- 期刊
恐慌症病患接受認知行為團體心理治療之歷程分析
Process Analysis of Cognitive-Behavioral Group Psychotherapy for Patients with Panic Disorder
摘要
本研究旨在探討治療者與成員的口語互動行爲關系用團體互動模式；應用同質性策略，選取在中部某醫學中心接受精神科門診治療之六名病患爲研究對象，徵得同意後施予爲期十二週的封閉式團體心理治療；資料以錄音方式收集後轉譯，再根據Hill互動矩陣進行同時性三角交叉檢視法(simultaneous triangulation)，以分析恐慌症病患接受認知行爲治療之團體動力發展曆程。結果發現：團體治療者與成員的互動行爲關系分別呈現上下起伏波動。而團體曆程之發展可分爲：初期－適應與熟悉階段、中期－探索階段及後期－生産與制造階段，其中又以第三象限的口語行爲參與量最多。在團體互動行爲模式中，治療者之行爲類別以探討團體成員的個人問題居多，以日常說話或提供支持的溝通方式居次；而成員的行爲類別亦以談論個人的問題爲主，顯示團體治療者與成員的口語行爲相當一致；另外團體治療者與成員的互動行爲類型方面，在內容形態上以成員中心爲主，在工作形態上則達工作前階段，顯示團體對成員的治療價值頗有幫助。
並列摘要
The study explores the verbal interaction relationship between therapists and members, and the interaction model of this group. Six subjects were chosen by convenience sampling from the psychiatric OPD of a medical center in the Taichung area. Subjects with informed consent participated in a 12-week course of closed group psychotherapy. All data was tape-recorded and the Hill Interaction Matrix (HIM) scale was applied for simultaneous triangulation, in order to analyze the group’s dynamic development of cognitive-behavioral psychotherapy for patients with panic disorder. The results indicated that the interactive relationship between therapists and members fluctuated during the group process. Development of the group process can be subdivided into three stages: initial stage-adaptive and familiar, middle stage-explorative, and terminal stage-productive. The amount of verbal interaction was greatest in the third quadrant. In the group interaction model, the therapist tended to explore the members’ problems most. Providing support was the second most frequent. Meanwhile, members also tended to discuss personal problems. It was revealed that the verbal interaction of the therapists and members were the same. The content style of this group session is member-centered, and work style is pre-worked. The results showed that the group sessions did have great therapeutic value for members.
參考文獻
延伸閱讀
- 程靖容（2022）。難治型憂鬱症患者接受認知行為團體治療之歷程分析〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU202203171
- 張詠雲（2016）。恐慌自助手冊－探討認知行為技術融合焦點解決治療。諮商與輔導，(363)，25-30。https://www.airitilibrary.com/Article/Detail?DocID=16846478-201603-201707180014-201707180014-25-30
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