意義中心團體心理治療的介紹與評述

Meaning-Centered Group Psychotherapy-Introduction and Comments

石世明(Shih-Ming Shih) ； 徐聖輝(Sheng-Hui Hsu)

《台灣癌症醫學雜誌》 26卷3期 (2010/06) Pp. 89-99

https://doi.org/10.6323/JoCRP.2010.26.3.1

摘要

目的：本文目的在於介紹意義中心團體心理治療（意義團體治療）的發展歷程與內容，提供台灣的臨床經驗及思考本取向的跨文化情境與臨床運用。方法：回顧William Breitbart歷年來對癌症末期病人心理、靈性議題的實證研究，並綜合作者參與Breitbart意義治療工作坊之經驗，介紹與評述此取向。結果：意義團體治療立基在Breitbart自1990年以來，對末期病人憂鬱症、自殺意念、要求提早結束生命、無望感、意義與靈性等議題的研究。此取向的發展深受法蘭克(Frankl)意義治療(logotherapy)的影響。八週團體治療的主題涵蓋：癌症與意義，個人生命經驗與意義，及態度、創造和經驗的價值。兩個台灣癌症病人團體的經驗，呼應意義主題對疾病調適的重要。跨文化情境及臨床運用，指出應用此取向應有的考量。結論：意義團體治療對減低病人焦慮，提升靈性安適的效果，受實證研究支持。此取向可作為國內相關專業人員對癌症病人心理照顧之參考。

關鍵字

意義中心團體心理治療 ； 靈性照顧 ； 意義 ； 末期癌症 ； 意義治療

並列摘要

Objective: The goals of this article are to provide an overview of Meaning-Centered Group Psychotherapy (MCGP), to share related clinical experiences in Taiwan, and to discuss the application of this intervention in different cultural contexts.Method: We reviewed the literature on William Breitbart's empirical studies on the psycho-spiritual issues of advanced cancer patients and the authors' experiences in Breitbart's MCGP workshops.Result: The development of MCGP was based on empirical studies on depression, suicidal ideation, hastened death, hopelessness, meanings and spirituality of advanced cancer patients, and it was influenced by Frankl's logotherapy. The main topics in the eight-week MCGP focused on meanings and cancer, historical context and meanings, and how to seek meanings from the resources of attitudinal, creative and experiential values. Two group experiences of cancer patients in Taiwan echoed the importance of seeking meanings.Conclusions: The effects of MCGP on reducing advanced cancer patients' anxiety and increasing their spiritual well-being were supported by an empirical study. Application of MCGP may be considered by professionals in the psycho-oncology field in Taiwan.

並列關鍵字

Meaning-Centered Group Psychotherapy, spiritual care ； meanings ； advanced cancer ； logotherapy