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研究生: 林煜智
論文名稱: 心理助人工作者與遭遇恐怖情人求助者之重要諮商議題探討
A Study of Counseling Topics between Mental Health Professionals and Clients of Intimate Partner Violence
指導教授: 王麗斐
Wang, Li-Fei
學位類別: 碩士
Master
系所名稱: 教育心理與輔導學系
Department of Educational Psychology and Counseling
論文出版年: 2014
畢業學年度: 102
語文別: 中文
論文頁數: 155
中文關鍵詞: 恐怖情人諮商
英文關鍵詞: counseling, violent lover
論文種類: 學術論文
相關次數: 點閱:753下載:110
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  • 本研究旨在探討心理助人者與遭遇恐怖情人案主的工作歷程中,所出現的重要議題。本研究邀請了五位心理助人者,使用半結構的方式進行深度訪談。並以現象學的哲學為研究基礎,運用主題分析法進行資料分析與歸納。本研究的結果發現如下:
    一、 受訪者接案當下的重要議題為:(1)遭遇的挑戰:危機判斷和通報議題、心理助人者發現案主無法離開恐怖情人、負向的互動脈絡;(2)介入的內涵:針對危機進行情境進行處遇與增加案主自我探索和覺察;(3)接案中的轉捩點:來自諮商處遇的影響,或是生活中的其他因素導致;(4)督導的影響與介入:督導的建議當下可以執行,但有些建議是需要時間學習和應對;(5)結案的脈絡。
    二、 心理助人者結案後的反思主題為:(1) 回顧當下沒有去碰觸的議題和意義;(2) 反思脈絡後形成新觀點;(3) 未來想要修正的諮商介入;(4) 心理助人者個人對於遭受親密關係暴力案主的復原力建議。

    最後根據本研究的結論與發現,對諮商實務工作者提出的討論要點如下:通報歷程是需要不斷溝通的、危機處理的意義討論、案主離開恐怖情人的擺盪、探索和親密關係暴力相似的人際議題、會談時間的長度、個人議題在諮商中的干擾、對案主復原概念化的評估。並對未來的研究者提出建議。

    The purpose of this research is to explore the topics between health mentals professionals and clients of intimate partner violence. 5 therapists were invited for a semi-structured in-depth interview, and the research design was according to the principles of phenomenological approach and the data is encoded according to thematic analysis.

    The result and conclusions are as follows:
    1. The important topics among counseling: (1)The challenges to encounter: Crisis assessment and security reports, health mentals professionals found clients don’t want to leave the violent relationships, and there are negative interactions between the counselors and the clients;(2)the meanings of counseling intervention: Crisis intervention, enhancing the clients’ self-awareness;(3)the turn point of counseling: It came from counseling interventions, or from life events ;(4)the influences and suggestions of supervisers: Some suggestions could be immediately implemented, while some suggestions may need extra time for further learning and consideration; (5)the context of termination.
    2. Therapist's self-reflection upon case termination: (1) Reflection of issues that has not been addressed in the sessions;(2)establishment of new perpestives;(3) modification of interventions; (4)suggestion of the resiliency of intimacy violence victims from the counselors.

    Based of the results of the study, suggestions were purposed for therapists, as follows:(1)It’s necessary to communicate repeatedly to security reports;(2)the meaning of crisis interventions;(3)the clients’ hesitation of leaving violent lovers;(4) explore the similar interpersonal patterns;(5)the length of counseling;(6)the counter-transference of the therapist should be fully aware;(7)the assessment of clients’ recovery conceptualization. In addition, suggestions were purposed for future reasearch.

    致謝詞 i 中文摘要 iii 英文摘要 v 目次 vii 表次 ix 圖次 xi 第一章 緒論 1 第一節 研究動機 1 第二節 研究目的 5 第三節 名詞解釋 6 第二章 文獻探討 7 第一節 親密關係暴力的現況、成因分析及因應方式 7 第二節 暴力創傷經驗和復原 15 第三節 未婚親密關係暴力諮商實務上的困境 18 第三章 研究方法 25 第一節 研究取向與方法 25 第二節 研究參與者 27 第三節 研究工具 31 第四節 研究程序 34 第五節 資料處理與分析 38 第六節 質性研究可信度指標 42 第七節 研究倫理 44 第四章 研究結果 47 第一節 受訪者與遭遇恐怖情人案主的接案簡要脈絡 47 第三節 受訪者在結案後的反思 88 第五章 研究討論、限制與未來建議 119 第一節 研究討論 119 第二節 究限制和建議 133 參考文獻 137 中文部分 137 英文部分 140 附錄 147 附錄一 訪談大綱 147 附錄二 研究訪談邀請 148 附錄三 研究訪談同意書 150 附錄四 研究檢核表 152 附錄五 危機處理七大階段 153

    中文部分
    王沂釗、陳若璋(2011)。大學生親密關係暴力:其性質與實務工作者處遇能力之分析。家庭教育與諮商學刊,10,1-29。
    王秋嵐(2012)。社會與流行文化:性別與性:性別與人身安全。取自台灣大百科全書網站:http://taiwanpedia.culture.tw/web/content?ID=100111,2014年6月7日。
    王珮玲(2012)。台灣親密關係危險評估表(TIPVDA)之建構與驗證。社會政策與社會工作學刊,16(1),1-58。
    周平、楊弘任(2007)。質性研究方法的眾聲喧嘩。嘉義:南華大學教育社會學研究所。
    周容瑜(2008)。暴力的背後~破碎的鏡中影像:從自體心理學談施暴者的憤怒與攻擊。輔導季刊,44,43-52。
    全國法規資料庫(2011)。性別平等教育法。取自全國法規資料庫網站:http://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=H0080067,2013年10月13日。
    社團法人中華民國諮商心理師公會全國聯合會(2012)。全國聯合會諮商心理師專業倫理守則。取自社團法人中華民國諮商心理師公會全國聯合會網站:www2.thu.edu.tw/~helpline/2005tacp/2012ethic.doc,2013年10月7日。
    沈瓊桃(2005)。兒童知覺的雙重家庭暴力經驗與其適應行為之相關研究。中華心理衛生學刊,18(1),25-64。
    沈慶鴻(2001)。婚姻暴力案主諮商治療因素之探究。彰化師大輔導學報,22 ,157-192。
    林 楓(2007)。破碎的家庭與噤聲的個人主義:臺灣都會家庭暴力和女性反抗策略。考古人類學刊,67,157-184。
    胡幼慧、姚美華(2008)。一些質性方法上的思考:信度與效度?如何抽樣?
    如何收集資料、登錄與分析?載於胡幼慧(主編),質性研究:理論、方
    法及本土女性研究實例(117-132)。臺北:巨流。
    高淑清(2008)。質性研究的十八堂課:首航初探之旅。高雄:麗文。
    潘淑滿(2003)。質性研究理論與應用。台北:心理。
    徐西森、連廷嘉(2004)。諮商師性別、性別偏見及其婚姻狀況對婚姻諮商歷程影響之分析研究。高應科大人文社會科學學報,1,251-268。
    孫頌賢、李宜玫(2009)。暴力的代間傳遞:原生家庭暴力經驗與依戀系統對大學生約會暴力行為的預測比較。家庭教育與諮商學刊 ,7,23-43。
    現代婦女基金會(2008)。愛你愛到殺死你!戀愛暴力與情殺新聞事件調查公布記者會。取自現代婦女基金會網站:http://www.38.org.tw/List_1.asp?id=129,2013年10月20日。
    現代婦女基金會(2012)。 致命吸引力-重大親密關係暴力新聞案件探討記者會。取自現代婦女基金會網站:http://www.38.org.tw/List_1.asp?id=102,2013年10月20日。
    現代婦女基金會(2013)。性別暴力議題:終止親密風暴,好朋友總動員。台北:現代婦女基金會。
    陳怡青(2011)。從社會環境與文化價值的觀點談飲酒與家庭暴力—以一個參與「家庭暴力加害人戒酒教育團體」的成員來論述。亞洲家庭暴力與性侵害期刊,7(1),1-12 。
    陳怡青、李維庭、張紀薇、李美珍(2012)。婚姻暴力加害人處遇成效評估研究之初探。亞洲家庭暴力與性侵害期刊,8(2),17-54。
    陳冠智、周煌智(2006)。一位曾受家庭暴力與性侵害個案之心理治療過程。亞洲家庭暴力與性侵害期刊,2(2),19-34。
    衛生福利部保護服務司(2013)。年度性侵害犯罪事件通報統計。取自衛生福利部保護服務司網站: http://www.mohw.gov.tw/cht/DOPS/DM1_P.aspx?f_list_no=157&fod_list_no=1090&doc_no=2483,2013年10月13日。
    楊嘉玲、趙淑珠(2011)。影響未婚受暴女性關係抉擇之因素。中華輔導與諮商學報,29,37–70。
    修慧蘭、孫頌賢(2003)。大學生約會暴力行為之測量與調查。教育與心理研究,26(3),471-499。
    沈瓊桃(2013)。大專青年的約會暴力經驗與因應策略初探。中華心理衛生學刊,1,1-31。
    陳若璋(2009)。大學諮商中心對親密關係暴力處遇內涵與倫理議題之探討。輔導與諮商,31(1),39-53。
    陳高凌(2001)。義與面子在華人家庭暴力裡的運作及其對治療之啟示。本土心理學研究,15,63-111。
    吳芝儀、廖梅花譯(2001)。質性研究入門—紮根理論研究方法。嘉義:濤石。Strauss, A., & Corbin, J.(1998). Basics of qualitative research:Grounded theory procedures and techniques. London, U. K.: Sage.
    邱約文譯(2005)。愛你,想你,恨你:走進邊緣人格的世界。台北:心靈工坊。Kreisman, J. J. & Straus H.(1991).I hate you, don’t leave me–understanding the Boderline Personality. New York: HarperCollins Publishers Inc.
    郭恬君、楊琇玲譯(2013)。背叛:最不能碰觸的真相。台北:商周。Freyd J., Birrell P. (2013). Blind to Betrayal: Why we fool ourselves that we aren’t being fooled. Labuan, Malaysia: Big Apple Agency, Inc.
    張淑茹、劉慧玉譯(1998)。約會暴力:從干預到教育,防範青少年虐待式的親密關係。台北:遠流。Levy B. (1991). Dating violence: Young women and danger. Seattle, WA: Seal Press.
    施宏達、陳文琪譯(2004)。從創傷到復原。台北:遠流。Herman J. (1997). Trauma and Recovery: The aftermath of violence – from domestic abuse to political terror. New York, NY: Basic Books.
    廣梅芳譯(2004)。愛,上了癮:撫平因愛受傷的心靈。台北:心靈工坊。伊東明(2000)。Love Addiction: You Can Find the True Love, Heal Your Past Unfulfilled Love and Pain.Tokyo, JP: Bestsellers, Inc. 取自心靈工坊網站:http://www.psygarden.com.tw/book.php?func=visit&bookid=148b272-fbe8327c5b-fe695d7ec2b60193eb3f148bf0d1b44,2013年10月30日。
    蘇子堯、許妍飛譯(2011)。愛我,就不要控制我:共依存自我療癒手冊。台北:心靈工坊。Beattie M. (2009). The New Codependency: Help and Guidance for Today’s Generation. Saint Paul, MN: Melody Beattle and company, Inc.取自心靈工坊網站:http://www.psygarden.com.tw/book.php?func=visit&bookid=MjAxMTAxMDUxMTUwMzA=,2013年10月30日。
    英文部分
    Abramsky, T., Watts, C., H, Garcia-Moreno, C., Devries, K., Kiss, L., Ellsberg, M., Jansen, H., A., & Heise, L. (2011). What factors are associated with recent intimate partner violence? Findings from the WHO multi-country study on women’s health and domestic violence. BMC Public Health, 2011, 11:109.
    Anderson, K. M., Renner, L. M., & Danis, F. S. (2012). Recovery: Resilience and growth in the aftermath of domestic violence. Violence Against Women, 18(11), 1279–1299.
    Al-Modallal, H. (2012). Patterns of Coping with Partner Violence: Experiences of Refugee Women in Jordan. Public Health Nursing, 29, 5, 403-411.
    Babcock, R. L., & DePrince A. P. (2013). Factors contributing to ongoing intimate partner abuse: Childhood betrayal trauma and dependence on one’s perpetrator. Journal of Interpersonal Violence, 28(7) 1385–1402.
    Bandura, A. (1986). Social foundations of thought and action: A social cognitive. Englewood Cliffs, NJ: Prentice Hall.
    Bozorg-Omid, R. (2007). Counselors and domestic violence: Training, competence, practice, and knowledge. Dissertation Abstracts International, 67, 28-90.
    Caetano, R., Ramisetty-Mikler, S., & Field, C. A. (2005). Unidirectional and bidirectional intimate partner violence among White, Black, and Hispanic couples in the United States. Violence and Victims, 20(4), 393–406.
    Cattaneo, L. B., & Chapman, A. R. (2011). Risk assessment with victims of intimate partner violence: Investigating the gap between research and practice. Violence Against Women, 17(10), 1286–1298.
    Chang, J. C., Dado, D., Hawker, L., Cluss, P. A., Buranosky, R., Slagel, L., McNeil, M., & Scholle, S. H. (2010). Understanding turning points in intimate partner violence: Factors and circumstances leading women victims toward change. Journal of Women’s Health, 19(2), 251-259.
    Charkow W. B., Nelson E. S. (2000). Relationship dependency, dating violence, and script of female colleage students. Journal of Colleage Counseling, 3, 17-28.
    Devries, K., Watts, C., Yoshihama, M., Kiss, L., Schraiber, L. B.,Deyessa, N., Heise, L., Durand, J., Mbwambo, J., Jansen, H., Berhane, Y., Ellsberg, M., Garcia-Moreno, C., WHO Multi-Country Study Team (2011). Violence against women is strongly associated with suicide attempts: Evidence from the WHO multi-country study on women’s health and domestic violence against women. Social Science & Medicine, 73, 79-86.
    Frankel, Z., & Levitt H. M. (2009). Clients’ Experiences of Disengaged Moments in Psychotherapy: A Grounded Theory Analysis. Journal of Contemporary Psychotherapy, 39, 171–186.
    García-Moreno, C., Jansen, H., Watts, C., Ellsberg, M., & Heise L. (2005). WHO multi-country study on women’s health and domestic violence against women: summary report of initial results on prevalence, health outcomes and women’s responses. Geneva, Switzerland: World Health Organization.
    Harvey, A., García-Moreno, C., & Butchart, A. (2007). Primary prevention of intimate-partner violence and sexual violence: Background paper for WHO expert meeting May 2-3, 2007.
    Hines, D. A. (2008). Borderline personality traits and intimate partner aggression: An international multisite, cross-gender analysis. Psychology of Women Quarterly, 32, 290–302.
    Janzen, J. I., Fitzpatrick, M. R., Drapeau, M., Blake E. (2010). The relationship between client attachment and therapist interventions in client-nominated relationship-building incidents. Canadian Journal of Counseling and Psychotherapy, 44 (4), 363–382.
    Kress, V. E., Protivnak, J. J., & Sadlak, L. (2008). Counseling clients involved with violent intimate partners: The mental health counselor’s role in promoting client safety. Journal of Mental Health Counseling, 30, 200-210.
    Kim, J. Y., & Lee, J. H. (2011). Factors Influencing Help-Seeking Behavior Among Battered Korean Women in Intimate Relationships. Journal of Interpersonal Violence, 26(15), 2991–3012.
    Kuijpers, K. F., van der Knaap, L. M., Winkel, F. W., Pemberton A., &
    Baldry A. C. (2010). Borderline traits and symptoms of post-traumatic stress in a Sample of Female Victims of Intimate Partner Violence. Stress and Health, 27, 206–215.
    Leone, J. M., Johnson, M. P., Cohan, C. L. (2007). Victim help seeking: Differences between intimate terrorism and situational couple violence. Family Relations, 56 , 427–439.
    Liu, M., & Chan, C. (1999). Enduring violence and staying in marriage: Stories of battered women in rural China. Violence Against Women, 5, 1469-1494.
    Lloyd, S. A., & Emery, B. C. (2000). The dark side of courtship: Physical and sexual aggression.Thousand Oaks, CA: Sage.
    Hays, D. G., & Emelianchik K. (2009). A Content Analysis of Intimate Partner Violence Assessments. NorfolkOld, VA: Dominion University.
    Morse, D. S., Lafleur, R., Fogarty, C. T., Mittal, M., & Cerulli, C. (2011).“They Told Me To Leave”: How Health Care Providers Address Intimate Partner Violence. doi: 10.3122/jabfm.2012.03.110193
    Murray C., E., & Kardatzke, K., N. (2007). Dating Violence Among College Students: Key Issues for College Counselors. Journal of College Counseling, 10, 79-89.
    Norwood, A., & Murphy, C. (2012). What forms of abuse correlate with PTSD symptoms in partners of men being treated for intimate partner violence? Psychological Trauma: Theory, Research, Practice, and Policy, 4(6), 596-604.
    Pearson (1991). Relationship dependent women: Their views on symptoms and recovery. Virginia Counselor Journal, 19, 3-13.
    Palazzolo, K. E., Roberto, A. J., Babin E. A. (2010). The relationship between parents’ verbal aggression and young adult children’s intimate partner violence victimization and perpetration. Health Communication, 25, 357–364.
    Phiri-Alleman, W., & Alleman J. B. (2008). Sexual violence in relationships: Implications for multicultural counseling. The Family Journal: Counseling and Thearpy for Couples and Families, 16(2), 155-158.
    Pico-Alfonso, M. A., Echeburúa, E., & Martinez, M. (2008). Personality disorder symptoms in women as a result of chronic intimate male partner violence. Journal of Family Violence, 23, 577-588.
    Ponterotto, J. G. (2005). Qualitative research in counseling psychology: A primer on
    research paradigms and philosophy of science. Journal of Counseling Psychology,52 (2), 126-136.
    Renner, L. M., & Whitney, S. D. (2010). Examining symmetry in intimate partner violence among young adults using socio-demographic characteristics. Journal of Family Violence, 25, 91–106.
    Reynolds, F., & Shepherd, C. (2011). Young women’s accounts of intimate partner violence during adolescence and subsequent recovery processes: An interpretative phenomenological analysis. Psychology and Psychotherapy: Theory, Research and Practice, 84, 314-334.
    Pierotti, R. S. (2013). Increasing Rejection of Intimate Partner Violence: Evidence of Global Cultural Diffusion. American Sociological Review, 78(2), 240–265.
    Russell E. B. (2012). Sexual health attitudes, knowledge, and clinical behaviors: Implications for counseling. The Family Journal: Counseling and Therapy for Couples and Families, 20(1), 94-101.
    Simmons C. A., Lehmann P., & Collier-Tenison S. (2008). From victim to offender: The effects of male initiated violence on women arrested for using intimate partner violence. Journal of Family Violence, 23, 463-472.
    Stith, S. M., McCollum, E. E., Amanor-Boadu, Y., Smith, D. (2012). Systemic perspectives on intimate partner violence treatment. Journal of Marital and Family Therapy, 38(1), 220-240.
    Straus, M. A. (2004). Prevalence of violence against dating partners by male and female university students worldwide. Violence Against Women, 10(7), 790-811.
    Tetterton, S., & Farnsworth, E. (2011). Older women and intimate partner violence: Effective interventions. Journal of Interpersonal Violence, 26(14), 2929–2942.
    Vandenberghe & da Silveira (2012). The trouble with the short-term therapist-client relationship and what can be done about it. International Journal of behavioral Consultation and Therapy, 7, 2-3.
    Vatnar, S. K. B., & Bjørkly, S. (2008). An Interactional Perspective of Intimate Partner Violence: An In-depth Semi-structured Interview of a Representative Sample of Help-seeking Women. DOI 10.1007/s10896-007-9150-7
    Whiting, J., B., Oka, M., & Fife, S., T. (2012). Appraisal distortions and intimate partner violence: Gender, power, and interaction. Journal of Marital and Family Therapy, 38 (s1), 133-149.
    Whitaker, D. J., Haileyesus, T., Swahn, M., & Saltzman, L. S. (2007). Differences in frequency of violence and reported injury between relationships with reciprocal and nonreciprocal intimate partner violence. American Journal of Public Health, 97, 941–947.
    Winstok, Z (2013). From a static to a dynamic approach to the study of partner violence. Sex Roles, 69, 193–204. DOI 10.1007/s11199-013-0278-z
    Wong, S.P.Y., Wang, C., Meng, M., & Phillips, M. R. (2011). Understanding self-harm in victims of intimate partner violence: A qualitative analysis of calls made by victims to a crisis hotline iin China. Beijing Susicide Research and Prevention Center, Beijing Hui Long Guan Hospital, Beijing, China.
    Yoshihama, M., & Horrocks, J. (2009). Risk of intimate partner violence: Role of childhood sexual abuse and sexual initiation in women in Japan. Children and Youth Services Review, 32, 28-37.

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