焦點解決短期治療高助益性重要事件及其諮商技術之初探研究

High Helpful Significant Events and Related Techniques in Solution-Focused Brief Therapy: An Exploratory Study

10.6251/BEP.20090302

許維素(Wei-Su Hsu)

人際歷程回憶法 ； 重要事件 ； 焦點解決短期治療 ； 諮商歷程與效果研究 ； IPR ； significant events ； solution-focused brief therapy ； the process and outcome of counseling research

教育心理學報

41卷S期（2009 / 10 / 01）

271 - 294

繁體中文

本研究的研究目的在探討焦點解決短期治療(SFBT)高助益性重要事件及其運用的諮商技術。本研究於三位當事人（一名男性，兩名女性）共九次SFBT晤談後，隨即以人際歷程回憶法(IPR)來訪談諮商員，每次訪談約3-4小時。之後，將所有IPR訪談稿及諮商逐字稿，邀請四位協同研究者以發現式取向進行資料分析。研究結果發現SFBT重要事件可歸爲：探討個人與其困境互動的重要主觀詮釋、正向所欲諮商目標的探究與形成、注入希望感的遠景建構與描繪、因應困境及其正向力量的轉化、晤談前例外的深究與善用、晤談間進展的確認與強化、具體立即可行的小目標確認與建構、正向回饋、諮商所得的彙整與追蹤應用等九類。本研究尚發現SFBT重要事件與其他常見的重要事件類別的內涵有共通的重疊性，但其歸類的聚合情況、運用技術及出現順序則服膺SFBT哲學思維與實作架構。最後，根據研究限制，對未來研究提出相關建議。

The main purpose of this study was to identify the high helpful significant events in solution-focused brief therapy (SFBT). Two females and one male participated as clients in this study. Immeditalely right after each counseling session, the female counselor was interviewed for 3-4 hours by using the Interpersonal Process Recall (IPR) method. A total of nine counseling sessions and 32 hours of IPR interviews were transcribed and analyzed based on the discovery-oriented method. Nine categories of helpful significant events emerged from the SFBT sessions, including: exploration of clients' subjective explanation of their problems, formulation of desired counseling goals, projection of hopeful and preferred future prospect, transformation of coping difficulties into positive strengths, exploration and utilization of exceptions, acknowledgment and reinforcement of counseling progresses, establishment of small, concrete, and attainable counseling goals, provision of positive feedback to clients, and integration and application of counseling gains to subsequent life situations. This study also found that the helpful significant events in SFBT were overlapped with other approaches, but fit the unique philosophy and practice of SFBT. Finally some suggestions were provided for future studies in relative fields.

1. 李勝江(2002)。碩士論文(碩士論文)。國立高雄師大輔導與諮商研究所。
   連結：
2. 周玉真(2005)。焦點解決短期諮商中關鍵問句的運用與CL反應之分析研究。教育心理學報，36(4)，335-355。
   連結：
3. 翁令珍、廖鳳池(2007)。督導介入對受督者之衝擊－以區辨模式爲架構之歷程分析。教育心理學報，39(2)，241-261。
   連結：
4. 張淑芬、廖鳳池(2007)。諮商督導結盟歷程之初探研究：以一對督導爲例。輔導與諮商學報，29(1)，67-86。
   連結：
5. 許維素、蔡秀玲(2008)。高中職輔導教師焦點解決團體督導成效之研究。教育心理學報，39(4)，603-622。
   連結：
6. 許維素、鄭惠君、陳宇芬(2007)。女大學生焦點解決網路即時諮商成效與相關議題研究。教育心理學報，39(2)，217-233。
   連結：
7. Anderson Jr. W. P.,Niles, S. G.(2000).Important event in career counseling: Client and counselor descriptions.The Career Development Quarterly,48,251-263.
8. Becerril, M. F.(1994).Texas,Texas University at Austin.
9. Castro, S. D.,Guterman, J. T.(2008).Solution-focused therapy for families coping with suicide.Journal of Marital and Family therapy,34(1),93-106.
10. Cummings, L. A.,Martin, J.,Hallberg, H.,Slemon, A.(1992).Memory for therapeutic events, session effectiveness, and working alliance in short term counseling.Journal of Counseling Psychology,39,306-312.
11. De Jong, P. D.,Berg, I. K.(2007).Interview for solutions.Pacific Grove:Brooks/Cole.
12. De Shazer, S.,Dolan, Y. M.,Korman, H.,Trepper. T.(2007).More than miracles: The state of the art of Solution-focused brief therapy.Philadelphia:Haworth Press.
13. Elliott, R.(1985).Helpful and unhelpful events in brief counseling interviews: An empirical taxonomy.Journal of Consulting and Clinical Psychology,32,307-322.
14. Elliott, R.(1983).Fitting process to the practicing psychotherapist.Psychotherapy:Theory, Research and Practice.
15. Elliott, R.,L. Rice(Eds.),L. Greenberg(Eds.)(1984).Pattern of Chang.N. Y.:Guilford.
16. Elliott, R.,L. S. Greenberg(Eds.),W. M. Pinsof(Eds.)(1986).The psychotherapy process: A research handbook.New York:Guilford Press.
17. Elliott, R.,Shapiro, D. A.,S. G. Toukmanian(Eds.),D. L. Rennie(Eds.)(1992).Psychotherapy process research: Paradigmatic and narrative approaches.London:Sage.
18. Franklin, C.,Moore, K.,Hopson, L.(2008).Effectiveness of solution-focused brief therapy in s school setting.Children and School,30(1),15-25.
19. Greenberg, L. S.(1986).Change process research.Journal of Consulting and Clinical Psychology,54,4-9.
20. Hardy, G. E.,Aldridge, J.,Davidson, C.,Rowe, C.,Reilly, S.,Shapiro, D. A.(1999).Therapist responsiveness to client attachment styles and issues observed in client-identified significant events in psychodynamic-interpersonal psychotherapy.Psychotherapy Research,9(1),36-53.
21. Heppner, P. P.,Rosenberg, I. J.,Hedgespeth, J.(1992).Three methods in measuring the therapeutic process: Clients' and counselors' constructions of therapeutic process versus actual therapeutic events.Journal of Counseling Psychology,39,20-31.
22. Kim, H.(2006).New York,State University.
23. Kim, J. S.(2006).Unpublished doctoral dissertation, University of Michigan.
24. Kivlighan, Jr. D. M.,Arthur, E. G.(2000).Convergence in Client and counselor recall of important session events.Journal of Counseling Psychology,47,79-84.
25. Macdonald, A. J.(2007).Solution-focused therapy: Theory, research, & practice.London:Sage.
26. Mahrer, A. R.(1988).Discovery-oriented psychotherapy research: Rational, aims, and methods.American Psychologist,43,694-702.
27. Mahrer, A. R.,Boulet, D. B.,Stalikes, A.(1987).Comparative analysis of the good moments in rational-emotive and experiential psychotherapies.Psychological Reports.
28. Marher, A. R.,Lawson, K. C.,Stalikeas, A.(1990).Relationships between strength of feeling type of therapy, and occurrence of in-session good moments.Psychotherapy,27(4),537-541.
29. Marher, A. R.,Nadler, P. W.,Stalikes, A.,Schachter, H. M.,Sterner, I.(1988).Common and distinctive therapeutic change process in Client centered, Rational- emotive, and Experiential psychotherapies.Psychological Report.
30. Marher, A. R.,Nadler, P. W.,Sterner, I.,White, M. V.(1989).Patterns of organization and sequencing of good moments in Psychotherapy sessions.Journal of Integrative and Eclectic Psychotherapy,8(2),125-139.
31. Marmar, C. R.(1990).Psychotherapy process research: Progress, dilemmas, and future directions.Journal of Counseling Psychology,58,265-272.
32. Martin, J., & Stelmaczonek.(1988).Participants' identification and recall of important events in counseling.Journal of Counseling Psychology,35,285-390.
33. Martin, J.,Martin, W.,Slemon, G. A.(1989).Cognitive-mediational models of action-act sequences in counseling.Journal of Counseling Psychology,36,8-16.
34. McLeod , J.(2003).Doing counseling research.台北:心理.
35. Paulson, B. L.,Truscott, D.,Stuart, J.(1999).Clients' perceptions of helpful experience in counseling.Journal of Counseling Psychology,46,317-324.
36. Pichot, T.,Dolan, Y.(2003).Solution-focused brief therapy: its effective use in agency settings.New York:The Haworth Clinical Practice Press.
37. Rice, L.,Greenberg, L.(1984).Pattern of change: Intensive analysis of psychotherapy process.N. Y.:Guilford Press.
38. Strupp, H. H.(1986).Psychotherapy: Research, practice and public policy.American Psychologist,5,12-30.
39. Strupp, H. H.(1988).What is therapeutic change.Journal of Cognitive Psychotherapy,2,75-82.
40. Trepper, T. S.,Dolan, Y.,McCollum, E. E.,Nelson, T.(2006).Steve de Shazer and the future of solution-focused therapy.Journal of Marital and Family Therapy,32(2),133-140.
41. Walter, J. L.,Peller, J. E.(1992).Becoming solution-focused in brief therapy.NY:Brunner/Mazel.
42. Watson, J. C.,Rennie, D. L.(1994).Qualitative analysis of clients’ subjective experience of significant moments during the exploration of problematic reactions.Journal of Counseling Psychology,41,500-509.
43. Wilcox-Matthew, L.,Ottens, A.,Minor, C. W.(1997).An analysis of significant events in counseling.Journal of Counseling & Development,75,282-291.
44. 方家銘(2000)。碩士論文(碩士論文)。國立屏東師院教育心理與輔導研究所。
45. 杜佳紋(2007)。碩士論文(碩士論文)。國立高雄師大輔導與諮商研究所。
46. 周美嫻(2003)。碩士論文(碩士論文)。國立成功大學護理學研究所。
47. 林艾璇(2006)。碩士論文(碩士論文)。國立台北教育大學心理與諮商研究所。
48. 段昌明、王麗斐(1993)。諮商研究過程的內容與研究方法分析：美國諮商過程研究的回顧、現況與展望。輔導季刊，29(3)，1-13。
49. 張淑芬(2007)。重要事件法在諮商歷程研究之應用。諮商與輔導，264，34-38。
50. 莊慧芬(2003)。碩士論文(碩士論文)。國立高雄師大輔導與諮商研究所。
51. 連廷誥、連廷嘉、連秀巒(2006)。認識諮商研究。台北:心理。
52. 連秀巒(2006)。博士論文(博士論文)。國立彰化師範大學輔導與諮商研究所。
53. 陳秉華(1994)。諮商改變歷程的研究新典範。「諮商歷程學術研討會」宣讀之論文
54. 陳斐娟(1996)。博士論文(博士論文)。國立彰化師範大學輔導與諮商研究所。
55. 曾正奇(2004)。碩士論文(碩士論文)。國立高雄師範大輔導研究所。
56. 黃鈺敏(1995)。碩士論文(碩士論文)。國立台灣師範大學教育心理與輔導研究所。
57. 蔡惠菁(2005)。碩士論文(碩士論文)。台中師範學院諮商與心理研究所。
58. 謝淑敏(1993)。碩士論文(碩士論文)。國立台灣師範大學教育心理與輔導研究所。
59. 謝蕙春(2003)。碩士論文(碩士論文)。國立暨南國際大學輔導與諮商研究所。
60. 簡正鎰(2004)。博士論文(博士論文)。彰化師範大學輔導與諮商研究所。

1. 許維素,范美珍,林瑋歆(2023)。焦點解決短期諮商對高中生問題解決態度之成效研究。輔導與諮商學報，45(2)，27-65。
2. 連廷嘉,苗潔聆(2022)。焦點解決取向運用於高齡者生涯探索團體之方案設計。諮商與輔導，443，2-7。
3. 邱美華(2016)。焦點解決團體諮商應用於「家庭支持團體」模式之探討。東方學報，36，235-249。
4. 詹惠竹、葉貞屏(2012)。非行少年在焦點解決短期諮商中知覺之重要事件與諮商技術探討。臺北市立教育大學學報：人文藝術、社會科學類，43(2)，79-116。