中文晤談評量問卷內部結構之探究：個案層次分析

A Study of the Internal Structure of the Chinese Session EvaluationQuestionnaire (C-SEQ): Client-Level Analyses

10.6251/BEP.201906_50(4).0004

陳慶福(Ching-Fu Chen)；陳凱婷(Kai-Ting Chen)

中文第五版晤談評量問卷 ； 內部結構 ； 英文第五版晤談評量問卷 ； 晤談影響 ； Chinese Session Evaluation Questionnaire (C-SEQ) ； Internal structure ； Session Evaluation Questionnaire Form 5 (SEQ-5) ； Session Effect

教育心理學報

50卷4期（2019 / 06 / 01）

637 - 658

繁體中文

晤談評量問卷（Session Evaluation Questionnaire, SEQ）是一份過去經常被作為評量諮商影響的自陳式工具，且此問卷在過去，也經常被視為是評量諮商歷程與結果的工具。Stiles、Gordon和Lani（2002）所發展的最新版Session Evaluation Questionnaire Form 5（SEQ－5），係由21對語意區分的相對形容詞所組成，各題項均採7點評量的方式計分。研究目的：本研究採用陳慶福和林妙容（2016）翻譯自SEQ－5的中文第五版晤談評量問卷（Chinese Session Evaluation Questionnaire, C－SEQ），探討個案層次C－SEQ的內部結構。研究方法：參與者為2017年4月至2017年7月間，至台灣的21所大學諮商輔導中心接受心理諮商之大學生，共計200位（N=200），每一位參與者在最近一次接受諮商後，填答一份中文C－SEQ，本研究據此進行C－SEQ內部結構的探討。研究結果：本研究的資料經由探索性因素分析和驗證性因素分析，可以確認C－SEQ包含：深度性、順暢性、正向性和激動性的四個因素結構；在晤談評量向度和晤談後情感評量向度分別為深度性與順暢性，以及正向性與激動性。研究結論：個案層次的C－SEQ包含四個因素的結構，此問卷的深度性、順暢性與正向性因素間存在低度至中度的相關；此問卷可提供國內諮商實務之回饋和諮商歷程研究之用途。本研究依據研究的發現與限制，提出對未來諮商實務與研究的具體建議。

The Session Evaluation Questionnaire (SEQ), which is a self-rating instrument, has been widely applied in measuring the impact of counseling sessions. The SEQ may be conceived as a bridge between the counseling process and outcome. The SEQ Form 5 (the latest version of the SEQ; Stiles, Gordon, & Lani, 2002) includes 21 bipolar adjective scales in a 7-point semantic differential format. Objective: The purpose of the present study was to explore clients' responses to the Chinese SEQ (C-SEQ), which was translated by Chen and Lin (2016). The clients' responses to the C-SEQ were elicited and then analyzed to understand the internal structure of the C-SEQ. Methods: A total of 200 clients from 21 Taiwanese universities were recruited using heterogeneous convenience sampling by the researchers between April 2017 and July 2017. After each client attended his or her latest individual counseling session, he or she was asked to complete one copy of the C-SEQ. Thus, our collected data were drawn from the questionnaires. Results: Exploratory factor analysis and confirmatory factor analysis were conducted. The influences of counseling sessions, including the dimensions of session evaluation and postsession mood evaluation, were measured. The results of this study corroborated the premise that four factors are elicited from the C-SEQ, namely Depth, Smoothness, Positivity, and Arousal. Thus, the C-SEQ assesses two dimensions of session evaluation, Depth and Smoothness, as well as two dimensions of postsession mood, Positivity and Arousal. Conclusion: The internal structure of the C-SEQ encompasses four factors: Depth, Smoothness, Positivity, and Arousal. Intercorrelation coefficients between Depth, Smoothness, and Positivity were between low and medium (.27- .67, p ＜ .01). The C-SEQ is now available as an instrument for giving feedback regarding counseling practice and counseling process research in Taiwan. Additionally, based on the findings and limitations in this research, suggestions for counseling practice and future research are offered by the researchers.

1. 江宛凌, W. L.,陳慶福, C. F.(2008)。以塔羅牌為諮商媒介所引發低自尊當事人之重要事件與晤談感受初探研究。中華輔導與諮商學報，24，107-145。
   連結：
2. 李偉斌, W,陳慶福, C. F.,王智弘, C. H.(2008)。網路即時諮商與晤談諮商中助人技巧、工作同盟與晤談感受之研究－以準諮商員為例。教育心理學報，40(1)，1-22。
   連結：
3. 陳慶福, C. F,王雅萱, Y. H.(2018)。焦慮依附風格個案在諮商初期的晤談感受、工作同盟與諮商滿意之關係研究。教育心理學報，50(2)，267-291。
   連結：
4. Bagozzi, R.,Yi, Y.(1988).On the evaluation of structural equation models.Journal of the Academy of Marketing Sciences,16,74-94.
5. Byrne, B. M.(2001).Structural equation modeling with Amos: Basic concepts, applications, and programming.Mahwah, NJ:Lawrence Erlbaum Associates.
6. Cummings, A. L.,Slemon, A. G.,Hallberg, G. T.(1993).Session evaluation and recall of important events as a function of counselor experience.Journal of Counseling Psychology,40(2),156-165.
7. Dill-Standiford, T. J.,Stiles, W. B.,Rorer, L. G.(1988).Counselor-client agreement on session impact.Journal of Counseling Psychology,35,47-55.
8. Hafkenscheid, A.(2009).The impact of psychotherapy sessions: Internal structure of. the Dutch Session Evaluation Questionnaire (SEQ).Psychology and Psychotherapy: Theory, Research and Practice,82,99-111.
9. Hair, J. F., Jr.,Anderson, R. E.,Tatham, R. L.,Black, W. C.(1998).Multivariate data analysis.Englewood Cliffs, NJ:Prentice-Hall.
10. Hair, J. F.,Black, W. C.,Babin, B. J.,Anderson, R. E.,Tatham, R. L.(2006).Multivariate data analysis.New Jersey:Prentice-Hall.
11. Hartmann, A.,Leonhart, R.,Hermann, S.,Joos, A.,Stiles, W. B.,Zeeck, A.(2013).Die evaluation von therapiesitzungen durch patienten und therapeuten faktorstruktur und interpretation des SEQ-D.Diagnostica,59(1),45-59.
12. Heppner, P. P.,Wampold, B. E.,Kivlighan, D. M., Jr.(2008).Research design in counseling.Belmont, CA:Belmond.
13. Hill, C. E.,O’Grady, K. E.,Balenger, V.,Busse., Falk.,D. R.,Hill, M.,Rios.,Taffe, R.(1994).Methodological examination of videotape-assisted reviews in brief therapy: Helplessness ratings, therapy intentions, client reactions, mood, and session evaluation.Journal of Counseling Psychology,41,236-247.
14. Horvath, A. O.,Marx, R. W.(1990).The development and decay of the working alliance during the time limited counseling.Canadian Journal of Counseling,24,240-259.
15. Joreskog, K. G.,Sorbom, D.(1982).Recent developments in structural equation modeling.Journal of Marketing Research,19(4),404-416.
16. Kaiser, H. F.(1974).An index of factorial simplicity.Psychometrika,39,31-36.
17. Kim, B. S. K.,Liang, L.,Lee, L. C.(2003).Counselor ethnicity, counselor nonverbal behavior, and session outcome with Asian American clients: Initial findings.Journal of Counseling and Development,81(2),202-207.
18. Kivlighan, D. M.,Angelone, E. O.,Swafford, K. G.(1991).Live supervision in individual psychotherapy: Effects on therapist's intention use and client's evaluation of session effect and working alliance.Professional Psychotherapy: Research and Practice,22,489-495.
19. Kivlighan, D. M.,Marmarosh, C. L.,Hilsenroth, M. J.(2014).Client and therapist therapeutic alliance, session evaluation, and client reliable change: A moderate actor-partner interdependence model.Journal of Counseling Psychology,61(1),15-23.
20. Kline, R. B.(1998).Principles and practice of structural equation modeling.NY:Guilford Press.
21. Lambert, M. J.(Ed.)(2004).Bergin and Garfield's handbook of psychotherapy and behavior change.New York, NY:John Wiley and Sons.
22. Lepper, G.,Riding, N.(2006).Researching the psychotherapy process: A practical guide to transcript-based methods.New York, NY:Palgrave Macmillan.
23. Mallinckrodt, B.(1994).Session impact in counseling process research: Comment on Elliott and Wexler (1994) and Stiles et al. (1994).Journal of Counseling Psychology,41(2),186-190.
24. Mallinckrodt, B.(1993).Session impact, working alliance and treatment outcome of brief counseling.Journal of Counseling Psychology,40,25-32.
25. Noar, S. M.(2003).The role of structural equation modeling in scale development.Structural Equation Modeling,10,622-647.
26. Reynolds, S.,Stiles, W. B.,Barkham, M.,Shapiro, D. A.,Hardy, G. E.,Rees, A.(1996).Acceleration of changes in session impact during contrasting time-limited psychotherapies.Journal of Consulting and Clinical Psychology,64,577-586.
27. Samstag, L. W.,Batchelder, S. T.,Muran, J. C.,Safran, J. D.,Winston, A.(1998).Early identification of treatment failure in short-term psychotherapy: An assessment of therapeutic alliance and interpersonal behavior.Journal of Psychotherapy Practice and Research,7,126-143.
28. Sharma, S.(1995).Applied multivariate techniques.New York, NY:John Wiley &. Sons.
29. Siegel, D. F.,Hilsenroth, M. J.(2013).Process and technique factors associated with patient ratings of session safety during psychodynamic psychotherapy.American Journal of Psychotherapy,67(3),257-276.
30. Stiles, W. B.(1980).Measurement of the impact of psychotherapy sessions.Journal of Consulting and Clinical Psychology,48(2),176-185.
31. Stiles, W. B.,Gordon, L. E.,Lani, J. A.(2002).Session evaluation and the session evaluation questionnaire.Counseling based on process research: Applying what we know,Boston:
32. Stiles, W. B.,Reynolds, S.,Hardy, G. E.,Rees, A.,Barkham, M.,Shapiro, D. A.(1994).Evaluation and description of psychotherapy session by clients using the Session Evaluation Questionnaire and Session Impact Scale.Journal of Counseling Psychology,41(2),175-185.
33. Stiles, W. B.,Shapiro, D. A.,Firth-Cozens, J. A.(1988).Do sessions of different treatments have different impact?.Journal of Counseling Psychology,35,391-396.
34. Stiles, W. B.,Snow, J. S.(1984).Dimensions of psychotherapy clinical session impact across sessions and across clients.British Journal of Clinical Psychology,23,59-63.
35. Stiles, W. B.,Snow, J. S.(1984).Counseling session impact as viewed by novice counselors and their clients.Journal of Counseling Psychology,31,3-12.
36. Thompson, B. J.,Hill, C. E.(1993).Client perceptions of therapist competence.Psychotherapy Research,3,124-130.
37. Tyron, G. S.(1990).Session depth and smoothness in relation to the concept of engagement in counseling.Journal of Counseling Psychology,37(3),248-253.
38. Vittorio, L.,Antonello, C.,Daniela, G.,Annalisa, T.(2011).Exploration of session process: Relationship to depth and alliance.Psychotherapy: Theory, Research, practice, Training,48(4),391-400.
39. Wortzel, L.(1979).Multivariate analysis.New Jersey:Prentice-Hall.
40. 王麗斐, L. F.,林美珠, M. J(2000)。團體治療性因素量表之發展與編製。中華輔導學報，9，1-24。
41. 林瑞吉, Z. J.,劉焜輝, K. H.(1998)。序列分析在諮商歷程研究的應用－以兩組諮商個案為例。師大學報：教育類，43(1)，49-86。
42. 桂川泰典、国里愛彦、菅野純、佐々木和義(2013)。日本語版セッション評価尺度（The Japanese Session Evaluation Questionnaire: J-SEQ）作成の試みカウンセラー評定による検討。ショートレポート，22(1)，73-76。
43. 陳斐娟, F. J.(1996)。Chunghwa, Taiwan，國立彰化師範大學輔導與諮商學系=National Chunghwa University of Education。
44. 陳慶福, C. F.(1995)。Chunghwa, Taiwan，國立彰化師範大學輔導與諮商學系=National Chunghwa University of Education。
45. 陳慶福, C. F.,林妙容, M. J.(2016)。諮商初期的晤談感受與諮商滿意關係之探究。2016 學術與實務研討會－諮商與工商心理學的融合與應用，台北=Taipei:
46. 陳慶福, C. F.,劉嘉蕙, C. H.(2019)。中文晤談評量問卷內部結構及其信效度之探究：諮商心理師層次分析。國立屏東大學學報：教育類，6，117-118。
47. 廖鳳池, F. C.(1994)。Taipei, Taiwan，國立臺灣師範大學教育心理與輔導學系=National Taiwan Normal University。
48. 戴谷霖, K. L.(2012)。Pingtung, Taiwan，國立屏東教育大學教育心理與輔導研究所=National Pingtung University of Education。
49. 簡華妏, H. W.(2006)。Taipei, Taiwan，國立臺灣師範大學教育心理與輔導研究所=National Taiwan Normal University。