切斷與復合－一段治療關係的敘說、反思與探究

Being Cut Off and Searching for Reunion-Narration, Reflection and Inquiry of a Therapeutic Relationship

10.7040/JGC.200512.0033

許育光(Kevin Hsu)

自我探究 ； 諮商與心理治療 ； 治療者議題 ； 治療關係 ； 敘說與詮釋性研究 ； Self-Inquiry ； Psychotherapy and Counseling ； Issue of Therapist ； Therapeutic Relationship ； Narrative and Interpretative Inquiry

輔導與諮商學報

27卷2期（2005 / 12 / 01）

33 - 52

繁體中文

本研究的目的為探討治療者在一段治療關係中的自我反映、省思與轉變，以一個無預期而被告知將終止的會談關係為主體，探索此段歷程中隱含的助人者議題及其在治療關係上的意義。研究方法採敘說詮釋取向的循環建構方式，以治療者本身的現象場為主軸，來回於治療紀錄、治療者反思、案主的手札、案主閱讀後的回應，以及讀者的回饋觀點之間，描述治療者、案主和治療關係本身所經歷的切斷或被切斷，和透過省思嘗試與自己真實的感受復合，同時也追尋關係復合的歷程。 研究者從下列五個焦點來探究與反思此一治療歷程，分別從切斷與復合對治療的意義、治療成功或失敗的不同觀點、著重診斷抑或是理解的價值、關係的本質與虛構，以及諮商與心理治療的專業內涵等觀點，來進行探討與對話。

The purpose of this inquiry is to narrate the therapist's self-reflection about the critical moment while the client announced to leave without being predicated in the psychotherapy. Interpretative and narrative approach was applied to write down the changing of therapy process and therapist's points of view. Reviewing the session recording, reflection notes of therapist and client, feedback of primary narration from the client, and recommendations from three outside readers were applied to form the narration of final version. Professional position such as rational, hidden and self-control was rethought by the therapist, while more genuine attitude and action occurred with self-reflection after the segment of being cut off. Impact on the relationship with client in the process was described detail in the narration. The meaning of being cut off, searching for reuniting with the client, and the reflecting on the role as a therapist were disclosed within the narration. To reflect the process of the therapy relationship, five focuses were proposed to discuss and dialogue. They are: 1) the meaning for the relationship, client and therapist in the process of being cut off and searching for reunion, 2) reframing what a successful or failure session supposed to be, 3) issues such as diagnosis versus comprehensive understanding, 4) reality of the relationship, and 5) reflection toward psychotherapy and counseling as a profession.

1. 翁開誠(2004)。當Carl Rogers遇上了王陽明：心學對人文心理（治療）知行合一的啟發。應用心理學期刊，16，157-200。
   連結：
2. Habermas, J.(1968).Knowledge and human interests.Boston:Beacon.
3. Rogers, C. R.(1957).The necessary and sufficient conditions of therapeutic personality change.Journal of consulting Psychology,21,95-103.
4. Schön, D. A.(1983).The reflective practitioner.New York:Basic Books.
5. Webb, D.(2004).The Soul of Counseling: a New Model for Understanding Human Experience.CA:Impact.
6. 許育光(2000)。敘說研究的初步探討－從故事性思考和互為主體的觀點出發。輔導季刊，36(4)，17-26。

1. 黎欣怡,田秀蘭(2019)。同行與轉化：心理治療歷程中雙方參與者的轉化。生命敘說與心理傳記學，7，263-292。
2. 溫錦真、林美珠(2018)。臺灣心理與諮商敘事研究之回顧與展望。中華輔導與諮商學報，53，81-116。
3. 鄭麗芬、李明峰(2014)。駐地實習諮商心理師對諮商關係的覺察與反應歷程。中華輔導與諮商學報，40，127-156。