Translated Titles

An Analytic Study on the Change Process and Therapeutic Factors in Group Psychotherapy of an outpatient-Interpersonal and Psychodynamic Group Psychotherapy as an Example




陳均姝(Chun-Shu Chen);陳登義(Teng-Yi Chen);施欣欣(Hsin-Hsin Shih)

Key Words

療效因子 ; 團體心理治療 ; 改變過程 ; 人際取向團體心理治療 ; 心理動力取向團體心理治療 ; Therapeutic factors ; group psychotherapy ; change process ; interpersonal group psychotherapy ; psychodynamic group psychotherapy



Volume or Term/Year and Month of Publication

28卷1期(2006 / 08 / 01)

Page #

1 - 27

Content Language


Chinese Abstract


English Abstract

The purpose of this study is to explore the change process and therapeutic factors in group psychotherapy of specific member. Semi-structured interviews, clinical observation and document analysis methods were used to collect research data from an outpatient in (60 sessions in two years) the interpersonal and psychodynamic group psychotherapy. The qualitative research method was used to analyze the collected data. The result of the study shows that the outpatient perceives the influence of various therapeutic factors in group psychotherapy. These factors directly or indirectly activate four kinds of change process. These change processes are interrelated with each other. As the group experiences of that member were accumulated and intensified, the change process proceeds circularly and repeatedly. The change process moves forward constantly in a spiral form. The group process appears even more obvious in the latter stage of the group psychotherapy. The therapeutic factors from the outpatient's perception include self understanding, interpersonal learning, experience and understanding of family relationship, development of socializing techniques, catharsis and self disclose, imparting information, group cohesiveness, altruism, universality, existential factors, instillation of hope and imitative behavior and identity. Four kinds of change process activated by these therapeutic factors are: facilitating and preparing for change, experiencing the self and enhancing self-awareness and self-exploration, obtaining insight and achieving self-integration, and cultivating change in self and action. According to the characteristics, depth and change process of the outpatient in group psychotherapy, the change process in group psychotherapy can be divided into three change stages: to clarify and to deal with the problems and depression, to distinguish and to intervene with the inner conflicting emotions and defense mechanism, to work through the core conflicts. Suggestions on group works as well as future studies were discussed based on the results of this research.

Topic Category 社會科學 > 心理學
社會科學 > 教育學
  1. Bendar, R. L.,Kual, T.,A. E. Bergin,S. L. Garfield (Eds.)(1994).Handbook of psychotherapy and behavioral change.NY:Wiley.
  2. Bloch, S.,Reibstein, J.(1980).Perceptions by patients and therapists of therapeutic Factors in group psychotherapy.British Journal of Psychiatry,137,274-278.
  3. Bolter, T.,Fulsritnan, A.(1983).Curative factors in group therapy: A review of recent literature.Small Group Behavior,14(2),131-142.
  4. Burlingame, B. M.,Fuhtiman, A. J.,John-suit, J.,Delttcia-Waack, J. L.,Gerrity, B. A.,Kalodner, C. R.,Riva, M. T.(Eds.)(2004).Handbook of group counseling and psychotherapy.Thousand Oalcs, CA:Sage.
  5. Burlingame, G. M.,Fuhriman, A. J.,Mosier, J.(2003).The differential effectiveness of group psychotherapy: A meta-analytic perspective.Group Dynamics: Theory, Research & Practice,7(1),3-12.
  6. Burlingame, G. M.,Mackenzie, K. R.,Strauss, B.,M. Lambert,A. B. Bergin,S. L. Garfield (Eds.)(2003).Handbook of psychotherapy and behavior change.NY:John Wiley.
  7. Crouch, B. C.,Bloch, S.,Wanlass, J.,G. M. Burlinganse (Ed.)(1994).Handbook of group psychotherapy.NY:Wiley.
  8. Hansen, J. C.,Warner, R.W.,Smith, B. J.(1980).Group counseling: theory and process.Chicago:Rand McNally.
  9. Hill, C. B.,O`Brien, K. M.(1999).Helping Skill-Facilitating exploration, insight, and action.NY:APA.
  10. Kaol, T. J.,Bendar, R. L.,S. L. Garfield,A. E. Bergin (Eds.)(1986).Handbook of Psychotherapy and behavior change.NY:Wiley.
  11. Kivlighan D. M.,Holmes, S. B.,DeLucia-Waack, J. L.,Gerrity, D. A.,Kalodner, C. R.,Riva, M. T.(Eds.)(2004).Handbook of group counseling and psychotherapy.Thousand Oaks, CA:Sage.
  12. Kivlighan, D. M.,Coleman, M. N.,Anderson, D. C.,S. D. Brown,R. W. Lent (Eds.)(2000).Handbook of counseling psychology.NY:John Wiley.
  13. Kivlighan, D. M.,Goldfinc, D. C.(1991).Endorsement of therapeutic factors as a function of stage of group development and participant interpersonal attitudes.Journal of Counseling Psychology,38,150-158.
  14. Kivlighan, D. M.,Mullison, D.(1988).Participants' perception of therapeutic factors in group counseling: The role of interpersonal style and stage of group development.Small Group Behavior,19(4),452-468.
  15. Kivlighan, D. M.,Multon, K. D.,Brossat, D. F.(1996).Helpful impacts in group counseling: Development of a multidinsensional rating system.Journal of Counseling Psychology,43,347-355.
  16. Lieherman, M. A.,Gotant, M.(2002).Leader behavior as perceived by cancer patients in professionally directed support groups and outcomes.Group Dynamics: Theory, Research, and Practice,6,267-276.
  17. Lorentzen, S.,Hoglend, P.(2002).The change process of a patient in long-term group psychotherapy: Measuring and describing the change process.Group Analysis,35(4),500-525.
  18. Rutan, J. S.、Stone, W. N.、唐子俊、唐慧芳、孫肇玢譯(2001)。心理動力團體治療。台北:五南出版社。
  19. Shaughnessy, P.,Kivlighan, D. M.(1995).Using group participants` perceptions of therapeutic factors from client typologies.Small Group Research,26(2),250-268.
  20. Shechtman, Z.,Perl-Dekel, O.(2000).A comparison of therapeutic factors in two group treatment modalities; Verbal and art therapy.Journal for Specialists in Group Work,25,288-304.
  21. Wanlass, J.,Moreno, J. K.,Thomson, H. M.(2005).Group therapy fur eating disorders: A retrospective case study.Journal for Specialists in Group Work,30(1),47-66.
  22. Yalom, I. D.(1985).The theory and practice of group psychotherapy.NY:Basic Books.
  23. Yalom, I. D.(1995).The theory and practice of group psychotherapy.NY:Basic Books.
  24. 王麗斐、林美珠(2000)。團體治療性因素量表之發展與編制。中華輔導學報,9,1-24。
  25. 林美珠、王麗斐(1998)。團體治療性與反治療陸重要事件之分析。中華輔導學報,6,35-59。
  26. 張達人(1998)。喪親者之團體心理治療-一位傷慟者領厝歷程。中華心理籣生學刊,11(3),69-80。
  27. 許原山(2005)。碩士論文(碩士論文)。中國醫藥大學,醫學研究所碩士論文。
  28. 蘇完女(2001)。博士論文(博士論文)。國立彰化師範大學輔導與諮商學系博士論文。
Times Cited
  1. 蔡宜蓁(2018)。桌遊作為輕度認知障礙患者認知訓練之療效初探。臺灣大學職能治療研究所學位論文。2018。1-111。 
  2. 陳婉真(Wan-Chen Chen);蔡依玲(Yi-Ling Tsai);黃惠惠(Huei-Huei Huang);吳國慶(Kuo-Ching Wu)(2014)。關係理論取向諮商中個案音映內在依賴衝突之分析。教育心理學報。46(1)。141-164。 
  3. 邱裕閔(2016)。安置社會福利機構慢性精神障礙者影響家庭關係因素之研究。中山醫學大學醫學社會暨社會工作學系碩士班學位論文。2016。1-202。