揭露自殺裡的存在意義－意義中心團體心理治療前導研究

Search for Meaning in the Suicide Chaos: The Pilot Study of Applying Meaning-Centered Group Psychotherapy in Psychiatric Patients with Suicide Risk

莊淑婷(Shu-Ting Zhuang) ； 詹佳達(Chia-Ta Chan)

《中華團體心理治療》 21卷3期 (2015/09) Pp. 31-45

摘要

目的：探索以意義感作為精神科自殺風險族群之初始介入目標的可性。方法：從精神科門診招募有自殺風險或無望感之病人。採個案研究法，依據存在取向理論，探索運用意義中心團體心理治療模式所發生的象。結果：本研究5名成員普遍有想與人連結之需求。隨團體內人際越多互動，意義中心團體心理治療的「心理教育」形變為「人際互動」。運用該模式有助認識團體發生的死亡、自由、孤獨等議題辨識。結論：以意義感為初始目標有其可行之處。意義的發現和人際參與有關。將持續以意義中心團體心理治療模式為團體設計參考，探索以意義感為介入起點對自殺風險族群之助益。

關鍵字

自殺 ； 絕望感 ； 意義治療 ； 存在心理治療 ； 意義中心團體心理治療

並列摘要

Purpose: This pilot study tried to find out the possibility of increasing the sense of meaning as a primary intervention for psychiatric patients with suicide risk. Methods: It was a case study to explore the phenomenon of the therapeutic group which applied the meaning-centered group psychotherapy model (MCGP). The participators were referred from the psychiatric outpatient department. Results: All participants had a need of engagement. MCGP is an intervention based on psychoeducational counseling, and in this pilot study, it is added with the character of here-and-now because of the frequent interpersonal interaction. Meaning rose from in-and-out of group interpersonal interaction. Other ultimate concerns- Death, Freedom and Isolation, also evolved in the MCGP model. Conclusions: It works for psychiatric patients with suicide risks to increase the sense of meaning as a primary intervention. It is also worth to keep on research if it works or not to apply MCGP model for the general psychiatric patients with suicide risk.

並列關鍵字

suicide ； hopelessness ； logo therapy ； existential psychotherapy ； meaning-centered group psychotherapy