心理助人工作者與遭遇恐怖情人求助者之重要諮商議題探討
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2014
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Abstract
本研究旨在探討心理助人者與遭遇恐怖情人案主的工作歷程中，所出現的重要議題。本研究邀請了五位心理助人者，使用半結構的方式進行深度訪談。並以現象學的哲學為研究基礎，運用主題分析法進行資料分析與歸納。本研究的結果發現如下：
一、 受訪者接案當下的重要議題為：（1）遭遇的挑戰：危機判斷和通報議題、心理助人者發現案主無法離開恐怖情人、負向的互動脈絡；（2）介入的內涵：針對危機進行情境進行處遇與增加案主自我探索和覺察；（3）接案中的轉捩點：來自諮商處遇的影響，或是生活中的其他因素導致；（4）督導的影響與介入：督導的建議當下可以執行，但有些建議是需要時間學習和應對；（5）結案的脈絡。
二、 心理助人者結案後的反思主題為：(1) 回顧當下沒有去碰觸的議題和意義；(2) 反思脈絡後形成新觀點；(3) 未來想要修正的諮商介入；(4) 心理助人者個人對於遭受親密關係暴力案主的復原力建議。
最後根據本研究的結論與發現，對諮商實務工作者提出的討論要點如下：通報歷程是需要不斷溝通的、危機處理的意義討論、案主離開恐怖情人的擺盪、探索和親密關係暴力相似的人際議題、會談時間的長度、個人議題在諮商中的干擾、對案主復原概念化的評估。並對未來的研究者提出建議。
The purpose of this research is to explore the topics between health mentals professionals and clients of intimate partner violence. 5 therapists were invited for a semi-structured in-depth interview, and the research design was according to the principles of phenomenological approach and the data is encoded according to thematic analysis. The result and conclusions are as follows: 1. The important topics among counseling: （1）The challenges to encounter: Crisis assessment and security reports, health mentals professionals found clients don’t want to leave the violent relationships, and there are negative interactions between the counselors and the clients;（2）the meanings of counseling intervention: Crisis intervention, enhancing the clients’ self-awareness;（3）the turn point of counseling: It came from counseling interventions, or from life events ;（4）the influences and suggestions of supervisers: Some suggestions could be immediately implemented, while some suggestions may need extra time for further learning and consideration; （5）the context of termination. 2. Therapist's self-reflection upon case termination: (1) Reflection of issues that has not been addressed in the sessions;（2）establishment of new perpestives;（3） modification of interventions; （4）suggestion of the resiliency of intimacy violence victims from the counselors. Based of the results of the study, suggestions were purposed for therapists, as follows:（1）It’s necessary to communicate repeatedly to security reports；（2）the meaning of crisis interventions；（3）the clients’ hesitation of leaving violent lovers；（4） explore the similar interpersonal patterns；（5）the length of counseling；（6）the counter-transference of the therapist should be fully aware；（7）the assessment of clients’ recovery conceptualization. In addition, suggestions were purposed for future reasearch.
The purpose of this research is to explore the topics between health mentals professionals and clients of intimate partner violence. 5 therapists were invited for a semi-structured in-depth interview, and the research design was according to the principles of phenomenological approach and the data is encoded according to thematic analysis. The result and conclusions are as follows: 1. The important topics among counseling: （1）The challenges to encounter: Crisis assessment and security reports, health mentals professionals found clients don’t want to leave the violent relationships, and there are negative interactions between the counselors and the clients;（2）the meanings of counseling intervention: Crisis intervention, enhancing the clients’ self-awareness;（3）the turn point of counseling: It came from counseling interventions, or from life events ;（4）the influences and suggestions of supervisers: Some suggestions could be immediately implemented, while some suggestions may need extra time for further learning and consideration; （5）the context of termination. 2. Therapist's self-reflection upon case termination: (1) Reflection of issues that has not been addressed in the sessions;（2）establishment of new perpestives;（3） modification of interventions; （4）suggestion of the resiliency of intimacy violence victims from the counselors. Based of the results of the study, suggestions were purposed for therapists, as follows:（1）It’s necessary to communicate repeatedly to security reports；（2）the meaning of crisis interventions；（3）the clients’ hesitation of leaving violent lovers；（4） explore the similar interpersonal patterns；（5）the length of counseling；（6）the counter-transference of the therapist should be fully aware；（7）the assessment of clients’ recovery conceptualization. In addition, suggestions were purposed for future reasearch.
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恐怖情人, 諮商, counseling, violent lover