醫療場域諮商心理師之職能分析

Professional Competency Analysis of Counseling Psychologist at Medical-Settings

促進病患健康與疾病心理適應是心理師身為醫事人員不容迴避的職責，尤其生理病痛與治療過程衍生的焦慮或憂鬱等心理困擾比例相當高，心理師加入醫療團隊提供健康心理諮商服務，將對全人的身心靈社會多面向健康有所助益。但目前進入醫療場域服務者多為臨床心理師且任職於精神科，對於精神科以外一般因生理疾病衍生心理困擾的住院或門診病人，則鮮少提供醫療健康心理諮商服務；因此本研究目的旨在探討諮商心理師在醫療場域工作的職能項目。本研究以專業能力訪談分析法，訪談目前任職於醫療場域六種不同科別諮商心理師的工作概況，然後以主題分析法進行資料分析。本研究結果呈現了醫療場域六種不同科別諮商心理師的工作概況之外，也彙整出諮商心理師在醫療場域工作的十項職責，其中最重要職責是需備妥進入醫療場域工作的基本態度與執業倫理，執行精神疾患、非精神異常之一般病患適應困難、員工心理健康問題三部分的診斷評估與心理諮商與諮詢；其他重要與相對次要職責也討論於後，以供醫療場域健康心理諮商實務工作與人才培訓參考。

As medical personnel, a counseling psychologist takes on the indispensable duty to promote patients' health and their psychological adjustment to illness. By joining a medical team and providing mental health counseling services, a counseling psychologist may help reduce patients' anxiety or depression due to physical pain and treatment process and thus benefit the overall health of the patients. However, those who work in medical settings so far are mostly clinical psychologists, and they work separately in psychiatry departments. Only very few of them provide mental health counseling services to non-psychiatric inpatients or outpatients suffering from psychological distress derived from physical illnesses.This study aims to explore the required competencies of counseling psychologists working in medical settings. Professional competency analysis and thematic analysis were employed for the interviews with the counseling psychologists currently working in the medical settings from six different departments. An overview of their work was presented, and a list of the ten competencies of counseling psychologists for entering medical settings was also compiled. We found that the most important competencies are being able to adopt general work attitudes and medical ethics and to provide the diagnostic assessment, counseling, and consultation services for psychological patients, non-mental patients' adaptation difficulties, and employees' mental health issues. Other important and relatively minor competencies are also discussed to provide future directions for psychological counseling practices and talent development in medical settings.