以修正式沙遊治療做為一重鬱症病人之輔助療法

Using Modifi ed Sandplay Therapy as an Adjuvant Therapy in a Patient with Depression

目的：沙遊治療係Kalff所創讓案主在沙盤上排列物件的一種心理治療，基於榮格心理學、Lowenfeld「世界技法」、及東方哲學而成，過去多用於兒童或受暴者。本團隊報告－－成人憂鬱病患接受輔助性修正式沙遊之運用。病例報告：一34歲女同性戀憂鬱症病患，在使用抗憂鬱劑治療後，接受修正式沙遊療程。沙遊歷程中，本團隊觀察到出現對應於榮格心理學之「儀式」、「聚中」、與「共時性」等現象。最後案主產生新的觀點，認同加強，臨床狀況亦獲改善。結論：本例之經驗顯示若用於憂鬱病患而與精神醫療結合，亦可能有益。

Objective: Sandplay therapy, founded by Dora Kalff, is a kind of psychotherapy using miniatures for clients to arrange on sand trays. Sandplay therapy which is based on Jungian psychology, Lowenfeld’s “World Technique,” and Oriental philosophies, has previously been used mainly in children and victims in Taiwan. We report the use of modifi ed sandplay as an adjuvant therapy for an adult patient with depression. Case Report: A 34-year-old lesbian patient with depression received modifi ed sandplay therapy in addition to antidepressants. During the sandplay therapy process, we observed the phenomena like “ritual,” “centering,” and “synchronicity,” which are corresponding to Jungian theory. Eventually our patient developed new perspectives, her identity was strengthened, and her condition was improved after the treatment. Conclusion: Our case experiences suggest that sandplay therapy may also be helpful when being used in conjunction with concomitent psychiatric treatment for depression.