性侵害受害兒童的治療因子與干擾因子探究－從遊戲治療師的觀點

The Therapeutic Factors and Risk Factors of Sexually Abused Children -- From the Viewpoints of Play Therapists

賴姳臻(Ming-Jhen Lai)

《台灣遊戲治療學報》 5期 (2016/12) Pp. 17-45

https://doi.org/10.6139/JTPT.2016.5.4

摘要

本研究旨在探討曾經治療過性侵害受害兒童的遊戲治療師，其主觀認為在遊戲治療內部環境及在遊戲治療外部環境，促使產生療癒的治療因子，以及干擾療癒之干擾因子。本研究針對7 名遊戲治療師進行半結構式深度訪談，並以紮根理論進行資料分析。結果發現：治療室內有54 個治療因子及24 個干擾因子，治療室外有37 個治療因子及44 個干擾因子，並進一步歸納出13 個核心類別及4 個主要核心類別。具體而言：兒童療癒歷程為一生態觀點與各系統整合的合作機制。治療室內，物理與心理療癒條件俱足的治療室；擁有良好態度、特質與專業知能的治療師；生心理狀態、依附關係與自我強度高的兒童，及在治療過程中所產生的療癒歷程，均可增進療癒的發生。而治療室外，若兒童能離開受害環境、擁有良好正向功能的照顧者，且治療師能與具專業性的系統進行整合性團隊合作，可在治療室外創造有利的療癒空間。而妨礙療癒的因素則可分成環境因素、家庭因素、社會政策、司法、醫療層面等的功能不佳。本研究最後並提出對諮商實務工作者、相關單位及未來研究之建議。

關鍵字

性侵害受害兒童 ； 遊戲治療師 ； 治療因子 ； 干擾因子 ； 紮根理論

並列摘要

The research aims to explore the perceptions of the therapeutic factors and risk factors for the sexually abused children from 7 play therapists. The researcher used semistructural in-depth interview and analyzed interview data with grounded theory approach. The results showed 54 therapeutic factors in the therapeutic process, 24 risk factors in the therapeutic process, 37 therapeutic process outside the therapy room, and 44 risk factors outside the therapy room, which were organized into 13 core categories and 4 main core categories. They were as follow: Children healing process of a cooperation mechanism for the ecological point of view and the systems integration. The therapeutic room, the physical and psychological healing the conditions are right therapeutic rooms; has a good attitude, character and professional knowledge of the therapist; children' mental states, attachment and self-strength, and therapy in the healing process generated more course, may promote healing to occur. The outdoor treatment room, if the child can leave the victim environment, with good forward function caregivers and therapists to work with a professional system integration team can create favorable healing outside the therapy room. The factors that can impede healing into environmental factors, familial factor, social policy factor, judicial factor and medical factor of the function. Some suggestions for counseling practice and future researches were addressed.

並列關鍵字

sexual abused child ； play therapist ； the therapeutic factors ； the risk factor ； grounded theory

參考文獻

林杏足(2007)。敘事諮商對性侵害議題的檢視與實務應用。輔導季刊。43(1)，26-34。

郭廷修(2004)。性侵害倖存者在創傷事件後的應對策略。諮商與輔導。218，32-36。

邱獻輝(2002)。認識與協助性侵害的受害者。諮商與輔導。203，8-12。

余幸怡(2002)。生態系統遊戲治療簡介。諮商與輔導。193，6-8。

陳慧女、廖鳳池(2006)。家庭內性侵害受害者之性受害經驗、適應症狀與諮商介入情形之分析研究。諮商輔導學報：高師輔導所刊。14，102-139。