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題名 華人心理治療中個案饋贈對治療關係的影響：心理治療者的觀點
The impacts of client’s gift-giving on therapeutic relationship in Chinese psychotherapy: The counselor’s perspective作者 丘惠媚
Yau, Wai-Mei貢獻者 陳婉真
Chen, Wan-Chen
丘惠媚
Yau, Wai-Mei關鍵詞 華人文化
治療關係
饋贈行為
諮商倫理
Chinese culture
Therapeutic relationship
Gift-giving behavior
Counseling ethics日期 2023 上傳時間 2-Jun-2023 11:43:46 (UTC+8) 摘要 本研究分析華人心理治療中個案饋贈之形態和意義、揭示饋贈對治療關係之影響以及探討饋贈現象下心理師的因應方式。本研究運用深度訪談法，與四位年資逾十五年的資深心理師進行半結構式訪談。研究結果顯示，個案的饋贈原則以禮輕情意重為主，送禮前個案會先觀察心理師的喜好或需要，再送上相應的禮物。在饋贈時，個案傾向透過脈絡化輕描淡寫饋贈的心意以淡化饋贈的獨特性，令饋贈顯得稀鬆平常。至於饋贈的意義，饋贈在治療關係中除了具備人情的三種涵義外，饋贈行為亦是個案把日常社交互動帶到治療關係的一種嘗試。此外，本研究認為饋贈對治療關係之影響是由禮物所觸發之情緒所孕育而生。收受或拒絕饋贈分別會觸發心理師和個案的正負向情感，這些情緒皆會對個案及心理師的心理狀態和互動產生相應之變化，由此對治療關係造成不同影響。最後，在因應方式上，面對個案的饋贈，心理師的因應方式隨閱歷和工作經驗的增加而有所不同。縱使心理師的因應方式隨著歲月而有所改變，但心理師由始至終都相當重視饋贈的倫理考量，其主要考量因素是禮物的價格、禮物是否單純以及個案的議題。另外，心理師與個案對於饋贈的討論不但能深化治療關係，個案在討論的過程中也大有裨益。
This study analyzed the pattern and meaning of clients’ gift-giving behavior(GGB) in Chinese psychotherapy, revealed the impact of GGB on the therapeutic relationship, and examined counselors’ coping strategies for clients’ GGB. Using in-depth interviews, four semi-structured interviews were conducted with four experienced counselors with over 15 years of experience. The results revealed that the principle of clients’ gift-giving was not the gift that counts, but the thought behind it (Chinese idiom lǐ qīng qíng yì zhòng). Before clients delivered the gift, they observed the preferences or needs of their counselor. During gift-giving, clients tended to downplay the uniqueness of the gift by contextualizing their GGB, making the gift seem ordinary. For the meaning of gift-giving in the therapeutic relationship, it not only symbolized the three meanings of Renqing, clients’ GGB was also an attempt to bring daily social interactions into the therapeutic relationship. In addition, this study suggested that the impact of GGB on the therapeutic relationship was nurtured by the emotions triggered by GGB. Accepting or rejecting the gift triggered positive and negative emotions in the counselor and the client, which caused corresponding changes in their psychological condition and interaction, and the therapeutic relationship was thus affected. Besides, counselors’ attitudes towards GGB and how they cope with it varied with their work experience. Although counselors’ coping strategies changed over time, examining the gifts ethically was always important to counselors, their three major ethical considerations towards it were the price of the gift, the pureness of the gift, and the client per se. 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國立政治大學
輔導與諮商碩士學位學程
108172011資料來源 http://thesis.lib.nccu.edu.tw/record/#G0108172011 資料類型 thesis dc.contributor.advisor 陳婉真 zh_TW dc.contributor.advisor Chen, Wan-Chen en_US dc.contributor.author (Authors) 丘惠媚 zh_TW dc.contributor.author (Authors) Yau, Wai-Mei en_US dc.creator (作者) 丘惠媚 zh_TW dc.creator (作者) Yau, Wai-Mei en_US dc.date (日期) 2023 en_US dc.date.accessioned 2-Jun-2023 11:43:46 (UTC+8) - dc.date.available 2-Jun-2023 11:43:46 (UTC+8) - dc.date.issued (上傳時間) 2-Jun-2023 11:43:46 (UTC+8) - dc.identifier (Other Identifiers) G0108172011 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/145076 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 輔導與諮商碩士學位學程 zh_TW dc.description (描述) 108172011 zh_TW dc.description.abstract (摘要) 本研究分析華人心理治療中個案饋贈之形態和意義、揭示饋贈對治療關係之影響以及探討饋贈現象下心理師的因應方式。本研究運用深度訪談法，與四位年資逾十五年的資深心理師進行半結構式訪談。研究結果顯示，個案的饋贈原則以禮輕情意重為主，送禮前個案會先觀察心理師的喜好或需要，再送上相應的禮物。在饋贈時，個案傾向透過脈絡化輕描淡寫饋贈的心意以淡化饋贈的獨特性，令饋贈顯得稀鬆平常。至於饋贈的意義，饋贈在治療關係中除了具備人情的三種涵義外，饋贈行為亦是個案把日常社交互動帶到治療關係的一種嘗試。此外，本研究認為饋贈對治療關係之影響是由禮物所觸發之情緒所孕育而生。收受或拒絕饋贈分別會觸發心理師和個案的正負向情感，這些情緒皆會對個案及心理師的心理狀態和互動產生相應之變化，由此對治療關係造成不同影響。最後，在因應方式上，面對個案的饋贈，心理師的因應方式隨閱歷和工作經驗的增加而有所不同。縱使心理師的因應方式隨著歲月而有所改變，但心理師由始至終都相當重視饋贈的倫理考量，其主要考量因素是禮物的價格、禮物是否單純以及個案的議題。另外，心理師與個案對於饋贈的討論不但能深化治療關係，個案在討論的過程中也大有裨益。 zh_TW dc.description.abstract (摘要) This study analyzed the pattern and meaning of clients’ gift-giving behavior(GGB) in Chinese psychotherapy, revealed the impact of GGB on the therapeutic relationship, and examined counselors’ coping strategies for clients’ GGB. Using in-depth interviews, four semi-structured interviews were conducted with four experienced counselors with over 15 years of experience. The results revealed that the principle of clients’ gift-giving was not the gift that counts, but the thought behind it (Chinese idiom lǐ qīng qíng yì zhòng). Before clients delivered the gift, they observed the preferences or needs of their counselor. During gift-giving, clients tended to downplay the uniqueness of the gift by contextualizing their GGB, making the gift seem ordinary. For the meaning of gift-giving in the therapeutic relationship, it not only symbolized the three meanings of Renqing, clients’ GGB was also an attempt to bring daily social interactions into the therapeutic relationship. In addition, this study suggested that the impact of GGB on the therapeutic relationship was nurtured by the emotions triggered by GGB. Accepting or rejecting the gift triggered positive and negative emotions in the counselor and the client, which caused corresponding changes in their psychological condition and interaction, and the therapeutic relationship was thus affected. Besides, counselors’ attitudes towards GGB and how they cope with it varied with their work experience. Although counselors’ coping strategies changed over time, examining the gifts ethically was always important to counselors, their three major ethical considerations towards it were the price of the gift, the pureness of the gift, and the client per se. Furthermore, this study demonstrated that the discussion of GGB between the counselor and the client not only deepened the therapeutic relationship, but also benefited the client. en_US dc.description.tableofcontents 第一章 緒論 1第一節 研究動機與背景 1第二節 研究目的與待答問題 3第三節 名詞釋義 4第二章 文獻探討 5第一節 禮與饋贈文化 5第二節 華人文化中饋贈的意義 6第三節 饋贈與關係 8第四節 饋贈與心理治療關係 12第五節 心理師觀點下饋贈之意義、影響與因應 18第三章 研究方法 22第一節 研究架構 22第二節 研究對象與取樣方法 24第三節 研究取向 24第四節 研究工具 25第五節 實施程序 26第六節 資料處理與分析 27第七節 研究信效度 30第八節 研究倫理 31第四章 研究結果 33第一節 華人心理治療中個案饋贈的型態和意義之剖析 33第二節 饋贈對治療關係的影響 49第三節 心理師面對個案饋贈之因應 59第五章 討論 73第一節 華人心理治療中個案饋贈的型態和意義之剖析 73第二節 饋贈對治療關係的影響 78第三節 心理師面對個案饋贈之因應 80第六章 結論與建議 83第一節 結論 83第二節 實務與研究建議 84第三節 研究反思 85參考文獻 86附錄一 訪談大綱 91圖次圖3-1 研究架構圖 23表次表3-1 受訪者之基本資料 24表3-2 開放式編碼範例 27表3-3 主軸編碼範例 28表3-4 選擇性編碼範例 30 zh_TW dc.format.extent 2069746 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0108172011 en_US dc.subject (關鍵詞) 華人文化 zh_TW dc.subject (關鍵詞) 治療關係 zh_TW dc.subject (關鍵詞) 饋贈行為 zh_TW dc.subject (關鍵詞) 諮商倫理 zh_TW dc.subject (關鍵詞) Chinese culture en_US dc.subject (關鍵詞) Therapeutic relationship en_US dc.subject (關鍵詞) Gift-giving behavior en_US dc.subject (關鍵詞) Counseling ethics en_US dc.title (題名) 華人心理治療中個案饋贈對治療關係的影響：心理治療者的觀點 zh_TW dc.title (題名) The impacts of client’s gift-giving on therapeutic relationship in Chinese psychotherapy: The counselor’s perspective en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 大紀元（2015年9月12日）。教師節為什麼變成了「送禮節」？。台灣大紀元。取自 https://www.epochtimes.com.tw/n140785/教師節為什麼變成了送禮節-.html王仕圖、吳慧敏（2003）。深度訪談與案例演練。載於齊力、林本炫（主編），質性研究方法與資料分析（95-114頁）。高雄市：復文圖書。中國心理學會（2018）。中國心理學會臨床與諮詢心理學工作倫理守則（第二版），心理學報，50（11），1314-1322。台灣輔導與諮商學會（2001年11月16日）。台灣輔導與諮商學會諮商專業倫理守則。取自http://www.guidance.org.tw/ethic_001.html朱潤、楊寅、錢銘怡（2013）。高校諮詢中心諮訪雙方對送禮的認知及決策差異。中國心理衛生雜誌，27（11），840-843。李放春、劉瑜（譯）（2000）。禮物的流動 : 一個中國村莊中的互惠原則與社會網絡（原作者：閻雲翔）。上海：上海人民。（原著出版年：1996）汪珍宜、何翠萍（譯）（1989）。禮物 : 舊社會中交換的形式與功能（原作者：牟斯）。臺北市 : 遠流。（原著出版年：1954）林利珊（2015）。從正念、正向心理學預防心理師的專業耗竭。諮商與輔導，349，2-5。林美芳、張馥媛、王智弘（2009）。臨床心理師非性雙重關係倫理態度與行為之調查研究。台灣公共衛生雜誌，28（6），530-540。金耀基（2013）。中國社會與文化。香港：牛津大學出版社。胡適（1927）。中國哲學史大綱 。上海：商務印書館。徐宗國（1996）。紮根理論研究法：淵源、原則、技術。載於胡幼慧（主編），質性研究：理論、方法及本土女性研究實例（47-73頁）。臺北市：巨流圖書。馬晨光（2009）。對禮物的符號學思考。齊齊哈爾師範高等專科學校學報，2009（1），102-103。高雋、錢銘怡、蔡文虹、鄧晶（2008）。心理諮詢師/治療師與來訪者對職業倫理的態度比較。中國心理衛生雜誌，22（1），68-72。梁漱溟（2013）。中國文化要義。臺北市：臺灣商務。曾文星（2004）。華人的心理與治療。臺北市：桂冠。黃光國（1995）。知識與行動 : 中華文化傳統的社會心理詮釋。臺北市：心理。黃婷蔚、陳慈樸（2014）。諮商師專業耗竭與自我界線的覺察之倫理議題探討。家庭教育雙月刊，50，26-31。葉斌、朱建軍、鄭寧（2002）。關於心理諮詢與治療中來訪者請客送禮的討論。中國心理衛生雜誌，16（3），211-213。齊力（2003）。質性研究方法概論。載於齊力、林本炫（主編），質性研究方法與資料分析（1-18頁）。高雄市：復文圖書。趙旭東、孫珉（譯）（2005）。禮物、關係學與國家 : 中國人際關係與主體性建構（原作者：楊美惠）。臺北市：南天。（原著出版年：1994）鄭伯壎（2005）華人組織行為研究的方向與策略：由西化到本土化。載於楊國樞（主編），華人心理治療與倫理（191-244）。臺北市：桂冠。蔡甫昌、張賢政、張至寧（2007）。醫師面對病患餽贈所涉倫理議題。台灣醫學，11（2），206-215。樊和平（1995）。中國倫理的精神。臺北市：五南。劉淑慧（1987）。助人工作者職業倦怠量表之編製與調查研究（未出版之碩士論文）。取自https://hdl.handle.net/11296/c7k7r9樂晶（2006）。轉型中國城市居民禮物交換模式與特徵初探。江西師範大學學報（哲學社會科學版），39（1），52-57。蕭洪恩、王娟、馬丹（2010）。禮物的話語：春節場域下送禮演繹模式的文化解讀。中南民族大學學報（人文社會科學版），30（5），1-6。錢銘怡（2011）。禮物：困擾諮詢雙方的難題。心理與健康，1，65-67。American Counseling Association (2014). 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