成人個案求助心理諮商之問題內容分析

A Descriptive Study of the Problems of Adult Clients Who Seeking Counseling

10.7040/GJ.200206.0049

周玉真(Yu-Chen Chou)

求助行為 ； 成人諮商 ； 社區諮商 ； Help-seeking behavior ； Adult counseling ； Community counseling

彰化師大輔導學報

23期（2002 / 06 / 01）

49 - 76

繁體中文

本研究乃經由初次接案晤談的問題內容，來瞭解促使成人個案尋求心理諮商協助的問題為何。經分析195位個案問題的主訴與諮商期待，可以發現：兒童與青少年問題是已婚成人求助的最主要問題，孩子的問題則包括學業問題、行為偏差、人際適應與情緒控制、精神疾病症狀的評估與處理、學習能力與性向評估、親子衝突，以及性侵害事件的身心復健等。除了孩子的問題之外，婚姻關係亦是已婚成人重要的諮商主題，其中包含夫妻溝通、配偶外遇、分居與離婚等。未婚成人個案則自我瞭解與探索，以及愛情關係方面有較多討論，其中多需涉及情緒議題的處理。大體而言，成人個案的困擾與其發展任務生活角色的轉換有關。另外，精神疾病個案在求助精神科醫師之後，也多會求助心理諮商做進一步的調適與復健，此類個案的病狀呈現多樣類型，如何予以有效處理，也是社區諮商工作者必要的專業知能。

The purpose of this study was to understand what problems drive adult clients to use mental health counseling. Data were collected and analyzed from 195 adult clients who were seeking help of the Center for Community Counseling in NCUE. The major findings were: 1) married adult were of the major clients; 2) the most problems of married adult clients were focused on “child and adolescent”, which problems including academic difficulties, disruptive behavior, interpersonal problems and emotional disturbance, psychiatric, learning problems and aptitude assessment, parent-child conflicts, and sex-victimized rehabilitation counseling; 3) the second most problems of married adult clients were focused on “family and marriage relationship”, including parent-child conflicts, separation and divorce, extra-affairs, and couple communication; 4) unmarried adult clients’ problems were mostly focused on “personal understanding” and “intimate relationships”. Generally, adult clients’ problems were according with their developmental stage and role tasks. Another, psychiatric symptoms of clients’ were multiple, counselors also had to know how to treat them effectively.

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