關係創傷之療癒－EMDR運用於解離反應之個案研究

Abstract

本研究目的在探討EMDR運用於關係創傷之解離當事人之治療成效，採質性方法之多個案研究設計，研究對象為兩位出現解離人格部分，呈現情緒、行為和特質轉變並有控制困難之當事人。本研究之治療介入由一位EMDR治療師進行，依循EMDR標準治療程序，依相關研究建議做調整。研究者蒐集治療師之晤談紀錄、研究者觀察紀錄、訪談紀錄及當事人提供之相關文件等質性資料，進行當事人之生命故事、治療歷程與改變分析。 研究發現，研究參與者於EMDR治療後，解離部分皆有所融合與統整，過往創傷記憶帶來的情緒困擾已大幅降低，對自己有較正向觀點，於治療中找到自我安撫的能力，面對挫折的能力提升，並轉化創傷帶來之衝擊成為自我成長的養分，對未來生活更有信心與他人的互動關係亦獲得改善。六個月後的追蹤訪談顯示結果仍持續。最後對未來研究及實務提出進一步建議，以供參考。

關鍵字：EMDR、關係創傷、解離The purpose of the study was to explore the applicability and efficacy of EMDR with relational trauma and dissociation. Subjects were two clients who shows signs of dissociative part, having compulsive behavior and sudden shift of emotion, behavior and attitude. It’s a multiple case study expanding the current study of EMDR through the use of qualitative approach. The treatment was administered by an EMDR therapist following the adaptive EMDR standard protocol. Description of the life story, related treatment procedures and changes were analyzed from clinical records, observer’s records, interview of the clients, and the documents provided by the clients during and after the treatment. The results show the impact of significant improvement on the clients, such as the integration of dissociative parts, the decreasing of emotional and compulsive behaviors, the disappearance of the disturbance, the self-concept turned more positive from negative, more easily to sooth themselves when feeling frustrated, more energy to release from the overwhelming past experience, standing firmer toward future life, and getting along well with other. Results maintained after 6 months follow-up. Based on the results and discussions, further clinical and academic suggestions are proposed.

Keywords: EMDR Therapy, Relational Trauma, Dissociation.