心理諮商所現況之探討與反思

本研究是研究者對兩岸心理諮商所現況之探討與反思，探索台灣心理諮商所普遍存在小規模經營現象的原因及是否有機會擴大經營規模的方法。本研究採取行動研究方式，分成行動研究一及二兩階段實施，行動研究一訪談台灣八家心理諮商所，行動研究二訪談大陸心理機構，並分別以Osterwalder &Pigneur（2010）的九宮格商業模式針對兩岸心理機構進行分析，結果發現兩岸之間，不管是在整體心態、競合模式、人才培育及執業登記、機構性質、機構規模、科技工具使用、對經營管理知識學習態度、政府政策、機構業務內容、行業公會組織上，都有很大差異。分析顯示，大陸兩家心理機構相較於台灣的心理諮商所，確實具有較完整的商業模式。雖然本研究透過行動研究得到上述結果，但是將大陸的理機構與台灣心理諮商所進行此類「商業模式」的分析比較，仍須注意此類分析的問題與限制，事實上大陸的心理諮詢發展背景，與台灣的心理諮商發展脈絡並不一致，其中最大的差異就是台灣「心理師法」的存在與規範！此法的存在，對於兩岸心理諮詢的發展了關鍵性的作用。由於大陸目前並沒有心理師法的規範，因此在心理諮詢的發展上，可說是創意無限，規模大，商業模式多樣化，反觀台灣心理諮商所的發展脈絡裡，雖然此種商業模式的概念確實是較缺乏的，但也培養出世界一流的諮商心理師。

關鍵字

諮商心理師；心理諮商所；心理諮商所經營管理；大陸心理機構

並列摘要

This study is a discussion and rethinking on the current situation of the cross-strait psychological institutions, exploring the reasons why the majority of Taiwan's psychological counseling clinics are small-scale operationsand searches for the possibility to expand the scale of counseling clinic operations in Taiwan. Thisstudy adopted theaction research methods and wasdivided into 2 stages. Action Research stageone consisted of interviews with 8 psychological counseling clinics in Taiwan. Action researchstage two consisted of interviews with 2 mainlandChinesepsychological institutions. The interviews were then analyzed using the “nine-factor business model” from Osterwalder and Pigneur (2010).Theresult shows that there are big differences betweenthe Taiwanpsychological counseling clinics and theChina psychological institutions on overall mentality, competition mode, talent cultivation and practice registration, institutional nature, institutional size, use of scientific and technological tools, attitude towardsmanagement knowledge learning, government policies, institutional business content, and local counseling psychologist guild. Analysis shows that the two psychological institutions in mainland China do have a more complete business model than Taiwan's psychological counseling clinics. Despitethe resultsof the aboveaction studies, we still need to pay attention to the limitations of such analysis and the different developmental history of mainland China and Taiwan while making analysis and comparison between these two business models. In reality, the biggest difference lies in the existence and regulations of the “Psychologists Act”in Taiwan. The existence of this law plays a key role in the development of psychological counseling on both sides of the Taiwan Strait. Since no"Psychological Act " norm exists in China, China Psychological institutions have developed more diversified business models and have growninto larger scale organizations. On the other hand, even though the Taiwan psychological clinics lack the concept of such business model scale, they havesuccessfully cultivated many well trained, first class counselor psychologists.