精神醫療機構演劇心理治療團隊成員對其療效認知之調查

A Survey of Therapeutic Effectiveness with Psychodrama Group Therapy–Psychiatric Team Members' Point of View

本研究旨在探討台灣地區精神科領域的演劇心理治療發展情形與治療團隊成員對心理劇的認知。調查對象取自於15家曾提供心理劇之精神醫療機構的183名成員，回收150份有效問卷，回收率為82%。其中持續參加者38%、停止參加者62%。調查結果：（1）成員對心理劇的正向療效認知較高（52%~87%），肯定心理劇能夠幫助治療者瞭解病人、病人澄清自己的心理問題、舒緩情緒、改善行為及增進病識感等項。（2）成員持續參加的主要原因以合作愉快、學習專門知識、自我成長、個人興趣及認同治療成效等項。（3）停止參加的主要原因以職務調整、自己有重要的任務、擔任導演壓力大及缺乏臨床指導等項。（4）歸納部份機構停止，心理劇的因素如：導演培訓困難、團隊組成困境、主管支持度不足及不符合醫療成本等項。（5）目前台灣地區仍有8所精神醫療機構提供心理劇。整體而言成員對心理劇仍保有參與動機，期待學會開辦研習會。從以上發現成員肯定心理劇的療效，是精神醫療領域中應繼續推動和支持的治療模式。

This study focused on the working perspectives concerning the development of psychodramatic in Taiwan . One hundred and eighty-three professionals, who involved in psychodramatic treatments in 15 psychiatric facilities, were asked to give opinions to the designed questionnaire by mailing and 150 (82%) responded. Fifty-seven (38%) members have been continuing actively to participating in psychodrama group therapy while ninety-three (62%) have discontinued. The results of this study are as follows: 1) Majority of respondents indicated positive affirmation of the therapeutic effect of psychodrama (52%-87%), in terms of more understanding of the patients, increasing the patients' understanding of their own problems, calming down the patients' emotional tension, improving their social behaviors and helping them gaining insight. 2) Personal reasons for continuation of working with psychodrama are to find pleasant cooperation between the members, to secure personal interest, professional knowledge and self-growth, and to accomplish the therapeutic effect. 3) In contrast, personal reasons for discontinuing psychodrama are: facing to career choice, feeling much pressure to be a director and lacking clinical guidance I supervision. 4) From the organizational point of views, there were following reasons for discontinuing the psychodrama group: difficulty for training a director and composing a psychodrama team, lack of support from the high-rank administration, and low estimation of cost-effectiveness. 5) In the present, there are eight hospitals still actively carrying on psychodramatic treatments in Taiwan. Overall, the respondents are full of interest, quite motivated and well expecting to practice psychodrama in the future. In conclusion, the psychiatric personnel strongly recommend supporting the promotion of the psychodrama therapy model for health care system in Taiwan.