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婚姻受暴婦女知覺諮商中的重要事件及自尊、晤談感受與諮商滿意之成效

A study of the effects of the counseling, significant events, session impact, self-esteem, and counseling satisfaction in counseling with a battered woman

作者:戴谷霖
畢業學校:國立屏東教育大學
出版單位:國立屏東教育大學
核准日期:2012-08-31
類型:Electronic Thesis or Dissertation
權限:Copyright information available at source archive--npue....

中文摘要

本研究旨在探討婚姻受暴婦女接受諮商服務過程中,其所知覺的重要事件、
晤談感受、諮商滿意之內涵與變化情形,以及三者間之關聯,以及自尊變化情形。
本研究採取發現取向的歷程研究及單一受試者研究的設計,從某一社區諮商
中心招募到一位婚姻受暴婦女當事人並取得其應允,及其諮商心理師的配合,雙
方共進行了八次諮商,至共同決議方結束諮商。研究者於當事人每次接受諮商後
及兩次追蹤,進行當事人晤談感受、諮商滿意之量表,及諮商重要事件訪談;於
諮商前、中、後評量當事人自尊,研究主要發現如下:
1.當事人接受了八次諮商,其所認定的重要事件共計52 個,共有十類,其中,
正向的重要事件有八類,包括:1.開放個人資料(14 個);2.描述和探索個人
情感(3 個);3.重要訊息的出現(1 個);4.獲得頓悟和瞭解(3 個);5.表達對
治療外生活情境的強烈情感(4 個);6.對治療過程的學習(2 個);7.表達對諮
商師的正、負面情感(3 個)與8.獲得諮商師所提供的明確訊息(18 個)。負向
的重要事件有兩類,包括:1.未被處理的自我(2 個);2.訊息與感受的接收或
表達困難(2 個)。
2.當事人晤談感受在四個向度順暢性、深度性、正向性與激動性得分呈現上下波
動,其中,激動性於中、後段諮商呈現上升趨勢;此外,重要事件的次數及
正負向評分與晤談感受中的深度性曲線趨勢頗為一致,顯示兩者有密切關
聯。
3.當事人在八次諮商滿意度的評量,顯示當事人在「催化與正向關係」分量表的
評量,以第四次得分最高,第七次得分最低;在「改變與成效」分量表中,
以第三次與第六次得分最高,而第七次得分最低;在全量表的部分,第三次
與第四次最高,而第七次得分最低;此外,重要事件的次數及正負向評分,
與諮商滿意中的「改變與成效」趨勢頗為一致。
4.重要事件的次數及正負向評分、晤談感受中的深度性與諮商滿意中的改變與成
效,三者在變化上有相似的趨勢,表示三者有密切關聯。
5.當事人在自尊量表的評估僅有少量的變化,在一般自尊與社會自尊有微幅成長,
而個人自尊則未有變化。
本研究依據研究發現加以討論,並對未來研究和諮商專業提供具體建議。

英文摘要

The purpose of this study was to investigate the significant events, session
impact and counseling satisfaction, and also their relationships in the counseling
process with a battered woman. In addition, this study also explored the alternations
in self-esteem of the battered woman.
The study employed a discovery-orientedprocess researchand single-subject
research design. A battered woman, with her permission, was recruited from a
community counseling center. Her counseling psychologist was asked to participate in
this study. The counselor-client dyad had eight counseling sessions. The final session
was terminated until both had reached a consensus.
The researcher conducted two follow-up sessions after the counseling came to an
end, investigating the client s reflections toward the counseling, the counseling
satisfaction subscales, and interviews of the significant events. The researcher
evaluated the client s self-esteem before, in the middle, and after the counseling. The
major findings were as follows:
1.The client had eight sessions of counseling. The fifty-two positive significant events,
namely ten categories, were identified. The positive significant events, eight
categories, include the disclosure of the agent s information (14), description and
exploration of feeling (3), the emergence of important messages (1), the gaining of
insight and comprehension (3), expressing strong emotions about extratherapy
contexts (4), learning about therapeutic processes (2), expressing positive and
negative feelings toward the counselor (3), the disclosure of specific information
from the counselor (18). The negative significant events were the untreated self (2)
and the difficulties of receiving and expressing information and feelings (2).
2. There are three dimensions of session impact,including smoothness, depth, and
positivity, which fluctuated intensively in the counseling process. The forth
dimension, i.e. arousal, had upward fluctuations in the middle and post counseling
process. Furthermore, the amount of positive/negative significant events and the
trend of the depth dimension of session impact are consistent. This shows that they
are highly interwoven.
3. Among eight sessions, satisfaction evaluation renders that the client scored highest
in the fourth; lowest in the seventh in the facilitating positive relationship subscale.
The change and outcome subscale renders that the client scored highest in the third
and the sixth; lowest in the seventh. The full inventory renders that the client
scored highest the third and the fourth; lowest in the seventh.The counseling
satisfaction varies stability with the eight sessions of counseling. Furthermore, the
amount of positive/negative significant events and the trend of the change and
effect of counseling satisfaction are consistent.
4. The alternations among significant events, session impact, and counseling
satisfaction have similar pattern. This shows that these three are closely
interrelated.
5. The client shows little change in the assessment of CFSEI-2. There has
insignificant increase in the subscale of general self-esteem and social self-esteem;
there remains no change in the subscale of personal self-esteem.
The research results were discussed based on these findings. Suggestions for
further research and counseling practices were offered.

 

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