創傷復原與療癒歷程之探索：以表達性藝術治療爲例

The Study of Trauma Recovery and Healing Processes: Taking Expressive Art Therapy as an Example

楊淑貞(Su-Jane Yang)

《台灣藝術治療學刊》 2卷1期 (2010/08) Pp. 73-85

https://doi.org/10.29761/JTAT.201008.0004

摘要

創傷事件複雜的成因與特異性，經常讓倖存者難以言喻，而傳統口語表達的心理治療模式，容易因爲倖存者潛意識的抗拒，而讓治療的效果受到限制。本文整合文獻，探討創傷療癒的三階段歷程，即表達性藝術治療介入之療效及其療癒機轉。第一階段－安全機制的建立：以間接而受保護的表達方式，協助倖存者宣洩情緒與情感，並尋回自主性。第二階段－回顧與哀悼：以創作進行導引並做回顧，讓創傷記憶得以轉化，並探索創傷對生命的價值與意義。第三階段－重建與正常生活的聯繫：透過藝術治療團體重建倖存者對環境失落的信任，重新建立與外在的聯繫。本文的討論與建議做爲臨床心理治療實務及未來研究之參考。

關鍵字

創傷復原 ； 療癒歷程 ； 表達性藝術治療

並列摘要

Trauma events are difficult for survivor to narrate because they are characterized by complex causes and specificity. Traditional psychological treatment models using oral expression can limit treatment effects due to the unconscious resistance of the survivors. This paper surveys existing literature to investigate the three stages of trauma recovery and the therapeutic effects and mechanisms of expressive art therapy intervention. The first stage-the establishment of a safety mechanism: use indirect and protective expressive method to help survivors release their emotions and sentiments and regain a sense of independence. The second stage-review and mourning: creative activities are used as guidance and review to transform traumatic memories and to explore the value and meaning of trauma to life. The third stage-rebuilding connections with regular life: the art treatment group rebuilds the survivors' trust in the environment and rebuilds connections with the outer world. The discussion and suggestions in this paper can serve as references for clinical psychological treatment practice and future research.

並列關鍵字

trauma recovery ； healing process ； expressive art therapy