兩階段訓練團體與專業我的發展

Two-stage Training Group and Development of Professional Self

10.30060/CGP.200503.0004

蔣欣欣(Hsien-Hsien Chiang)；陳美碧(Mei-Bih Chen)；劉淑言(Shu-Yen Liu)

參與觀察 ； 成長團體 ； 自我 ； 互為主體性 ； 鏡照 ； Participant observation ； training group ； self ； intersubjectivity ； mirroring reaction

中華團體心理治療

11卷1期（2005 / 03 / 30）

25 - 34

繁體中文

本研究目的在探討兩階段式團體對護理人員專業自我的影響，採用參與觀察的質性研究方法，以在臺北某教學醫院組成的精神科護理人員成長團體為對象，本研究兩階段式團體，包括病人團體（50分鐘）以及之後的護士團體（50分鐘）兩部份，自民國89年10月至90年1月，進行每週一次，每個團體之帶領者2位，6-10位成員，各進行十二次的團體對話。資料搜集主要以錄音記錄團體過程，再轉為文字，採用持續比較法分析團體互動內容。結果發現團體的鏡照與分享，促使護理人員專業角色的轉化，由體察、省察到包容。此外，兩階段式團體促進互為主體性的展現，有利於同感能力的形成。

This study was to explore how the professional self of psychiatric nursing staffs would be transformed in the two-stage training group. The authors, as facilitators of the group, used participant observation to conduct the study. The process of training group included inpatient group and the following group for nurses. The group had 12 sessions. Each group for nurses held on 50 minutes weekly. The groups processes were tape recorded and transcribed verbatim. The data were analyzed by constant comparative analysis. The mirroring and sharing in the group interaction promoting the nurses transformed their experience through embodiment, reflection and embracement was found. The intersubjectivity in the two-stage training group could promote empathic abilities of nurses.

1. 蔣欣欣、陳美碧、許樹珍(2003)。小組教學團體的對話與關懷之研究。應用心理研究，18，207-225。
   連結：
2. 蔣欣欣、陳美碧、蔡欣玲(2003)。建構照顧情境中專業自我－自身與他者之間。本土心理學研究，19，201-226。
   連結：
3. Bacal H.A.(editor.)(1998).Optimal responsiveness How Therapists Heal Their Patients.Northvale, New Jersey London:
4. Brandman W.(1996).Intersubjectivity, social microcosm, and the here-and-now in a support group for nurses.Archives of Psychiatric Nursing,10(6),374-378.
5. Casement PJ.(1991).Learning from the patient.NY:Guilford.
6. Chiang HH,Lu ZY,Wear SE.(2005).To have or to be: ways of caregiving identified during recovery from the earthquake disaster in Taiwan.Journal of Medical Ethics,31(3),154-158.
7. Chiang H-H,Tseng WC,Lu ZY.(1997).The mirror phenomena in clinical group supervision for psychiatric nurses.Proceedings of the National Science Council Part C: Humanities and Social Sciences, ROC(C),7(3),363-370.
8. Denzin NK.(1989).Interpretive interactionism.London:Sage.
9. Foulkes SH.(1984).Therapeutic group analysis.London:Maresfield Reprints.
10. Gidden A.(1991).Mordernity and self-identity: Self and society in the late mordern age.Stanford:Millberry.
11. Glaser BG,Strauss AL.(1967).The discovery of grounded theory: Strategies for Qualitative research.Chicago:Aldine Publishing Company.
12. Horsfall J.(1997).Psychiatric nursing: epistemological contradictions.Advances In Nursing Science,20(1),56-65.
13. Keegan L.(1994).The nurse as healer.NY:Delmar.
14. Leininger MM.(1981).Caring: An essential human need.Detroit:Wayne State University.
15. Mishara AL.(1995).Narrative and psychotherapy-The Phenomenology of Healing.American Journal of psychotherapy,49(2),180-195.
16. Natterson JM,Friedman RJ.(1995).A primer of clinical intersubjectivity.London:Jason Aronson Inc..
17. Paterson JG,Zderad LT.(editors.)(1976).Humanistic nursing.New York:John Wiley and Sons.
18. Reeder F.,Gaut, Anne Boykin, (editors.)(1994).Caring as Healing: Renewal through hope.NY:National League for Nursing Press.
19. Toombs SK(1993).The meaning of illness.London:Kluwer Academic.
20. Watson J.,Bevis EO(editors.)(1989).Toward a caring curriculum.New York:National League for Nursing.
21. Winnicott DW.(1971).Playing and Reality.New York:Routledge.
22. Zaner RM.M. Daniel, L.E. Embree,(editors.)(1994).Phenomenology and clinic event.London:Kluwer Academic. Contributions to phenomenology.
23. 夏林清(1994)。大團體動力。台北:張老師文化。
24. 曾昭旭(2005)。我的美感體驗：道德美學引論。台北:商務。
25. 蔣欣欣(1996)。自我與團體：團體治療在護理領域應用之自我案例分析。中華團體心理治療，2(2)，3-11。
26. 蔣欣欣(2002)。由護理實踐建構倫理進路。護理雜誌，49(4)，20-24。
27. 蔣欣欣、余玉眉(2001)。護病問的互為主體性。國立政治大學哲學學報，7，307-322。
28. 蔣欣欣、盧孳豔(1996)。健康疾病的文化觀與現象分析。護理雜誌，43(4)，42-48。

1. 蔣欣欣(2021)。小組對話教學。中華團體心理治療，27(1)，19-27。
2. 葉明理,張碧凰,張歆祐(2015)。慢性思覺失調症患者參與動物輔助治療的療癒歷程。中華團體心理治療，21(3)，47-60。