心理劇團體治療介入對藥愛成員之成效研究

The Effects of Psychodrama Group Therapy Intervention on Chemsex Group Members

本研究旨在以藥愛者為對象，檢驗參與者接受心理劇團體治療的介入後，在幸福感、自發性，缺自發性、正負向情緒、自我悲愍、及藥愛減害意識的改變。本研究以心理劇團體的方法，採用單組前後測的實驗設計。針對9位參與的藥愛成員，研究者進行兩次的心理劇團體治療，每次兩天，12小時，總計24小時。本研究以問卷蒐集資料，進行相關的統計分析。前後測均有填答問卷者，共有6人。研究結果發現，心理劇治療團體能幫助藥愛成員增加幸福感，有愛的感覺，活在當下，覺察藥愛對自己的傷害（減害）；且能緩解焦慮、緩解負面情緒的及緩解過度認同（反芻自身的苦難）。在前後測的比較中，心理劇團體的介入能顯著地降低心理不適應指標：焦慮、負面情緒的與過度認同。此外，心理劇團體介入能顯著地提升四項心理適應指標：幸福感、有愛的感受、正念（活在當下）、覺察藥愛對自己的傷害（減害）。換言之，心理劇團體介入能同時降低參與者的心理不適應並能提升心理適應。未來的研究可以針對藥愛者的困境，例如，自責、羞愧、藥癮復發、創傷議題、家人關係的修復，甚至藥愛行為的預防與宣導，進行一系列的質性與量性研究，此能多了解藥愛者的特殊生命故事。

This research aims to examine the effects of psychodrama group therapy intervention on chemsex group members in well-being, spontaneity, lack of spontaneity, positive and negative emotions, self-compassion, awareness of chemsex and harm reduction. The research used the design of pre-test and post-test survey. For the 9 participating chemsex members, the researchers conducted two sessions of psychodrama group therapy, each for two days, for 12 hours, for a total of 24 hours. Questionnaire data were collected for statistical analysis. There were 6 participants who answered the pre-test and post-test questionnaires. The results found that the psychodrama therapy group can help chemsex members increase their sense of well-being, feel love, live in the moment, and aware the harm of using drug to themselves; and it relieved anxiety, relieved negative emotions and relieved over-identification (rumination of one's own suffering). The psychodrama group intervention significantly reduced the indicators of psychological discomfort: anxiety, negative emotions, and over-identification. Moreover, the intervention significantly improved four indicators of psychological adaptation: happiness, feeling of love, mindfulness (living in the moment), and awareness of harm reduction. In other words, psychodrama group interventions simultaneously reduced participants’ psychological maladjustment and enhance psychological adaptation. Future research could address the adversities of chemsex members. For example, self-blame, shame, relapse of using drugs, repair of family relationships, and even prevention of chemsex behaviors with a series of qualitative and quantitative researches. Thus, we can learn more about the unique life stories of chemsex members.