English  |  正體中文  |  简体中文  |  Items with full text/Total items : 51948/87093 (60%)
Visitors : 8508780      Online Users : 85
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library & TKU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version
    Please use this identifier to cite or link to this item: http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/87067

    Title: 動力式心理治療對安置及教養機構智能障礙男少年性心理發展之歷程分析
    Other Titles: Analyzation of the psychosexual development process of mentally retarded male youth of the settlement and education institute in psychodynamic therapy
    Authors: 范丹屏;Fan, Tan-Ping
    Contributors: 淡江大學教育心理與諮商研究所碩士班
    洪素珍;Hung, Su-Chen
    Keywords: 安置及教養機構;智能障礙男少年;性心理發展;動力式心理治療;The settlement and education institute;Mentally retarded male youth;Psychosexual development;Psychodynamic therapy
    Date: 2013
    Issue Date: 2013-04-13 10:37:44 (UTC+8)
    Abstract: 本研究以動力式心理治療去了解安置及教養機構內智能障礙男少年性心理發展之歷程。研究者選擇以質性研究作為資料蒐集與文本分析的方法。研究者擔任諮商師,考量智能障礙男少年(簡稱個案)的認知和溝通表達能力的需求,依據Klein遊戲箱的概念,先準備繪畫工具、小物件、色紙、情緒墊板等媒材輔助個案表達內在感受。研究者在治療結束後撰寫歷程記錄、個人反思以及督導,並持續與個案的主要照顧者(安置及教養機構內的主要照顧者與社工、學校老師等人)進行討論與意見回饋。本研究分為兩個階段,總共進行了55的動力式心理治療和37次的個人督導。
    根據本研究結果和動力式心理治療的特性,建議日後進行相關研究者需要和其他照顧者、相關專業人員之間建立起團隊一同相互合作,且需要個人持續被諮商和督導。考量智能障礙者的認知和表達溝通的需求,建議運用日曆穩固治療架構,並提供情緒詞彙圖片 、使用物件、繪畫工具等媒材協助智能障礙男少年表達內在感受,以及提供後續的支持性治療。
    The research is an analysis of the psychosexual development process of a mentally retarded male youth, who lives in settlement and education institute. The research used psychodynamic therapy and qualitative research as research methods. The researcher her own was a Counseling Psychologist. Considering the client’s cognitive and communication skills, the research used Melanie Klein’s “play box” method, to communicate with the client through using tools like painting tools, small objects, colored paper, mood pad and more to help the client to express his inner feelings. The researcher reordered client’s behaviors, researcher’s personal reflection, and supervisor’s feedback after each session. The researcher also discussed with client’s primary caregivers and gave feedback to them. (The caregivers included the teachers in the settlement and education institute, social workers, and schoolteachers). The whole process included 55 psychodynamic therapies and the other includes 37 personal supervisions and can be divided into two stages.
    According to the analysis and coding data, the main issues of the client focused on the relationship between the counseling psychologist and the client. This was the key for his treatment and could be divided into four periods: pushing, separatism, containing and internalization. Affected by the impacts of the events and issues, the relationship between the counseling psychologist and the client is like a spiral relationship. The treatment focused on handling the client’s childhood trauma of being abandoned by his mother. The counseling psychologist contained the client’s inner attacks, helping him to improve his communication skills and his fixation attack and defense behaviors in the psychodynamic therapy.
    In the early stage of the psychosexual developing treatment of the client, his mind was as closed as a flawless egg. He excluded any messages and people, and had long history to rely on external objects to assist his communication to outside world. His concept of boundary was weak and he also had low self-esteem. When he faced difficulties, he would choose to sleep to escape of facing the problems. In the treatment, he often expressed the characters came from unsatisfied oral stage and the overly repressed anal stage.
    After the counseling psychologist contained the client’s emotion and applied projective identification, the client had experienced even if he repeatedly attacked the counseling psychologist emotionally, the relationship was still able to repeatedly repaired. He had the real experience with the emotions of love and guilt. It would help the client to elasticity changed his position between "paranoid-schizoid position" and "depressive position".

    According to the results of this study and the characteristics of psychodynamic therapy, it is recommended that future researchers, other caregivers and related professionals with established teams to cooperate with each other. Counseling psychologist especially should have personal counseling and supervision during the process and after if needed. The counseling psychologist should use calendar securely treatment to establish a stable framework. Considering the cognitive abilities and the needs of communication of a mental retardation client, it is recommended to provide emotional vocabulary pictures, objects, drawing tools, and other media to help the client to express his/her inner feelings, and provide follow-up support treatment.
    Appears in Collections:[教育心理與諮商研究所] 學位論文

    Files in This Item:

    File SizeFormat

    All items in 機構典藏 are protected by copyright, with all rights reserved.

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library & TKU Library IR teams. Copyright ©   - Feedback