Please use this identifier to cite or link to this item: https://ah.lib.nccu.edu.tw/handle/140.119/119322
題名: 心理師於治療中遭受兒童案主攻擊之經驗歷程
The Experience of Psychologists Encountering Aggression from Child Clients during Therapies
作者: 游千雅
Yu, Chian-Ya
貢獻者: 傅如馨
Fu, Ju-Hsin
游千雅
Yu, Chian-Ya
關鍵詞: 心理師
兒童
攻擊
Aggression
Child
Psychologists
日期: 2018
上傳時間: 10-八月-2018
摘要:   本研究旨在了解心理師在治療中遭受兒童案主攻擊的經驗與歷程,研究目的包括:(一)心理師在遭受兒童案主攻擊的經驗歷程與心理衝擊之探究。(二)案主攻擊發生後,心理師於後續治療中的歷程轉化。以立意取樣邀請兩位曾經驗兒童案主攻擊的心理師擔任受訪者,以半結構式的深入訪談方式進行,接續以質性研究中的主題分析法進行資料的歸納與分析,並主要採以動力取向與客體關係理論進行研究結果的討論。\n  本研究之研究結果如下:(一)心理師在遭遇兒童攻擊案主下的治療工作的困境,包含治療中各種「治療中龐大的情緒經驗」以及在此經驗下中各種「介入工作的難題」之經歷。(二)而在後續治療歷程的轉化中,心理師在長期與案主工作中經歷「情緒工作的轉化歷程」、「設限工作的維持」兩項治療工作的轉化,以及後續工作中包含案主與心理師雙方的「治療進展」經驗。\n  本研究之研究討論:(一)在兒童攻擊引發心理師的困境,整理出「與兒童攻擊案主工作的情緒經驗歷程」,接續結合心理師於治療中情緒上與介入上的難題,並綜合國內外相關理論,延伸出「憤怒的反移情」與「權力的反移情」的討論。(二)提出兒童案主的攻擊與治療歷程發展的關聯,主要以客體關係取向的治療階段作為延伸討論的依據,提出治療歷程的四個階段,分別是「建立關係初期」、「探索期」、「工作期」、「轉化期」,並呈現遭遇兒童案主攻擊之治療階段的特殊樣貌。\n  最後,研究者根據研究結果與討論,提出本研究之研究建議與研究限制,提供給未來相關研究者之研究建議,並針對實務工作者在初次經驗兒童案主攻擊的給予實務工作的建議。
This paper studies the experiences of psychotherapists, who have been attacked by their child client in therapy. Two psychotherapists, attacked by child client, are invited to conduct semi-structured purposively sampled interviews. Thematic analysis was used to data interpretation and data analysis. Furthermore, the psychodynamic approach and object relations theory are used for results discussion.\nThe results of this study was listed as follows. (1) The psychotherapists, attacked by child client, are in distress involving a range of emotional experience in therapy and difficulties of intervention. (2) In the subsequent therapy process, the psychotherapists have experienced both at the transitions of emotionally impacted intervention and at the limitation for maintaining intervention. In addition, the progress experiences between psychotherapists and clients in the subsequent therapies.\nThe discussions of this study are as follows: (1) According to the interviews and texts, the author summarizes both the emotional experiences while psychotherapists are attacked by child clients and the difficulties of intervention while psychotherapists are suffered by the experiences. Finally, the extended topics, rage countertransference and power countertransference, are discussed. (2) According to object-relational stages of therapy, the relationships between the experiences of child clients attack and therapy development. Subsequently, the four stages- initial stage, exploratory stage, working stage, transition stage- are purposed and discussed about their specials.\nTherefore, according to the results, discussions and research restriction, this study addresses some suggestions for both researchers and psychotherapists who were attacked by child clients first time in counseling practice.
參考文獻: 中文部分\n王行(2006)。七年之想:輔導「施暴者」的雜感。性別平等教育季刊,3,19-32。\n王守珍(譯)(1996)。攻擊的秘密(原作者:Lorenz, K.)。臺北市:遠流。\n王夢心、王世芬(譯)(2008)。建立遊戲治療關係實用手冊(原作者:Giordano, M., Landreth, G., Jones, L.)。台北:五南。\n朱侃如(譯)(2003)。權力與無知(原作者:May, R.)。新北市:立緒。\n林妙容、鄭如安、孫幸慈(2005)。目睹婚姻暴力兒童諮商介入模式之探究。論文發表於婦女救援基金會、台灣大學社會工作學系主辦之「目睹暴力兒童及少年」學術與實務交流研討會,台北。\n林秀慧、林明雄(譯)(2001)。客體關係治療(原作者:Cashdan S.)。臺北市:心理。\n林霏儀、黃麗華(2016)。某醫學中心護理人員職場暴力發生率及其相關因素探討。秀傳醫學雜誌,15,79-91。\n吳芝儀(2008)(譯)。敘事研究:閱讀、分析與詮釋(原作者:Lieblich, A., Tuval-Mashiach, R., & Zilbe, T.,)。嘉義市:濤石文化。\n吳東彥(2011)。以Fairbairn理論中的內化機制解讀受虐兒的「誘發攻擊」行為及其處遇方式。輔導季刊,47,1-7。\n吳東彥(2014)。身體受虐兒於諮商歷程中所經歷之治療階段與負向治療反應。應用心理研究,61,203-237。\n吳東彥(2015)。諮商室中的反移情:與受虐兒童共處的反思經驗。輔導季刊,5,75-78。\n李宜真(2009)。醫院社會工作者遭遇案主暴力之研究。國立台北大學社會工作系碩士論文。\n李美枝(1984)。高低攻擊傾向之國小、國中男學生在觀看電視習性、父母教養方式、友伴中地位及學業成就上之比較研究。教育與心理研究,7,19-41。\n李維倫、賴憶嫺(2009)。現象學方法論:存在行動的投入。中華輔導與諮商學報,25,275-321。\n李選、白香菊、顏文娟(2010)。台灣護理人員職場暴力經驗及其相關因素研究。護理雜誌,57,61-69。\n沈俋君(2013)。臨床心理師職場暴力經驗之探討。國立東華大學諮商與臨床心理學系碩士論文。\n呂煦宗、李淑珺、陳維峰、甄家明、龔卓軍(譯)(2006)。愛、罪疚與修復。(原作者:Klein, M.)。臺北市:心靈工坊。\n珂辰(譯)(2007)。現在好想殺人-無動機少年殺人事件簿(原作者:片田珠美)。臺北市:數位人資訊。\n洪素珍、黃燕珠、楊大和(譯)(2002)。創傷與治療師-亂倫生存者心理治療中的反移情與替代性受創(原作者:Pearlman, L. A., & Saakvitne K. W.)。台北:五南。\n洪家慧(2008)。目睹家庭暴力兒童遊戲治療之改變歷程研究。國立臺南大學教育學系諮商與輔導學系碩士班碩士。\n紐文英(2015)。研究方法與論文寫作。台北:雙葉。\n高淑清(2008)。質性研究的18 堂課:首航初探之旅。高雄市:麗文。\n徐雅嵐(2008)。高風險社會工作專業人員之案主暴力風險知覺與人身安全現況研究。國立政治大學社會行政與社會工作研究所碩士論文。\n陳文慶、胡海國、林宜平、郭育良、蘇德勝、王榮德(2010)。精神科醫療工作來自病人的職場暴力。勞工安全衛生研究季刊,18,157-62。\n陳圭如、孫世維(2007)。案主暴力與社會工作實務(原作者:Christina, E. N.)台北:心理。\n陳杏佳(1997)。精神科急性病房病患的暴力行為研究。護理研究,5,195-205。\n陳若璋、王沂釗、廖得安 (2012)。校園危機個案處理對心理師衝擊之研究。臺灣諮商心理學報,1,57-87。\n陳若璋、王沂釗、劉効樺(2014)。心理師遭遇案主暴力狀況之調查研究。諮商心理與復健諮商學報,27,59-82。\n陳淑琴(1995)。幼兒非社會性行為的成因與輔導策略探討。幼兒教育年刊,8,135-150。\n陳湘筑(2002)。幼兒攻擊行為之初探-以一個幼稚園中班為例。國立臺灣師範大學家政教育研究所碩士論文。\n陳登義(譯)(2006)。客體關係入門基本理論與應用(原作者:Gomez, L.)。臺北市:五南。\n張宇樑、吳樎椒(譯)(2011)。研究設計:質化、量化及混合方法取向(原作者:Creswell, J.)。臺北市:學富。\n張春興(2006)。張氏心理學辭典。臺北:東華。\n張素秋(2007)。國小學童同儕關係與攻擊行為之相關研究。國立臺中教育大學諮商與應用心理學系碩士論文。\n張慧菊,王建雅,陳學志(2010)。當禁忌和攻擊變幽默—青少年幽默因應中的禁忌與語文攻擊表現。中華心理衛生學刊,23,241-26。\n張麗芬(2003)。幼教老師與幼兒對打鬧遊戲行為的認知。屏東師院學報,18,233-268。\n賈士萱、王孟心(2012)。身體受虐兒遊戲治療之主題變化歷程個案研究。台灣遊戲治療學報,233,65-84。\n楊添圍、周仁宇(譯)(2013)。人我之間:客體關係理論與實務(原作者:Hamilton, N. G.)。臺北:心靈工坊。\n鄭馨淑、陳若琳(2015)。父母婚姻衝突、負向教養與高年級學童攻擊行為的相關研究。家庭教育與諮商學刊,18,89-110。\n蘇建文(1969)。學前兒童攻擊性行為之研究。心理與教育,3,11-8。\n蘇建文(1975)。母親育兒方式與兒童攻擊行為關係之研究。教育心理學報,8,25-44。\n蘇俊賢(2006)。性侵害加害人治療者的心理衝擊與自我調適之研究。國立高雄師範大學輔導與諮商研究所碩士論文。\n\n外文部分\nAnderson, C. (2002). Workplace violence: Are some nurses more vulnerable? . Issues in Mental Health Nursing, 23, 351-366.\nArcher, J., & Coyne, S. M. (2005). An integrated review of indirect, relational, and social aggression. Personality and Social Psychology Review. 9(3), 212–230.\nBahr, W., Kenneth, A. D., John, E. B., & Gregory, S. (1992). Some consequences of early harsh discipline: Child aggression and a maladaptive social information processing style. Child Development, 63(6), 1321–1335.\nBandura, A. (1973). Aggression: a social learning analysis. Oxford, England: Prentice-Hall.\nBandura, A. (1983). Psychological mechanisms of aggression. In R. G. Geen & E. Donnerstein (Eds.), Aggression: Theoretical and empirical reviews. New York: Academic Press.\nBjorkqvist, K., Osterman, K., & Lagerspetz M. J., (1994). Sex differences in covert aggression among adults. Aggressive behavior, 20, 27-33.\nBjörkqvist, K. (2001). Different names, same issue. Social Development, 10, 272-274.\nChen, W.C., Hwu, H. G., Kung, S. M., Chiu, H. J., & Wang, J. D. (2008). Prevalence and determinants of workplace violence of health care workers in a psychiatric hospital in Taiwan. Journal of Occupational health, 55, 288-293.\nChou, K. R., Lu, R. B., & Mao, W. C. (2002). Mental disorders and violence in a total birth cohort: results from the dunedin study. Archives of General Psychiatry, 57, 979-986.\nConnor, D. F. (2002). Aggression and antisocial behavior in children and adolescents. New York: Guilford Press.\nCrick, N. R., Casas, J. F., & Mosher, M. (1997). Relational and overt aggression in preschool. Developmental Psychology, 33(4), 579-588.\nDodge, K. A., Bates, J. E., & Petit, G.S. (1990). Mechanisms in the cycle of violence. Science, 250, 1678-1683.\nDodge, K. A., Bates, J. E., & Pettit, G.S. (1992). Some consequences of early harsh discipline: child aggression and a maladaptive social information processing style. Child Development, 63, 1321-1335.\nFarrenkopf, T.(1992). What happens to therapists who work with sex offenders?\nJournal of Offender Rehabilitation, 18, 217-223.\nFranz, S., Zeh, A., Schablon, A., Kuhnert, S., & Nienhaus, A. (2010). Aggression and\nviolence against health care workers in Germany- a cross sectional retrospective\nsurvey. BMC Health Services Research, 10(51), 1-8.\nHerrenkohl, T., Maguin, E., Hill, K. G., Hawkins, J. D., Abbott, R. D., & Catalano,\nR. F. (2000). Developmental risk factors for youth violence. Journal\nOf Adolescence Health, 26(3), 176-86.\nHumphreys, A. P., & Smith, P. K. (1987). Rough and tumble, friendship, and\ndominance in schoolchildren: Evidence for continuity and change with age.\nChild Development, 58(1), 201-212.\nKimberly, M. B., Michele, K., & Jeanne, B. (2013). Pilot evaluation of the ACT\n  raising safe kids program on children’s bullying behavior. Journal of Child and\nFamily Studies, 22(7), 942-951.\nLittle, T. D., Jones, S. M., Henrich, C. C., & Hawley, P. H. (2003). Disentangling the “whys” from the “whats” of aggressive behavior. International Journal of Behavioral Development, 27, 122-183.\nMaeve, C., Dave, S., Pasalich, R. J., & McMahon, J. S. (2014). The longitudinal link between parenting and child aggression: the moderating effect of attachment security. Child Psychiatry & Human Development, 45(5), 555-564.\nMartin, R. A. (2007). The psychology of humor : an integrative approach. Burlington, MA : Elsevier Academic Press.\nMcEvoy, M. A., Estrem, T. L., Rodriguez, M. C., & Olson, M. L. (2003). Assessing\nrelational and physical aggression among preschool children: Intermethod agreement. Topics in Early Childhood Special Education, 25, 53-63.\nNewhill, C. E. (1996). Prevalence and risk factors for client violence toward social\nworkers. Families in Society, 77, 488-495.\nOweis, A., & Khaldoun, M. D. (2005). Jordanian nurses perception of physicians\nverbal abuse: Findings from a questionnaire survey. International Journal of\nNursing studies, 42, 881-888.\nOztunc, G. (2006). Examination of incidents of workplace verbal abuse against\nnurses. Journal Nursing Care Quality, 21, 360-365.\nPellegrini, A. D. (1988). Elementary school children`s rough and tumble play and\nsocial Competence. Developmental Psychology, 24(6), 802-806.\nPellegrini, A. D., & Smith, P. K. (1998). Physical activity play: The nature and\nfunction of a neglected aspect of play. Child Development, 69(3), 577-598.\nPoggi, R. G., & Ganzarain, R. (1983). Countertransference hate. Bulletin of the\nMenninger Clinic, 47(1), 15-35.\nSchwartz, T., & Park, T. (1999). Assaults by Patients on Psychiatric Residents: A Survey and Training Recommendations. Psychiatric Services, 50(3), 381-383.\nSearles, H. (1961). Phases of patient therapist interaction in the psychotherapy of chronic schizophrenia. In Collected Papers on Schizophrenia and Related Subject. New York: International Universities Press.\nSeinfeld, J. (1990). The bad object: Handling the negative therapeutic reaction in\npsychotherapy. English: London Aronson Press.\nWinnicott, D.W. (1949). Hate in the Countertransference. The International journal of psycho-analysis, 30, 69-74.\nWinnicott, D. W. (1958). Aggression in relation to emotional development. London: Tavistock.\nWinnicott, D.W. (1969). The use of an object., The International journal of psycho-analysis, 50, 711-716.\nWorld Health Organization Youth violence (2001). Retrieved from: http://www.who.int/violence_injury_prevention/violence/youth/en/\nYoungstrom, E., Weist, M. D., & Albus, K. E. (2003). Exploring violence exposure and behavioral problems among inner-city youth. American Journal of Community Psychology, 32, 115-128.
描述: 碩士
國立政治大學
輔導與諮商碩士學位學程
103172005
資料來源: http://thesis.lib.nccu.edu.tw/record/#G1031720053
資料類型: thesis
Appears in Collections:學位論文

Files in This Item:
File SizeFormat
005301.pdf1.27 MBAdobe PDF2View/Open
Show full item record

Google ScholarTM

Check

Altmetric

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.