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| 題 名 | 從榮格取向表達性藝術治療論一位本土重鬱症女性離苦得樂之經驗=On Freedom from Suffering: A Jungian Expressive Art Therapy Analysis of a Major Depressive Indigenous Woman |
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| 作 者 | 李蓉蓉; 黃宗堅; 張芳庭; | 書刊名 | 本土諮商心理學學刊 |
| 卷 期 | 15:1 2024.03[民113.03] |
| 頁 次 | 頁122-209 |
| 分類號 | 418.986 |
| 關鍵詞 | 榮格取向; 表達性藝術治療; 重鬱症; 本土文化; Jungian analysis; Expressive art therapy; Major depression; Indigenous culture; Local culture; |
| 語 文 | 中文(Chinese);英文(English) |
| 中文摘要 | 研究目的：為了解一位深受本土文化影響之重度憂鬱症困擾的女性，在榮格取向表 達性藝術治療介入後之轉化經驗。研究方法：採用主題分析法質性研究，進行榮格取向 之表達性藝術治療，共有 12 次個別治療及 1 次親子會談，另外並有轉介單位紀錄、家 庭會談紀錄及簡式健康量表進行檢驗。研究結果：得知個案童年遭受父母婚姻及家族壓 力所造成的陰影，以至於成年後無法達到家族期待或自我要求之成就回饋父母時，則落 入自我懷疑存在的意義及價值，更由於承受來自家族中光宗耀祖或是盡孝道的壓力而有 痛不欲生的想法，個案罹患重鬱症與家庭關係中愛與要求間矛盾衝突的情感，並持續影 響著自我發展與親子關係。經過治療介入，在沙盤治療中看見兩極對立與渴望被了解的 需求；在超越功能上可以體會個案所承受被吞噬且憂鬱的情緒，體驗走向共融的可能； 在夢的解析上看見個案面對問題能夠出現彈性及鬆動固著無望的念頭及協助個案辨識 家庭文化影響；在童話解析中個案選擇的童話都投射了對家人濃厚的情感，尤其在最後 一片葉子的故事中，更顯露出個案內心狀態歷經死亡後重生的議題。而後期親子會談中 更是父女關係冰釋，建立深化關係的神聖時刻。可以彙整出權力／控制、離別與哀傷、 分化與連結、安全感與自由以及滋養與撫育等五個主題。個案簡式健康量表前後測也達 顯著的差異。研究結論：顯示榮格取向表達性藝術治療對於重鬱症個案之療效，提供個 案在困境中一個涵容的空間，使得個案有機會能面對內在陰影以及兩極對立，並產生存 在感及意義感，頗有死後重生的意境。在現實生活中個案也學習重新找尋新的人生目標， 更期待自己可以至海外體驗人生。在諮商歷程中也可以感受到個案所承受本土文化之影 響以及家庭文化在凝聚家人情感上所扮演的角色壓力，貼近個案的憂鬱情緒及壓力來源， 個案學習在過與不及的愛中取得平衡，適當的安排加入親子溝通會談的機會，如此之方 式更有助於個案及案家多重的改變。 |
| 英文摘要 | The purpose of this study is to understand and portray the individualization process through Jungian expressive art therapy of a female clinical client suffering from major depression and suicidal ideation. Thematic analysis was methodically adopted, using primarily qualitative and partially quantitative Jungian analysis on sandtray therapy, dream, and fairy tales. The researcher and the client completed 12 individual sessions and one father-and-daughter family therapy session, additional references include doctor’s referral notes, family interview records, and 5-item Brief Symptom Rating Scale (BSRS-5) pre-therapy and post-therapy scores. Results have shown the shadow from the client’s childhood chronic parental conflicts overshadowed the client’s ego, throwing the client in constant self-doubt, existential crisis, and lack of selfworth. Sandtray therapy revealed an adversarial polarization and black or white binary thinking pattern drew others away yet concealing the wishes to be understand and accepted by others. The three transcendental objects reflect the overabundant melancholy gradually transformed into a glorious unity. Dream analysis unveiled cognitive fixation and hopeless thoughts were transmittable into flexibility and alternative resolutions. The selection and analysis of the client’s fairy tales disclosed a projection of deep bounding toward family, especially when the client has chosen “The last leaf” story, which divulges her symbolic rebirth after the deathlike experience of mental termination. Finally the father- and- daughter therapeutic session was a groundbreaking move that established a rebinding and deep-seated bound. furthermore, five themes were merged, which were power and control, separation and sorrow, individualization and connection, safety and freedom, and nourishment and nurturing. The pre- and post-test of BSRS-5 total score decreased from 15 points to 9 points, with the depressive mood changing from 4 to 2, and ideation score changing from 4 to 0, indicating a severe distress turning into a mild distress after the therapy. In conclusion, this study implies significant therapeutic effect of Jungian expressive art therapy sessions on a client suffering from severe mood disturbances and suicidal ideation. The containing capacity in the expressive art therapy enabled the client to transform and integrate through black or white dichotomy and shadows from the past ; within the individualization process, personal meaning and existence were propagated and outgrew, symbolizing a reborn after the mental death, a restart on the life journey, and a revitalization of goal, priorities and modalities. During the counseling process, filial piety was an influential yet implicit indigenous obligation on the client’s well-being, that often depleted her mental resources. She bore the indigenous culture values of family cohesion and duties as a daughter to take emotional care of both sides of the parents. Instead of shutting down the filial piety concerns, a familial therapeutic session was adopted, which facilitated the communication with her father enhanced multifaced changes, both individually and systematically. She adjusted to a more direct and positive communicative tone, and her father expressed in a more respectful and benevolent manner in return, their conjoint session dispelled the long-term impasse, and the researcher was the bridge to their communication, and honored to witness her resilience on individualization. |
本系統中英文摘要資訊取自各篇刊載內容。