| 摘要: | 本研究旨在探討社會框架對專業助人者所產生的高度期待，時常會使心理師們過於注重並提供高品質的心理治療，從而間接忽略了對自身健康的關懷與處理，對於未來立志成為心理師的研究者而言是不可忽視的心理議題。因此，本研究以長期與受創者工作的心理師為研究對象進行深度訪談，並探討：（一）替代性創傷的心路歷程，以及（二）後設認知覺察對替代性創傷的因應，再透過「整體–形式」的方式呈現其案例，揭示工作經歷至少10年的受訪者對生命展現的淬鍊與韌性。本研究結果以「創傷前的治療歷程」、「創傷中的身心變化」與「創傷後的歷程反思」等三個階段作為劃分，闡述受訪者邁向替代性創傷復原的歷程，並整合出「助己為先，助人為後」、「生理為實，心理為真」、「知識為主，臨床為輔」與「心安為上，術業為重」等四個核心主題，以強調心理師在治療歷程中的壓力調適策略對替代性創傷復原歷程的影響。最後，根據研究限制提出「從助人工作者觀點探討其保護因子」的研究建議，以及「以三級預防來應對替代性創傷」的實務建議，以供讀者參考。
This study aims to explore the high expectations placed on professional helpers by societal frameworks, which often cause psychologists to focus excessively on providing high-quality psychotherapy, thereby indirectly neglecting their own health and well-being. This is an important psychological issue for researchers aspiring to become psychologists in the future. Therefore, this study conducts in-depth interviews with psychologists who have long-term experience working with trauma victims, investigating: (1) the psychological journey of vicarious trauma, and (2) the metacognitive awareness in coping with vicarious trauma. Through a "holistic-form" approach, the study presents cases to reveal the refinement and resilience exhibited by interviewees with at least 10 years of work experience. The study's results are divided into three stages: "pre-trauma therapeutic process," "physical and mental changes during trauma," and "post-trauma process reflection," elucidating the interviewees' journey towards vicarious trauma recovery. Four core themes are integrated: "self-care first, helping others second," "physical reality, psychological truth," "knowledge as the foundation, clinical practice as the supplement," and "peace of mind as paramount, professional expertise as the focus." These themes emphasize the impact of stress adjustment strategies on the recovery process from vicarious trauma in psychologists' therapeutic practices. Finally, the study proposes research recommendations on "exploring protective factors from the perspective of helpers" and practical suggestions for "responding to vicarious trauma with tertiary prevention," providing references for readers. |
