英文摘要
|
Recent large scale surveys of religions in Taiwan showed over 80% of the surveyed subjects identified themselves with religious beliefs, 85% of the subjects agreed religion can help people find inner peace and happiness, and ease the pains and discomforts. 2014 American Pew Research Center's Religious and Public Life Program reported Taiwan ranked second on the Global Religious Diversity Index. All the data indicated Taiwan has a high population in religion and is a multi-religious society. Western counseling researches and literatures showed that clients with religious/spiritual backgrounds brought problems into the counseling embedding their religious/spiritual perspectives and copings towards their problems. Counselors need to inquire and understand how these clients viewed their problems spiritually so that they could integrate religious/spiritual interventions into counseling to serve religious/spiritual clients more effectively. However, such research is rare in Taiwan, there is a need to conduct researches to call Taiwanese' counselors attentions to the topic. The purpose of the present study was to explore the experiences of clients who had received counseling incorporating religion/spirituality. The research questions included to explore the clients' expectations and attitudes towards receiving spiritually integrated counseling, the religious/spiritual issues raised and the religious/spiritual interventions received in the counseling sessions, and the reported counseling outcomes. Ten research participants with different religious/spiritual backgrounds and having experiences of receiving spiritually integrated counseling were recruited and participated in the study. Among them, three ware Christians, three were Buddhists, two identified themselves with having multiple religion/spiritual backgrounds, and two identified themselves with no specific region/spiritual backgrounds. Among the ten, one was male and nine were females. Semi-structured individual interviews were conducted for data collection. Interviewed questions included the religious/spiritual identities the interviewees were holding, the spiritually integrated counseling experiences received, the expectations towards the counselors' religious/spiritual backgrounds and the counselors' integrated counseling approaches, the religious/spiritual issues raised in the counseling sessions, the counselors' responses and the religious/spiritual interventions used in the counseling, and the resulting counseling outcomes. Thematic analysis was employed for data analysis. Seven themes were identified as the research finding. These seven themes were: clients with religious/spiritual backgrounds had motives, expectations, and concerns of receiving spiritually incorporated counseling, multiple religious/spiritual and psychological issues were intertwined and presented in the counseling sessions, clients received various religious/spiritual interventions from the counselors in the counseling sessions, facilitating and hindering factors which influenced the clients and /or the counselors to initiate and continue the religious/spiritual topics were identified, spiritually integrated counseling resulted in clients' spiritual and psychological growth, most clients showed positive attitudes of receiving spiritually integrated counseling, and clients claimed the ethical principles of practicing the spiritually integrated counseling. The discussions were focused on five points: 1. It is important to explore the specific expectations and concerns of clients with religious/spiritual backgrounds. Clients hold specific expectations on counselors' religious/spiritual backgrounds, integrating religious/spiritual interventions in counseling, and counselors' openness towards their personal religious/spiritual experiences. 2. Highly religious/spiritual devoted clients expect counselors to help them understand their encountered personal or interpersonal problems with both psychological and religious/spiritual perspectives. 3 Taiwan is a multi-religious society, and clients may come from various religious/spiritual backgrounds. Counselors can better serve clients with religious/spiritual needs if they are equipped with various religious/spiritual traditions and interventions. 4 Both common and religious/spiritual specific factors identified which facilitate and hinder the initiation and continuation of the religious/spiritual topics between the interaction of counselors and clients. Common facilitating factors relate to the trusting and supporting relationship the counselors created, and clients' readiness to change, openness to self-disclosure. Common hindering factors relate to clients' high anxiety of disclosing self, counselors' passivity, lack of direction, structure and counseling plans. Specific facilitating factors relate to counselors' acceptance of clients' religious beliefs, counselors' competencies in facilitating religious/spiritual conversations, and clients' recognition of the religious/spiritual interventions used. Specific hindering factors relate to clients' un-comprehension to the religious/spiritual interventions used, counselors are unable to provide religious/spiritual interventions clients needed, and counselors avoid religious/spiritual topics. 5. Religious/spiritual clients' counseling experiences and outcomes are positive when counselors integrate spirituality into counseling. However, counselors should not impetuously impose religious/spiritual interventions to those clients without religious/spiritual interests or backgrounds. Two suggestions were proposed in the end. Firstly, the result highlights the necessity of integrating religion/spirituality into counselors' practices. Thus, students and counselors need to acquire the competencies of practicing spiritually integrated counseling through counselor education courses, supervisions, and continuing education. Secondly, future researches on counselors' attitudes and perceived competencies of practicing spiritually integrated counseling, the positive and negative experiences of clients' receiving spiritually integrated counseling, and the effectiveness of practicing spiritually integrated counseling interventions are all needed for enhancing the knowledge of this new area of spiritually integrated counseling.
|
参考文献
|
-
江宛凌、陳慶福(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:
-
李正源、紗娃•吉娃司(2010)。心理治療中的靈性召喚經驗:一位案主的觀點。諮商輔導學報,22,31-67。
連結:
-
洪鎰昌、許忠仁(2015)。易經諮商的實務操作與案例。輔導季刊,51(3),1-8。
連結:
-
陳秉華、范嵐欣、程玲玲(2014)。融入基督宗教/靈性的諮商督導團體成果研究。教育心理學報,46(1),93-115。
連結:
-
陳秉華、范嵐欣、詹杏如(2016)。融入宗教/靈性的基督徒諮商員教育課程之成果評估。教育心理學報,47(4),501-523。
連結:
-
陳秉華、范嵐欣、詹杏如、范馨云(2017)。當靈性與心理諮商相遇─諮商師的觀點。中華輔導與諮商學報,48,5-36。
連結:
-
陳秉華、程玲玲、范嵐欣、莊雅婷(2013)。融入基督信仰的靈性諮商課程暨成果評估。教育心理學報,44(4),853-874。
連結:
-
陳秉華、詹杏如、范嵐欣、Mullahy, M. J.(2015)。基督徒諮商師融入靈性的諮商實務經驗。教育心理學報,46(4),565-587。
連結:
-
陳秉華、蔡秀玲、鄭玉英(2011)。心理諮商中上帝意象的使用。中華輔導與諮商學報,31,127-157。
連結:
-
黃俊翰、連廷嘉、林俊德(2013)。應用塔羅技術融入阿德勒取向青少年人際困擾諮商之任務分析。台灣遊戲治療學報,3,67-91。
連結:
-
詹杏如、陳秉華、范嵐欣、范馨云(2015)。心理諮商的宗教/靈性處遇培訓課程之成果評估。中華輔導與諮商學報,44,1-35。
連結:
-
American Counseling Association(2005).ACA code of ethics.Alexandria, VA:Author.
-
American Psychological Association(2017).APA Ethical Principles of Psychologists and Code of Conduct.
-
Barnett, J. E.,Johnson, W. B.(2011).Integrating spirituality and religion into psychotherapy: Persistent dilemmas, ethical issues, and a proposed decision-making process.Ethics and Behavior,21(2),147-164.
-
Belaire, C.,Young, J. S.(2002).Conservative Christians' expectations non-Christian counselors.Counseling and Values,46(3),175-187.
-
Belaire, C.,Young, J. S.,Elder, A.(2005).Inclusion of religious behaviors and attitudes in counseling: Expectations of conservative Christians.Counseling and Values,49(2),82-94.
-
Braun, V.,Clarke, V.(2006).Using thematic analysis in psychology.Qualitative Research in Psychology,3(2),77-101.
-
Burke, M. T.,Hackney, H.,Hudson, P.,Miranti, J.,Watts, G. A.,Epp, L.(1999).Spirituality, religion, and CACREP curriculum standards.Journal of Counseling and Development,77(3),251-257.
-
Carter, T. M.(1998).The effects of spiritual practices on recovery from substance abuse.Journal of Psychiatric and Mental Health Nursing,5(5),409-413.
-
Corey, G.,Corey, M. S.,Callanan, P.(2007).Issues and ethics in the helping professions.Belmont, CA:Brooks/Cole.
-
Council for Accreditation of Counseling and Related Educational Programs(2001).CACREP accreditation manual.Alexandria, VA:Author.
-
Daly, J.,Kellehear, A.,Gliksman, M.(1997).The public health researcher: A methodological approach.Melbourne, Australia:Oxford University Press.
-
Elliott, R.(1985).Helpful and nonhelpful events in brief counseling interviews: An empirical taxonomy.Journal of Counseling Psychology,32(3),307-322.
-
Elliott, R.,James, E.(1989).Varieties of client experience in psychotherapy: An analysis of the literature.Clinical Psychology Review,9(4),443-467.
-
Emmons, R. A.(1999).The psychology of ultimate concerns: Motivation and spirituality in personality.New York, NY:Guilford Press.
-
Emmons, R. A.(2005).Striving for the sacred: Personal goals, life meaning, and religion.Journal of Social Issues,61(4),731-745.
-
Emmons, R. A.,Cheung, C.,Tehrani, K.(1998).Assessing spirituality through personal goals: Implications for research on religion and subjective well-being.Social Indicators Research,45,391-422.
-
Farber, B. A.(2006).Self-disclosure in psychotherapy.New York, NY:Guilford Press.
-
Frame, M. W.(2003).Integrating religion and spirituality into counseling: A comprehensive approach.Belmont, CA:Thomson/Brooks-Cole.
-
Gockel, A.(2011).Client perspectives on spirituality in the therapeutic relations hip.The Humanistic Psychologist,39(2),154-168.
-
Hage, S. M.,Hopson, A.,Siegel, M.,Payton, G.,DeFanti, E.(2006).Multicultural training in spirituality: An Interdisciplinary review.Counseling and Values,50(3),217-234.
-
Harper, D.(Ed.),Thompson, A. R.(Ed.)(2011).Qualitative research methods in mental health and psychotherapy: A guide for students and practitioners.Chichester, England:Wiley-Blackwell.
-
Heppner, P. P.,Rosenberg, J. I.,Hedgespeth, J.(1992).Three methods in measuring the therapeutic process: Clients' and counselors' constructions of the therapeutic process versus actual therapeutic events.Journal of Counseling Psychology,39(1),20-31.
-
Hodge, D. R.(2011).Using spiritual interventions in practice: Developing some guidelines from evidence-based practice.Social Work,56(2),149-158.
-
Hodges, S.(2002).Mental health, depression and dimensions of spirituality and religion.Journal of Adult Development,9(2),109-115.
-
Hook, J. N.,Worthington, E. L., Jr.,Davis, E. E.,Jennings, D., II,Gartner, A. L.(2010).Empirically supported religious and spiritual therapies.Journal of Clinical Psychology,66(1),46-72.
-
Johnson, C. V.,Hayes, J. A.(2003).Troubled spirits: Prevalence and predictors of religious and spiritual concerns among university students and counseling center clients.Journal of Counseling Psychology,50(4),409-419.
-
Joseph, S.,Linley, P. A.,Maltby, J.(2006).Positive psychology, religion and spirituality.Mental Health, Religion & Culture,9(3),209-212.
-
Keating, A. M.,Fretz, B. R.(1990).Christian anticipations about counselors in response to counselor descriptions.Journal of Counseling Psychology,37(3),293-296.
-
Knox, S.,Catlin, L.,Casper, M.,Schlosser, L. Z.(2005).Addressing religion and spirituality in psychotherapy: Clients' perspectives.Psychotherapy Research,15(3),287-303.
-
Knox, S.,Hess, S. A.,Petersen, D. A.,Hill, C. E.(1997).A qualitative analysis of client perceptions of the effects of helpful therapist self-disclosure in long-term therapy.Journal of Counseling Psychology,44(3),274-283.
-
Levitt, H.,Butler, M.,Hill, T.(2006).What clients find helpful in psychotherapy: Developing principles for facilitating moment-to-moment change.Journal of Counseling Psychology,53(3),314-324.
-
Lilliengren, P.,Werbart, A.(2005).A model of therapeutic action grounded in the patients' view of curative and hindering factors in psychoanalytic psychotherapy.Psychotherapy: Theory, Research, Practice, Training,42(3),324-339.
-
Lincoln, Y. S.(1995).Emerging criteria for quality in qualitative and interpretive research.Qualitative Inquiry,1(3),275-289.
-
Magaldi-Dopman, D.,Park-Taylor, J.,Ponterotto, J. G.(2011).Psychotherapists' spiritual, religious, atheist or agnostic identity and their practice of psychotherapy: A grounded theory study.Psychotherapy Research,21(3),286-303.
-
Martinez, J. S.(2004).Brigham Young University Dept. of Psychology.
-
Martinez, J. S.,Smith, T, B.,Barlow, S. H.(2007).Spiritual interventions in psychotherapy: Evaluations by highly religious clients.Journal of clinical psychology,63(10),943-960.
-
Mayers, C.,Leavey, G.,Vallianatou, C.,Barker, C.(2007).How clients with religious or spiritual beliefs experience psychological help-seeking and therapy: A qualitative study.Clinical Psychology & Psychotherapy,14,317-327.
-
Miller, G.(1999).The development of the spiritual focus in counseling and counselor education.The Journal of Counseling and Development,77(4),498-501.
-
Miller, W. R.(2003).Spirituality, religion, and health: An emerging research field.American Psychologist,58(1),24-35.
-
Morrison, J. Q.,Clutter, S. M.,Pritchett, E. M.,Demmitt, A.(2009).Perception of clients and counseling professionals regarding spirituality in counseling.Counseling and Values,53(3),183-194.
-
Paloutzian, R. F.(Ed.),Park, C. L.(Ed.)(2005).Handbook of the psychology of religion and spirituality.New York, NY:Guilford Press.
-
Pan, J. D. P.,Deng, L. Y. F.,Tsai, S. L.,Yuan, S. S. J.(2013).Issues of integration in psychological counseling practice from pastoral counseling perspectives.Journal of Psychology and Christianity,32(2),146-159.
-
Pan, J. D. P.,Deng, L. Y. F.,Tsai, S. L.,Yuan, S. S. J.(2015).Using Kollar's solution-focused pastoral counseling for bereaved clients: The process of empowerment from Clients' perception.Psychological Reports: Mental & Physical Health,116(1),127-148.
-
Pargament, K. I.(2007).Spiritually integrated psychotherapy: Understanding and addressing the sacred.New York, NY:Guilford Press.
-
Paulson, B. L.,Truscott, D.,Stuart, J.(1999).Clients' perceptions of helpful experiences in counseling.Journal of Counseling Psychology,46(3),317-324.
-
Pew Research Center (2014). Global religious diversity. Retrieved from http://www.pewforum.org/2014/04/04/global-religious-diversity/
-
Plante, T. G.(2008).What do the spiritual and religious traditions offer the practicing psychologist?.Pastoral Psychology,56(4),429-444.
-
Post, B. C.,Wade, N. G.(2009).Religion and spirituality in psychotherapy: A practice-friendly review of research.Journal of Clinical Psychology,65(2),131-146.
-
Richards, P. S.,Bergin, A. E.(2005).A spiritual strategy for counseling and psychotherapy.Washington, DC:American Psychological Association.
-
Richards, P. S.,Bergin, A. E.(1997).A spiritual strategy for counseling and psychotherapy.Washington, DC:American Psychological Association.
-
Rose, E. M.,Westefeld, J. S.,Ansley, T. N.(2001).Spiritual issues in counseling: Clients' beliefs and preferences.Journal of Counseling Psychology,48(1),61-71.
-
Smith, T. B.,Bartz, J.,Richards, P. S.(2007).Outcomes of religious and spiritual adaptations to psychotherapy: A meta-analytic review.Psychotherapy Research,17(6),643-655.
-
Sperry, L.(2012).Spirituality in clinical practice: Theory and practice of spiritually oriented psychotherapy.New York, NY:Routledge.
-
Toukmanian, S. G.(Ed.),Rennie, D. L.(Ed.)(1992).Psychotherapy process research Theory-guided and phenomenological research strategies.Beverly Hills, CA:Sage.
-
Vaismoradi, M.,Turunen, H.,Bondas, T.(2013).Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study.Nursing and Health Sciences,15(3),398-405.
-
Walker, D. F.,Worthington, E. L., Jr.,Gartner, A. L.,Gorsuch, R. L.,Hanshew, E. R.(2011).Religious commitment and expectations about psychotherapy among Christian clients.Psychology of Religion and Spirituality,3(2),98-114.
-
Wells, T. L.(1994).Therapist self-disclosure: Its effects on clients and the treatment relationship.Smith College Studies in Social Work,65(1),23-41.
-
Worthington, E. L., Jr.,Kurusu, T. A.,McCollough, M. E.,Sandage, S. J.(1996).Empirical research on religion and psychotherapeutic processes and outcomes: A 10-year review and research prospectus.Psychological Bulletin,119(3),448-487.
-
Worthington, E. L., Jr.,Sandage, S. J.(2001).Religion and spirituality.Psychotherapy: Theory, Research, Practice, Training,38,473-478.
-
內政部民政司(2014 ):台灣地區宗教類別統計說明。取自 http://www.moi.gov.tw/dca/02faith_001.aspx [Department of Civil Affairs, Ministry of the Interior (2004). Statistics of religion in Taiwan. Retrieved from http://www.moi.gov.tw/dca/02faith_001.aspx]
-
王泰傑(2012)。台中=Taichung, Taiwan,國立臺中教育大學諮商與應用心理學系=National Taichung University of Education。
-
李佩璇(2012)。台北=Taipei, Taiwan,國立臺灣師範大學教育心理與輔導研究所=National Taiwan Normal University。
-
林怡君(2009)。台北=Taipei, Taiwan,中國文化大學心理輔導研究所=Chinese Culture University。
-
姜雨杉(2009)。彰化=Changhua, Taiwan,國立彰化師範大學輔導與諮商研究所=National Changhua University of Education。
-
胡丹毓(2011)。台北=Taipei, Taiwan,國立臺灣師範大學教育心理與輔導研究所=National Taiwan Normal University。
-
郭思慧(2011)。屏東=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。
-
陳珮怡(2007)。台北=Taipei, Taiwan,臺北市立教育大學心理與諮商學系=Taipei Municipal University of Education。
-
傅仰止編、杜素豪編(2010)。,Taipei, Taiwan:中央研究院人文社會科學研究所= Research Center for Humanities and Social Sciences。
-
傅仰止編、章英華編、杜素豪編、廖培珊編(2015)。,Taipei, Taiwan:中央研究院人文社會科學研究所= Research Center for Humanities and Social Sciences。
-
黃郁琄(2011)。台北=Taipei, Taiwan,臺北市立教育大學心理與諮商學系所=Taipei Municipal University of Education。
-
潘正德(2010)。基督教教牧輔導與諮商輔導的對話與會通:選修教牧輔導研究生的受輔經驗之反思。基督宗教諮商輔導研討會,台北=Taipei, Taiwan:
-
謝筱梅(2009)。台北=Taipei, Taiwan,國立臺灣師範大學教育心理與輔導研究所=National Taiwan Normal University。
-
簡宇卿(2010)。台北=Taipei, Taiwan,國立臺灣師範大學教育心理與輔導研究所=National Taiwan Normal University。
-
簡睿瑛(2011)。屏東=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。
-
龔靖淳(2006)。台北=Taipei, Taiwan,國立臺灣師範大學教育心理與輔導學系在職進修碩士班=National Taiwan Normal University。
|