科學家與實務者：台灣臨床心理學的共時性顧後瞻前

Scientists and Practitioners: Thematic Reviews and Reflective Perspectives in the Development of Clinical Psychology in Taiwan

回顧台灣心理學的發展，可從三個向度回顧各領域的進展。一個是以普遍性與特定性向度，如透過整體性概念或是特定性議題的向度探討。一個是時間性向度，如以回顧與展望為軸，進行歷史性的鋪陳與未來性的指引。另一個是空間性向度，如心理學各領域進展涉及的國際化與本土化辯證立場。回到臨床心理學的進展，更重視理論與實踐的連結。本文對於台灣臨床心理學的探討，不以歷時性面向回顧，而是綜合特定與普遍主題，以及本土研究的特色，以取樣取向與徵候取向兩個面向為軸進行探究。首先，是以取樣取向，涵蓋心理病理、心理衡鑑和心理治療三個層次高度連結的取樣特定的研究主題進行論述，包括自閉症、睡眠心理學、乳癌患者心理成長，以及心臟心理學研究成果。其次，是以徵候取向，呈現已發展成熟的神經與復健心理學，以及正在發展的人文臨床心理學特色，進行相關討論。透過取樣與徵候兩個面向，顯示台灣臨床心理學研究發展，是蘊含在科學家與實務者兼備的訓練實踐進程。最後，本文在回顧成果與闡述論點下，提出透過研究發展回到臨床實踐的反思，從深度化、在地化和倫理化的層次，邁向未來另一個時空處境尚待深化的臨床心理學議程。

Looking back at the development of psychology in Taiwan, we can review the progress in various fields from three dimensions. The one is to explore the issues in universality and specific dimension, such as through the holistic concept dominant in the discipline or the topic of specific issues. The other is the temporal dimension, such as the review and outlook through the axis of the historical articulation and futuristic guidance. The third is the spatial dimension, such as the dialectical debate between the globalization and localization involved in the progress of various fields of psychology. Back to the progress of clinical psychology in Taiwan, we pay more attention to the link the science and application to solve the separation crisis between theory and practice. In this paper, literature review method is applied to inquire into the discussion of clinical psychology in Taiwan. It is not based on diachronic review, but on the combination of specific and universal themes, as well as the characteristics of local research outcome through the sampling approach and sign approach of the dual strategies to explore. First, it is discussed from the representative sample specific study topic covering three levels of psychopathology, psychological assessment and psychotherapy, including autism, sleep psychology, breast cancer psychological growth, and cardiac psychology research. Second, it is to discuss the characteristics of neuropsychological and rehabilitation psychology and the development of humanistic clinical psychology with the sign approach. Through the sampling and sign approach review, it shows that the research and development of clinical psychology in Taiwan is the reflective outcomes of the training process of both scientists and practitioners. Finally, under the retrospective results and exposition of the depth, localization and ethical act, we put forward the reflection on clinical practice through research and development, and towards the agenda that has yet to be deepened in further situation.