諮商心理師全職實習現況之調查研究

Current Status of Fulltime Internship Training in Counseling Psychology

本研究以157 名實習諮商心理師為研究對象，調查其全職實習工作項目、時間分配、服務對象、問題類型以及臨床督導的實施現況，並比較他們在三類實習機構實習經驗的差異。結果發現：1. 實習諮商心理師平均每週實習時數為33.76 小時，實習工作項目為6.5 項，主要以行政工作（12.06 小時/週）、接案（6.85 小時/週）以及填寫個案記錄（4.55 小時/週）等項目為主。在帶領團體、研習及行政工作等項目的工作時間因機構不同有顯著差異。2. 社區諮商機構和醫療機構接觸兒童、青少年與老人等不同年齡個案的機會較高。3. 學校與社區諮商機構接觸發展性問題比例顯著高於醫療機構，在社區諮商機構實習接觸危機與創傷問題類型高於其他二類機構。4. 臨床督導的實施方式不因實習機構屬性不同而有差異，只督導來源有差異；學校與社區諮商機構實習之臨床督導主要由機構提供，醫療機構的實習心理師有42%接受機構外的督導。另探討全職實習現況與諮商心理實習辦法的差異，並提出對全職實習制度未來發展之建議。

In this study， a total of 157 counseling psychology interns were invited to complete a questionnaire. The questionnaire items include types of work involve， time allocation， service targets， types of client problems， and clinical supervision received. The internship experiences among college， community and hospital settings were compared. The results are as the following: (a). On a weekly basis， the average work hours for psychology internsis 33.76 and the average number of work items is 6.5. The work items mainly involve administrative work (12.06 hours/week)， direct client services(6.85 hours/week)， documentation (4.55 hours/week)， and so forth. There are significant agency differences in their time spending in group work， in-service training and administrative tasks. (b). Interns in community and hospital settings have contacts with a wider age range of clients. (c). In terms of clients’problems reported， interns in college settings see more clients with developmental issues while interns in community settings see more clients with traumatic and crisis issues. (d). There is no agency difference in clinical supervision variables except for source of supervisors. Almost all interns in college and community settings receive internal clinical supervision. Forty-two percent of counseling psychology interns in hospital settings have received supplemental clinical supervision from external qualified counseling psychologists. The study also discussed the difference between current status and internship training standards， as well as suggestions for internship system development and future research.