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題名 心理動力取向治療者領會移情與反移情的學習歷程
The learning process of psychodynamic therapists understanding transference and counter-transference
作者 柯盈如
貢獻者 陳婉真
柯盈如
關鍵詞 心理動力取向
移情
反移情
學習歷程
Psychodynamic approaches
Transference
Counter-transference
Learning process
日期 2017
上傳時間 24-Jul-2017 12:19:14 (UTC+8)
摘要 　　本研究旨在探討心理動力取向為主的心理治療工作者，領會移情與反移情的學習歷程，欲瞭解治療者從理論到實務致身領會的歷程，以及面臨的困境內涵，並在整合理論與實務的體會後，對個人自身與治療工作的意義與影響。研究者針對四位心理動力取向治療者，透過一對一的半結構式訪談，獲得質性資料以進行分析，並建構出歸納式結論，依此作研究結果描述如下：

一、心理動力取向治療者從理論到實務致身領會歷程中的困境內涵
　　心理動力取向治療者容易面臨到的困境主要為兩個層面，分別為：理論的學習與實務的應用。由於理論知識的抽象性，加上主體經驗不足，治療者容易感到模糊而不易掌握理論內涵；在實務工作中，治療者對反移情的瞭解不足，容易與個案移情相互影響，並對自我能力的信心產生動搖。

二、心理動力取向治療者從理論到實務致身領會移情與反移情內涵的歷程
　　領會的歷程可分為三個部份。首先，透過督導的涵容與提點，減緩治療者反移情的負面影響，穩固自我認同，並逐漸覺知自身的反移情。再者，藉由被治療的正向經驗，發展出內在動力的認識與深度接納，對移情與反移情的本質會有更深入的掌握。最後，透過治療者對生命經驗的內化省思，使得理論到實務的連結產生個人性的意義與理解。
三、心理動力取向治療者整合歷程後的體會，對個人與治療工作的意義與影響

　　治療者於實務工作中成功驗證理論內涵，並對個人議題覺察的深化，成熟掌握反移情後，不再輕易被自我懷疑與焦慮所困擾，並發展出對自我與專業的認同。最後伴隨而來的影響，包含：區辨移情與反移情能力提升、涵容與後設思考的空間擴大、發展出對人性謙卑而深刻的思考態度與工作方式、穩固治療信念、以及將動力觀點融入人際與生活等層面。

關鍵字：心理動力取向、移情、反移情、學習歷程
　　This study uses semi-structured interviews to collect data separately from four psychodynamic therapists. In order to discover the learning process of transference and counter-transference and to understand the transition process of every therapist’s perception from theory to practice, this study reviewed the obstacles therapist might have faced, and the influence on his/herself as well as being a therapist when they’ve acquired the integration of both theory and practice. The main findings of this study were as follows:

1.The understanding of the obstacles during psychodynamic therapists’ perception from theory to practice.
　　Two main obstacles one psychodynamic therapist might face were the theoretical learning and the practical application. As to the former, both the abstractiveness of theory and lacking of experience creates the difficulty to manage. As to the latter, the shortage of knowledge regarding counter-transference might result in intense tension and anxiety between the patience, and hence the therapist might undergo underconfidence and self-doubt.

2.The understanding of transference and counter-transference during the 　psychodynamic therapists’ transition process from theory into practice.
　　Firstly, the negative impact resulted from counter-transference might be mitigated by the contain and suggestion of supervisors; therefore, the therapists might be self- conscious and aware of self-identity. Secondly, with the above positive experience, the knowledge of inner dynamic, and deeper acceptance, therapists might be able to better manage counter-transference. Finally, the process would lead to the connection with personal understanding brought by the transition from theory into practice.

3.The reflection and the influence of psychodynamic therapists when having acquiring the integration of both theory and practice.
　　When therapists undergone the abovementioned stages, they will no longer be troubled by self-doubt and anxiety, and identify with self-affirmation. The influence of which includes the better ability to distinguish transference and counter-transference, broaden thinking regarding contain and metacognition, developing humbleness to humanity and a profound attitude, a firm faith of therapy, and to incorporate psychodynamic into relationships and daily life.

Key word: psychodynamic approaches, transference, counter-transference, learning process
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描述 碩士
國立政治大學
輔導與諮商碩士學位學程(MPCG)
102172002
資料來源 http://thesis.lib.nccu.edu.tw/record/#G1021720021
資料類型 thesis
dc.contributor.advisor 陳婉真zh_TW
dc.contributor.author (Authors) 柯盈如zh_TW
dc.creator (作者) 柯盈如zh_TW
dc.date (日期) 2017en_US
dc.date.accessioned 24-Jul-2017 12:19:14 (UTC+8)-
dc.date.available 24-Jul-2017 12:19:14 (UTC+8)-
dc.date.issued (上傳時間) 24-Jul-2017 12:19:14 (UTC+8)-
dc.identifier (Other Identifiers) G1021720021en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/111388-
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(MPCG)zh_TW
dc.description (描述) 102172002zh_TW
dc.description.abstract (摘要) 　　本研究旨在探討心理動力取向為主的心理治療工作者，領會移情與反移情的學習歷程，欲瞭解治療者從理論到實務致身領會的歷程，以及面臨的困境內涵，並在整合理論與實務的體會後，對個人自身與治療工作的意義與影響。研究者針對四位心理動力取向治療者，透過一對一的半結構式訪談，獲得質性資料以進行分析，並建構出歸納式結論，依此作研究結果描述如下：

一、心理動力取向治療者從理論到實務致身領會歷程中的困境內涵
　　心理動力取向治療者容易面臨到的困境主要為兩個層面，分別為：理論的學習與實務的應用。由於理論知識的抽象性，加上主體經驗不足，治療者容易感到模糊而不易掌握理論內涵；在實務工作中，治療者對反移情的瞭解不足，容易與個案移情相互影響，並對自我能力的信心產生動搖。

二、心理動力取向治療者從理論到實務致身領會移情與反移情內涵的歷程
　　領會的歷程可分為三個部份。首先，透過督導的涵容與提點，減緩治療者反移情的負面影響，穩固自我認同，並逐漸覺知自身的反移情。再者，藉由被治療的正向經驗，發展出內在動力的認識與深度接納，對移情與反移情的本質會有更深入的掌握。最後，透過治療者對生命經驗的內化省思，使得理論到實務的連結產生個人性的意義與理解。
三、心理動力取向治療者整合歷程後的體會，對個人與治療工作的意義與影響

　　治療者於實務工作中成功驗證理論內涵，並對個人議題覺察的深化，成熟掌握反移情後，不再輕易被自我懷疑與焦慮所困擾，並發展出對自我與專業的認同。最後伴隨而來的影響，包含：區辨移情與反移情能力提升、涵容與後設思考的空間擴大、發展出對人性謙卑而深刻的思考態度與工作方式、穩固治療信念、以及將動力觀點融入人際與生活等層面。

關鍵字：心理動力取向、移情、反移情、學習歷程		zh_TW
dc.description.abstract (摘要) 　　This study uses semi-structured interviews to collect data separately from four psychodynamic therapists. In order to discover the learning process of transference and counter-transference and to understand the transition process of every therapist’s perception from theory to practice, this study reviewed the obstacles therapist might have faced, and the influence on his/herself as well as being a therapist when they’ve acquired the integration of both theory and practice. The main findings of this study were as follows:

1.The understanding of the obstacles during psychodynamic therapists’ perception from theory to practice.
　　Two main obstacles one psychodynamic therapist might face were the theoretical learning and the practical application. As to the former, both the abstractiveness of theory and lacking of experience creates the difficulty to manage. As to the latter, the shortage of knowledge regarding counter-transference might result in intense tension and anxiety between the patience, and hence the therapist might undergo underconfidence and self-doubt.

2.The understanding of transference and counter-transference during the 　psychodynamic therapists’ transition process from theory into practice.
　　Firstly, the negative impact resulted from counter-transference might be mitigated by the contain and suggestion of supervisors; therefore, the therapists might be self- conscious and aware of self-identity. Secondly, with the above positive experience, the knowledge of inner dynamic, and deeper acceptance, therapists might be able to better manage counter-transference. Finally, the process would lead to the connection with personal understanding brought by the transition from theory into practice.

3.The reflection and the influence of psychodynamic therapists when having acquiring the integration of both theory and practice.
　　When therapists undergone the abovementioned stages, they will no longer be troubled by self-doubt and anxiety, and identify with self-affirmation. The influence of which includes the better ability to distinguish transference and counter-transference, broaden thinking regarding contain and metacognition, developing humbleness to humanity and a profound attitude, a firm faith of therapy, and to incorporate psychodynamic into relationships and daily life.

Key word: psychodynamic approaches, transference, counter-transference, learning process		en_US
dc.description.tableofcontents 第一章 緒論 01
　　　第一節 研究動機 01
　　　第二節 研究目的 08
　　　第三節 研究問題 08
　　　第四節 名詞釋義 09
第二章 文獻探討 10
　　　第一節 移情 10
　　　第二節 反移情 24
　　　第三節 理論轉化實務的歷程 42
第三章 研究方法 52
　　　第一節 研究取向 52
　　　第二節 研究參與者 54
　　　第三節 研究工具 59
　　　第四節 研究歷程 61
　　　第五節 資料處理與分析 64
　　　第六節 資料嚴謹性 70
　　　第七節 研究倫理 74
第四章 研究結果 76
　　　第一節 學習歷程中面臨的困境 76
　　　第二節 內化個人經驗以領會理論 88
　　　第三節 整合內化經驗與實務工作 109
第五章 討論 127
　　　第一節 心理動力取向治療者從理論到實務學習歷程中面臨的困境 127
　　　第二節 心理動力取向治療者從理論到實務的學習歷程 131
　　　第三節 學習歷程對心理動力取向治療者的意義與影響 138
　　　第四節 綜合討論 143
第六章 研究結論、建議與省思 145
　　　第一節 研究結論 145
　　　第二節 研究限制 147
　　　第三節 研究建議 149
　　　第四節 研究省思 152

參考文獻 154

附錄 165
附錄一 半結構式訪談大綱 165
附錄二 研究邀請函 166
附錄三 研究參與者基本資料表與同意書 167
附錄四 研究參與者檢核回饋表 168		zh_TW
dc.format.extent 2225024 bytes-
dc.format.mimetype application/pdf-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G1021720021en_US
dc.subject (關鍵詞) 心理動力取向zh_TW
dc.subject (關鍵詞) 移情zh_TW
dc.subject (關鍵詞) 反移情zh_TW
dc.subject (關鍵詞) 學習歷程zh_TW
dc.subject (關鍵詞) Psychodynamic approachesen_US
dc.subject (關鍵詞) Transferenceen_US
dc.subject (關鍵詞) Counter-transferenceen_US
dc.subject (關鍵詞) Learning processen_US
dc.title (題名) 心理動力取向治療者領會移情與反移情的學習歷程zh_TW
dc.title (題名) The learning process of psychodynamic therapists understanding transference and counter-transferenceen_US
dc.type (資料類型) thesisen_US
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