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    题名: 華人心理治療中個案饋贈對治療關係的影響:心理治療者的觀點
    The impacts of client’s gift-giving on therapeutic relationship in Chinese psychotherapy: The counselor’s perspective
    作者: 丘惠媚
    Yau, Wai-Mei
    贡献者: 陳婉真
    Chen, Wan-Chen
    丘惠媚
    Yau, Wai-Mei
    关键词: 華人文化
    治療關係
    饋贈行為
    諮商倫理
    Chinese culture
    Therapeutic relationship
    Gift-giving behavior
    Counseling ethics
    日期: 2023
    上传时间: 2023-07-06 15:21:15 (UTC+8)
    摘要: 本研究分析華人心理治療中個案饋贈之形態和意義、揭示饋贈對治療關係之影響以及探討饋贈現象下心理師的因應方式。本研究運用深度訪談法,與四位年資逾十五年的資深心理師進行半結構式訪談。研究結果顯示,個案的饋贈原則以禮輕情意重為主,送禮前個案會先觀察心理師的喜好或需要,再送上相應的禮物。在饋贈時,個案傾向透過脈絡化輕描淡寫饋贈的心意以淡化饋贈的獨特性,令饋贈顯得稀鬆平常。至於饋贈的意義,饋贈在治療關係中除了具備人情的三種涵義外,饋贈行為亦是個案把日常社交互動帶到治療關係的一種嘗試。此外,本研究認為饋贈對治療關係之影響是由禮物所觸發之情緒所孕育而生。收受或拒絕饋贈分別會觸發心理師和個案的正負向情感,這些情緒皆會對個案及心理師的心理狀態和互動產生相應之變化,由此對治療關係造成不同影響。最後,在因應方式上,面對個案的饋贈,心理師的因應方式隨閱歷和工作經驗的增加而有所不同。縱使心理師的因應方式隨著歲月而有所改變,但心理師由始至終都相當重視饋贈的倫理考量,其主要考量因素是禮物的價格、禮物是否單純以及個案的議題。另外,心理師與個案對於饋贈的討論不但能深化治療關係,個案在討論的過程中也大有裨益。
    This study analyzed the pattern and meaning of clients’ gift-giving behavior(GGB) in Chinese psychotherapy, revealed the impact of GGB on the therapeutic relationship, and examined counselors’ coping strategies for clients’ GGB. Using in-depth interviews, four semi-structured interviews were conducted with four experienced counselors with over 15 years of experience. The results revealed that the principle of clients’ gift-giving was not the gift that counts, but the thought behind it (Chinese idiom lǐ qīng qíng yì zhòng). Before clients delivered the gift, they observed the preferences or needs of their counselor. During gift-giving, clients tended to downplay the uniqueness of the gift by contextualizing their GGB, making the gift seem ordinary. For the meaning of gift-giving in the therapeutic relationship, it not only symbolized the three meanings of Renqing, clients’ GGB was also an attempt to bring daily social interactions into the therapeutic relationship. In addition, this study suggested that the impact of GGB on the therapeutic relationship was nurtured by the emotions triggered by GGB. Accepting or rejecting the gift triggered positive and negative emotions in the counselor and the client, which caused corresponding changes in their psychological condition and interaction, and the therapeutic relationship was thus affected. Besides, counselors’ attitudes towards GGB and how they cope with it varied with their work experience. Although counselors’ coping strategies changed over time, examining the gifts ethically was always important to counselors, their three major ethical considerations towards it were the price of the gift, the pureness of the gift, and the client per se. Furthermore, this study demonstrated that the discussion of GGB between the counselor and the client not only deepened the therapeutic relationship, but also benefited the client.
    參考文獻: 大紀元(2015年9月12日)。教師節為什麼變成了「送禮節」?。台灣大紀元。取自 https://www.epochtimes.com.tw/n140785/教師節為什麼變成了送禮節-.html
    王仕圖、吳慧敏(2003)。深度訪談與案例演練。載於齊力、林本炫(主編),質性研究方法與資料分析(95-114頁)。高雄市:復文圖書。
    中國心理學會(2018)。中國心理學會臨床與諮詢心理學工作倫理守則(第二版),心理學報,50(11),1314-1322。
    台灣輔導與諮商學會(2001年11月16日)。台灣輔導與諮商學會諮商專業倫理守則。取自http://www.guidance.org.tw/ethic_001.html
    朱潤、楊寅、錢銘怡(2013)。高校諮詢中心諮訪雙方對送禮的認知及決策差異。中國心理衛生雜誌,27(11),840-843。
    李放春、劉瑜(譯)(2000)。禮物的流動 : 一個中國村莊中的互惠原則與社會網絡(原作者:閻雲翔)。上海:上海人民。(原著出版年:1996)
    汪珍宜、何翠萍(譯)(1989)。禮物 : 舊社會中交換的形式與功能(原作者:牟斯)。臺北市 : 遠流。(原著出版年:1954)
    林利珊(2015)。從正念、正向心理學預防心理師的專業耗竭。諮商與輔導,349,2-5。
    林美芳、張馥媛、王智弘(2009)。臨床心理師非性雙重關係倫理態度與行為之調查研究。台灣公共衛生雜誌,28(6),530-540。
    金耀基(2013)。中國社會與文化。香港:牛津大學出版社。
    胡適(1927)。中國哲學史大綱 。上海:商務印書館。
    徐宗國(1996)。紮根理論研究法:淵源、原則、技術。載於胡幼慧(主編),質性研究:理論、方法及本土女性研究實例(47-73頁)。臺北市:巨流圖書。
    馬晨光(2009)。對禮物的符號學思考。齊齊哈爾師範高等專科學校學報,2009(1),102-103。
    高雋、錢銘怡、蔡文虹、鄧晶(2008)。心理諮詢師/治療師與來訪者對職業倫理的態度比較。中國心理衛生雜誌,22(1),68-72。
    梁漱溟(2013)。中國文化要義。臺北市:臺灣商務。
    曾文星(2004)。華人的心理與治療。臺北市:桂冠。
    黃光國(1995)。知識與行動 : 中華文化傳統的社會心理詮釋。臺北市:心理。
    黃婷蔚、陳慈樸(2014)。諮商師專業耗竭與自我界線的覺察之倫理議題探討。家庭教育雙月刊,50,26-31。
    葉斌、朱建軍、鄭寧(2002)。關於心理諮詢與治療中來訪者請客送禮的討論。中國心理衛生雜誌,16(3),211-213。
    齊力(2003)。質性研究方法概論。載於齊力、林本炫(主編),質性研究方法與資料分析(1-18頁)。高雄市:復文圖書。
    趙旭東、孫珉(譯)(2005)。禮物、關係學與國家 : 中國人際關係與主體性建構(原作者:楊美惠)。臺北市:南天。(原著出版年:1994)
    鄭伯壎(2005)華人組織行為研究的方向與策略:由西化到本土化。載於楊國樞(主編),華人心理治療與倫理(191-244)。臺北市:桂冠。
    蔡甫昌、張賢政、張至寧(2007)。醫師面對病患餽贈所涉倫理議題。台灣醫學,11(2),206-215。
    樊和平(1995)。中國倫理的精神。臺北市:五南。
    劉淑慧(1987)。助人工作者職業倦怠量表之編製與調查研究(未出版之碩士論文)。取自https://hdl.handle.net/11296/c7k7r9
    樂晶(2006)。轉型中國城市居民禮物交換模式與特徵初探。江西師範大學學報(哲學社會科學版),39(1),52-57。
    蕭洪恩、王娟、馬丹(2010)。禮物的話語:春節場域下送禮演繹模式的文化解讀。中南民族大學學報(人文社會科學版),30(5),1-6。
    錢銘怡(2011)。禮物:困擾諮詢雙方的難題。心理與健康,1,65-67。
    American Counseling Association (2014). ACA code of ethics. Retrieved from https://www.counseling.org/resources/aca-code-of-ethics.pdf
    Alamri, Y. A. S. (2012). Gift-giving in the medical student-patient relationship. Journal of Medical Ethics, 38(8), 506-507.
    Bhatia, A., & Gelso, C. J. (2018). Therapists` perspective on the therapeutic relationship: Examining a tripartite model. Counselling Psychology Quarterly, 31(3), 271-293.
    Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research, Practice, 16(3), 252-260.
    Brown, C., & Trangsrud, H. B. (2008). Factors associated with acceptance and decline of client gift giving. Professional Psychology: Research and Practice, 39(5), 505-511.
    Caddell, A., & Hazelton, L. (2013). Accepting gifts from patients. Canadian Family Physician, 59(12), 1259-1260.
    Cheal, D. J. (1988). The gift economy. London, England: Routledge.
    Davies, M. (2007). Boundaries in counselling and psychotherapy. London, England: Athena Press.
    Dineen, T. (2002). The psychotherapist and the quest for power: How boundaries have become an obsession. In Lazarus, A. A., & Zur, O. (Eds.), Dual relationships and psychotherapy (pp. 239-247). New York, NY: Springer.
    Drew, J., Stoeckle, J. D., & Billings, J. A. (1983). Tips, status and sacrifice: Gift giving in the doctor-patient relationship. Social Science & Medicine, 17(7), 399-404. doi:10.1016/0277-9536(83)90343-X
    Dunn, E. W., Huntsinger, J., Lun, J., & Sinclair, S. (2008). The gift of similarity: How good and bad gifts influence relationships. Social Cognition, 26(4), 469-481.
    Fairbank, J. K. (1983). The United States and China (4th ed.). Cambridge, Mass: Harvard University Press.
    Frank, J. D., & Frank, J. B. (1991). Persuasion and healing (3rd ed.). Baltimore, M.D: Johns Hopkins University Press.
    Frijda, N. (1988). The laws of emotion. American Psychologist, 43(5), 349–358.
    Garfield, S. L. (1989). The pratice of brief psychotherapy. New York, N.Y: Pergamon Press.
    Gelso, C. J., & Carter, J. A. (1985). The relationship in counseling and psychotherapy: Components, consequences, and theoretical antecedents. The Counseling Psychologist, 13(2), 155-243.
    Gelso, C. J., & Carter, J. A. (1994). Components of the psychotherapy relationship: Their interaction and unfolding during treatment. Journal of Counseling Psychology, 41(3), 296-306. doi:10.1037/0022-0167.41.3.296
    Gerig, M. (2004). Receiving gifts from clients: Ethical and therapeutic issues. Journal of Mental Health Counseling, 26(3), 199-210.
    Giesler, M. (2006). Consumer gift Systems. Journal of Consumer Research, 33, 283-290.
    Guba, E. (1981). ERIC/ECTJ annual review paper: Criteria for assessing the trustworthiness of naturalistic inquiries. Educational Communication and Technology, 29(2), 75-91.
    Hahn, W. K. (1998). Gifts in psychotherapy: An intersubjective approach to patient gifts. Psychotherapy: Theory, Research, Practice, Training, 35(1), 78-86.
    Hill, C. E. (2005). Therapist techniques, client involvement, and the therapeutic relationship: Inextricably intertwined in the therapy process. Psychotherapy: Theory, Research, Practice, Training, 42(4), 431-442.
    Hu, H. C. (1944). The Chinese concepts of "face". American Anthropologist, 46(1), 45-64.
    Hundert, E. M. (1998). Looking a gift horse in the mouth: The ethics of gift-giving in psychiatry. Harvard Review of Psychiatry, 6(2), 114-117.
    Jacobs, J.B. (1979). A preliminary model of particularistic ties in Chinese political alliances: Kan-ch’ing and Kuan-hsi in a rural Taiwanese township. China Quarterly, (78), 237-73.
    Knox, S., Hess, S. A., Williams, E. N., & Hill, C. E. (2003). "Here`s a little something for you": How therapists respond to client gifts. Journal of Counseling Psychology, 50(2), 199-210.
    Kritzberg, N. I. (1980). On patients` gift-giving. Contemporary Psychoanalysis, 16(1), 98-118.
    Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy: Theory, Research, Practice, Training, 38(4), 357-361.
    Lazarus, A. A. (2002a). How certain boundaries and ethics diminish therapeutic effectiveness. In Lazarus, A. A., & Zur, O. (Eds.), Dual relationships and psychotherapy (pp. 25-31). New York, NY: Springer.
    Lazarus, A. A. (2002b). Psychologists, licensing boards, ethics committees, and dehumanizing attitudes: With special reference to dual relationships. In Lazarus, A. A., & Zur, O. (Eds.), Dual relationships and psychotherapy (pp. 239-247). New York, NY: Springer.
    Leszek, N. (2008). Social and moral functions of gifts and the issue of corruption: Western and Chinese perspectives. Journal of Holistic Education, 2, 56-99.
    Luo, Y. (2000). Guanxi and business. Singapore, Singapore: World Scientific.
    Lyckholm, L. J. (1998). Should physicians accept gifts from patients? Journal of the American Medical Association, 280(22), 1944-1946.
    Neukrug, E., & Milliken, T. (2011). Counselors` perceptions of ethical behaviors. Journal of Counseling and Development, 89(2), 206-216.
    Patel, R. M., & Miller, R. (2012). When a patient presents with a present: Quantitative and qualitative assessment of gifts given to psychiatrists. Ethical Human Psychology and Psychiatry, 13(3), 209-228.
    Pennebaker, J. W. (1990). Opening up: The healing power of expressing emotions. New York, N.Y: Guilford.
    The US National Retail Federation (2021). Winter Holidays Data Center. Retrieved from https://nrf.com/insights/holiday-and-seasonal-trends/winter-holidays/winter-holidays-data-center
    Qian, M., Gao, J., Yao, P., & Rodriguez, M. A. (2009). Professional ethical issues and the development of professional ethical standards in counseling and clinical psychology in China. Ethics & Behavior, 19(4), 290-309.
    Qian, W., Razzaque, M. A., & Keng, K. A. (2007). Chinese cultural values and gift-giving behavior. Journal of Consumer Marketing, 24(4), 214-228.
    Reich, W. (1949). Character analysis. New York, N.Y: Noonday.
    Rim, S., Min, K. E., Liu, P. J., Chartrand, T. L., & Trope, Y. (2018). The gift of psychological closeness: How feasible versus desirable gifts reduce psychological distance to the giver. Personality and Social Psychology Bulletin, 45(3), 360-371.
    Sherry, J. F. (1983). Gift giving in anthropological perspective. Journal of Consumer Research, 10(2), 157–168.
    Smolar, A. (2002). Reflections on gifts in the therapeutic setting: The gift from patient to therapist. American Journal of Psychotherapy, 56(1), 27-45.
    Smolar, A. I., & Eichen, A. E. (2013). A developmental approach to gifts in long-term group psychotherapy extending from an anniversary ritual. International Journal of Group Psychotherapy, 63(1), 77-94.
    Soma, C. S., Baucom, B. R. W., Xiao, B., Butner, J. E., Hilpert, P., Narayanan, S., . . . Imel, Z. E. (2020). Coregulation of therapist and client emotion during psychotherapy. Psychotherapy Research, 30(5), 591-603.
    Spandler, H., Burman, E., Goldberg, B., Margison, F., & Amos, T. (2000). A double-edged sword: Understanding gifts in psychotherapy. European Journal of Psychotherapy & Counselling, 3(1), 77-101.
    Stein, H. (1965). The gift in therapy. American Journal of Psychotherapy, 19(3), 480-486.
    Talan, K. H. (1989). Gifts in psychoanalysis. The Psychoanalytic Study of the Child, 44(1), 149-163.
    Weakland, J. H. (1950). The organization of action in Chinese culture. Psychiatry, 13(3), 361-370. doi:10.1080/00332747.1950.11022787
    Werbart, A., Byléhn, L., Jansson, T. M., & Philips, B. (2022). Loss of rituals, boundaries, and relationship: Patient experiences of transition to telepsychotherapy following the onset of COVID-19 pandemic. Frontiers in psychology, 13, 1-14.
    Williams, M. H. (1997). Boundary violations: Do some contended standards of care fail to encompass commonplace procedures of humanistic, behavioral, and eclectic psychotherapies? Psychotherapy: Theory, Research, Practice, Training, 34(3), 238-249.
    Willingham, B., & Boyle, M. (2011). ‘Not a neutral event’: Clinical psychologists` experiences of gifts in therapeutic relationships. Psychol Psychother, 84(2), 170-183.
    Zhang, Y., & Epley, N. (2012). Exaggerated, mispredicted, and misplaced: When "it`s the thought that counts" in gift exchanges. Journal of Experimental Psychology: General, 141(4), 667-681.
    Zur, O. (2007). Boundaries in psychotherapy: Ethical and clinical explorations. Washington, D.C: American Psychological Association.
    描述: 碩士
    國立政治大學
    輔導與諮商碩士學位學程
    108172011
    資料來源: http://thesis.lib.nccu.edu.tw/record/#G0108172011
    数据类型: thesis
    显示于类别:[輔導與諮商碩士學位學程] 學位論文

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