研究生: |
林烝增 Lin, Cheng-Tzeng |
---|---|
論文名稱: |
諮商心理師專業基礎能力量表之編製與應用:從督導者及其受督者觀點評量
實習心理師專業能力之研究 Scale construction and application of the counseling psychologist foundational competency assessment: Assessing professional competency of psychology interns from the interns’ and their supervisors’ perspectives |
指導教授: |
林家興
Lin, Chia-Hsin |
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: | 2018 |
畢業學年度: | 106 |
語文別: | 中文 |
論文頁數: | 166 |
中文關鍵詞: | 專業能力評量 、專業基礎能力量表 、督導者 、諮商心理師 、實習心理師 |
英文關鍵詞: | Counseling psychology, Professional competence evaluation, Professional foundational competency assessment, Psychology interns, Supervisor |
DOI URL: | http://doi.org/10.6345/DIS.NTNU.DEPC.037.2018.F02 |
論文種類: | 學術論文 |
相關次數: | 點閱:263 下載:13 |
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 |
本研究旨在編製「諮商心理師專業基礎能力量表」與運用之相關研究,分為子研究一、二。研究一係根據Rodolfa等人的立方模式、ASPPB的能力架構為理論基礎,編製適合國內心理師使用之專業基礎能力量表,研究方法採用量化取向,由12位學者實務專家審閱與修改題目,研究對象為不同專業發展階段心理師,包括兼職實習、全職實習心理師、新手、中堅與資深心理師,發出500份問卷,回收有效問卷316份。資料進行信效度考驗、內部一致性分析,透過驗證性因素分析。研究結果顯示本量表題目經項目分析皆具鑑別度、二階驗證性因素分析結果尚屬合理適配模式,二階組合信度為.58-.85之間,有良好聚斂效度;內部一致認性介於.83-.91,Cronbach’s α為.96,顯示信度良好。本量表刪題後有四個分量表,14個次向度,38題,包括科學取向與實證基礎、專業素養與自我反思、合作與人際關係、專業倫理等分量表。研究一建立國內諮商心理師專業基礎能力之本土化立方模式,適合機構與課程教師於實習心理師甄選與評量使用。研究二從實習心理師與督導者的觀點評量實習心理師的專業能力,並進一步了解學分數、學校成績、督導總評分、督導關係在實習心理師自評與督導者他評之預測力。研究對象以配對實習心理師及其專業督導者為樣本,邀請158所單位,有效樣本為103組。研究工具為「諮商心理師專業基礎能力量表」、「心理師專業能力量表」。以描述性統計、變異數分析、皮爾遜積差相關及多元迴歸分析等進行分析,研究結果發現實習心理師平均每週個案量為7.76人次,個別諮商一年平均為285.10人次;每週平均接受督導1.5小時。不同場域實習心理師之實作項目與接案問題類型有所不同,「婚姻與家庭諮商」、「初談」、「教學與工作坊」、「心理衛生推廣工作」、「入班座談」等工作項目在不同場域有顯著的差異。督導者總評分發現因學派不同有顯著差異,關係及體驗取向的督導者總評分高於認知行為取向的督導者。實習心理師自評在「介入」、「管理」評量差異較大,其他能力的標準差較為接近;督導者的一致性比實習心理師高。實習心理師在功能能力自評得分會因具備諮商相關工作與否而有顯著差異。不同性別、學歷的督導者對實習心理師之基礎能力評量得分也有顯著差異。實習心理師的自評的與督導者評量的相關;個案量愈高,實習心理師自評專業能力越高;學校成績越高,督導者評量實習心理師的功能能力卻會越低。最後根據研究結果與討論,提出後續研究以及訓練心理師教、考、訓、用之實務建議。
This research project aimed to develop an assessment inventory to evaluate the foundational competency of counseling psychologists in Taiwan; also, to investigate the implementation and application of this instrument in related fields. Two studies were included in the current research project. Based on Rodolfa and colleagues’ Cube Model for Competency Development among psychology professionals and the theoretical framework for psychology competence stipulated by the Association of State and Provincial Psychology, study I intended to develop an instrument that can effectively evaluate and measure the foundational competency of domestic counseling psychologists and psychology interns. Twelve expert psychologists were invited to review and revise the original inventory to suit the Taiwanese contexts and populations. Data collection was conducted through questionnaires that carry the revised items and were distributed to 500 professionals at different stages of their career development. Based on the numbers of year in practice, participants ranged from graduate student in practicum, psychology intern, novice psychologists, experienced psychologists, and expert supervisors. At the end of the data collection process, 316 valid responses were obtained for analysis. Item analysis shows that the revised inventory has an acceptable fair discriminant validity. Confirmatory factor analysis demonstrates a reasonable fit for the original model (component reliability .58 ~ .85), a good convergent validity, and a robust reliability with internal-consistency (α = . 83 ~. 91) and a Cronbach’s alpha .96. In addition, a good postdictive criterion-related validity (r = .77) was found using the Counselor’s Self-Efficacy Inventory as criterion. The final revised version, Counseling Psychology Professional Foundational Competency Assessment (CPFCA) , includes four scales (i.e., the scientific approach and empirical foundation scale, the professional qualities and self-reflection scale, the cooperation and interpersonal relationship scale, and the professional ethics scales) and 38 items across 14 dimensions. In brief, study I constructed a contextually-modified version of the Cube-Model, which can be applied for the use of intern selection/evaluation by training institute instructors and field supervisor.study II investigated the professional competency of psychology interns from the perspective of the interns and that of their supervisors. It further examined the predicability of for variables, namely 1) the number of credits completed by the interns, 2) academic performance (GPA), 3) the supervisor’s evaluation on the interns, 4) the supervisor-intern relationship, respectively on the interns’ self-report and the supervisor-report evaluations on the CPFCA. Sample were recruited from paired interns and their supervisors recruited from 158 field institutes. Instruments included the CPFCA and the Professional Functional Competency Inventory. Descriptive statistics, ANOVA, Pearson correlation coefficient, and multiple regression were used for statistical analysis. study II revealed:
a) Psychology interns reported an average workload of 7.76 individual hours (285.10 hours annually) and received 1.5 supervised hours on a weekly basis.
b) Assigned task items and client issues faced by the interns vary according to the internship settings. Significant differences varied by settings were found on tasks such as ‘couple and family counseling’, ‘intake’, ‘teaching and workshop training’, ‘psycho-education related activities’, and ‘in-classroom outreach’’.
c) The supervisors’ theoretical approaches were found an significant variable that affects the results of their intern evaluation. Supervisors holding a relation-oriented approach or an experiential approach reported higher scores on intern competency in comparison to those holding a cognitive behavioral approach.
d) With regard to interns’ self-evaluation, standard deviation across all respondents were seen only in two domains, namely their competency in ’intervention’ and ‘management’ . On the other hand, supervisors demonstrated greater consistency in their evaluation on the interns’ competency across all domains.
e) Psychology interns’s self-report evaluations on functional competency varied by whether they had work experiences in counseling-related fields prior to their internship. Supervisors’ evaluation on interns’ foundational competency also varied by the gender and education levels of the supervisors.
d) Positive correlation was found between the client load handled by the interns and the interns’ overall self-evaluation; however, school GPA was found negatively correlated to the supervisors’ evaluation on the interns’ functional competency.
Based on the research findings and discussions, suggestions were made on future research and on education, evaluations, and practices of counseling psychology profession in Taiwan
中文部分
王寶慧(2007)。準諮商心理師的諮商自我效能與生涯承諾之相關研究(未出版碩士論文)。國立高雄師範大學,高雄市。
田秀蘭、陳淑琦、劉玲君、王櫻芬(2003)。兒童團體輔導能力的內涵與評量研究。中華輔導學報,14,89-116。
朱美娟、范嵐欣(2011)。大學諮商心理系所教師如何辨識與處理受訓學生的專業能力問題-以北部四所大學為例之初探性研究。台灣諮商心理學報,5(1)121-149。
吳秀碧、許育光(2012)。團體領導能力量表之編製與信效度建構。中華輔導與諮商學報,32,1-31。
吳雅慧(2005)。碩士層級諮商新手於全年駐地實習的諮商困境與因應(未出版碩士論文),臺灣師範大學,台北市。
呂艾珉(2007)。實習諮商師個別諮商專業能力發展之研究(未出版碩士論文)。中國文化大學,台北市。
李玉嬋(2017)。105 年度醫療機構人力合理配置基準研究報告。
李維倫(2011)。反思臨床心理學訓練探究-美國「科學家-實務者」模式與專業能力學習的本質。中華心理衛生,24,173-207。
沈煜棠(2015)。客觀結構式臨床技能考試OSCE應用在諮商心理師訓練與評量初探。諮商與輔導,369,51-54。
周昕韻、林芝帆(2017)。客觀結構式臨床技能考試(OSCE)在醫院自殺防治中心諮商心理師訓練之應用。諮商與輔導,374,17-20。
林美珠(2002)。諮詢能力內涵與評量之探討研究。中華輔導學報,12,117-152。
林胤國(2003)。全職實習心理師實習經驗品質與主觀幸福感之研究(未出版碩士論文)。新竹教育大學,新竹市。
林家興(2014)。 臺灣諮商心理師執業現況與執業意見之調查研究,教育心理學報,45(3),279-302。
林家興、林旻沛、黃佩娟、胡薇瑄、江信男(2015)。心理師能力評量表之編製及其信效度分析。教育心理學報,47(1),63-86。
林家興、林烝增(出版中)。諮商心理師培訓制度的回顧與省思,台灣輔導一甲子。台北市:心理出版社。
林家興、徐西森、王文秀(2010)。99年度醫事人力需求推估論壇各職類建議報告。取自衛生福利部網站 https://www.mohw.gov.tw/dl-21290-961ffcea-bb35-4f2e-9833- df70d8f,2018年3月20日。
林家興、黃佩娟(2013)。台灣諮商心理師能力指標建構之共識研究。教育教育心理學報,44(3),735-750。
林惠珊(2012)醫療場域諮商心理師之專業能力分析(未出版碩士論文)。國立臺北護理健康大學,台北市。
凃玟妤、蕭文、黃夢、鄭童、張文馨(2012)。台灣諮商心理師就業力之分析研究。中華心理衛生學刊,25(4),545-573。
洪莉竹、李韻如(2011)。建構諮商師的反思能力:促進反思的督導團體。國民教育,51(4),12–19。
修慧蘭(2011)。大學校院心理諮商工作所需具備專業能力之研究。台灣諮商心理學會主辦「本土諮商心理師的專業及諮商心理學的全球化趨勢」研討會宣讀之論文(台北)。
徐西森(2005)。SAS取向諮商督導能力評量表之編製研究。中華輔導學報,18,153-202。
張文蕙、謝素英、許淑齡(2014)。運用客觀結構式臨床測驗以評量出院準備護理人員溝通能力之研究。護理雜誌,61(3),45-57。
張淑芬、廖鳳池(2011)督導雙方對諮商督導關係知覺之配對研究,中華輔導與諮商學報,30,79-102。
張德聰(1985)。輔導員人格特質、輔導員效能與輔導效果之相關研究(未出版之碩士論文)。臺灣師範大學,台北市。
張德聰,林烝增(2017)。網路輔導之本土化經驗探討:使用網路即時通訊服務的當事人之求助態度及輔導感受之研究。本土諮商心理學學刊,9(2)35-65。
許文耀、張素凰(2008)。臨床心理師考試教考用之探討。國家菁英季刊,4,51-81。
許雅涵、藍玉玲、陳畹蘭(2016)。從實習心理師與督導觀點看台灣實習臨床心理師衡鑑專業能力。教育心理學報,47,355-372。
許雅惠(2011)。大學校院輔導教師工作現況與專業知能需求之研究。教育心理學報,43(1),51-76。
許韶玲、劉淑瀅(2011)實習諮商心理師駐地實習經驗之內涵。教育心理師學報,40(1),63-84。
連廷嘉、徐西森(2003)。諮商督導者與實習諮商員督導經驗之分析,應用心理研究,18,89-111.
陳佳妤、林婉瑜、莫藜藜、游靜宜、林秀峰(2013)。以客觀結構式臨床測驗(OSCE)建構醫務社會工作核心能力評估之初探-以兒童虐待個案為例。醫療品質,7(3),47-52。
陳皎眉、孫旻暐、楊芷頤(2015)。客觀結構式臨床測驗納入心理師養成教育與國家考試之可行性。國家箐英,11(4),18-20。
喬虹,2018。諮商新手知多少-第一次諮商實習就上手。台北市:雙葉書局。
黃佩娟(2012)。諮商心理師專業能力評量與工作場域差異分析(未出版博士論文)。臺灣師範大學,臺北市。
黃佩娟、林家興、張吟慈(2010)。諮商心理師全職實習之調查現況。教育心理學報,42(1),123-142。
黃素菲(2017)。全職實習心理師與實習機構聯合招訓方法與步驟。取自台灣諮商心理學會網站http://www.twcpa.org.tw/news_detail.php?nid=13444,2018年3月19日。
楊中芳(2001)。如何研究中國人:心理學研究本土化論文集。台北:遠流。
楊政義、李麗紅、楊慧娟、陳淑齡(2016)。臺灣護理專科學校OSCE的發展現況與困境。澄清醫護管理雜誌,12(1),40-47。
劉盈宏(2000)。全職駐地實習諮商師的實習經驗與專業成長之相關研究。彰化師範大學,彰化市。
劉淑慧(1999)。個別諮商能力評量表學生自評版本之發展暨自評能力變化之研究,中華輔導學報,7,201-244。
蔡翊楦(2016)。諮商心理師考試制度變革研議。取自台灣諮商與心理學會網站電子報,79,http://www.twcpa.org.tw/events_history.php?y=2016,2018年3月18日。
盧怡任、王智弘(2012)。諮商心理師倫理判斷與倫理行為之調查研究。教育心理學報,43(4),783-803。
謝昀蓁(2006)。諮商心理師人力供需之推估研究(未出版碩士論文)。國立臺灣師範大學,台北市。
藍玉玲、劉彥君與高聖博(2011)。「心理衡鑑初次晤談」客觀結構式臨床測驗之初探研究。中華輔導與諮商學報,44,133-158。
英文部分
American Psycholohyical Assoication(2014).Culture of the assessement of competence.Retrieved from www.apa.org/ed/graduate/introduction.pdf.
Association of State and Provincial Psychology Boards(2017). 2017 ASPPB competencies expected of psychologists at the point of licensure. retrieved from http://c.ymcdn.com/sites/www.asppb.net/resource/resmgr/guidelines/2017_ASPPB_Competencies_Expe.pdf.
Chu.J.P., Emmons,L., Wong, J., Jose,S.,Goldblum, P., Reiser,R. Barrera,A.B. & Byrd–Olmstead J.(2012). Professional psychology: Research and Practice,43(1),39-49.
Daly,E.J.,Doll,B., Schulte,A.C. & Fenning,P.(2011)The competencies initiative in American professional psychology:implications for school psychology preparation.Psychology in the Schools,48(9),872-887.
Donovan & Ponce(2009).Identification and measurement of core competencies in professional psychology:Areas for consideration.Training and Education in Professional Psychology,3(4 Supp.),S46-S49.
Epstein,R.M.& Hunder,E.M.(2002)Defining and assessing professional competence.Journal of the American Medical Association,287,226-235.
Fornell,C.,& Larcker,D.F.(1981).Evaluating structural equation models with Unobservable variables Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research, 18(1),39-50.
Fouad,N.A.,Grus,C.L.,Hatcher,R.L.,Kaslow,N.J.,Hutchings,P.S.,Madson,M.B.,Collins,F.L., & Crossman,R.E. (2009) Competency benchmarks: A model for understandind and measuring competence in professional psychology across training levels.Training and Education in Professional Psychology,3,S5-S26.
Gaubatz,M.D.,& Vera,E.M.(2002).DO formalized Gatekeeping procedures increase programs’follow-up with deficient Trainees?Counselor Education and Supervision,41(4),294-305.
Gaubatz,M.D.,& Vera,E.M.(2002).Trainee competence in master’s-level counseling programs:A comparison of counselor educator’s and student’s views.Counselor Education and Supervision,46(1),32-43.
Glass,J., Polisar,D.(1987).A method and metric for assessing similarity among dyads.Journal of marriage and the Family,49,663-668
Gonsalvez,C.J.,& Freestone,J.(2007).Field Supervisor’s assessments of trainee performance:Are they reliable and valid?Australian Psychologist,42,23-32.
Goroll,A.H.,Sririo,C.,Duffy,F.D.,LeBlond,R.F.Alguire,.P.Blackwell,T.A.,Rodak,W.E.,Nasca,T. (2011).A new model for accreditation of residency programs in internal medicine. Annals of Internal medicine,140,902-909.
Hatcher,R.L.&Lassiter,K.D.(2007)Initinal training in professional psychology:The practicum competence outline. Training and Education in Professional Psychology,1,49-63.
Hatcher,R.L.,Fouad,N.A.,Grus,C.L.,Campbell,L.F.,McCutcheon,S.R.,& Leahy,K.L.(2013).Competency benchmarks:Practical steps toward a culture of competence.Training and Education in Professional Psychology,7,84-91.
Hollway,E.(1995).Clinical supervision-A systems approach.London:Stage.
Kaslow,N.J.(2004)Competencies in professional psychology. American Psychologist,59,774-781.
Kaslow,N.j.,Grus,C.L.,Campbell,L.F.,Fouad,N.A.Hacher,R.L.,& Rodolfa,E.R.(2009)Competency assessment toolkit for professional psychology. Training and Education in Professional Psychology,3(4 Supp.),S27-S45.
Kaslow,N.J.,Rubin,N.L.,Bebeau,M.J.,Leigh,I.W.,Lichtenberg,J.W.,Nelson,P.D….Smith.I.l..(2007)Guiding principles and recommendations for the assessment of competence.Professional Psychology:Research and Practice.,38,441-451.
Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford publications.
Lazovsky,R., & Shimoni,A.(2007).The on-site mentor of counseling interns:Perceptions of ideal role and actual role performance.Journal of Counseling and Development,85,303-316.
Leigh,.I.W.,Smith,I.l.,Bebeau,M.J.,Lichtenberg,J.W.,Nelson,P.D.,Portnoy,S.M.,Rubin,N.J.,& Kaslow,N.J. (2007)Competency assessment models. Professional Psychology: Research and Practice,38,463-473.
Peterson,R.L.,Peterson,D.R.,Abrams,J.C., & Stricker,G.(1997).The national council of schools and programs of professional psychology educational model. Professional Psychology: Research and Practice,28,373-386.
Roberts,M.C.,Borden,K.A.,Christiansen,M.D.,& Lopez,S.J.(2005)Fostering a culture shift:assessment of competence in the education and careers of professional psychologists. Professional Psychology:Research and Practice,36,355-361.
Rodolfa E., Greenberg, S, Hunsley,J, Margaret ,S.Z ,Cox, D.,Sammons M. , Caro,C., Spivak, H.(2013).A competency model for the practice of psychology, Training and Education in Professional Psychology,7(2), 71–83
Rodolfa E.R.,Bent,R.J.,Eisman,E.,Nelson,P.D.,Rehm,L.,& Ritchie,P.(2005)A cube model for competency development:Implications for psychology educators and regulators. Professional Psychology:Research and Practice,36,347-354.
Rodolfa,E.R.,Baker,J.,DeMers,S.Hilson,A.,Meck,D.,Schaffer.,…Webb,C.(2014).Professional psychology competency initiatives:implications for training,regulation,and practice.South African Journal of Psychology,44(2),121-135.
Rubin,N.J.,Bebeau,M.J.,Leigh,I.W.,Lichtenberg,L.W.,Nelson,P.D.,Portnoy,S.M.,Smith,I.L.,Kaslow,N.J.(2007).The competency movement within psychology:An historical perspective.Professional Psychology:Research and Practice,38,452-462.
Rust,J.P.,Raskin,J.D.,&Hill,M.S.(2013)Problems of Professional competence among counselor trainees:Programmatic issues and guidelines.Counselor Education and Supervision,5(1),30-42.doi:10.1002/j1556-6978.2013.00026.x
Schaffer,J.B.,Rodolfa,E.R.,hatcher,Fouad,N.A.(2013)Professional Psychology Competency Initiatives: Reflections, Contrasts, and Recommendations for the Next Steps .Training & Education in Professional Psychology,7(2),92-98.
Szinovacz, M.E. & Egley,L.C.(1995).Comparing one-parent and couple data on sensitive marital behaviors: The case of Marriage and the Family,57,995-1010.
Thompson ,L. & Walker,A.(1982).The dyad as the unit of analysis : Conceptual and methodological issues. Journal of Marriage and the Family,44,889-900.
Zook,A. & Walton,J.M.(1989) . Theoretical orientation and work settings of clinical and counseling psychologist: A current perspective. Professional Psychology:Research and Practice,20(1),23-31.