婚姻治療中依戀創傷者的人我意義改變

Conceptual Knowledge Changes in the Identity of Self in Relation to Others: A Case Study of an Attachment Trauma Survivor in Marital Therapy

研究緣起。本文旨在初步探詢、找尋婚姻治療歷程中，能反映依戀創傷者於互動中人我意義變化的敘事指標；因創傷者傾向以負向意義的評定解讀事件，並困難整合創傷的經歷至原來的生命故事線、而造成自我統合困境。

研究方法。本研究是立基於詮釋現象學的敘說分析，並在一著重社會建構與協同合作取向的婚姻治療場域，針對一位因丈夫外遇衝擊而致依戀創傷之妻子的治 療歷程中310個分析單元之敘事語句分析，並分就人我意義的敘事內涵與形式兩面向，進行編碼與資料分析。

研究結果。治療初期的丈夫無能給予情感性回應，創傷的妻子不斷跳轉在緬懷過往婚姻美好的「對夫正」意義與對現狀難以消化接受的「對己負」意義之間，於是創傷者也越來越敘說一個模糊且孤立的我知識，但隨著治療的推進創傷者再歷情緒、增加返歸自身的自我檢視，以及透過夫妻關係中彼此正向回應的促進，終使創傷者統整出更多針對事件的關係性角度反思，及助益個人問題解決能動性提升的正向性意義。

 

The present study explored the changing trajectory of conceptual knowledge regarding the identity of self in relation to others of a wife who survived attachment trauma caused by an extramarital affair. Psychological trauma is usually overwhelming; due to avoidance of both negative feelings and intimate contact with her husband, memory disturbances disabled the wife from making self-referential meanings and from achieving a sense of self-continuity. The present study aimed to explore two aspects of a client’s meaning-making regarding how the self relates to others. The infidelity event caused