心理治療師反移情經驗之歷程研究

A Process Study of Psychotherapist's Countertransference Experience

本研究的目的在於探索心理治療療程中，反移情經驗之性質與轉變，研究對象為一名具有證照的心理師，女性，年齡介於30歲至35歲，心理治療工作年資5.5年。本研究以質化研究法進行，在療程前、療程中、療程後共進行十五次訪談，其中療程中的訪談共十次，在每次治療後30小時內進行。研究結果發現反移情經驗依其性質可分為四個主軸，分別是「對案主的感受或觀點」、「治療師及治療的角色與地位」、「治療關係與治療維繫」和「分心與聯想」。反移情經驗的轉變方面，則是隨著療程而由「治療師中心」朝向於「案主中心」，各主軸經驗隨著療程中訊息的擴展而有內容的變化，各主軸經驗之間亦呈現互相影響的情形。研究者對療程中反移情經驗的性質與轉變進行詳細的描述，並對未來的研究與實務工作提出建議。

The purpose of this study is to explore the nature and transformation of countertransference during psychotherapy. One female licensed psychologist， whose age about 30 to 35 years old， with a clinical experience around 5.5 years， was interviewed. Depth interviews were conducted before， during and after psychotherapy course. Fifteen interviews were conducted totally and of ten interviews during psychotherapy course. The results revealed that four domains of countertransference: 1) feelings or cognition toward the client， 2) roles and positions of the therapist in psychotherapy， 3) relationship and its maintenance， 4) distraction and associations. The results also indicated that from the initial stage to the termination， countertransference transformed from the therapist-oriented focusing toward the client-oriented focusing. Implications of the results for practice as well as further research are discussed.