心智化導向治療模式之經驗性團體初探

A Pilot Study on A Mentalization-informed Experiential Group

周勵志(Lih-Chih Jou) ； 俞錦良(Jin-Liang Yu)

《中華團體心理治療》 21卷4期 (2015/12) Pp. 35-43

摘要

目的:本經驗性團體旨在訓練某醫學中心的諮商心理碩士實習生，目的在於熟悉心智化理論，並透過經驗性團體來體驗臨床技巧，以增進實務工作的能力。方法:本團體為一個短期非結構封閉式團體，由擔任臨床督導的精神科醫師擔任催化員，以較為主動的介入，促進護持(holding )與涵容(containing)成員彼此的反應，進而提供一個安全依附脈絡，坦然地探索、修正情感經驗，開發個人的心智化能力。結果:經由分析、彙整每次團體後每位成員的心得紀錄得知，成員在團體歷程中除探索自己的情感反應，並且學習重新表達;除可以增進自我覺察的能力，也能夠熟悉團體壓力下的個人感受。結論:當面對團體中的壓力成員可以有更高的耐受性。此外，由於本團體兼具教育性質，催化員在過程中適時詮釋解釋團體現象和教導相關理論依據，也如期地增進團體成員的心智化能力。

關鍵字

心智化導向治療模式 ； 體驗性團體 ； 主動介入 ； 心智化情感作用

並列摘要

Objectives: the purpose of this experiential group was to provide clinical training for master degree counseling psychology interns in a medical center in Taipei. The goals of this training were to understand theory of mentalization based treatment (MBT) and learn basic intervention skills for group psychotherapy. Methods: this group is a short-term unstructured closed group, and the clinical supervisor psychiatrist served as the facilitator. To help members explore and mentalize emotional experience, facilitator provided a secure attachment context and made a holding and containing environment by using an active, authoritative role. Results: by analyzing every member's post-group records after each session, the following were revealed that members could not only explore their emotional experience, but also express in a new way. Also, they had better ability of self-awareness and more familiar with their responses under stressful group situations. Conclusion: in addition to increase members' distress tolerance ability, with facilitator's due time interpretations about group phenomena and instructions of theoretic knowledge, members' capability of mentalization were also improved as expected.

並列關鍵字

mentalization-informed treatment ； experiential group ； active intervention ； mentalized affectivity