身體敘事治療團體之敘說研究–以毒癮戒治治療性社區居民為例

本研究目的在探究研究參與者與「身體敘事治療」團體交會之故事以及「身體敘事治療」團體之團體架構及內涵。研究邀請七位居住於「毒癮戒治治療性社區（therouputic community）」之居民，參與每一次進行一個半小時、共進行八次之團體。每一次團體均進行影音資料收集，團體結束後錄音部分謄寫成逐字稿，並反覆觀看影片，作為資料分析的材料。研究分析以敘事研究方法之「類別內容」為主，動作意義轉譯則輔以拉邦動作分析（Laban Movement Analysis）概念，最後以融入卅結晶分析方式（Immersion/Crystallization Analysis Style），透過反覆書寫，形成概念化、命題分類，並論述其獨特及關聯性，形成之研究結果如下：一、研究參與者在「身體敘事治療團體」中敘說經驗事件，從單一的負向結論故事漸漸發展成較為多元同時擁有「失敗」及「努力」之故事。除了認同主流論述影響之問題自我認同的故事外，亦發展出擁有自我主權之認同故事。歸納成員重視之生命故事面向為：「生命的意義感」、「自由的框架」、「深情的力量」和「結伴同行」四部分。透過在團體中探訪此四個面向的故事，在跌宕中前進的戒毒故事，多了源於自身的渴望以及行動力。二、在「身體敘事治療」團體結構方面，發現團體有四個循序漸進的階段，每階段都有其目的，成員在團體中建構整合「身體」與「聲音」語言表達的「完全敘說」對話新經驗，形成學習路徑，並促成自身故事流轉。四個階段分別為：「起：序曲」、「承：身體主題」、「轉：主題延伸或變奏」、「合：匯流」；團體之內涵，以「敘事治療」後現代社會建構之概念軌道為主，發展出「完全敘說式覺察與投入」、「完全敘說式外化與解構」、「完全敘說式豐厚與迴響」及「完全敘說式見證與遷移」四種對話方式；對話方式與成員生命議題之相關性，則有1）社會建構影響之認同；2）關係對話的影響；3）隱喻聯想的力道，三個層面。最後，本研究提出的建議分為「給實務工作者的建議」、及「對未來研究的建議」，以提供從事此領域工作或研究者之參酌。

關鍵字

身體敘事治療；毒癮戒治團體治療；社會建構；完全敘說

並列摘要

The purpose of study is analyzing the research participants’ stories told at the ”embodied-narrative therapy group” as well as the structure and nature of the said groupings. The seven participants are residents of a therapeutic community of drug addiction. They participated in eight groupings-1.5 hours each- which were recorded into transcriptions and videos that were repeatedly examined and analyzed. The analysis is primarily based on the categorized-content of the narrative inquiry. Laban Movement Analysis was also used for the interpretation of bodily movements. Immersion/Crystallization Analysis Style was adopted in the repeated writings that were conceptualized into propositions whose uniqueness and interrelations were stated. The research findings are: 1. Participants offered narratives of their life experience at the embodied-narrative therapy groupings. Their stories evolved from being singularly negative into being diversified and incorporating both failures and positive endeavors. In addition to observations of influence from the mainstream statements, stories of individual self-recognition were also developed. The aspects valued most by the participants were summarized to be: having a meaning in life, framework of freedom, power of affection, and being accompanied in life. Through the studies of the stories in these four aspects, it was found that the thorny drug rehabilitation stories were mostly originated in the aspiration and motivation of oneself. 2. On the structure of the ”embodied-narrative therapy group”, it was found that there are four progressive stages-each with its own purpose. Members in the groupings acquired new interlocutory experience through “embodied-narrative” that comprised both bodily and vocal expressions. Their paths of learning were observed, which had led to the evolvement of their own stories. The four stages are: 1) introduction: prelude, 2) elucidation: bodily theme, 3) transition: theme extension or variation, and 4) summing up: convergence. On the nature of the groupings, the concept of the post-modern societal construct of narrative therapy were used to develop four dialogue methods: embodied- narrative perception and involvement, embodied- narrative externalization and deconstruction, embodied- narrative enrichment and resonance, and embodied- narrative witness and transition. The relations between dialogue methods and the themes of life of the members are: 1) the recognition of the influence of the societal construct, 2) the influence of relational dialogue, and 3) the strength of metaphorical associations. This study attempts to render recommendations to both the practitioners in the field and researchers