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心理治療師反移情經驗之歷程研究

A Process Study of Psychotherapist's Countertransference Experience

摘要


本研究的目的在於探索心理治療療程中,反移情經驗之性質與轉變,研究對象為一名具有證照的心理師,女性,年齡介於30歲至35歲,心理治療工作年資15年。本研究以質化研究法進行,在療程前、療程中、療程後共進行十五次訪談,其中療程中的訪談共十次,在每次治療後30小時內進行。研究結果發現反移情經驗依其性質可分為四個主軸,分別是「對案主的感受或觀點」、「治療師及治療的角色與地位」、「治療關係與治療維繫」和「分心與聯想」。反移情經驗的轉變方面,則是隨著療程而由「治療師中心」朝向於「案主中心」,各主軸經驗隨著療程中訊息的擴展而有內容的變化,各主軸經驗之間亦呈現互相影響的情形。研究者對療程中反移情經驗的性質與轉變進行詳細的描述,並對未來的研究與實務工作提出建議。

並列摘要


The purpose of this study was to explore the nature and transformation of countertransference during psychotherapy. One female licensed psychologist, was interviewed. Her age about 30 to 35 years old, and she had about 5.5 years of clinical experience. In-depth interviews were conducted before, during and after her psychotherapy with a client. A total of fifteen interviews were conducted, ten of which took place during the psychotherapy process. Results revealed four domains of countertransference: 1) feelings or cognition toward the client, 2) roles and positions of the therapist in psychotherapy, 3) relationship and its maintenance, 4) distraction and associations. The results also indicated that from the initial stage to termination, countertransference transformed from a therapist-oriented focus to a client-oriented focus. Implications for practice and research are discussed.

參考文獻


林淑君、陳秉華(2002)。心理治療者的反移情研究。教育心理學報。34,103-121。
Bouchard, M. A.,Normandin, L.,Seguin, M. H.(1995).Countertransference as instrument sod obstacle: A comprehensive and descriptive framework.Psychoanalytic Quarterly.64,717-745.
Brammer, L. M.,Shostrorn, E. L.,Abrego, P. J.(1989).Therapeutic psychology: Fundamentals of counseling and psychotherapy.Prentice Hall, Inc.
Casement, P. J.(1986).Countertransference and interpretation.(Contemporary Psychoanalysis).
Cutter, R. I.(1954).Countertrsnsference effects in psychotherapy.(Journal of Consulting Psychology).

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