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題 名 | 對立性反抗疾患兒童之沙遊治療歷程分析研究=The Process Study of the Sandplay Therapy on Oppositional Defiant Disorder |
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作 者 | 施玉麗; 高淑貞; 王文秀; | 書刊名 | 中華輔導學報 |
卷 期 | 19 民95.03 |
頁 次 | 頁41-71 |
分類號 | 178.8 |
關鍵詞 | 對立性反抗疾患; 兒童治療; 沙遊治療; Sandplay; Oppositional defiant disorder; Child therapy; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究以一位國小五年級男孩(診斷為對立性反抗疾患)為研究對象,旨在直接描述此男孩運用沙遊治療表達內在經驗的沙圖表現,並在沙遊治療前、中、結束和五個月的追蹤時期等四個時間點,間接評量行為問題與生活適應的變化情形。本研究採用個案研究法,在四個時間點訪談及評量兒童、教師、家長及同儕等,以搜集量化、質化資料並與外來稽核同伴共同分析、校正資料。本研究發現如下: 一、就內在經驗表達變化(即沙圖變化)而言:依據正負向主題分析兒童的20個沙圖發現,兒童的沙圖以正向主題出現較多,且在後期密集出現。沙圖常以正向的「創造性」主題轉化經常出現的「孤立無援」負向主題,可見沙遊治療可能活化兒童的心靈,並促進心室的發展與成長。依據自我發展階段分析,發現沙圖依序循環發展;而對第一盤沙圖與最後一盤沙圖比較分析,可看到沙圖的變化是由空洞與缺乏活力,轉變為具有整體性與穩定性的現象;依據個體化歷程分析,發現沙圖並未完成終極的個體化目標,但是能發揮個人潛能。 二、就行為問題變化而言:兒童的行為問題在沙遊治療前具有非常嚴重性,在治療期間及追蹤期間,則持續進步中。 三、就生活適應變化而言:兒童的整體生活適應普遍欠佳,但不致達到最欠佳的生活適應,且隨著沙遊治療的進展漸有改善。在追蹤期間,則因受各項因素的影響,兒童反而退步至與前測的程度。 本研究同時就研究結果進行討論,並針對輔導實務及後續研究的進行,提供各項具體之建議。 |
英文摘要 | The major purpose of this study was to investigate one 5th grade elementary school boy with oppositional defiant disorder. For the purposes of this study, sand miniatures were used as a tool to facilitate expression of internal experiences and changes in behavior problem and life adjustment by the boy in the four stages of the pre-therapy, mid-therapy, post-therapy and 5 months follow-up. This study adopted case study and participant observation method. The Sandplay therapy consisted of 24 sessions with 40 minutes per session. Each session was videotaped, and the 20 sandpictures the child made were taken for Consensual Qualitative Analysis. The conclusions of this study were as following: The changes of the boy's internal experiences in terms of the sandpictures analysis were various: 1) the positive themes were more than the negative themes; 2) the child expressed the ”creation” theme to decrease the ”isolation” theme's impact; The changes of the boy's behavior problems kept on improving according to the Children Behavior Inventory in the stages of the post-therapy and follow-up. The changes of the boy's life adjustment were: 1) in the stage of the pre-therapy, the child showed a poor life adjustment in the Landscape Montages Life Adjustment Indicators (LMI); 2) in the stage of mid-therapy and post-therapy, he has shown signs of progressed; 3) in the stage of the follow-up, he regressed to the pre-therapy level due to many influential factors. Recommendations for future therapy and research were made. |
本系統中英文摘要資訊取自各篇刊載內容。