遊戲治療未成熟結案之歷程研究---遊戲治療師觀點之探究

• Main Author: 黎麗貞
• Other Authors: 高淑貞
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/33924446709763941152

博士 === 國立彰化師範大學 === 輔導與諮商學系所 === 97 === The purpose of this study is to understand how play therapy was influenced by the immature termination factors, the contents of play therapy in the very last session of an immature termination, and the psychological process of a therapist who experienced immature termination. The qualitative research method was used in this study, and twelve play therapists who had experienced immature termination were interviewed. The findings suggested the followings: 1.Immature terminations might be proposed by therapists or by others. The reasons for a therapist to propose the termination included that the therapist was leaving the agency where he or she counseled the client; that the therapist considered that the therapeutic structure was unstable (e.g., parents were not supportive of treatment and threatened to end treatment); and that the therapeutic environment was not arranged in the way consistent with the therapist's theoretic orientation. The reasons for others to propose the termination were that the agency set a limitation on treatment sessions; parents could not coordinate the transportation to therapist's office; parents possessed a negative view of treatment, and the client was moved to another location. 2. Therapists' emotional experiences to the immature termination consist of three phases. In the initial stage of the termination, therapists would experience a sense of lose and indebtedness to their clients; after the termination, therapists felt worried, doubtful, guilty or relieved; and in a period of time after the termination, therapists would recover to a status of comfort. 3. Play therapists handled the immature termination through dealing with their own needs which were brought up by the termination, and through restructuring the last couple of sessions to better suit their clients' needs. To meet their own needs, for example, therapists sought consultation in order to regulate anxiety related to the immature termination. On the other hand, therapists discussed with parents of their early terminated clients about the possibility of taking the client to therapy for the last time, and they arranged the last session or the last couple sessions to enable the client to experience a positive therapeutic experience, reassure the client about his/her internal resources, discuss with the client about external resources available to him or her, and focus on an issue which could be solved in the remaining sessions. 4. Therapists' experiences with clients and their parents were also an important part in the immature termination, including therapists' awareness of clients' acceptance of termination, working on overcoming parents' resistance, and therapists' reactions to parents who asked for termination. 5.Therapists' reported improvements include the changes in their therapeutic efficacy, the understandings/realization of new treatment/intervention strategies, the development of new models of working with patients' parents, and their engagement of self-care activities after termination. Finally, based on research findings, recommendations for conducting further research and practicing in the field of play therapy were discussed. Keywords: play therapy, play therapist, immature termination, termination process of play therapy