喚醒他們的愛：親子遊戲治療對於提升施虐父母的親職功能及改善受虐兒童情緒困擾之成效

Awakening love in family: The Effect of Filial Therapy on Elevating Parent Education of Abusive Parents and Improving Emotional Disturbances of Abused Children

10.6251/BEP.20120827

張高賓(Kao-Pin Chang)

依附關係 ； 情緒困擾 ； 強制性親職教育 ； 親子遊戲治療 ； 親職功能 ； attachment relationship ； emotional disturbances ； filial therapy ； mandated parenting ； parental function

教育心理學報

44卷S期（2013 / 02 / 01）

499 - 519

繁體中文

本研究乃以單一受試多基準線實驗設計，藉由親子遊戲治療方案之介入，透過方案進行以提升施虐者親職功能，增進親子互動關係，改善兒童情緒困擾問題。本研究共有三戶家庭參與。三位母親，平均年齡39歲。三位兒童分別為二男一女，平均年齡9歲。研究工具包括修訂個別運用之親子遊戲治療方案、親子遊戲治療技巧檢核表、親子遊戲互動關係量表及阿肯巴克實證衡鑑系統。並以視覺分析、統計分析及社會效度獲得研究結果。研究發現修訂過的親子遊戲治療方案對於增進二位施虐者的親職功能、依附關係及減輕二位兒童的情緒問題有顯著的效果。

The objects of study are mainly the abusive parents who need to take mandated parenting. Using single-case multiple design, this study examines the interventon effects of filial therapy on enhancing parenting functions of abusive parents, enhancing parent-child interactive relationships, and improving emotional disturbance of abused children. There were three mothers with an average age of 39 years, and three children (2 boys and 1 girl) with an average of 9 years. Research instruments used in the study include the revised edition of Landreth 10-Week Filial Therapy Model, Filial Therapy Skill Checklist, Parent-Child Play Interaction Relationship Checklist, and the Achenbach System of Empirically Based Assessment. Visual analysis, statistical analysis, and social validity are used to assess the effects of intervention. Results indicated that the revised filial therapy model had significant effects on enhancing the parenting functions and attachment relationships of two mothers, and on lessening emotional disturbance of the children.

1. 王行(2007)。文化與政治下的權力與暴力：輔導被認定的施虐者之思辨敘事。應用心理研究，34，229-252。
   連結：
2. 張芳榮、李娟娟、謝宏林、王梅麗、張達人(2005)。家庭暴力加害人非自願性團體治療之團體歷程探討。中華團體心理治療，11(2)，1-13。
   連結：
3. 張高賓(2011)。親子遊戲治療對於院童依附關係之成效分析：視保育員為治療代理人之個案研究。諮商輔導學報，23，19-52。
   連結：
4. 張高賓(2011)。破鏡重圓：親子遊戲治療於家庭重聚之介入成效與其改變機轉之研究。家庭教育與諮商學刊，10，63-95。
   連結：
5. 張高賓(2012)。親子遊戲治療於家外安置兒童與寄養家庭之依附關係成效與療效因子之分析。教育心理學報，44(2)，295-322。
   連結：
6. 鄭如安、藍菊梅(2009)。一個家暴家庭親子互動遊戲治療的互動改變歷程分析。輔導與諮商學報，31(1)，55-80。
   連結：
7. 王純琪、張高賓（2010）：親子遊戲治療技巧檢核表編製。未出版之原始資料。
8. 陳怡群、黃惠玲、趙家琛（2009）：阿肯巴克實證衡鑑系統。台北：心理。。
9. Barrett, P. M.,Holmes, J.(2001).Attachment relationships as predictors of cognitive interpretation and response bias in late adolescence.Journal of Child and Family Studies,10(1),51-64.
10. Beckloff, D. R.(1997).University of North Texas.
11. Beckloff, D. R.(1998).Filial therapy with children with spectrum pervasive development disorders.Dissertation Abstracts International,58(11),6224B.
12. Borrego, J., Jr,Gutow, M. R.,Reicher, S.,Barker, C. H.(2008).Parent-child interaction therapy with domestic violence populations.Journal of Family Violence,23,495-505.
13. Bratton, S. C.,Ray, D.,Rhine, T.,Jones, L.(2005).The efficacy of play therapy with children: A meta-analytic review of treatment outcomes.Professional Psychology: Research and Practice,36(4),376-390.
14. Briesmeister, J. M.(Ed.),Schaefer, C. E.(Ed.)(2001).Handbook of parent training: Parents as co-therapists for children's behavior problem.New York, NY:John Wiley & Sons.
15. Brown, S. D.,Brack, G.,Mullis, F. Y.(2008).Traumatic Symptoms in Sexually Abused Children: Implications for School Counselors.Professional School Counseling,11,368-379.
16. Butler, A. M.,Eyberg, S. M.(2006).Parent-child interaction therapy and ethnic minority children.Vulnerable Children and Youth Studies,1,264-255.
17. Cassidy, J.(Ed.),Shaver, P.(Ed.)(1999).Handbook of attachment: Theory, research, and clinical applications.New York, NY:Guilford Press.
18. Cattanach, A.(1993).Play therapy with abused children.London, UK:Jessica Kingsley Publishers.
19. Cicchetti, D.,Rogosch, F. A.,Toth, S. L.(2008).Memory, maternal representations, and internalizing symptomatology among abused, neglected, and non-maltreated children.Child Development,79,705-719.
20. Clark, K.(1996).San Diego, CA,California School of Professional Psychology.
21. Costas, M.,Landreth, G.(1999).Filial therapy with non-offending parents of children who have been sexually abused.International Journal of Play Therapy,8(1),43-66.
22. Eckert, T. L.,Hintze, J. M.(2000).Behavioral conceptualizations and applications of treatment acceptability: Issues related to service delivery and research methodology.School Psychology Quarterly,15,123-148.
23. Edwards, N. A.,Ladner, L.,White, J.(2007).Perceived effectiveness of filial therapy for a Jamaican mother: A qualitative case study.International of Play Therapy,16(1),2-19.
24. Feeney, J. A.(2000).Implications of attachment style for patterns of health and illness.Child: Care, Health and Development,26(4),277-288.
25. Giltlin-Weiner, K.(Ed.),Sandgrud, A.(Ed.),Schaefer, C.(Ed.)(2000).Play diagnosis and assessment.New York, NY:John Wiley & Sons.
26. Glaser, D.(2000).Child abuse and neglect and the brain: A review.The Journal of Child Psychology and Psychiatry and Allied Disciplines,41,97-116.
27. Golder, S.,Gillmore, M. R.,Spieker, S.,Morrison, D.(2005).Substance use, related problem behaviors and adult attachment in a sample of high risk older adolescent women.Journal of Child and Family Studies,14,181-193.
28. Guerney, L.(2000).Filial therapy into the 21st century.International Journal of Play Therapy,9(2),1-17.
29. Hakman, M.,Chaffin, M.,Funderburk, B.,Silovsky, J. F.(2009).Change trajectories for parent-child interaction sequences during parent-child interaction therapy for child physical abuse.Child Abuse and Neglect,33,461-470.
30. Herschell, A.,Calzada, E.,Eyberg, S. M.,McNeil, C. B.(2002).Parent-child interaction therapy: New directions in research.Cognitive and Behavioral Practice,9,9-16.
31. Hildyard, K.,Wolfe, D.(2002).Child neglect: Developmental issues and outcomes.Child Abuse & Neglect,26,679-695.
32. James, B.(1994).Handbook for treatment of attachment-trauma problems in children.New York, NY:Lexington Books.
33. Jernberg, A. M.(1979).Theraplay: A new treatment for using structured play for problem children and their families.Washington, DC:Jossey-Bass.
34. Jernberg, A. M.,Booth, P. B.(1999).Theraplay: Helping parents and children build better relationships through attachment-based play.San Francisco, CA:Jossey-Bass.
35. Johnson, L.,Bruhn, R.,Winek, J.,Krepps, J.,Wiley, K.(1999).The use of child-centered play therapy and filial therapy with head start families: A brief report.Journal of Marital and Family Therapy,25(2),169-176.
36. Kagan, R.(2004).Rebuilding attachments with traumatized children: Healing from losses, violence, abuse, and neglect.New York, NY:Haworth Maltreatment and Trauma Press.
37. Kale, A.,Landreth, G.(1999).Filial therapy with parents of children experiencing learning difficulties.International Journal of Play Therapy,8(2),35-56.
38. Kazdin, A. E.(2000).Perceived barriers to treatment participation and acceptability among antisocial children and their families.Journal of Child and Family Studies,9,157-174.
39. Kelly, J. F.,Buehlman, K.,Caidwell, K.(2000).Training personnel to promote quality parent-child interaction in families who are homeless.Topic in Early Childhood Special Education,20(3),174-185.
40. Lahti, S. L.(1992).Denton, Texas,University of North Texas.
41. Landreth, G. L.(2002).Play therapy: The art of the relationship.New York, NY:Brunner Routledge.
42. Landreth, G. L.,Bratton, S. C.(2006).Child parent relationship therapy (CPRT): A 10-session filial therapy model.London, UK:Routledge.
43. Landreth, G. L.,Homeyer, L.,Glover, G.,Sweeney, D.(1996).Play therapy Interventions with children's problems.New York, NY:Aronson.
44. Michael, L.,Martin, R.(2001).A meta-analysis of play therapy outcome.Counseling Psychology Quarterly,14(2),149-163.
45. Nastasi, B. K.,Moore, R. B.,Varjas, K. M.(2004).School-based mental health services: Creating comprehensive and culturally specific programs.Washington, DC:American Psychological Association.
46. Natalya, A.,Edwards, N. A.,Sullivan, J. M.,Meany-Walen, K.,Kantor, K. R.(2010).Child parent relationship training: Parents' perceptions of process and outcome.International Journal of Play Therapy,19(3),159-173.
47. O''Hare, T.(1996).Court-ordered versus voluntary client: Problem differences and readiness for change.Social Work,41(4),417-422.
48. Pincus, D. B.,Eyberg, S. E.,Choate, M. L.(2005).Adapting parent-child interaction therapy for young children with separation anxiety disorder.Education and treatment of children,28(2),163-181.
49. Pistorius, K. D.,Feinauer, L.L.,Harper, J. M.,Stahmann, R. F.,Miller, R. B.(2008).Working With Sexually Abused Children.American Journal of Family Therapy,36,181-195.
50. Pollak, Seth D.,Vardi, S.,Putzer-Bechner, A. M.,Curtin, J. J.(2005).Physically abused children's regulation of attention in response to hostility.Child Development,76,968-977.
51. Rennie, R.,Landreth, G.(2000).Effects of filial therapy on parent and child behaviors.International Journal of Play Therapy,9(2),19-37.
52. Ryan, S. D.,Madsen, M. D.(2007).Filial family play therapy with an adoptive family: A response to pre-adoptive child maltreatment.International Journal of Play Therapy,16(2),112-132.
53. Sarason, B. R.(Ed.),Duck, S.(Ed.)(2001).Personal relationships: Implications for clinical and community psychology.New York, NY:Wiley.
54. Schaefer, C. E.(Ed.)(1993).The therapeutic powers of play.New York, NY:Jaxon Aronson.
55. Topham, G. L.,Wampler, K. S.,Titus, G.,Rolling, E.(2011).Predicting parent and child outcomes of a filial therapy program.International Journal of Play Therapy,20(2),79-93.
56. Van Fleet, R.(2005).Filial therapy: Strengthen parent-child relationships through play.Sarasota, FL:Professional Resource Press.
57. VanFeelt, R.(Ed.),Guerney, L.(Ed.)(2003).Casebook of filial therapy.Pennsylvania, PA:Play Therapy Press.
58. Winek, J.,Lambert-Shute, J.,Johnson, L.,Shaw, L.,Krepps, J.,Wiley, K.(2003).Discovering the moments of movement in filial therapy: A single case qualitative study.International Journal of Play Therapy,12(1),89-104.
59. Wu, S.,Ma, C.,Carter, R.,Ariet, M.,Feaver, E.,Resnic, M.,Roth, J.(2004).Risk factors for infant maltreatment: A populations based study.Child Abuse & Neglect,28,1253-1264.
60. 內政部兒童局(2001)。親職教育輔導教材實用手冊─專為強制性親職教育而設計。台中:內政部兒童局。
61. 台灣兒童暨家庭扶助基金會(2005)。九十四年度年報。台中:台灣兒童暨家庭扶助基金會。
62. 朱美冠(2006)。碩士論文(碩士論文)。中正大學社會福利研究所。
63. 余祥雲(2006)。碩士論文(碩士論文)。高雄師範大學輔導與諮商研究所。
64. 吳倩華(2004)。碩士論文(碩士論文)。暨南國際大學社會政策與社會工作系研究所。
65. 李玉瑾(1993)。從兒童虐待談兒童保護。社教資料雜誌，176，9-13。
66. 李鶯喬(1992)。兒童虐待。台灣醫界，35(4)，45-47。
67. 林亮吟(1991)。兒童虐待與配偶虐待。臨床醫學，28(4)，284-287。
68. 林惠娟(2001)。碩士論文(碩士論文)。東海大學社會工作學系研究所。
69. 洪淑雅(2001)。碩士論文(碩士論文)。高雄師範大學輔導與諮商研究所。
70. 高淑貞(1998)。親子遊戲治療。台北:桂冠圖書公司。
71. 張高賓(2012)。親子互動關係量表編製。台東大學教育學報，23(1)，157-184。
72. 陳意文(2000)。碩士論文(碩士論文)。中國文化大學兒童褔利研究所。
73. 陳學添(2001)。碩士論文(碩士論文)。台北市立師範學院視覺藝術研究所。
74. 陳穎亭(2006)。碩士論文(碩士論文)。台北市立教育大學教育心理與輔導學系研究所。
75. 辜惠媺(2000)。施虐者輔導方案之規劃─以高雄縣強制性親職教育為例。兒童保護工作研討會，台中:
76. 鈕文英、吳裕益(2011)。單一個案研究方法與論文寫作。台北:洪葉。
77. 馮燕(1992)。行政院研究發展考核委員會委託研究行政院研究發展考核委員會委託研究,台北:行政院研究發展考核委員會。
78. 劉邦富(2003)。兒童保護個案寄養安置服務之探討。兒童福利期刊，4，209-218。
79. 劉美芝(1999)。碩士論文(碩士論文)。中國文化大學兒童福利研究所。
80. 鄧啟明(2000)。碩士論文(碩士論文)。暨南國際大學社會政策與社會工作系研究所。
81. 顏碧慧(1996)。碩士論文(碩士論文)。東海大學社會工作學系研究所。
82. 魏渭堂(1999)。博士論文(博士論文)。彰化師範大學輔導系研究所。

1. 黃芝瑋、陳富美(2017)。為施虐父母提供到宅式親職教育之行動研究。家庭教育與諮商學刊，20，33-55。
2. 賴紅汝,劉鶴群,陳淑芬,張玉龍,徐崇恩,林鈺縈,林淑雲,房智慧,吳信輝,王蘭心(2023)。COVID-19疫情下兒少保護個案親職教育輔導的數位學習安排與成效－以彰化縣強制親職教育基礎認知輔導課程為例。社會發展研究學刊，31，28-55。
3. 林子翔,刑志彬,王文秀(2021)。遊戲治療的追蹤行為、情感反映與設限。輔導季刊，57(2)，27-36。
4. 劉秀菊,高淑貞,高宛琳(2019)。親子遊戲治療對外化問題兒童與母親親職壓力之成效。教育心理學報，50(3)，407-435。
5. 劉秀菊、張麗泓、高淑貞(2018)。親子遊戲治療對參與者子女問題與親職壓力之影響。諮商心理與復健諮商學報，32，7-30。
6. 吳麗雲(2020)。親子共廚在提昇收養父母與子女依附關係之成效分析研究。諮商心理與復健諮商學報，34，57-79。
7. (2023)。遊戲治療成因療效：文獻回顧的社會網絡分析。諮商心理與復健諮商學報，38，79-96。