日間留院精神分裂病患主題導向之人際互動團體心理治療

Group Psychotherapy with Agenda-Oriented Interpersonal Approach for Schizophrenic Day-patients

江麗珍(Li-Chen Chiang) ； 陳珠璋(Chu-Chang Chen) ； 彭素玲(Su-Ling Peng) ； 蔡尚穎(Shang-Yiing Tsai) ； 袁樂民(Ler-Ming Yuan)

《職能治療學會雜誌》 11卷 (1993/12) Pp. 51-63

https://doi.org/10.6594/JTOTA.1993.11.06

摘要

精神分裂病患呈現顯人際關係障礙，對其實施以主題導向人際互動轉帳體心理治療具有特殊意義。此研究以四種評估工具及團體互動情形客觀且系統評估團體發展過程及治療結果.研究對象十六位精神分裂病分為實驗組及對照組各八位,前者三位及後者四位中途退出。團體治療共進行四十六次，此研究結果描述如下：一、起始階段，成員需一個半月適應團體。二、中期階段，成員出席不穩定、治療者更換影響團體發展。三、末期階段，實施角色扮演、角色互換技巧改善人際溝通技巧。四、第一次更換不同性別及專業的協同治療者對團體發展影響較明顯。五、較深人層人際互動模式的家庭成員關係主題，末期階段出現比例最高。

並列摘要

A group psychotherapy adopting agenda-oriented interpersonal approach was conducted over eight schizophrenic patients who have apparent interpersonal difficulties.
The authors choose the following instruments to evaluate the treatment effect: 1) attendance rate; 2) the symptom check list (SCL-90) rated by patients; 3) group therapeutic factors form rated by patients; and 4) the SYMLOG adjective rating scale recorded by observers.
In the beginning, this group was composed of eight patients. Five completed the entire forty-six weekly sessions, while three dropped out. The three phases of whole group process were divided into eight stages according to the development of group interactions.
The following results are derived from this study; 1) Group members tooked about one and a half months to adjust to this group (the venting stage); 2) The group development was affected in the middle phase by unstable attendance after dropping out of two patients (the unstable stage); 3) Role play and role reversal techniques were used to improve communicating skill with an interpersonal approach in the final phase (the reality testing stage); 4) The change of a female occupational therapist serving as cotherapist had influenced more on the group development than male psychiatrists; and 5) The agenda concerning their family relationship were presented more frequently in final phase.

並列關鍵字

group psychotherapy ； interpersonal approach ； schizophrenic ； day-patients.