接受治療性螺旋模式心理劇主角之敘說研究 A study of the protagonist' narrative in Therapeutic Spiral Model.

Date
2014
Authors
黃璧君
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Abstract
  本研究探討接受治療性螺旋模式心理劇的主角的治療經驗,以及在接受導劇之後,對於主角生活的改變經驗。本研究採取敘說研究的方式,邀請三位曾於一年內接受治療性螺旋模式心理劇導劇的主角,分享接受治療的經驗,以及做劇之後的生活改變。以半結構訪談方式訪談,並將訪談錄音檔轉為文字稿,再將訪談資料轉撰成為故事,並加以分析,作為本研究結果的呈現。 研究發現主角候選人選角動機的關鍵在於對於團體成員、專業團隊以及治療性螺旋模式的信任關係。在演出過程中,主角透過建構處方性角色和角色交換的歷程,主角能感受內在、穩定自我、以及增加覺察。經由角色交換,防衛管理者需帶領主角覺察防衛的幫助及影響。目睹創傷景時,主角會有情緒、身體以及認知上的反應,主角在專業團隊和處方性角色的支持下,便能建立轉化性角色。主角在轉化性角色出現時,會有下列現象:發展自我照顧能力、離開創傷模式以及回復能量。主角表達情緒經驗或與處方性角色、轉化性角色連結,就能夠意義化導劇歷程。在分享階段,主角會經驗到來自團體的相互支持及普同感,持續從意義化團體歷程中,獲得新經驗。 主角的生活改變是一個從自我內在狀態,逐漸延伸擴展至外在生活的歷程。主角回到現實生活之後的改變有三層:改善生理症狀後,有心力享受生活;自我狀態能夠與處方性角色連結,覺察自己的防衛,並創造新的生命腳本;能夠調整人際需求、引入人際資源,建立更安全的依附關係。   根據既有文獻與本研究發現,研究者提出實務上幾點建議,以及未來進行研究之方向。
This study aimed to understand three individuals’ experiences as protagonists in the Therapeutic Spiral Model (TSM) psychodrama therapies and the life changes they had made thereafter. The Narrative Inquiry was adopted. Three participants, who had received and been chosen to be protagonists in the TSM therapies, were invited to share their experiences during the therapies and the life changes afterward. Semi-structural interviews were conducted. The interview recordings were transcribed into verbatim data. Transcriptions were then transformed into stories on which analysis were based. This current result had several findings. 1) How much motivated the protagonist candidates were willing/ready to engage in protagonist selections was determined by the trusting relationships with the team members, the action trauma team, and TSM. 2) During the enactment, the protagonists learned to feel their insides, to stabilize their selves, and to enhance their awareness through the process of role exchanges and concretizing the prescriptive roles. 3) Through role reversals with the keeper of defenses among the prescriptive roles, the protagonists gain awareness on the effects and impacts derived from defenses. 4) When witnessing the trauma scenes, the protagonists would react emotionally, physically, and cognitively. With assistances from the action trauma team and the prescriptive roles, the protagonists were able to form the transformative roles. 5) When the transformative roles emerged, the protagonists showed capabilities to engage in self-care, to depart from previous patterns of trauma, and to restore energies. 6) The protagonists were able to make meanings of their enactments process through expressing their emotional experiences or connecting themselves to the prescriptive roles and transformative roles. 7) At the sharing stage, the protagonists would experience mutual supports and a sense of universality from the teams. New experiences continued to be formed through sense making process in the group. The life changes of the protagonist could be seen as a gradual process extending from their internal self-states to their external lives. Changes occurring in daily lives were seen in three aspects: the protagonists were able to enjoy lives better as a result of their physical health improved; they were also able to be more aware of the defenses they adopted and to create new life scripts with the self-states connected to the prescriptive roles; they were able to regulate their relational needs and access interpersonal resources as to create inter-relational attachments that were more secure. Based on the existing literature with regard to TSM practices and the findings of the current study, suggestions on TSM practices and future research were proposed.
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Keywords
治療性螺旋模式, 心理劇, 敘說研究, Therapeutic Spiral Model, psychodrama, narrative
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