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研究生: 蕭景容
Hsiao, Ching-Jung
論文名稱: 心理師在外置式員工協助方案中的執業經驗研究
The Professional Experiences of Psychologists in External Employee Assistance Programs
指導教授: 金樹人
Jin, Shuh-Ren
田秀蘭
Tien, Hsiu-Lan
學位類別: 博士
Doctor
系所名稱: 教育心理與輔導學系
Department of Educational Psychology and Counseling
論文出版年: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 495
中文關鍵詞: 外置式員工協助方案生態取向心理諮商跨專業合作
英文關鍵詞: external Employee Assistance Program (EAP) model, ecological counseling, interprofessional collaboration
DOI URL: https://doi.org/10.6345/NTNU202203378
論文種類: 學術論文
相關次數: 點閱:235下載:25
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  • 本研究旨在探討心理師在外置式員工協助方案中的執業經驗。資料來源是十二位研究參與者的訪談資料,以紮根研究法進行分析,結果如下:
    一、在常態性的情況下,心理師在外置式員工協助方案中的執業經驗分成兩個層次。「微系統的諮商工作樣貌」包括:當事人的樣貌、諮商目標的設定、倫理議題的思考、諮商關係的樣貌、心理師採用的諮商策略。「中介系統」內含「EAP執行單位中介系統的工作樣貌」與「EAP委託單位中介系統的工作樣貌」兩個向度,前者包括:公司的制度設計、心理師的工作內容、EAP執行單位中介系統業務承辦人的工作內容;後者則包括:心理師的工作內容、EAP執行單位中介系統業務承辦人的工作內容、委託單位中介系統業務承辦人的工作內容。
    二、在危機性與特殊性情況下,心理師在外置式員工協助方案的執業經驗分成兩個層次。「微系統的工作樣貌」包含:員工心理狀態與工作適任性評估、諮商。「中介系統」內含「EAP執行單位中介系統的工作樣貌」與「EAP委託單位中介系統的工作樣貌」兩個向度,前者就心理師的工作內容、EAP執行單位中介系統業務承辦人的工作內容;後者從心理師的工作內容、EAP執行單位中介系統業務承辦人的工作內容、委託單位中介系統業務承辦人的工作內容說明研究結果。
    三、心理師因應外置式員工協助方案的工作,需要增進的專業知能。包含:心理師個人層面、諮商心理學層面、EAP執行單位中介系統層面、EAP委託單位中介系統層面、外系統或大系統層面。
    四、跨專業合作時,外在情境中有利與妨礙合作的因素。包括:團隊部分、合作方式的共識度、關於溝通與互動、EAP執行單位中介系統業務承辦人四個部分。
    五、跨專業合作時,心理師使用的合作策略與內在省思。包含:跨專業合作中心理師的自我覺察、跨專業合作的策略、影響因素與變化。
    文末針對研究結果進行討論,並提出相關建議。

    This research aims to explore the professional experiences of psychologists in external Employee Assistance Program (EAP) model. The materials are from the interview data of twelve participants in the research, and were analyzed by grounded theory analysis. The results were described in the following five points.
    First, in normal circumstances, the professional experiences of psychologists in external EAP model can be divided into two levels. “The status of counseling work in microsystems” includes the situations of clients, goal setting of counseling, reflections on ethical issues, counseling relationship, counseling strategies adopted by psychologists. Mesosystems consist of two dimensions: “work status in mesosystems of EAP executive units” and “work status in mesosystems in EAP commissioning units”. The former dimension includes company system design, work contents of psychologists, work contents of staff-in-charge in mesosystem of EAP executive units. The latter includes work contents of psychologists, work contents of staff-in-charge in mesosystem of EAP executive units, and work contents of staff-in-charge in mesosystems of EAP commissioning units.
    Second, in critical or special circumstances, the professional experiences of psychologists in external EAP model can be divided into two levels. “The work status in microsystems” includes assessments on employees' mental status and work competence, and counseling. There are two dimensions in "mesosystems", including "work status in mesosystems of EAP executive units" and "work status in mesosystems of EAP commissioning units". In the former dimension, the results of the research were described from the work contents of psychologists and work contents of staff-in-charge in mesosystems of EAP executive units; and in the latter one, the results were described from the work contents of psychologists, work contents of staff-in-charge in mesosystems of EAP executive units, and work contents of staff-in-charge in mesosystems of EAP commissioning units.
    Third, the professional knowledge and skills that psychologists need to enhance in coping with the work of external EAP include: the personal aspect of psychologists, the aspect of counseling psychology, the aspect of mesosystem of EAP executive units, the aspect of mesosystem of EAP commissioning units, aspects of exosystem or macrosystem.
    Fourth, in interprofessional collaboration, the factors facilitating or impeding collaboration consist of four parts: the team, degree of consensus on the patterns of collaboration, issues about communication and interaction, and staff-in-charge in mesosystem of EAP executive units.
    Finally, in interprofessional collaboration, the collaborative strategies and inner reflections of psychologists include their self-awareness, strategies, influencing factors, and changes in interprofessional collaboration.
    In the end of the dissertation, the results were discussed, and suggestions were made.

    誌謝詞 i 中文摘要 iii 英文摘要 v 目次 vii 表次 xi 圖次 xiii 第一章 緒論 1   第一節 研究動機 1   第二節 研究目的與研究問題 8   第三節 名詞解釋 10 第二章 文獻探討 13   第一節 員工協助方案裡心理諮商的輪廓 13   第二節 生態系統中的心理諮商 33   第三節 生態系統內的跨專業合作 43 第三章 研究方法 59   第一節 研究取向與方法 59   第二節 研究參與者 61   第三節 研究者 63   第四節 研究工具 67   第五節 研究實施程序 69   第六節 資料處理與分析 73   第七節 研究資料檢核 80   第八節 研究倫理 83 第四章 研究結果 87   第一節 在「常態性」的情況下,心理師在外置式員工協助方案中的       工作經驗 87   第二節 在危機與特殊性情況下,心理師在外置式員工協助方案中的       工作經驗 201   第三節 心理師因應外置式員工協助方案工作,需要增進的專業知能 297   第四節 外置式員工協助方案中影響跨專業合作的正、負向因子 322   第五節 心理師面對跨專業合作情境時的合作策略與內在省思 357   第六節 心理師在外置式員工協助方案中的工作經驗 419 第五章 討論 435   第一節 從三級預防的視角看外置式員工協助方案中的心理健康工作 435   第二節 外置式員工協助方案中的跨專業合作經驗 442   第三節 心理師在外置式員工協助方案中的角色定位對工作向度與合       作關係的影響 448 第六章 結論與建議 455   第一節 研究結論 455   第二節 研究者的省思 459   第三節 研究限制 461   第四節 建議 463 參考文獻 467 中文部分 467 英文部分 472 附錄 485 附錄一 訪談大綱 485 附錄二 研究邀請函 487 附錄三 研究參與同意書 490 附錄四 研究反思札記 491 附錄五 編碼簿舉例 492 附錄六 逐字稿謄寫保密同意書 493 附錄七 分析結果檢核表 494

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