同位格有其彼此相互影響之脈絡以及越到書寫後期,深度越深等現象。(二)在自我層面產生了「自我覺察」、「自我運作」以及「自我安頓」等三個影響層面,且各自有其內涵;同時也發現到達「自我安頓」之不同歷程。(三)在團體層面呈現出團體領導者關注的團體議題以及對團體的改變內涵,包括改變對團體的詮釋或態度、改變對團體的介入行為或態度、改變對成員的觀點或態度、增加對團體動力的覺察與理解、改變對團體領導者角色與功能的認定、協助準備進入下次團體以及減少與協同領導者風格不同之衝擊等。(四)發現從團體到自我,再從自我到團體或者透過自我改變帶出團體改變之影響脈絡。(五)產生「自我」、「團體」以及「專業技巧」三個層面之自我督導功能;同時也發現產生自我督導的原因、歷程以及其與一般督導之比較與限制等。
文末針對研究結果進行討論與建議。
The purpose of this research was to understand the experience and influence of psychological displacement on leaders of depression support groups. Participants of the study included 11 non-structured depression support group leaders. Data were collected from two sources: writing-diaries of group leaders after each session using first-person pronoun first, and then narrated the same event using second-person pronoun, and finally with a third-person’s perspective; and individual interviews with participants after 8 to 10 diary-writings. A total of 102 writing diaries and 22 hours of transcripts were collected and analyzed by phenomenon-oriented methodology, and the results found that: 1) In terms of experiences of using psychological displacement paradigm in diary-writing (PDPD) on group leaders: there were some features and functions in different pronoun phase and the comprehensive part. In accounting for different features and functions, results were also proposed and discussed. When comparing different pronouns, this study found that different pronouns vary in depth and width, as well as in the number of times of diary-writing. 2)Influences on the self level: results found that PDPD influenced on the level of self awareness, self-operation, and self-containment. 3)Influences on the group level: Of which includes leaders’ concerned issues and changes towards group members, group dynamics, interpretations, attitudes, and interventions, etc. 4) Further analysis also found that the level of self and group were inter-correlated. 5)self-supervision: functions of 3 aspects of self-supervision were found: self, group and professional counseling skills. With respect to the influence on self-supervision, this study proposes reasons and processes for that result, and comparisons with regular forms of supervision and liabilities were also discussed. Finally, results were discussed and suggestions were addressed.
一、中文文獻
凡凡(民96):快樂心中來,憂鬱消逝去:憂鬱症家屬支援團體。網址:http://mypaper.pchome.com.tw/milkalices/post/1301125317。
檢索日期:97.09.18。
王麗斐(民94):團體諮商者之僵局經驗研究(1/2)。行政院國家科學委員會專題研究計畫期中進度報告(編號:NSC 93-2413-H-003-057)。
何長珠(民92):團體諮商—心理團體的理論與實務。台北:五南。
吳秀碧、洪雅鳳、羅家玲(民92):團體諮商歷程中領導者意圖與聚焦之分析研究。中華輔導學報,13期,117-150頁。
吳秀碧、許育光、洪雅鳳、羅家玲(民92):非結構諮商團體過程中領導者技術運用之研究。中華心理衛生學刊,17卷,3期,23-56頁。
周鼎文(民97):團體諮商專家與新手因應僵局之自我調整研究--以人際互動僵局為例。淡江大學教育心理與諮商研究所碩士論文。
林家如(民95):情緒成長團體運用於憂鬱患者療效評估之初探:情緒智能增進與症狀改善。高雄醫學大學行為科學研究所碩士論文。
河合隼雄(民93):佛教與心理治療藝術(鄭福明、王求是譯)。台北市:心靈工坊。(原著出版年:1996)
邱德才(民89):TA的諮商理論與技術。台北:張老師。
邱德才(民90):解決問題諮商架構。臺北市:張老師文化公司。
金樹人(民94):心理位移辯證效果敘事之敘事分析。行政院國家科學委員會專題研究成果報告(編號:NSC93-2413-H-003-001),未出版。
金樹人(民98):心理位移研究的趣與味:自性化過程的實踐。國立暨南大學輔導與諮商研究所主辦「國際心理治療研究學會臺灣分會成立暨第一屆地區性國際研討會」宣讀之論文(南投)。
洪雅鳳(民97):高低過程效能諮商團體領導者意圖及介入之研究。國立彰化師範大學輔導與諮商學系博士論文。
胡紹嘉(民90):書寫與行動—九0年代後期女性私我敘事的態度轉折及其意義。國立政治大學新聞學系研究所博士論文。
徐巧玲(民95):『識得情緒真面目,只緣心理來位移』--「我、你、他」日記書寫對提昇國中生情緒智力短期及長期改變之現象分析。國立台灣師範大學教育心理與輔導研究所碩士論文。
高行健(民79):靈山。台北:聯經出版社。
高淑清(民89):現象學方法及其在教育研究上的應用。刊於中正大學教育學研究所主編:質的研究方法,95-132頁。高雄:麗文。
張仁和(民98):心理位移日記書寫對情緒表達衝突的轉變分析-以負向事件為書寫材料。「張老師」基金會主辦「燦爛40~「張老師」陪伴台灣心靈成長40年學術研討會」宣讀之論文(台北)。
張仁和、黃金蘭、林以正(付梓中):心理位移書寫法之位格特性驗證與療癒效果分析。中華輔導與諮商學報。
張文亮(民83):冥想技術的理論探討及其效果之調查研究。國立彰化師範大學輔導學系碩士論文。
張汝倫(民86):現象學方法的多重含義。哲學雜誌,20期,90-115頁。
曹中瑋(民98):當下與你真誠的相遇。張老師文化,30頁。
許育光(民94):團體諮商轉換階段之人際歷程與領導者介入策略分析研究。國立彰化師範大學輔導與諮商學系博士論文 。
許育光(民98):碩士層級受訓團體諮商師參與「螺旋式領導取向」培訓之成效與介入能力學習經驗分析,教育心理學報,41卷,諮商實務與訓練專刊,321-344頁。
許惠珠(民95):多元策略團體衛教對憂鬱症患者的改變成效。成功大學醫學院護理學系碩士論文。
陳均姝(民97):團體層次與個人層次變項對於團體治療性因素的影響:多層次縱貫研究分析。國立台灣師範大學教育心理與輔導研究所博士論文。
陳慧真(民95):現象學取向藝術治療團體在憂鬱症患者輔導效果之研究-以住院病人為例。台中教育大學特殊教系學系碩士論文。
傅維寧(民96):正向情緒成長團體運用於憂鬱患者:療效評估與改變因子之探討。高雄醫學大學心理研究所碩士論文。
黃光國(民92):社會科學的理路。台北:心理。
黃秀惠(民93):精神科日間留院心理治療師之團體治療僵局經驗研究。國立臺灣師範大學教育心理與輔導學系在職進修碩士論文。
楊雅亭(民96):攀附心中的靈山--專訪金樹人。張老師月刊,360期 6-12頁。
楊蓓(民97):勇氣與自由。心靈工坊。
鄔佩麗(民94):輔導與諮商心理學。台北:東華書局。
潘正德、游淑華(民89):團體歷程中成員特質、活動反應、領導能力知覺與治療因素之相關研究。中原學報,28卷,4期,103-114頁。
蔡美麗(民79):胡賽爾。台北:東大
謝亦泰(民96):從情緒向度與不同心理位置和特性探討敘事書寫的正面效益。
國立台灣大學心理學研究所碩士論文。
謝珮玲、林淑君、王麗斐(民98):團體帶領者在團體僵局中之介入方式研究。
中華團體心理治療,15卷,1期,1-27頁。
簡怡人(民95):書寫治療作為婚暴受虐婦女處遇介入之個案研究。淡江大學教育心理與諮商研究所碩士論文
二、西文文獻
Abraham, I. L.,Neundorfer, M. M., & Corrie, L. J. (1992). Effects of group interventions on cognition and depression in nursing home residents. Nursing Research, 41(4), 196-202.
Anderson, H. (1997). Conversation Language and Possibilites. 周和君譯(民97):合作取向治療。台北:張老師文化。
Association for Specialists Group Work〔ASGW〕. (2000).Association for Specialists Group Work Professional Standards for the Training of Group Workers.
Association for Specialists Group Work〔ASGW〕. (2007). Association for Specialists Group Work Best Practice Guideline.
Atieno Okech , J. E., & Rubel, D. (2007). Diversity competent group work supervision: An application of the supervision of group work model(SGW). The Journal for Specialists in Group Work, 32(3), 245-265.
Beck, J. S. (1995). Cognitive Theraoy:Basics and Beyond. 梁雅舒等譯(民92):認知治療-進階與基礎。台北:揚智。
Bernard, J. M .,&Goodyear, R.K. (2004). Fundamentals of Clinical Supervision (3 th ed. ). Boston:Pearson.
Bolton, P. ( 2008). Group interpersonal therapy reduces depression in adolescent survivors of war. Evidence-Based Mental Health, 11(1), 17-17.
Brown, K. W., Ryan, R. A., & Creswell, J. D. (2007). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18, 211-237.
Burton, C. M., & King, L. A. (2008). Effect of (very)brief writing on health:The two-minute miracle. British Journal of Health Psychology, 13 , 9-14.
Carroll, M. R., & Wiggins, J. D. (1997). Elements of Group Counseling: Back to the Basics (2nd ed.). Denver, CO: Love.
Carson, R. C., & Butcher, J. N. (1992). Abnormal Psychology and Modern Life (9th ed.). New York: Harper Collins Publishers.
Chen, T.H., Lu, R.B., Chang, A.J., Chu, D.M., & Chou, K.R. (2006). The evaluation of cognitive-behavioral group therapy on patient depression and self-esteem. Archives Psychiatry Nursing , 20(1), 3-11.
Chung, C. K., & Pennebaker, J. W. ( 2008). Variation in the spacing of expressive writing session. British Journal of Health Psychology, 13, 15-21.
Cohen, J. L., Sander, L. M., Slavin, O. M., & Lumley. M. A. (2008). Different methods of single-session disclosure:What work for whom?British Journal of Health Psychology, 13, 23-26.
Corey, G. (1996). Theory and Practice of Counseling and Psychotherapy (5th ed.). California: Brooks/Cole. 李茂興譯(民85):諮商心理治療的理論與實務。台北:揚智。
Corey, G. (2001). Theory and Practice of Counseling and Psychotherapy (6th ed.). California: Brooks/Cole.
Corey, G. (2005). Theory and Practice of Counseling and Psychotherapy (7th ed.). California: Brooks/Cole.
Corey, M. S., & Corey, G. (2006). Group Process and Practice (7th ed.). Pacific Grove, CA: Brooks/Cole.
Dahlberg, K. (1995). Qualitative methodology as caring science methodology. Scandinavian Journal of Caring Sciences, 9(3), 187-190.
Dahlberg, K., & Drew, N. (1997). A life word paradigm for nursing research. Journal of Holistic Nursing, 15(3), 303-317.
Dies, R. R. (1983). Clinical Implications of research on leadership in short-term group psychotherapy. In R.Dies & R.MacKenzie (Eds.), Advances in Group Psychotherapy (pp.27-28). New York: International Universities Press.
Elkin, I., Gibbons, R. D., Shea, M. T., Sotsky, S. M., Watkins, J. T., & Pilkonis, P. A. (1995). Initial severity and differential treatment outcome in the national institute of mental health treatment of depression collaborative research program. Journal of Consulting and Clinical Psychology, 63(5), 841-847.
Elkin, I., Shea, T., Watkins, J. T., Imber, S. D., Sotsdy, S. M., Collins, J. F., Glass, D. R., Pikonis, P. A., Leber, W. R., Docherty, J. P., Fiester, S. J., & Parloff, M. B. (1989). National institute of mental health treatment of depression collaborative research program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971-982.
Emslie, G., Kratochvil, C., Vitiello, B., Silva, S., Mayes, T., McNulty, S., Weller, E., Waslick, B., Casat, C., Walkup, J., Pathak, S., Rohde, P., Posner, K., & March, J. (2006). Treatment for adolescents with depression study (TADS): Safety results. Journal of American Academy of Child and Adolescent Psychiatry , 45(12), 1440-1455.
Esterling, B., Antoni, M., Fletcher, M., Margulies, S., & Schneiderman, N. (1994). Emotional disclosure through writing or speaking modulates latent Epstein-Barr-Virus antibody-titters. Journal of Consulting and Clinical Psychology, 62, 130-140.
Francis, M. E., & Pennebaker, J. W. (1992). Putting stress into words: The impact of writing on physiological, absentee, and self-reported emotional well-being measures. American Journal of Health Promotion, 6, 280-287.
Freedman, J., & Combs, G. (1999). Narrative Therapy: The Social Construction of Preferred Realities. 易之新譯(民89):敘事治療-解構並重寫生命故事。台北:張老師文化。
Greenberg, M. A., & Stone, A. A. (1992). Emotional disclosure about traumas and its relation to health - Effects of previous disclosure and trauma severity. Journal of personality and social psychology, 63(1), 75-84.
Greenberg, L. S., & Watson, J. C. ( 2006) . Emotion-Focused Therapy for Depression. Washington, DC:APA.
Hill, C. E., Nutt-Williams, E., Heaton, K.J., Thompson, B. J., & Rhodes, R. H.(1996). Therapist retrospective recall of impasses in long-term psychotherapy: A qualitative analysis. Journal of Counseling Psychology, 43, 207-217.
Holmes, S. E., & Kivlighan, D. M. Jr. (2000). Therapeutic factors in group therapists. Journal of Counseling Psychology, 47, 478-484.
Hycner, R. H. (1985) . Some guidelines for the phenomenological analysis of interview data. Human Studies, 8, 279-303.
Johnson, J. E., & Zlotnick, C. (2008). A pilot study of group interpersonal psychotherapy for depression in substance-abusing female prisoners. Journal of Substance Abuse Treatment , 34(4), 371-377.
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144-156.
Kabat-Zinn, J. (1994). Where You Go, There You Are:Mindfulness Meditation In Everyday Llife. New York: Hyperio. 雷叔雲譯(民97):當下,繁花盛開。台北:心靈工坊。
Kaltenthaler, E., Brazier, J., De Nigris, E., Tumur, I., Ferriter, M., Beverley, C., Parry, G., Rooney, G., & Sutcliffe, P. (2006). Computerized cognitive behavior therapy for depression and anxiety update: A systematic review and economic evaluation. Health Technology Assess, 10(33), 161-168.
Kivlighan, D. M. Jr., & Kivlighan, M. C. (2004). Counselor intentions in individual and group treatment. Journal of Counseling Psychology, 51(3), 347-353.
Kivlighan, D. M. Jr., & Tarrant, J. M. (2001). Does group climate mediate the group leadership-member outcome relationship? A test of Yalom’s hypotheses about leadership priorities. Group Dynamics: Theory, Research, and Practice, 5, 220-234.
Kivlighan, D. M., Multion, K. D., & Brossart, D. F. (1996). Helpful impacts in group counseling:Development of multidimensional rating system. Journal of Counseling Psychology, 43, 347-355.
Kraft, C. A., Lumley, M. A., D’Souza., & Dooley, J. A. (2008).Emotional approach coping and self-efficacy moderate the effect of written emotional disclosure and relaxation training for people with migraine headache. British Journal of Health Psychology, 13, 67-71.
Lapworth, P., Sills, C., & Fish, S. (1993).Transactional Analysis Counselling. 江原麟譯(民93):交流分析諮商。台北:心理出版社。
Lincoln, Y. S., & Guba, E. G. (2000). Paradigmatic controversies, contradictions, and emerging confluences. In N. K. Denzin & Y. S. Lincoln (Eds.), The Handbook of Qualitative Research (2nd ed., pp. 163-188). Beverly Hills, CA: Sage.
Ludwig, D. S., & Kabat-Zinn, J. (2008). Mindfulness in medicine. Jama-Journal of the American Medical Association,300(11), 1350-1352.
Mcmain, S. L., Goldman, R. n., & Greenberg, L.S. (1996):Resolving unfinished business:A program of study. In W. Dryden (Eds.), Research in Counseling and Psychotherapy (pp.211-232). London:SAGE.
Miranda, J., Green, B. L., Krupnick, J. L., Chung, J., Siddique, J., Belin, T., & Revicki, D. (2006). One-year outcomes of a randomized clinical trial treating depression in low-income minority women. Journal of Consulting Clinical Psychology, 74(1), 99-111.
Morran, D. K., Stockton, R., & Whittingham, M. H. (2004). Effective leader intervention for counseling and psychotherapy groups. In DeLucia-Waack, J. L., Gerrity, D. A., Kalodner, C. R. & Riva, M. T. (Eds). Handbook of Group Counseling and Psychotherapy (pp.91-103). CA: Sage Publications.
Owen, P. L. (1995). I Can See Tomorrow: A Guide for Living with Depression. 廣梅芳譯(民90):憂鬱心靈地圖:如何與憂鬱症共處。台北:張老師文化。
Patton, M. Q. (1990). Qualitative Evaluation and Research Methods. 吳芝儀、李奉儒譯(民84):質的評鑑與研究。台北︰桂冠。
Pearlman, L. A., & Saakvitne, K. W. (1995). Trauma and The Therapist. London: Norton.
Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8, 162-166.
Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event – toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95, 274-281.
Riva, M. T., Wachtel, M., & Lasky, G. B. (2004). Effective leadership in group counseling and psychotherapy. In Delicua-Waack, J. L., Gerrity, D. A., Kalodner, C. R., & Riva, M. T.(Eds.), Handbook of Group Counseling and Psychotherapy (pp.37-48). Thousand Oaks, CA: Sage.
Rogers, C. R. (1961). On Becoming A Person:A Therapist,s View of Psychotherapy. 宋文里譯(民79):成為一個人。台北:桂冠。
Rosen, L. E., & Amador, X. F. (1996). When SomeoneYou Love Is Depressed: How to Help Your Loved One Without Losing Yourself. 魏嘉瑩譯(民92):當所愛的人有憂鬱症:照顧他,也照顧好自己。台北:張老師。
Segal, Z.V., Williams, J. M.G., & Teasdale, J. D. (2002). Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. 唐子俊等譯(民96):憂鬱症的內觀認知治療。台北:五南。
Seih, Y. T., Lin, Y. C., Huang, C. L., Peng, C. W., & Huang, S. P. (2008). The benefits of psychological displacement in diary writing when using different pronouns. British Journal of Health Psychology, 13, 39-41.
Smyth, J. M. (1998). Written emotional expression: Effect sizes, outcome types and moderating variables. Journal of Consulting and Clinical Psychology, 66, 174-184.
Swanbon, T., Boyce, L., & Greenberg, M. A. (2008). Expressive writing reduce avoidance and somatic complaints in a community sample with constraints on expression. British Journal of Health Psychology, 13, 53-56.
Trotzer, J. P. (1999). The Counselor and The Group : Integrating Theory, Training, and Practice (4 th ed.). Philadelphia: Taylor & Francis.
Yalom, I. D. (1995). The Theory and Practice of Group Psychotherapy (4th ed.). 方紫葳、馬宗潔譯(民90):團體心理治療的理論與實務。台北:桂冠。
Yalom, I. D. (2005).The Theory and Practice of Group Psychotherapy (5th ed.). New York: Basic Books.
Yogo, M., & Fujihara, S. (2008). Working memory capacity can be improved by expressive writing:A randomizing experiment in a Japanese sample. British Journal of Health Psychology, 13, 77-80.
Zinker, J. (1977). Creative Process in Gestalt Therapy. New York: Brunner/ Mazel.