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|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|
|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|
|Issue Date: ||2013-04-13 10:37:44 (UTC+8)|
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|
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