dc.contributor.advisor | 許文耀 | zh_TW |
dc.contributor.author (Authors) | 劉瑞華 | zh_TW |
dc.creator (作者) | 劉瑞華 | zh_TW |
dc.date (日期) | 2002 | en_US |
dc.date.accessioned | 11-Sep-2009 15:59:57 (UTC+8) | - |
dc.date.available | 11-Sep-2009 15:59:57 (UTC+8) | - |
dc.date.issued (上傳時間) | 11-Sep-2009 15:59:57 (UTC+8) | - |
dc.identifier (Other Identifiers) | G0088752001 | en_US |
dc.identifier.uri (URI) | https://nccur.lib.nccu.edu.tw/handle/140.119/29668 | - |
dc.description (描述) | 碩士 | zh_TW |
dc.description (描述) | 國立政治大學 | zh_TW |
dc.description (描述) | 心理學研究所 | zh_TW |
dc.description (描述) | 88752001 | zh_TW |
dc.description (描述) | 91 | zh_TW |
dc.description.abstract (摘要) | 災難是一項重大的創傷事件,常帶給人長久而深遠的影響。然而,多數的研究所關注的焦點都只在與創傷後壓力疾患(PTSD)有關的症狀反應上。本研究以羅夏克測驗作為研究工具,以了解921地震受災的居民內在的人格結構,並進一步探討PTSD與羅夏克測驗反應型態的關係。最後共收集32名在地震發生一年十個月後仍居住在組合屋的災民為樣本,比較他們的羅夏克測驗結果與常模的差異,結果發現當中有高比例的人呈現出逃避型的問題解決風格,普遍來說是壓抑情緒的,有著較低的現實機能(reality testing)與壓力耐受度;此外,他們有著較低的自尊與自我認同感,並且對人的關係是疏離的。此外,本研究根據災民們的創傷後壓力症狀篩選出3名符合PTSD診斷的災民,結果發現在13項與PTSD有關的指標中,3人都達到標準的只有2項(低Afr與T = 0),2人達到標準的則有2項(低X+%與高X-%),只有1人達到標準的有4項(矛盾型或逃避型EB、CF+C > FC、V > 0、pure H < 3),3人都未達到標準的有5項(m > 1、Y > 1、D Sscore < 0、Dd > 2、MOR > 1),整體而言並不支持PTSD的羅夏克測驗反應型態。根據本研究的結果,筆者認為應多關注災民在創傷後壓力症狀之外所受到的影響。此外,在使用羅夏克測驗衡鑑災民的心理狀態時,應避免當為鑑別診斷的決定性資料,而把焦點放在一般的適應功能上。 | zh_TW |
dc.description.tableofcontents | 目錄 第一章 緒論 災難與創傷………………………………………………………… 1 創傷後的人格變化………………………………………………… 2 採用與自陳式報告不同的技術…………………………………… 3 羅夏克墨漬測驗(Rorschach Inkblot Test)…………………… 4 創傷與羅夏克測驗………………………………………………… 5 研究目的…………………………………………………………… 6 第二章 文獻探討 第一節 創傷研究的歷史………………………………………… 7 第二節 創傷後壓力疾患………………………………………… 9 第三節 創傷與人格的關係……………………………………… 11 第四節 運用羅夏克測驗在創傷壓力的衡鑑………………… 13 第五節 羅夏克墨漬測驗的基本結構………………………… 15 經驗類型(Erlebnistypus, EB)………………………………… 15 EB:問題解決風格………………………………………… 17 Lambda與逃避型風格……………………………………… 18 可用資源(available resource):EA…………………… 19 刺激要求(stimulus demand):eb、es………………………… 20 基本的人格結構:Four Square (EB、EA、eb、es) ………… 22 形狀的清晰度:現實機能 (Reality Testing) ……………… 23 第六節 羅夏克測驗中其他的常用變項……………………… 24 第七節 創傷的羅夏克測驗結構……………………………… 30 R & Lambda………………………………………………… 31 Four Square……………………………………………… 37 情感特徵…………………………………………………… 44 概念性思考………………………………………………… 46 認知轉譯…………………………………………………… 48 訊息處理…………………………………………………… 50 自我與人際知覺…………………………………………… 51 小結………………………………………………………… 53 第八節 研究問題……………………………………………… 54 了解災民的人格結構……………………………………… 54 有PTSD的災民在羅夏克測驗是否有特定的反應型態?… 55 第三章 研究方法 第一節 受試者………………………………………………… 56 第二節 研究工具……………………………………………… 56 一、創傷後心理症狀指標量表…………………………… 56 二、羅夏克墨漬測驗……………………………………… 58 第三節 資料分析……………………………………………… 59 第四章 研究結果 第一節 全部災民與常模的比較……………………………… 60 Four Square & Lambda…………………………………… 60 情感特徵…………………………………………………… 62 概念性思考………………………………………………… 64 認知轉譯…………………………………………………… 65 訊息處理…………………………………………………… 66 自我知覺…………………………………………………… 68 人際知覺…………………………………………………… 70 第二節 症狀反應符合PTSD診斷的災民的結果……………… 71 個案1:A小姐……………………………………………… 72 個案2:B太太……………………………………………… 76 個案3:C太太……………………………………………… 80 第五章 討論 第一節 災民整體的人格結構………………………………… 84 逃避型的反應傾向………………………………………… 84 低度的情感反應…………………………………………… 86 情境壓力的消退…………………………………………… 87 壓力承受與控制能力的減損……………………………… 87 較低的現實機能…………………………………………… 88 草率的、退回的訊息處理風格…………………………… 89 少內省、低自尊與自我認同感…………………………… 89 疏離的人際關係…………………………………………… 90 第二節 羅夏克測驗與PTSD的關係…………………………… 91 羅夏克測驗作為診斷用途上的實用性…………………… 91 「rule in」而不是「rule out」……………………… 92 地震創傷對人格結構的影響和其他類型的創傷並不相同 94 第三節 羅夏克測驗對評估災民適應狀況的用途…………… 94 注意PTSD症狀反應之外的影響…………………………… 94 對PTSD採取審慎的態度…………………………………… 95 第四節 羅夏克測驗的人口變項比較………………………… 95 第五節 研究限制……………………………………………… 95 羅夏克測驗的常模問題…………………………………… 95 較小的研究樣本…………………………………………… 97 附錄一:A小姐、B太太與C太太的羅夏克測驗完整記錄……… 98 附錄二:創傷後心理症狀指標量表……………………………… 110 附錄三:羅夏克測驗的人口變項比較…………………………… 111 參考文獻…………………………………………………………… 130 | zh_TW |
dc.language.iso | en_US | - |
dc.source.uri (資料來源) | http://thesis.lib.nccu.edu.tw/record/#G0088752001 | en_US |
dc.subject (關鍵詞) | 九二一地震 | zh_TW |
dc.subject (關鍵詞) | 災難 | zh_TW |
dc.subject (關鍵詞) | 創傷後壓力疾患 | zh_TW |
dc.subject (關鍵詞) | 羅夏克墨漬測驗 | zh_TW |
dc.subject (關鍵詞) | 人格結構 | zh_TW |
dc.title (題名) | 臺灣九二一地震災民的羅夏克測驗反應型態 | zh_TW |
dc.type (資料類型) | thesis | en |
dc.relation.reference (參考文獻) | 內政部消防署(2002)。歷年天然災害損失統計年報。http://www.nfa.gov.tw/index_c.html | zh_TW |
dc.relation.reference (參考文獻) | 袁軍譯(2002):《心理診斷法》。台北。昭明。 | zh_TW |
dc.relation.reference (參考文獻) | 許文耀(2002a):〈從資源變化歷程及影響因子觀點探討災難對人們心理狀況的變與不變〉。行政院國科會補助專題研究計畫成果報告(NSC 90-2625-Z-004-001),台北。 | zh_TW |
dc.relation.reference (參考文獻) | 許文耀(2002b):〈九二一地震後災民的資源變化與心理症狀間的關係〉。行政院國科會補助專題研究計畫成果報告,台北。 | zh_TW |
dc.relation.reference (參考文獻) | 許文耀(2000):〈921地震災區學生的因應型態與心理症狀的關係〉。《中華心理衛生學刊》,13卷3期,頁35-59。 | zh_TW |
dc.relation.reference (參考文獻) | 許文耀、吳英璋(1999):〈災變後的心理社會重建〉。《理論與政策》,第52期,頁91-105。 | zh_TW |
dc.relation.reference (參考文獻) | 陳淑惠、林耀盛、洪福建、曾旭民(2000):〈九二一震災受創者社會心理反應分析-兼論「變」與「不變」之間的心理社會意涵〉。《中大社會文化學報》,第10期,頁35-60。 | zh_TW |
dc.relation.reference (參考文獻) | 游恆山譯(1991):《變態心理學》。台北。五南。 | zh_TW |
dc.relation.reference (參考文獻) | 楊大和譯(1995):《創傷與復原》。台北。時報文化。 | zh_TW |
dc.relation.reference (參考文獻) | American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. | zh_TW |
dc.relation.reference (參考文獻) | Bersoff, D. (1970). Rorschach correlates of traumatic neurosis of war. Journal of Projective Techniques and Personality Assessment, 34(3), 194-200. | zh_TW |
dc.relation.reference (參考文獻) | Burch, R. F. (1993). Assessment of post-traumatic stress disorder among Vietnam combat veterans: A Rorschach study. Dissertation Abstracts International, 54(5-B), 2742. | zh_TW |
dc.relation.reference (參考文獻) | Carlson, E. B. (1997) Trauma assessments: A clinician’s guide. New York: Guilford Press. | zh_TW |
dc.relation.reference (參考文獻) | Cerney, M. S. (1990). The Rorschach and traumatic loss: Can the presence of traumatic loss be detected from the Rorschach? Journal of Personality Assessment, 55(3 & 4), 781-789. | zh_TW |
dc.relation.reference (參考文獻) | Chen, S. H., Hung, F. C., Lin, Y. S. & Tseng, H. M. (2002). Trauma and psychosocial aftermath among high- and low-exposure adults three months post the 921 Chi-Chi earthquake in Taiwan. Chinese Journal of Psychology, 44 (2), 167-188. | zh_TW |
dc.relation.reference (參考文獻) | Cohen, L. & de Ruiter, C. (1991). The Rorschach and PTSD revisited: Critique of van der Kolk and Ducey’s (1989) “The psychological processing of traumatic experience: Rorschach patterns in PTSD”. Journal of Traumatic Stress, 4 (3), 407-417. | zh_TW |
dc.relation.reference (參考文獻) | Exner, J. E. (1974). The Rorschach: A comprehensive system. Volume 1 New York: Wiley. | zh_TW |
dc.relation.reference (參考文獻) | Exner, J. E. (1978). The Rorschach: A comprehensive system. Volume 2: Current research and advanced interpretation. New York: Wiley. | zh_TW |
dc.relation.reference (參考文獻) | Exner, J. E. (1993). The Rorschach: A comprehensive system: Volume 1: Basic foundations (3rd ed.). New York: Wiley | zh_TW |
dc.relation.reference (參考文獻) | Exner, J. E. (2001a). A Rorschach workbook for the comprehensive system. Asheville, North Carolina: Rorschach Workshops. | zh_TW |
dc.relation.reference (參考文獻) | Exner, J. E. (2001b). A primer for Rorschach interpretation. Asheville, North Carolina: Rorschach Workshops. | zh_TW |
dc.relation.reference (參考文獻) | Fairbank, J. A., Schlenger, W. E., Saigh, P. A., & Davidson, J. R. T. (1995). An epidemiologic profile of post-traumatic stress disorder: Prevalence, comorbidity, and risk factors. In Friedman, M. J. & Charney, D. S. (Ed.). Neurobiological and clinical consequences of stress: From normal adaptation to post-traumatic stress disorder. (pp. 414-437). Philadelphia, PA, USA: Lippincott-Raven Publishers. | zh_TW |
dc.relation.reference (參考文獻) | Frueh, B. C. & Kinder, B. N. (1994) The susceptibility of the Rorschach Inkblot Test to malingering of combat-related PTSD. Journal of Personality Assessment, 62 (2), 280-298. | zh_TW |
dc.relation.reference (參考文獻) | Goldfinger, D.A. (1999). Rorschach patterns in Vietnam veterans with post-traumatic stress disorder: A study of cognition, psychophysiology, and psychological defense (Doctoral dissertation, University of Michigan, 1998). Dissertation Abstracts International: Section B: The Sciences and Engineering, 59, 3691B. | zh_TW |
dc.relation.reference (參考文獻) | Green, B., Lindy, J., Grace, M., & Leonard, A. (1990). Buffalo Creek survivors in the second decade: Stability of stress symptoms. American Journal of Orthopsychiatry, 60, 43-54. | zh_TW |
dc.relation.reference (參考文獻) | Hartman, W., Clark, M., Morgan, M., Dunn, V., Fine, A., Perry, G., & Winsch, D. (1990). Rorschach structure of a hospitalized sample of Vietnam veterans with PTSD. Journal of Personality Assessment, 54(1 & 2), 149-159. | zh_TW |
dc.relation.reference (參考文獻) | Hobfoll, S. E. (1998). Stress, culture, and community: The psychology and philosophy of stress. New York: Plenum Press. | zh_TW |
dc.relation.reference (參考文獻) | Kaser-Boyd, N. (1993). Rorschachs of women who commit homicide. Journal of Personality Assessment, 60 (3), 458-470. | zh_TW |
dc.relation.reference (參考文獻) | Levin, P. & Reis, B. (1997). Use of the Rorschach in assessing trauma. In J. P. Wilson & T. M. Keane (Eds) Assessing psychological trauma and PTSD. (pp. 529-544) New York, Guilford Press. | zh_TW |
dc.relation.reference (參考文獻) | Levin, P. J. (1993). Assessing posttraumatic stress disorder with the Rorschach projective technique. In J. P. Wilson & B. Raphael (Eds.), International Handbook of Traumatic Stress Syndromes (pp. 189-200). New York: Plenum Press. | zh_TW |
dc.relation.reference (參考文獻) | Levin, P. J., Lazrove, S., & ven der Kolk, B. (1999). What psychological testing and neuroimaging tell us about the treatment of posttraumatic stress disorder by eye movement desensitization and reprocessing. Journal of Anxiety Disorders, 13(1-2), 159-172. | zh_TW |
dc.relation.reference (參考文獻) | McFarlane, A. C. (1988). The phenomenology of posttraumatic stress disorders following a natural disaster. Journal of Nervous and Mental Disease. 176(1), 22-29. | zh_TW |
dc.relation.reference (參考文獻) | Norris, F. H. & Riad, J. K. (1997). Standardized self-report measures of civilian trauma and posttraumatic stress disorder. In J. P. Wilson & T. M. Keane (Eds) Assessing psychological trauma and PTSD. (pp. 7-42) New York, Guilford Press. | zh_TW |
dc.relation.reference (參考文獻) | Norris, F. H., & Uhl, G. A. (1993). Chronic stress as a mediator of acute stress: The case of Hurricane Hugo. Journal of Applied Psychology, 23(16), 1263-1284. | zh_TW |
dc.relation.reference (參考文獻) | Norris, F. H. (1992). Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic group. Journal of Counseling and Clinical Psychology, 60, 409-418. | zh_TW |
dc.relation.reference (參考文獻) | Parson. E. R. (1998). Traumatic stress personality disorder(TrSPD), Part II: Trauma assessment using the Rorschach and self-report tests. Journal of Contemporary Psychotherapy, 28(1), 45-68. | zh_TW |
dc.relation.reference (參考文獻) | Parson. E. R. (1997). Traumatic stress personality disorder(TrSPD): Intertheoretical therapy for the PTSD/PD dissociogenic organization. Journal of Contemporary Psychotherapy, 27(4), 323-367. | zh_TW |
dc.relation.reference (參考文獻) | Resick, P. A. (2001). Stress and Trauma. Hove, UK: Psychology Press. | zh_TW |
dc.relation.reference (參考文獻) | Salley., R. & Teiling, P. (1984). Dissociated rage attacks in a Vietnam veteran: A Rorschach study. Journal of Personality Assessment, 48 (1), 98-104. | zh_TW |
dc.relation.reference (參考文獻) | Scurfield, R. M. (1993). Treatment of posttraumatic stress disorder among Vietnam veterans. In J. P. Wilson & B. Raphael (Eds.), International Handbook of Traumatic Stress Syndromes (pp. 879-888). New York: Plenum Press. | zh_TW |
dc.relation.reference (參考文獻) | Shontz, F. C., & Green, P. (1992). Trends in research on the Rorschach: Review and recommendation. Applied and Preventive Psychology, 1, 149-156. | zh_TW |
dc.relation.reference (參考文獻) | Sloan P., Arsenault, L., Hilsenroth, M., & Harvill, L. (1996). Rorschach measures of posttraumatic stress in Persian Gulf War Veterans: A three-year follow-up study. Journal of Personality Assessment, 66(1), 54-64. | zh_TW |
dc.relation.reference (參考文獻) | Sloan P., Arsenault, L., Hilsenroth, M., & Harvill, L. (1995). Rorschach measures of posttraumatic stress in Persian Gulf War Veterans. Journal of Personality Assessment, 64(3), 397-414. | zh_TW |
dc.relation.reference (參考文獻) | Smith, E. M., & North, C. S. (1993). Posttraumatic stress disorder in natural disasters and technological accidents. In J. P. Wilson & B. Raphael (Eds.), International Handbook of Traumatic Stress Syndromes (pp. 405-419). New York: Plenum Press. | zh_TW |
dc.relation.reference (參考文獻) | Souffront. E. (1987). The use of the Rorschach in the assessment of post-traumatic stress disorder among Vietnam combat veterans. (Doctoral dissertation, Temple University, 1987.) Dissertation Abstracts International, 48, 04B. | zh_TW |
dc.relation.reference (參考文獻) | Sparr, L. & Pankratz, L. (1983). Factitious post-traumatic stress disorder. American Journal of Psychiatry, 140, 1016-1019. | zh_TW |
dc.relation.reference (參考文獻) | Swanson, G., Blount, J., & Bruno, R. (1990). Comprehensive system Rorschach data on Vietnam combat veterans. Journal of Personality Assessment, 54(1 & 2), 160-169. | zh_TW |
dc.relation.reference (參考文獻) | Terr, L. C. (1991) Childhood traumas: An outline and overview. American Journal of Psychiatry, 148, 10-20. | zh_TW |
dc.relation.reference (參考文獻) | True, W. R., Rice, J. Eisen, S. A., Heath, A. C. (1993) A twin study of genetic and environmental contributions to liability for posttraumatic stress symptoms. Archives of General Psychiatry, 50(4), 257-264. | zh_TW |
dc.relation.reference (參考文獻) | van der Kolk, B., & Ducey, C. (1989). The psychological processing of traumatic experience: Rorschach patterns in post-traumatic stress disorder. Journal of Traumatic Stress, 2 (3), 259-274. | zh_TW |
dc.relation.reference (參考文獻) | Weiner, I. B. (1998). Principles of Rorschach Interpretation. Mahwah, NJ : L. Erlbaum. | zh_TW |
dc.relation.reference (參考文獻) | Weiner, I. B. (1996) Some observations on the validity of the Rorschach Inkblot Method. Psychological Assessment, 8 (2), 206-213. | zh_TW |
dc.relation.reference (參考文獻) | Wood, J. M., Lilienfeld, S. O., Garb, H., N., & Nezworski., M. T. (2000) The Rorschach test in clinical diagnosis: A critical review with a backward look at Garfield (1947). Journal of Clinical Psychology, 56 (3), 395-430. | zh_TW |
dc.relation.reference (參考文獻) | Wu, Y. C., Hung, F. C., & Chen., S. H. (2002) “Changes or not ” is the question: The meaning of posttraumatic stress reactions one year after the Taiwan Chi-Chi earthquake. Journal of Chinese Institute of Engineers, 25 (5), 609-618. | zh_TW |