本研究目的在了解夢工作團體對成人經歷哀傷歷程的療效因子。研究問題為(1)從夢者角度來看團體夢工作對其哀傷歷程之療效因子為何？(2)以哀傷夢為主題之夢團體歷程，對其成員哀傷歷程之療效因子為何？透過訪談本研究團體七位成員參與夢工作團體之經驗，以質性研究之現象學取向進行資料分析，描述此七位成員參與夢團體對其哀傷歷程影響之完整脈絡經驗。進而將其所經驗之療效主題進行歸納分類，發現夢工作團體對於團體成員哀傷歷程之療效因子。
研究結果發現七位成員參與團體之現象場經驗可分為四個面向的療效因子群。分別為：(1)夢工作團體進行中夢者及其他成員內在運作所經驗之療效因子，包括回憶與情感的交織觸動、存在與靈性的探尋、自我賦能感、處理與逝者關係、覺察自我與人際議題、親人同在團體的支持、認同學習他人；(2)夢者與其他成員在夢工作進行當下彼此互動經驗的療效因子，包括催化自我覺察、以投射表露情感、利他性行為、經驗無私照顧、自由揭露分享；(3)成員們經驗團體氛圍所產生之療效因子，包括產生希望感、普同感包含差異性、被接納支持的歸屬感、關係的聯結與滋潤、學習夢工作知識；以及(4)成員團體經驗對現實生活所產生的療效因子，包括外在重要關係的轉變、支持團體的延續、增進個別諮商的效能、經歷真實哀傷宣洩。
根據上述研究結果，本研究也與Worden的哀傷任務理論及Yalom的團體療效進行對話討論與研究限制說明。最後並對未來夢工作團體結合哀傷輔導之實務與相關研究提出建議。

The purpose of the study was to explore the curative factors of group dream work for adults encountering grief. The two research questions were: (1) What were the curative factors of the dream work from the dreamer’s perspective? (2) What were the curative factors of the dream work from the members’ perspective? Nine adults with grief processing issues were interviewed individually after the group dream work using a semi-structured in-depth interview method. The interviewed data were transcribed and further analyzed employing phenomenological approach of qualitative method.

The major findings included four aspects of curative factors of the group dream work：(1) Inner psychological factors, including “Recollection and Emotion Interweaves”, “Existential and spiritual inquiring”, “Self-empowerment”, “Processing related to the deceased”, “Perceives self-relationship”, “Family support”, and “Modeling and learning”; (2)Interaction between the dreamer and the members, including “Facilitating self-awareness”, “Projection as revealing emotion”, “Altruism”, “Experiencing selfless-care”, “Free disclosure”; (3) Group climate, including “Instillation of hope”, “Universality contains differences”, “Belongingness through support and acceptance”, “Nurturing relationship”, “Imparting dream work information”; and (4) The influence between group experience and real life, including “Transformation of meaningful relationship”, “Extension of the support group”, “Promoting individual counseling”, and “Experienced grief in-depth catharsis”.

The limitations and future directions for research and practice were also discussed.

參考文獻
一、中文部分：
田秀蘭(2000)。心理治療中的夢境解釋—個別與團體取向。諮商與輔導，179，16-20。
田秀蘭、林美珠譯(2005)。夢工作：探索、洞察及行動的催化。台北：學富。
吳秀碧(2005)。兒童哀傷的輔導。2005中國輔導學會年會暨國際學術研討會。台北。11月。
吳芝儀、李奉儒譯(1995)。質的評鑑與研究。台北：桂冠。
李玉嬋(2003)。悲傷輔導的理論基礎與康復之路。諮商與輔導，212，頁2-8。
汪淑媛(2008)。讀夢團體與創傷敘事─以一位目睹家暴與失親者的夢工作為例。社會政策與社會工作學刊，12(1)，頁1-50。
汪淑媛譯(2007)。讀夢團體原理與實務技巧。台北：心理。
卓紋君、徐西森、范幸玲、黃進南譯(2002)。完形治療的實踐。台北：心理。
周玲玲、洪麗珍(1999)。悲傷輔導團體。安寧療護雜誌，12，48-52。
林家瑩(1999)。喪失子女的父母失落與悲傷反應及復原歷程之研究。國立高雄師範大學輔導研究所碩士論文(未出版)。
胡幼慧(1996）。質性研究。台北：巨流圖書公司。
高敬文(1999）。質化研究方法論。台北：師大書苑。
張佳雯(2003)。焦點解決短期諮商應用於國中生人際關係之研究。國立台中師範學院諮商與教育心理研究所碩士論文(未出版)。
張治遙(2003)。系列夢境的個案分析研究。彰化師大輔導學報，24，139-168。
張美惠譯(2004)。當綠葉緩緩落下：生死學大師的最後對話。台北：張老師。
陳秉華(1996)。心理諮商中分離個體化衝突改變歷程研究II。行政院國家科學委員會專題研究計劃成果報告。
陳增潁(2003)。夢在哀傷諮商中的處理與運用。諮商與輔導，209，29-31。
黃耀漢譯(2006)。黑色夢境。台北：張老師文化。
楊淑智譯（2001）。難以承受的告別—自殺親友的哀傷旅程。台北：心靈工坊。
潘淑滿(2003)。質性研究：理論與應用(三版)。台北：心理。
蔣欣欣、林一真(2004)。夢的賞讀與成長—讀夢團體的過程分析。中華團體心理治療，10(1)，14-20。
賴維淑(2002）。晚期癌症病患對臨終事件之感受與身、心、社會及靈性之需求。國立成功大學護理學研究所碩士論文(未出版）。
簡文英(2001)。團體諮商中的改變因子--團體治療因素探討。諮商與輔導，185，8-15。
羅慕謙譯(2006)。遇見天使之前：夢境與死亡的對談。台北：希代。
蘇完女(2001)。以「未完成事件」為主題之團體諮商的治療因素、改變機制以及成員的改變歷程之分析研究。國立彰化師範大學輔導與諮商研究所博士論文(未出版)。
蘇絢慧(2006)。喪慟夢：非預期喪親者夢見已故親友經驗之敘說研究。國立台北教育大學心理與諮商研究所碩士論文(未出版)。
蘇絢譯(2006)。大夢兩千天。台北：土緒。

二、英文部分：
Bowlby, J. (1969). Attachment and loss: Attachment(vol.I). New York: basic books.
Bowlby, J. (1973). Attachment and loss: Separation, anxiety, and anger(vol.II). New York: basic books.
Bowlby, J. (1980). Attachment and loss: Loss, sakness, and depression(vol.III). New York: basic books.
Bowlby, J. (1982). Attachment and loss: Retrospect and prospect. American Journal of Orthopsychiatry, 52, 664-678.
Buber, M.(2008). I and Thou【On-line】. Retrieved March 20, 2008, from http://courses.washington.edu/spcmu/buber/index.htm
Carfield, P. (1997). The Dream Messenger: How Dreams of the Departed Bring Healing Gifts. New York：Simon & Schuster.
Cleiren, M. (1992). Bereavement and adaptation: A comparative study of the Aftermath of Death. HPC press.
Corey, G. (1990). Theory and practice of group counseling (3rd ed). Practice Grove, CA: Brooks/Cole.
Corless, I., Germino, B. Y., Pittman, M.(Eds.) (1995). A challenge for living: Dying, death and bereavement. Boston: Jones & Bartlett.
Cushway, D. & Sewell, R. (1994) Counseling with dreams and nightmares. London: Sage.
Davis,T. L., & Hill, C. E. (2004). Including spirituality in the Hill model of dream interpretation. Journal of Counseling and Development. 43, 99-112.
Delaney, G. (1994). 你是做夢大師孵夢、解夢、活用夢(黃漢耀譯)。台北：張老師。
Denzin, N. K., & Lincoln, Y. S. (Eds.) (1998). The landscape of qualitative research: Theories and issues. Thousanks Oak, CA: Sage.
Falk, D. R., & Hill, C. E.(1995). The effectiveness of dream interpretation groups fo women in a divorce transition. Dreaming, 5, 29-42.
Fromm. E. (1992).《夢的精神分析》，台北：志文。
Garfield, P.(1996). Dreams in bereavement. Barrett, Deirdre (Ed). Trauma and dreams. (pp. 186-211). Cambridge, MA, US: Harvard University Press .
Guhriman, A., & Burligame, G. M. (1990). Consistency of matter: A Comparative analysis of individual and group process variables. CounselingPsychologist, 41, 166-174.
Hess, S. A. (2005). 喪慟者之夢。載於夢工作：探索、洞察及行動的催化 。(田秀蘭、林美珠譯) P.203-223。台北：學富。
Hill, C. E., Zack, J. S., Wonnell, T. L., Hoffman, M. A., Rochlen, A. B.,Goldberg, J. L., etal.(2000). Structured brief therapy with a focus on dreams or loss for clients with troubling dreams and recent loss. Journal of Counseling Psychology, 47, 90-101.
Hillman D. J. (1990). The emergence of the grassroots dreamwork movement. In Dreamtime and Dreamwork :Decoding the Language of the Night. Krippner S (ed.). Jeremy Tarcher/Putnam: New York.
Hillman, D. J. (1987). Dream work and field work: linking cultural anthropology and the current dream group Movement. In The Variety of Dream Experience, Ullman M, Limmer C(eds). New York : Continuum.
Holmes, S. E., & Kivlighan, D. M. (2000). Comparison of therapeutic factors in group and individual threatment processes.Journal of Counseling Psychology, 47(4), 478-484.
Hughes, M. (1995). Bereavement and support. Washington D.C.: Taylor & Francis.
Humphrey, G. M., & Zimpfer, D. G. (1996). Counseling for grief and bereavement.
141, 243-246.
Hycner, R. H. (1985). Some guidelines for the phenomenological analysis of interview data. Human Studieds, 8, 273-303.
Jung, C. G. (1964). Man and his symbols. New York: Doubleday Dell Publishing Group.
Kennedy, A. (2003). 生死一線牽—超越失落的關係重建(張淑美、吳慧敏譯)。台北：心理。
Kivlighan, D. M., Multion, K. D., & Brossart, D. F. (1996). Helpful impacts in group counseling：Development of Multidumensional Rating System. Journal of Counseling Psychologh, 43, 347-355.
Klass, D., Silverman, P., & Nickman, S. (Eds.). (1996). Continuing bonds: New understandings of gief. Washington, DC: Taylor & Francis.
Krippner, S. (1994). 解夢技巧—夢研究與夢治療(丁伶紅譯)。台北：亞太圖書。
Lieberman, M. A., Yalom, I. D., & Miles, M. B. (1973). Encounter groups: First facts. New York: Basic Books.
Lincoln, Y. S. & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
Means, J. R., Palmatier, J. R., Wilson, G. L., Hickey, J. S., Hess-Homeier, J. J. & Hickey, S. (1986) Dream interpretation. Psycholtherapy, 23(3), 448-452.
Meier, C. A. (1989). Healing dream and ritual: ancient incubation and modern psychotherapy.1st ed. Einsiedeln, Switzerland: Daimon Verlag.
Morgan, J. I. & Skovholt, T. M. (1977). Using Inner Experience: Fantasy and Daydreams in Career Counseling. Journal of Counseling Psychology, 24(5), 391-397.
Neimeyer, R. (1998).The lessons of loss: A guide to coping. New York: McGraw-Hill.
Ormont, L. R. (1992). The group therapy experience: From theory to practice. New York: ST.Martin’s Press.
Parkes, C. M. (1970). The First year of bereavement: A longitudinal study of the reaction of London widows to death of husbands. Psychiatry, 33, 444-467.
Pattern, M. Q. (1990). Qualitative Evaluation and Research Methods. California:Stge.
Paul, N. L. (1986). The paradoxical nature of the grief experience. Contemporary Family Therapy, 8, 5-19.
Rugel, R. P. & Barry, D. (1990). Overcoming denial through the group: A test of acceptance theory. Small Group Behavior, 21(1), 45-58.
Taylor, J. (1983). Dream Work: Techniques for Discovering the Creative power in Dreams. N.Y.: Paulist Press.
Trotzer, J. P. (1989). The counselor and the group: Intebrating theory, training and practice(2nded.). Accelerated development Inc.
Ullman, M. & Zimmerman, N. (1979). Working with Dreams. Jeremy P: Tarcher: Los Angeles, CA.
Ullman, M. (1996). Appreciating dreams: a group approach. London: Sage.
Ullman, M. (2000). Dream: The Path Not Yet Taken. Dream Appreciation, 5(2), 2-3.
Worden, J. W. (1991). Grief counseling and grief therapy: A Handbook for the Mental Health Practitioner. (3rd ed). N.Y.: Springer.
Worden, J. W. (2004). 悲傷輔導與悲傷治療─心理衛生實務工作者手冊(李開敏、林方皓、張玉仕、葛書倫譯)。台北：心理。
Wray, T. J. & Price, A. B. (2005). Grief dreams: How they help heal us after the death of a loved one. San Francisco: Jossey-Bass.
Yalom, I. D. (1995). 團體心理治療的理論與實務(方紫葳、馬宗潔譯）。台北：桂冠。