本研究旨在探討實習心理師的心智負荷、自我照顧與身心健康三者之間的關係，並探討不同性別、婚姻狀況、大學就讀科系、過去專業工作經驗、實習機構、實習津貼和壓力指數的實習心理師在心智負荷、自我照顧，及身心健康上的差異情形，更進一步以實習心理師的心智負荷和自我照顧對身心健康之預測力加以探討。本研究採橫斷式之相關研究設計，以問卷調查法進行資料收集，所使用研究工具包括「心智負荷量表」、「心理師自我照顧量表」與「一般健康量表」。研究對象為九十六學年度進行全職諮商心理實習的研究生，共發出181份問卷，回收160份，得有效樣本159份。調查所得資料分別以
t檢定、單因子變異數分析、積差相關分析、典型相關、多元迴歸分析之統計方法進行處理。本研究結果發現：一、在差異分析方面，不同諮商專業工作經驗、婚姻狀況和壓力指數之實習心理師在其心智負荷、自我照顧與身心健康有差異。二、在相關方面，實習心理師的心智負荷與自我照顧呈現負相關，意即心智負荷愈高，其自我照顧程度愈低；實習心理師的自我照顧與身心健康呈現負相關，意即自我照顧愈低，其身心症狀愈多；實習心理師的心智負荷與身心健康呈現正相關，意即心智負荷愈高，其身心症狀愈多。三、在預測力方面，實習心理師心智負荷與自我照顧兩變項聯合對身心健康的預測力達17.1％。最後，根據研究結果，提供建議給諮商實習心理師、督導、心理師教育養成單位，以及未來研究。

The purpose of the study was to explore the correlation between the mentalworkload, self-care and general health of the counseling psychology interns; and to analyze their difference across participarts’ various demographic variables. This research used questionnaires as tools. A cross-sectional correlation research design was employed. Participants in the study were master’s level counseling psychology students in internship in Taiwan. The data was collected in 2007. A total of 181 questionnaires were sent out, and 160 responses were received. One hundred and fifty-nine valid questionnaires were analyzed. The questionnaire was constructed for this study including personal demography, mentalworkload, self-care and general health of the counseling psychology interns. The results of the study were: 1. The level of mentalworkload, self-care and general health of the counseling psychology interns was related to marrital condition, previous counseling working experience and pressure index. 2. Those who felt higher level of mental workload paid less attention to self-care; those who felt higher level of mental workload paid less attention to general health; those who felt higher level of self-care paid more attention to general health. 3. Self-care and mental workload can predict the general health of these interns. Finally, suggestions were made for counseling psychology interns, supervisors, counselor educators and for future research.

參考文獻

一、中文部分
蔣文宜（2005）：會游泳的人也未必躲得了海嘯。忘憂草憂鬱防治協會網
站：http://www.ddpa.org.tw/news/news_qrydet.php?num=243。檢索
日期：96.11.20。
中國輔導學會（2002）：諮商心理實習課程辦法。中國輔導學會網
站：http://www.guidance.org.twlldlwu.htm。檢索日期：97.03.18。
林家興（2007）：諮商心理學程研究生全職實習制度的評估研究。行
政院國家科學委員會專題研究計畫申請書。
林家興、王麗文（2000）：心理治療實務。臺北：心理出版社。
黃政昌（2003）：心理師的自我照顧與滋養。諮商與輔導，205，36-
41。
王文秀（1998）：諮商師被督導經驗對其諮商挫折之因應與專業成長
之影響研究。中華輔導學報，6，1-34。
劉小菁（譯）（2001）：助人工作者自助手冊。台北市：張老師文
化。
鄭家雯（2004）：走出心靈迷霧：諮商師調適與因應接案無力感經驗
之研究。國立屏東師範學院教育心理與輔導研究所碩士論文，屏
東市。
李佳儒（2005）：小樹之歌—諮商學習者在專業實習中心路歷程之敘說研
究。國立台北教育大學教育心理與輔導學系，碩士論文，台北市。
賴念華（2003）：心理師法對大學輔導中心的影響。學生輔導，85 ，
34-45。
陳木炯 （2003）：台灣醫師心智負荷量表之發展與建立。中國醫藥學院醫務管
理研究所，碩士論文，台中市。
吳雅慧（2006）：碩士層級諮商新手於全職實習的諮商困境與因應。
國立臺灣師範大學教育心理與輔導所碩士論文，台北市。
陳增穎（2005）：國內二十年來輔導與諮商專業人員養成之研究的回
顧與展望。輔導季刊，41(4)。1-8。
胡景妮（2007）：全職實習諮商員的督導支持、諮商焦慮與諮商自我效
能之相關研究。國立臺南教育大學諮商與輔導學系，碩士論文，
台南市。
陳金燕（1997）：諮商實習過程中的專業倫理。學生輔導，53，48-
53。
李花環（1999）：諮商員專業發展歷程之質性研究。彰化師範大學輔
導與諮商系博士論文，彰化市。
張景然（2001）：新世紀美國諮商員教育的幾個新趨勢。諮商與輔
導，181，22-25。
柯永河（1993）：習慣心理學—寫在晤談椅上四十年之後（理論篇）。台北市：
張老師文化。
黃堅厚（1988）：中國人對於心理衛生觀念的初探，楊國樞主編，中國人的心理，台北：桂冠。
許慧珊（2005）：準諮商員完美主義量表之發展研究。中國文化大學心理輔導研究所碩士論文，台北市。
朱敬先（1992）：健康心理學：心理衛生。台北市：五南。

二、英文部分
Adams, R. E., Boscarino, J. A., Figley, C. R. (2006). Compassion fatigue and
psychdrogical distress among social workers: A validation study.
American Journal of Orthopsychiatry, 76(1),103-108.
Andrea, K. B., Debra, W. (2004). Predicting burnout and job satisfaction in
workplace counselors: The influence of stressors, job challenge, and
oganizational knowledge. Journal of Employment Counseling, 41,29-37.
Baker, E. K. (2002). Caring for Ourselves: A Therapist's Guide to Personal and
Professioal Well-Being. Washington, D.C.: American Psychological Association.
Bober, T., & Regehr, C. (2006). Strategies for reducing secondary or
vicarious trauma: Do they work? Brief Treatment and Crisis
Intervention, 6, 1-9.
Bryant, R. M., & Constantine, M. (2006). Multiple role balance, job
satisfaction, and life satisfaction in women school counselors.
Professional School Counseling, 9(4), 265-271.
Figley, C. R. (2002). Compassion fatigue: Psycoterapists’ chronic lack of
self care. JCLP/ln Session : Psychotherapy in Practice,
58(11) ,1433-1441.
Figley, C. R. (2004). Compassion fatigue therapist course workbook: An
weekend training course. Green Cross Academy of Traumatology.
Grafanki, S. , Pearson, D., Cini, F., Godula, D., Mckenzie, B., Nason, S., &
Anderegg, M. (2005). Sources of renewal : A Qualitative study on
the experience and role of leisure in the life of counselors and
psychologists .Counselling psychology Quarterly, 18(1): 31-40.
Haggins, K. L., Turner, J. A., Eicken, I. M., Castra, J. R., Edwards, L. M.,
Yokoyama, K., & Tran, A. (2005). Intern self-care: An exploratory
study into strategy Use and effectiveness. Professional Psychology :
Research and Practice, 36(6), 674-680.
Kaslow, N. J., & Rice, D. G. (l985). Developmental stresses of psychology
internship training: What training staff can do to help. Professional
Psychology: Research and Practice, 16,253-261.
Kaslow, N. K, Pate, W. E., & Thorn, B. (2005). Academic and internship
directo;s’ perspectives on practicum experiences: Implications for
training. Professional Psychology : Research and Practice, 36(3),
307-317.
Ko, S. F., & Rodolfa, E. (2005). Psychology training directors’ views of
number of practicum hours necessary prior internship application.
Professional Psychology : Research and Practice, 36(3), 318-322.
McCarthy, W. C., & Frieze, I. H. (1999). Negative aspects of therapy: client
perceptions of therapists’ social influence, burnout, and quality of
care. Jounal of Social Issues, 55(1), 33-50.
Miller, G. (2001). Finding Happiness for Ourselves and Our Clients.
Journal of Counseling & Development, 79, 382-384.
Osborn, C. J. (2004). Seven salutary bastions for counselor stamina.
Journal of Counselling & Development, 82, 319-328.
O’Halloran, T. M., & Linton, J. M. (2000). Stress on the job: Self-care
resources for counselors. Journal of Mental Health Counseling,
22(4), 354-364.
Palm, K. M., Smith, A. A., & Follette, V. M. (2001). Trauma therapy and
therapist self-care.
Raquepaw, J. M., Miller, R. S. (1989).Psychotherapist burnout: A
componential analysis. Professional Psychology : Research and
Practice,20(1),32-36.
Rodolfa, E. S., Ko, S. F., & Petersen, L. (2004). Psychology training
directors’ views of trainees’ readiness to practice independently.
Professional Psychology : Research andPractice, 35(4), 397-404.
Rupert, P. A., & Kent, J. S. (2007). Gender and work setting differences in
career-sustaining behaviors and burnout among professional
psychologists. Professional Psychology : Research and Practice,38(1),88-96.
Ross, R. R., Altmaier, E. M.,& Russell, D. W. (1989). Job stress, social support, and burnout among counseling center staff. Journal of Counseling Psychology, 36(4), 464-470.
Shapiro, S. L., Brown, K. W., Biegel, G. M. (2007). Teaching self-care to caregivers: Effects of mindfulness-based tress reduction on the mental health of therapists in training. Training and Education in Profcssional Psychology, 1(2), 105-115.
Stedman, J. M, Hatch, J. P., Schoenfeld, L. S., & Keilin, W. G. (2005). The
structure of internship training: Current patterns and implications for the future of clinical and counseling psychologists. Professional Psychology : Research and Practice, 36(1), 3-8.
Skovholt, T.M. (2001). The Resilient Practitioner:Burnout Prevention Care
Strategies for Counselors, Therapists, Teachers, and Health Professionals. Minnesota : Allyn and Bacon.
Skovholt, T. M. (2005). The cycle of caring: A model of expertise in the helping professions. Journal of Mental Health Counseling, 27(1),
82-93.
Turcotte, M., & Hiebert, B. (1999). The counsellor resource centre: An
on-line resource for career development specialists in Canada.
Journal of Employment Counseling, 36, 146-155.