客體角色轉化在非複雜性哀傷諮商影響之初探

The Effects of Psychotherapeutic Ritual on Uncomplicated Griever: Transforming Role of a Deceased's Internal Object

10.3966/172851862017040048003

吳秀碧(Sophie Woo)

文化與諮商 ； 哀悼 ； 哀傷 ； 客體關係 ； 儀式 ； bereavement ； culture and counseling ； grief ； object relation ； ritual

中華輔導與諮商學報

48期（2017 / 04 / 01）

71 - 106

繁體中文

本研究旨在探究客體角色轉化假說和治療儀式在非複雜性哀傷諮商的影響。使用質化研究中現象學取向的重要事件研究法，探究23名選修哀傷諮商課程的研究生，參與該課程學習方式當中所包括的體驗性學習之經驗。該課程共有10次小團體方式的體驗性學習，每週實施一次，每次1小時（課程每週3小時）。本研究資料為學生體驗學習的第九單元「創造死者死後的世界」儀式活動之單次心得報告。資料蒐集方法，於期末獲得參與者同意書之後，以該一單元的心得報告作為分析的資料。資料分析和研究之可信賴度，採取質化共識研究分析方法，於資料匿名後，由研究者與兩名編碼者一起共同進行分析。研究結果，在參與者主觀知覺中，不但沒有負面影響，還發現11項有益的元素，包括8項治療因子和3項個人成長，可歸納為「安頓死者獲得療傷和復原」與「學習與成長」兩層面的獲益。最後並根據本初探研究的結論，對於未來研究和諮商實務提出具體建議。

According to traditional Chinese culture, a family system includes two sub-system: one is the living family members and the other is ancestors. Instead of being excluded from family system, it is presumes that soon after any one of the family member died will be transformed his/her role by funeral ritual into one of the members of ancestor system, and a spiritual nature of continuing bond was reestablished. Based on the role transformation of traditional Chinese culture, a psychotherapeutic ritual was designed by researcher and applied to help trainees transforming role of their internal object of a deceased. This article reports research that utilized critical incident methodology to explore the perceived experiences of 23 participants. They were master and doctorate level counselor trainees who participated in experiential grief counseling groups as part of their Death, Dying and Grief Counseling course work. Data were collected from one of their weekly reflection journals. The specific journal was to reflect trainee's experience of participating in that ritual activity of ＂Creating an afterlife and world for your beloved deceased＂. The results show that participants identified 11 elements as contributing to their recovering from grieving a deceased. These 11 elements were then categorized into two dimensions which were 8 therapeutic factors and 3 obtained benefits of learning and growth. The finding results were discussed in light of the current literature of continuing bonds and psychotherapeutic rituals. Implications for counseling practice and future research were recommended.

1. 余德慧、李維倫、林耀盛、余安邦、陳淑惠、許敏桃、謝碧玲、石世明(2004)。倫理療癒作為建構臨床心理學本土化的起點。本土心理學研究，22，254-325。
   連結：
2. 吳秀碧(2016)。傳統喪禮儀式在哀傷諮商的省思和啟發。輔導季刊，52(1)，1-13。
   連結：
3. 李秉倫、黃光國、夏允中(2015)。建構本土哀傷療癒理論：儒家關係主義和諧哀傷療癒理論。諮商心理與復健諮商學報，28，7-33。
   連結：
4. 李維倫(2004)。作為倫理行動的心理治療。本土心理學研究，22，359-420。
   連結：
5. 林耀盛(2005)。說是一物即不中： 從倫理性轉向療癒觀點反思震災存活者的悲悼歷程。本土心理學研究，23，259-317。
   連結：
6. 林耀盛、侯懿真、許敏桃(2011)。悲悼的歧義：癌症新近喪偶者的心理反應經驗探究。生死學研究，11，1-40。
   連結：
7. 許敏桃、余德慧、李維倫(2005)。哀悼傷逝的文化模式：由連結到療癒。本土心理學研究，24，49-84。
   連結：
8. (1971).Playing and Reality.New York:Basic Books.
9. Lindeman, E. (1944). Symptomatology and management of acute grief. American Journal of Psychiatry, 101, 141-148. Retrieved from: http://dz.doi.org/10.1176/1jp.101.2.141
10. Aguilar, I.,Wood, V. N.(1976).Therapy through death ritual.Social Work,21(1),49-54.
11. American Psychiatric Association、台灣精神醫學會譯(2014)。DSM-5 精神疾病診斷準則手冊。台北:合記圖書出版社。
12. Atting, T.(1996).How we grieve: Relearning the world.New York:Oxford University Press.
13. Atting, T.(2000).The heart of grief.New York:Oxford University Press.
14. Banton, M.(Ed.)(1969).Anthropological approaches to the study of religion.London:Tavistock.
15. Boelen, P. A.,Stroebe, M. S.,Schut, H. A. W.,Zijerveld, A. M.(2006).Continuing bonds and grief: A prospective analysis.Death Studies,30,767-776.
16. Bowlby, J.(1980).Attachment and loss.New York:Basic Books.
17. Bowlby, J.(1961).Processes of mourning.International Journal of Psychoanalysis,42,317-340.
18. Bowlby, J.(1980).Attachment and loss.New York:Basic Books.
19. Bowlby, J.(1980).Attachment and loss.New York:Basic Books.
20. Brook, M. G.,Fauver, R.(2014).A possible mechanism of action for the placebo response: Human biofield activation Via therapeutic ritual.International Journal of Transpersonal Studies,33(1),131-147.
21. Collins, N. A.,Pieterse, A. L.(2007).Critical incident analysis based training: Active racial/cultural awareness.Journal of Counseling and Development,85,14-23.
22. Cookson, K.(1990).Dream and death: An exploration of the literature.Omega: Journal of death & dying,21(4),259-281.
23. Corr, C. A.(1992).A task-based approach to coping with dying.Omega: Journal of death & dying,24,81-94.
24. Corr, C. C.,Nabe, C. M.,Corr, D. M.(2000).Death and dying life and living.Belmont, CA:Wadsworth/Thomson Learning.
25. Currieni, J. M.,Holland, J. M.,Neimeyers, R. A.(2012).Prolonged grief symptoms and growth in the first 2 years of bereavement: Evidence for a nonlinear association.Traumatology,18(4),65-71.
26. D'Aquili, E.(Ed.),Ijmghlin, C.(Ed.),McMa-nus, J.(Ed.)(1979).The spectrum of ritual: A biogenetic structural analysis.New York:Columbia University Press.
27. Davis, C. G.,Wortman, C. B.,Lehman, D. R.,Silver, R. C.(2000).Searching for meaning in loss: Are clinical assumption correct?.Death Studies,24,497-540.
28. DeSpelder, L.N.,Strickland, A. L.(2008).The last dance: Encountering death and dying.Mountain View, CA:Mayfield Publishing Co..
29. Dietrich, D. R.,Shabad, P. C.(1989).The problem of loss and mourning: Psychoanalytic perspectives.Madison, WI:International Universities Press.
30. Doka, K. J.(1993).Living with life-threatening illness: A guide for patients, families, and caregivers.Lexington, MA:Lexington Books.
31. Erickson, B. A.(2004).American shaman. Review of the book American shaman.Milton H. Erickson Foundation Newsletter,24(2),20-21.
32. Field, N. P.(2006).Unresolved grief and continuing bonds: An attachment perspective.Death Studies,30,739-756.
33. Field, N. P.,Filanosky, C.(2010).Continuing bonds, risk factors for complicate grief and adjustment to bereavement.Death Studies,34,1-29.
34. Field, N. P.,Gal-Oz, E.,Bonanno, G.(2003).Continuing bonds and adjustment at 5 years after a death of a spouse.Journal of Consulting and Clinical Psychology,71(1),110-117.
35. Field, N. P.,Nichols, C.,Holen, A.,Horowitz, M.(1999).The relation of continuing attachment to adjustment in conjugal bereavement.Journal of Consulting and Clinical Psychology,67(2),212-218.
36. Flanagan, J. C.(1954).The critical incident technique.Psychological Bulletin,51(4),327-358.
37. Folkman, S. F.(1997).Positive psychological states and coping with severe stress.Social Science Medicine,45,1207-1221.
38. Fortner, B. V.(1999).Memphis, TN, USA,University of Memphis.
39. Fortner, B. V.,Neimeyer, R. A.(1999).The effectiveness of grief counseling and therapy: A quantitative review.meeting of the Association for Death Education and Counseling,San Antonio, TX, USA:
40. Foulkes, D.(1982).Children's dreams: longitudinal studies.New York:Wiley.
41. Frank, J. D.,France, J. B.(1991).Persuasion and healing.Baltimore, MD:Johns Hopkins University Press.
42. Freud, S.,Riviere, J.(Trans.)(1917).Collected papers.New York:Basic Books.
43. Gaines, R.(1997).Detachment and continuity: The two tasks of mourning.Contemporary Psychoanalysis,33,549-571.
44. Garfield, P.(1991).The healing power of dreams.New York:Simon & Schuster.
45. Gilles, J.,Neimeyer, R. A.(2006).Loss, grief and search for significance: Toward a model of meaning reconstruction in bereavement.Journal of Constructivist Psychology,19,31-65.
46. Gomez, L.(1997).An Introduction to Object Relations Theory.London:Free Association Press.
47. Granek, L.(2010).Grief as pathology: The evolution of grief theory in psychology From Freud to the present.History of Psychology,13(1),46-73.
48. Hagman, G.(1995).Mourning: A review and reconsideration.International Journal of Psychoanalysis,76,909-925.
49. Harvey, J. H.(Ed.)(1998).Perspectives on loss: A sourcebook.Washington, DC:Taylor & Francis.
50. Harvey, J. H.(Ed.)(1998).Perspective on loss: A sourcebook.New York:Brunner/Mazel.
51. Hill, C. E.,Thompson, B. J.,Nutt-Williams, E.(1997).A guide to conducting consensual qualitative research.Counseling Psychologist,25,517-572.
52. Horowitz, M.(2005).Meditating on complicated grief disorder as a diagnosis.Omega: The Journal of Death and Dying,52(1),87-89.
53. Horowitz, M.(Ed.)(1991).Person schemas and maladaptive interpersonal patterns.Chicago, IL:The University of Chicago Press.
54. Imber-Black, E.,Roberts, J.(1998).Rituals for our times: Celebrating, healing, and changing our lives and our relationships.San Francisco, CA:Jason Aronson.
55. Janoff-Bulman, R.(1992).Shattered assumptions: Towards a new psychology of trauma.New York:The Free Press.
56. Kaplan, L.(1995).No voice if wholly lost.New York:Simon & Schuster.
57. Kiweewa, J.,Gilbride, D.,Luke, M.,Seward, D.(2013).Endorsement of growth factors in experiential training groups.The Journal for Specialists in Group Work,38(1),68-93.
58. Klass, D.(Ed.),Silverman, P.(Ed.),Nickman, L.(Ed.)(1996).Continuing bonds: New understandings of grief.Philadelphia, PA:Taylor & Francis.
59. Klein, M.(Ed.)(1965).Contributions to psychoanalysis 1921-1945.New York:Hillary.
60. Krippner, S.(1987).Cross-cultural approaches to multiple personality disorder: Practice in Brazilian spiritualism.Ethos,15(3),273-295.
61. Kubler-Ross, E.(1981).Living with death and dying.New York:Macmillan.
62. Kubler-Ross, E.(1969).On death and dying: What the dying have to teach doctors, nurses, clergy and their own families.New York:Macmillan.
63. Larson, D. G.,Hoyt, W. T.(2007).What has become of grief therapy? An evaluation of the empirical foundations of the new pessimism.Professional Psychology: Research and Practice,38,347-355.
64. Lederberg, J.(1994).Anecdotal, Historical and Critical Commentaries on Genetics.New York:The Rockfeller University.
65. Maciejewski, P. K.,Zhang, B.,Block, S. D.,Prigerson, H. G.(2007).An empirical examination of the stage theory of grief.The Journal of the American Medical Association,297(7),716-723.
66. Merziow, J.(Ed.)(1990).Fostering critical reflection in adulthood: A guide to transformative and emancipatory learning.San Francisco, CA:Jossey-Bass.
67. Neff, K.(2004).Self-compassion and psychological well-being.Constructivism in Human Sciences,9(2),27-37.
68. Neimeyer, R. A.(1998).Lessons of Loss: A guide to coping.New York:McGraw Hill.
69. Neimeyer, R. A.(2001).Meaning reconstruction and the experience of loss.Washington, DC:American Psychological Association.
70. Neimeyer, R. A.(2000).Searching for the meaning of meaning: Grief therapy and the process of reconstruction.Death Studies,24,541-558.
71. Neimeyer, R. A.(ed)(2001).Meaning reconstruction and the experience of loss.Washington, DC.:American Psychology Association.
72. Neimeyer, R. A.(Ed.)(2001).Meaning reconstruction and the experience of loss.Washington, DC:American Psychological Association.
73. Neimeyer, R. A.(Ed.)(2012).Techniques of grief therapy: Creative practices for counseling the bereaved.Philadelphia, PA:Taylor & Francis.
74. Neimeyer, R. A.(Ed.)(2001).Meaning reconstruction and the experience of loss.Washington, DC:American Psychology Association.
75. Neimeyer, R. A.,Prigerson, H. G.,Davies, B.(2002).Mourning and meaning.American Behavioral Scientist,46,235-251.
76. Parkes, C. M.(1980).Bereavement counseling: Does it work?.British Medical Journal,281,3-6.
77. Parkes, C. M.(2001).Bereavement: Studies of grief in adult life.New York:Routledge.
78. Parkes, C. M.,Weiss, R. S.(1983).Recovery from bereavement.New York:Basic Books.
79. Perls, F.(1973).The Gestalt approach & eye witness to therapy.Palo Alto, CA:Science & Behavior Books.
80. Power, M.(Ed.),Brewin, C. R.(Ed.)(1997).The transformation of meaning in psychological therapies: Integrating therapy and practice.Chichester, WS:John Wiley & Sons.
81. Rando, T. A.(1993).Treatment of complicated mourning.Champaign, Ill:Research Press.
82. Rando, T. A.(1985).Creating therapeutic rituals in the psychotherapy of the bereaved.Psychotherapy,22,336-340.
83. Ree, D.(1997).Death and bereavement: The psychological, religious and cultural interfaces.London:Whurr.
84. Reeves, N. C.(2011).Death acceptance through ritual.Death Study,35,408-419.
85. Rice, A.(2015).Common therapeutic factors in bereavement groups.Death Studies,39(3),165-172.
86. Rogers, S.(1982).The shaman: His symbols and his healing power.Springfield, IL:Charles C Thomas.
87. Schut, H. A. W.,Stroebe, M. S.,Boelen, P. A.,Jizerveld, A. M.(2006).Continuing relationships with the deceased: Disentangling Bonds and grief.Death Studies,30,757-766.
88. Schut, H.(Ed.)(2001).Handbook of bereavement research: Consequences, coping, and care.Washington, DC:American Psychological Association.
89. Shear, M.K.,Simon, N.,Wall, M.,Zisook, S.,Neimeyer, R.,Duan, N.,Charles Reynolds, C.,Lebowitz, B.,Sung, S.,Ghesquiere, A.,Gorscak, B.,Clayton, P.,Ito, M.,Nakajima, S.,Konishi, T.,Melhem, N.,Meert, K.,Schiff, M.,O'Connor, M. F.,First, M.,Sareen, J.,Bolton, J.,Skritskaya, N.,Mancini, A. D.,Keshaviah, A.(2011).Complicated grief and related bereavement issues for DSM-5.Depression and Anxiety,28,103-117.
90. Sperber, D.(Ed.)(1995).Causal cognition: An interdisciplinary approach.New York:Oxford University Press.
91. Strobe, M. S.(Ed.),Hansson, R. O.(Ed.),Strobe, W.(Ed.),Schut, H.(Ed.)(2001).Handbook of bereavement research: Consequences, coping and care.Washington, DC:American Psychological Association.
92. Stroebe, M. S.(Ed.),Hansson, R. O.(Ed.),Schut, H.(Ed.),Stroebe, W.(Ed.)(2008).Handbook of Bereavement Research and Practice: Advances in Theory and Intervention.Washington, DC:APA.
93. Stroebe, M. S.,Schut, H.(1999).The dual process model of coping with bereavement: Rationale and description.Death Studies,23,197-224.
94. Stroebe, M. S.,Schut, H.(2005).To continue or relinquish bonds: A review of consequences for the bereaved.Death Studies,29,477-494.
95. Stroebe, M. S.,Schut, H.,Stroebe, W.(2005).Attachment in coping with bereavement: A theoretical integration.Review of General Psychology,9(1),48-66.
96. Stroebe, M. S.,Stroebe, W.,van de Shoot, R.,Schut, H.,Abakoumkin, G.,Li, J.(2014).Guilt in bereavement: The role of self-blame and regret in coping with loss.PLoS ONE,9(5)
97. Stroebe, M.(Ed.),Stroebe, W.(Ed.),Hansson, R. O.(Ed.)(1993).Handbook of bereavement: Theory, research and intervention.New York:Cambridge University Press.
98. Thomason, T. D.(2009).Commonalities between Ericksonian psychotherapy and Native American healing.Journal of Mental Health Counseling,31(4),351-362.
99. Thompson, N.(Ed.)(2002).Loss and grief.New York:Palgrave.
100. Turner, V.(1969).The ritual process: Structure and anti-structure.Chicago, IL:Aldine.
101. Woolsey, L. K.(1986).The critical incident technique: An innovative qualitative method of research.Canadian Journal of Counseling,20,242-254.
102. Worden, J. W.(1991).Grief counseling and grief therapy: A handbook for the mental health practitioner.New York, NY:Springer Publishing Company.
103. Worden, J. W.(2004).Grief counseling and grief therapy: A handbook for the mental health practitioner.New York, NY:Springer Publishing Company.
104. Worden, J. W.(2009).Grief counseling and grief therapy: A handbook for the mental health practitioner.New York, NY:Springer Publishing Company.
105. Wyrostok, N.(1995).The ritual as a psychotherapeutic intervention.Psychotherapy,32(3),397-404.
106. Yalom, I. D.(1995).The theory and practice of group psychotherapy.New York:Basic Books.
107. 余德慧(2006)。臺灣巫宗教的心靈療癒。台北=Taipei, Taiwan:心靈工坊=ZipsyGardeni。
108. 余德慧、李宗燁(2003)。生命史學。台北=Taipei, Taiwan:心靈工坊=ZipsyGardeni。
109. 余德慧、李維倫、許敏桃(2002)。從家庭失親處境探討集體化的形成過程。第四屆華人心理學術研討會暨第六屆華人心理與行為科學學術研討會，台北=Taipei, Taiwan:
110. 余德慧、彭榮邦(2002)。從靈象徵領域談哀傷的抒解。情感、情緒與文化：台灣社會的文化心理學，台北=Taipei, Taiwan:
111. 余德慧、彭榮邦(2003)。從巫現象考察牽亡的社會情懷。情、欲與文化，台北=Taipei, Taiwan:
112. 李亦園編、楊國樞編(1981)。中國人的性格。中央研究院民族學研究所=Institute of Ethnology, Academia Sinica。
113. 李清發(2003)。心理領域：本土詞語的準備。第一屆台灣本土心理治療學術研討會，花蓮=Hualien:
114. 周吟樺(2012)。嘉義=Chiayi, Taiwan，國立嘉義大學輔導與諮商研究所=National Chiayi University。
115. 張汝倫(1997)。現象學方法的多重含義。哲學雜誌，30，90-115。
116. 彭榮邦(1999)。花蓮=Hualien, Taiwan，國立東華大學族群關係與文化研究所=National Dong Hwa University。
117. 蕭高明(2014)。彰化=Changhua, Taiwan，國立彰化師範大學輔導與諮商學系=National Changhua University of Education。
118. 藍采風(2000)。社會學。台北=Taipei, Taiwan:五南=Wunan。

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