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題名 心理師面對案主移情愛的治療經驗與反移情研究
The Study of Psychotherapist’s Experience and Counter transference when Treating Client’s Transference-love
作者 余振民
Yu, Chen-Min
貢獻者 修慧蘭
Hsiu, Hui-Lain
余振民
Yu, Chen-Min
關鍵詞 心理師
移情愛
反移情
心理治療
詮釋學
Psychotherapist
Transference-love
Counter transference
Psychotherapy
Hermeneutics
日期 2018
上傳時間 20-Jul-2018 17:58:34 (UTC+8)
摘要 本研究旨在探討心理師面對移情愛案主的治療經驗以及反移情，探索心理師在治療歷程中對移情愛的覺察方式、個案概念化、反移情內涵與反移情管理，進一步探討有效的治療方法。研究者整理相關的研究文獻做為詮釋的前架構，並依照前架構擬定訪談提問對三位心理師進行深度訪談。
     本研究以高達美詮釋學為基礎，並以海德格的現象學理論為橋樑，整合Giorgi的現象學心理學（phenomenological psychology）研究法進行研究。訪談錄音謄稿後分別建構出三份心理師面對移情愛案主的治療經驗文本，並分析文本的意義單元、共同主題與內在結構。最後綜合詮釋三位心理師的治療經驗來回答研究問題。研究發現：一、移情愛是案主在「治療情境」的激發下，將缺乏的「好客體需求」轉移到心理師身上。二、移情愛的評估和與介入方式會影響移情愛的發展：支持和涵容移情愛的評估和有助於移情愛健康地發展；限制或移情愛發展的個案概念化讓移情愛更強烈與性慾化；中性的面對移情愛讓移情朝「完美客體」方向發展。三、適當的移情愛個案概念化讓心理師採取有效的方式降低負向反移情；持續採取專業的方式介入並產生療效。四、依據研究發現提出華人文化中的移情愛心理治療建議。
The purpose of this study is to explore therapist’s treatment experience and countertransference when clients show behaviors of “transference-love.” Therapists’ awareness of transference love in the course of treatment, the conceptualization of the case, the connotation of countertransference, and the management of countertransference were examined. Researcher collected relevant research literature as an interpretation of the pre-structure, in accordance with the previous framework, developed interview questions to conduct in-depth interviews with the three therapists.
     Based on Gadama`s hermeneutics, the study was conducted with Heidegger`s phenomenological theory set as a bridge to integrate Giorgi`s “phenomenological psychology” into the research method. Firstly, interviews were transcribed for constructing the treatment experience texts for the case of transference love. Secondly, texts were analyzed as meaning units, common themes and internal structure. Finally, the three therapists’ comprehensive treatment experience was used to answer research questions.
     The finding shows as following. First, transference love, inspired by the “treatment situation,” is resulted from client transferring the lack of “good object needs” to their therapists. Second, the assessment and involvement of transference love affects the development of transference love. With support and empathy provided, the development of transference love will be encouraged, while with the conceptualization of and restriction on the development of transference love, the transference will become more intense and sexualized. Treating transference love with neutral attitude helps the development of "perfect object." Third, appropriate assessment of transference love allows therapists to take effective intervention to reduce negative countertransference, continue to conduct therapy with a professional approach and produce efficacy. Fourth, according to the research findings, research provides several suggestions for empathetic love psychotherapy in Chinese culture.
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描述 博士
國立政治大學
心理學系
1007525042
資料來源 http://thesis.lib.nccu.edu.tw/record/#G1007525042
資料類型 thesis
dc.contributor.advisor 修慧蘭zh_TW
dc.contributor.advisor Hsiu, Hui-Lainen_US
dc.contributor.author (Authors) 余振民zh_TW
dc.contributor.author (Authors) Yu, Chen-Minen_US
dc.creator (作者) 余振民zh_TW
dc.creator (作者) Yu, Chen-Minen_US
dc.date (日期) 2018en_US
dc.date.accessioned 20-Jul-2018 17:58:34 (UTC+8)-
dc.date.available 20-Jul-2018 17:58:34 (UTC+8)-
dc.date.issued (上傳時間) 20-Jul-2018 17:58:34 (UTC+8)-
dc.identifier (Other Identifiers) G1007525042en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/118783-
dc.description (描述) 博士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 心理學系zh_TW
dc.description (描述) 1007525042zh_TW
dc.description.abstract (摘要) 本研究旨在探討心理師面對移情愛案主的治療經驗以及反移情，探索心理師在治療歷程中對移情愛的覺察方式、個案概念化、反移情內涵與反移情管理，進一步探討有效的治療方法。研究者整理相關的研究文獻做為詮釋的前架構，並依照前架構擬定訪談提問對三位心理師進行深度訪談。
     本研究以高達美詮釋學為基礎，並以海德格的現象學理論為橋樑，整合Giorgi的現象學心理學（phenomenological psychology）研究法進行研究。訪談錄音謄稿後分別建構出三份心理師面對移情愛案主的治療經驗文本，並分析文本的意義單元、共同主題與內在結構。最後綜合詮釋三位心理師的治療經驗來回答研究問題。研究發現：一、移情愛是案主在「治療情境」的激發下，將缺乏的「好客體需求」轉移到心理師身上。二、移情愛的評估和與介入方式會影響移情愛的發展：支持和涵容移情愛的評估和有助於移情愛健康地發展；限制或移情愛發展的個案概念化讓移情愛更強烈與性慾化；中性的面對移情愛讓移情朝「完美客體」方向發展。三、適當的移情愛個案概念化讓心理師採取有效的方式降低負向反移情；持續採取專業的方式介入並產生療效。四、依據研究發現提出華人文化中的移情愛心理治療建議。		zh_TW
dc.description.abstract (摘要) The purpose of this study is to explore therapist’s treatment experience and countertransference when clients show behaviors of “transference-love.” Therapists’ awareness of transference love in the course of treatment, the conceptualization of the case, the connotation of countertransference, and the management of countertransference were examined. Researcher collected relevant research literature as an interpretation of the pre-structure, in accordance with the previous framework, developed interview questions to conduct in-depth interviews with the three therapists.
     Based on Gadama`s hermeneutics, the study was conducted with Heidegger`s phenomenological theory set as a bridge to integrate Giorgi`s “phenomenological psychology” into the research method. Firstly, interviews were transcribed for constructing the treatment experience texts for the case of transference love. Secondly, texts were analyzed as meaning units, common themes and internal structure. Finally, the three therapists’ comprehensive treatment experience was used to answer research questions.
     The finding shows as following. First, transference love, inspired by the “treatment situation,” is resulted from client transferring the lack of “good object needs” to their therapists. Second, the assessment and involvement of transference love affects the development of transference love. With support and empathy provided, the development of transference love will be encouraged, while with the conceptualization of and restriction on the development of transference love, the transference will become more intense and sexualized. Treating transference love with neutral attitude helps the development of "perfect object." Third, appropriate assessment of transference love allows therapists to take effective intervention to reduce negative countertransference, continue to conduct therapy with a professional approach and produce efficacy. Fourth, according to the research findings, research provides several suggestions for empathetic love psychotherapy in Chinese culture.		en_US
dc.description.tableofcontents 目　　次
     第一章 緒論 1
     第一節研究動機 1
     第二節研究目的 3
     第三節名詞界定 4
     第二章文獻探討 7
     第一節移情愛的意義與內涵 7
     第二節移情愛的來源與發展 10
     第三節移情愛的心理動力 13
     第四節心理師的反移情 15
     第五節移情愛的心理治療 22
     第六節發展符合華人文化的移情愛治療論述 32
     第三章研究方法 36
     第一節研究方法論 36
     第二節研究進行架構 39
     第三節研究程序 41
     第四節研究參與者 43
     第五節研究工具 48
     第六節資料整理與分析 49
     第七節研究嚴謹度 53
     第八節研究倫理 56
     第四章研究結果 58
     第一節 A心理師移情愛治療經驗與詮釋 58
     第二節 B心理師移情愛治療經驗詮釋 72
     第三節C心理師移情愛治療經驗詮釋 87
     第四節綜合詮釋 102
     第五章結論與建議 134
     第一節結論 134
     第二節研究限制與建議 145
     參考文獻 148
     附錄一、研究參與者檢核函 153
     附錄二、研究倫理申請審查核可證明 154
     附錄三、研究說明書 156
     附錄四、研究參與者知情同意書 158
     附錄五、訪談大綱 161
     
     圖目次
     圖2-1：治療關係和治療師自我揭露型態對專業性評量的影響 20
     圖2-2：治療關係和治療師自我揭露型態對治療深度評量的影響 21
     圖2-3：人際三角 23
     圖2-4：防衛三角 23
     圖2-5：第一個移情分析實驗研究（FEST）的研究結果 25
     圖3-1：研究進行的基本架構 40
     圖4-1：反移情、移情愛評估、反移情管理、更新個案概念化與治療介入之間的關係圖 119
     圖4-2：心理師覺察移情愛之後的內在歷程轉變 124
     
     表目次
     表2- 1：移情愛相關名詞與定義 9
     表2- 2：移情和移情愛的比較 10
     表2- 3：發移情愛的來源 12
     表2- 4：構成反移情管理的五項心理師特質 19
     表3-1：研究對象的個人基本資料 44
     表4-1：A心理師文本檢核一覽表 59
     表4-2：B心理師文本檢核一覽表 72
     表4-3：C心理師文本檢核一覽表 87
     表4-4：三位心理師移情治療經驗愛詮釋主題整理 102
     表4-5：三位心理師移情愛治療機厭詮釋主題整理摘要 103
     表4-6：三位心理師覺察為移情愛的言行與態度 107
     表4-7：三位案主的移情愛形式 108
     表4-8：移情愛評估對移情愛介入和移情愛發展的影響 110
     表4-9心理師對移情愛的覺察和反移情管理方式 117
     表4-10：反移情管理前後的個案概念化與治療介入方式 122
     表4-11：三位心理師的個案概念化、反移情管理、介入方式的轉變和治療效果評估 126
     表4-12：反移情管理和治療介入效果評估 127
     表4-13：三位心理師對移情愛的介入和意圖 129
     表5-1：自體客體幻想和解毒幻想的意義和功能 141		zh_TW
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G1007525042en_US
dc.subject (關鍵詞) 心理師zh_TW
dc.subject (關鍵詞) 移情愛zh_TW
dc.subject (關鍵詞) 反移情zh_TW
dc.subject (關鍵詞) 心理治療zh_TW
dc.subject (關鍵詞) 詮釋學zh_TW
dc.subject (關鍵詞) Psychotherapisten_US
dc.subject (關鍵詞) Transference-loveen_US
dc.subject (關鍵詞) Counter transferenceen_US
dc.subject (關鍵詞) Psychotherapyen_US
dc.subject (關鍵詞) Hermeneuticsen_US
dc.title (題名) 心理師面對案主移情愛的治療經驗與反移情研究zh_TW
dc.title (題名) The Study of Psychotherapist’s Experience and Counter transference when Treating Client’s Transference-loveen_US
dc.type (資料類型) thesisen_US
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dc.identifier.doi (DOI) 10.6814/DIS.NCCU.PSY.006.2018.C01-