諮商研究生與諮商心理師接受心理治療現況

Utilization of Mental Health Services among Counselors and Graduate Students of Counseling: A Survey Study

研究目的：諮商師教育者多數鼓勵研究生接受心理治療，但諮商研究生與諮商心理師接受治療的整體現象如何仍不清楚。本研究旨在了解諮商研究生與諮商心理師接受心理治療的現況及差異。研究方法：本研究採自編問卷，透過郵寄與網路方式共回收有效問卷892份，包含504位諮商研究生與388位諮商心理師。研究結果：（1）八成以上研究參與者曾接受心理治療，以碩士班期間最多；（2）個人成長為動機最多；（3）諮商研究生透過諮商中心尋求治療，諮商心理師則透過專業同儕介紹；（4）諮商結束原因主要是問題已解決；（5）所經歷治療師人數主要是兩位；（6）治療師主要是諮商心理師身份；（7）治療師均主要是心理動力取向；（8）個別諮商以有獲益和無傷害較多；（9）諮商研究生與諮商心理師在治療管道、治療師取向與職稱、治療費用、治療議題上有顯著差異。研究結論：諮商領域接受治療十分踴躍且主動，但接受的個別諮商內涵有別，顯示不同發展階段助人者自我探索、統整以及療癒上需求不同。然而，33.49%諮商研究生與29.64%諮商心理師自覺諮商過程受到傷害比例不低，值得進一步研究探討。

Purpose: Most educators in the field of counseling encourage their graduate students to receive individual counseling. However, the situations of counseling graduate students and counselors receiving individual psychotherapies remains unclear. We investigated the current situations of and difference between counseling graduate students and counselors undergoing individual psychotherapies. Method: We developed a questionnaire and distributed it by mail and on the Internet, resulting in 892 valid participants: 504 counseling graduate students, and 388 practicing counseling psychologists. Results: The analysis indicated: (1) more than 80% of respondents had received individual counseling, and most did so while pursuing a master’s degree; (2) personal development was the dominant motivation for taking individual counseling; (3) most counseling graduate students sought individual counseling through a counseling center, whereas most counseling psychologists did so through peer referral; (4) in most cases, individual counseling was discontinued because a problem had been resolved; (5) most of the respondents had consulted 2 therapists; (6) most of the therapists were practicing counseling psychologists; (7) most of the counselors consulted belonged to the school of psychodynamic psychotherapy; (8) most respondents reported that their therapy was beneficial and atraumatic; and (9) counseling graduate students and counseling psychologists differed significantly in the channel of therapy, school and title of therapist, cost of therapy, and issues for counseling. Conclusion: Counseling graduate students and counseling psychologists exhibited high initiative in taking counseling, but the individual counseling therapies they sought differed in content. This finding indicates that helping professionals in different stages of self-development differ in their need for self-exploration, self-integration, and therapy. Moreover, considering the 33.49% of graduate students and 22.64% of counselors substantial number of respondents who reported trauma as a result of counseling, counseling-induced trauma may warrant further investigation.