結合建構與發展觀點的認知行為治療模式

Abstract

認知行為治療法隨著認知取向成為心理學主流的影響，在諮商與心理治療領域亦蓬勃發展。鑑於過去發展心理學與諮商心理學的相互對話較少，認知治療理論的個體發生學無法與發展心理學的理論相整合，因此企圖根據建構取向的發生認識論以及採取不同認知發展的思考方式做為心理病理的基礎，並以此論述認知行為治療的理論架構。由於不同的認知思考層次各有問題特定的適用性與限制，因此可從當事人的認知思考層次來建立適應不良的病理學基礎，並嘗試提出結合建構與發展觀點的治療模式；最後，作者針對未來研究方向提出建議，期待透過認知發展理論與臨床成果的交互對話，促進跨領域的整合。

As the cognitive approach becoming the mainstream of psychology, cognitive therapy also has developed prosperously. Due to the rare dialogues between developmental psychology and counseling psychology, the ontogeneisis theories of cognitive therapy could not be integrated with those of developmental psychology. The author based on the genetic epistemology of constructivism approach and took various thinking styles of cognitive development as the theoretical basis of psychopathology to justify the logos of cognitive behavior therapy. Thinking styles of various cognitive developmental levels have problem-specific fitness on problem-solving and constraints, the psychopathology of maladaptations could be established from theses cognitive levels of clients, then the author proposed a tentative models including constructivist and development perspectives. Finally, future research implications about this approach were also suggested. We hope that the mutual dialogues between cognitive development theory of developmental psychology and clinical applications of counseling psychology can facilitate the advance of interdisciplinary integrity.