- 作者: 蔣欣欣; 曾雯琦; 盧孳艷
- 作者服務機構: 國防醫學院護理學系;三軍總醫院護理部;陽明大學社區護理研究所
- 中文摘要: 團體治療的情境被稱為像個充滿鏡子的大廳,成員在團體中經由彼此直接的互動,認識自己在社會、心理及身體的形像,因此鏡照法是團體具有治療功效的重要因素。本研究以鏡照的觀念分析團體互動的內容,找出督導者在鏡照現象中使用的策略,以某教學醫院對精神科護理人員的團體治療訓練課程中,實務訓練的團體輔導活動為研究對象。此訓練團體由四位至少有五年精神科護理臨床工作經驗的人員,及兩位具有多年團體治療經驗的督導員組成。研究過程中持續進行每週一次的團體訓練,為期十週。每次包括前五十分鐘的帶領住院病人的團體,及後九十分鐘的工作人員督導團體。本研究以進行十次的工作人員督導團體互動內容為中心進行持續比較分析。結果發現團體過程中督導者因鏡照法中的策略,幫助自身以及被督導者產生改變。在督導者自身的策略包括以自己的過去經驗為鏡子、以及協同督導者的反應為鏡子;在幫助被督導者的策略包括隱藏的議題之重現、循迴式的問話、角色扮演,協助其明白自己的處境。鏡照法在訓練專業人員團體中促進自我成長,以及幫助團體治療指導員解決內在衝突。
- 英文摘要: Group psychotherapy has been called a "hall of mirrors" in which each member is confronted withvarious aspects of his social, psychological, and physical image in direct interactions with other members ofthe group. This study seeks to determine how an educator may use mirror phenomenon as a group supervisionstrategy for psychiatric nurses. The first two authors, as facilitators of a group, used participant observationto conduct 10 group sessions. Four psychiatric nurses served as members of the supervision group. The groupmembers were married females from different hospitals in the northern area of Taiwan, were aged 31 to 38,had diplomas in nursing and had worked in psychiatric wards for at least 5 years. The supervision groupprocess, after inpatient group therapy sessions facilitated by the supervisees, was tape recorded andtranscribed verbatim. At the same time, a field diary was recorded. Themes were generated from both datasets using constant comparative analysis. The results revealed a supervisor's past experience and the attitudeof a coworker could be the mirror of the supervisor in the supervision group. The strategies for inducing amirror reaction in the supervisees were reintroducing stored issues, circular questioning, and role playing.These three strategies helped supervisees identify the problems they encountered, promote self-developmentof group members and assist conductors in resolving their own conflicts in clinical supervision groups. Inaddition, the meaning of benign mirroring in group therapy is explored.
- 中文關鍵字: mirror reaction; group therapy; supervision group; reflection
- 英文關鍵字: --