2009年1月21日 星期三

同理心的層次



層次
反應方式


1.0
諮商員的反應內容和當事人所談的內容不相同,並且也不了解當事人表面的意思與情緒,甚至使當事人產生不被信任、無價值、言語荒謬、被批判等感覺,顯示諮商員不關心、不信任當事人。忽略當事人想法和行為的差距,只是被動的接受當事人消極的行為,不想與他有更進一步的關係。

2.0
諮商員只反映出當事人部分的表面感覺,或曲解他所表達的內容,在沒有真正了解當事人說話內容前,即已依諮商員自己對它的經驗加以曲解反應,或提出不當的建議;或用專家姿態出現而表達其真正感受。諮商員曾簡短地回答對當事人所提事件的看法,但並未接受他所有真正感受與行為的差距,故二者間只是表面層次的溝通。

3.0
諮商員能反映當事人說話的感受,又未曲解其內容,以一種開放坦誠的態度完成彼此間的溝通;但對他所提的問題未能直接立即給予指點方向或行動。簡而言之,即諮商員對當事人所提的問題,能開放的表達對這事的看法與經驗,而且能指出當事人行為上表現的差距,但對解決問題的行動則未予提,出諮商員以較籠統,不牽涉個人內在深層意義的方式和當事人談論二人間的關係。

4.0
諮商員不只反映當事人說話的內容,也表達內在的感覺和意義,更進一步顧及到他的利益,並表達熱切的關心,主動地關切到當事人,以引發當事人特殊的才能。能很清晰地指出當事人想法與行為上的差距,並能具體的予以一個方向,能夠及時地與當事人討論彼此之間的關係。

黃惠惠老師:《助人歷程與技巧》

許願樹──諮商員的自我覺察



從前有一個人,為了尋找出內心最深處的希望而浪跡天涯。他抱著希望從這個城市流浪到另一個城市,從一個國度越過另一個國度,只為尋找充實和快樂。但是,這一路走來都沒有任何斬獲。終於,有一天他累了,他坐在一棵大樹下休息。

這是一棵很偉大的許願樹。任何坐在這棵樹下的人所許的願望都會實現。但是他並不知道。

當他正疲憊地坐在樹下休息時,心想:「多麼漂亮的風景啊!我真希望在這裡能有個家。」之後,在他的眼前馬上出現了一棟豪華的房子。

在驚訝和高興之餘,他心想:「哇!現在只要能有另一半陪著我,這一生就滿足矣。」立刻,有一位亭亭玉立、閉月羞花的女人出現在他面前,輕聲地呼喚他為老公,還親切地向他招手。

他又想:「好了,我肚子餓了,真希望有東西吃。」想完之後,眼前立刻出現一張華麗的宴會桌,桌上陳列佳餚、飲料,包括各式各樣的主菜及甜點。

這時,他感到有幾分累了,心想:「如果有傭人可以服侍我、餵我吃飯該有多好?」無疑地,立刻出現了男侍從。

用餐完畢後,他坐回原來的位子,靠在這棵大樹下,這時他又開始想:「多麼神奇呀!我想的每一件事都能實現,一定有什麼神秘的力量在驅使這一棵大樹。我很懷疑有惡魔住在樹裡面。」他想完以後,在他面前立刻出現了巨大的鬼怪。

這時,他想:「天啊!鬼怪可能會把我吃了。」
最後,他果真被鬼怪給吃了。

──摘自心情調色盤──

2009年1月8日 星期四

你是樂觀的人嗎?——樂觀量表(LOT-R)


請回答下列問題: (A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意 )



  1. 許多時候,我都會預期最好的狀況。 A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意

  2. 對我來說,隨時放輕鬆很容易。 A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意

  3. 如果我認為我會把事情搞砸,就真的會發生。 A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意

  4. 對於我的未來,我總是相當樂觀。 A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意

  5. 我很喜歡與朋友相處。 A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意

  6. 保持工作忙碌,對我非常重要。A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意

  7. 很少有事情是照著我期待的方向走。A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意

  8. 我不太容易感到不安。A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意

  9. 我幾乎不期待好事會發生在我頭上。A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意

  10. 生活中,我感覺自己好事情總是比壞事情發生多。 A.極同意 B.同意 C.普通 D.不同意 E. 非常不同意


計分規則:
1)第1、4、10題 A=1分 B=2分 C=3分 D=4分 E=5分


2)第3、7、9題 A=5分 B=4分 C=3分 D=2分 E=1分


3)第2、5、6、8題不計分,以剩下6題計分,總分在6至30分間

評量結果:


6分為極度樂觀, 7~18分為樂觀, 19~29分為悲觀, 30分為極度悲觀
如果你是極度樂觀與悲觀者: 需要立刻學習正面思考
如果你是樂觀者: 有好的正面思考基礎, 但還需不斷強化正面思考
如果你是悲觀者: 透過正面思考訓練, 避免陷入極度悲觀


(問卷設計:學者Scheier, Carver, & Bridge 整理:鄭呈皇)

**********************************************
LOT-R (Life Orientation Test-Revised)

The Life Orientation Test (LOT) was developed to assess individual differences in generalized optimism versus pessimism. This measure has been used in a good deal of research on the behavioral, affective, and health consequences of this personality variable. A somewhat dated review of that literature can be found in the following article:

Scheier, M. F., & Carver, C. S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy and Research, 16, 201-228.

Although the LOT was widely used, it had some problems. Most important, its original items did not all focus as explicitly on expectations for the future as theory dictated. In part to remedy this deficiency, we developed a modest revision of the LOT, called LOT-R. It was published in the following article:

Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A re-evaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67, 1063-1078.

We (and other people have used the LOT-R in a good deal of research. More information on this work is contained in some of the articles on this list. A Spanish version of the LOT-R can be found here. A French version can be found here. A German version can be found here.

The LOT-R is a very brief measure that is easy to use. Its brevity makes it ideal for use in projects in which many measures are being used. Please note that this is a research instrument, not intended for clinical applications. There are no "cut-offs" for optimism or pessimism; we use it as a continuous dimension of variability.

Here is the LOT-R as it is used in our own work:
------------------------------------------------------------------------

LOT-R

Please be as honest and accurate as you can throughout. Try not to let your response to one statement influence your responses to other statements. There are no "correct" or "incorrect" answers. Answer according to your own feelings, rather than how you think "most people" would answer.

A = I agree a lot B = I agree a little C = I neither agree nor disagree D = I DISagree a little E = I DISagree a lot

1. In uncertain times, I usually expect the best.
[2. It's easy for me to relax.]
3. If something can go wrong for me, it will.
4. I'm always optimistic about my future.
[5. I enjoy my friends a lot.]
[6. It's important for me to keep busy.]
7. I hardly ever expect things to go my way.
[8. I don't get upset too easily.]
9. I rarely count on good things happening to me.
10. Overall, I expect more good things to happen to me than bad.

------------------------------------------------------------------------

Note:
Items 2, 5, 6, and 8 are fillers. Responses to "scored" items are to be coded so that high values imply optimism. Researchers who are interested in testing the potential difference between affirmation of optimism and disaffirmation of pessimism should compute separate subtotals of the relevant items.

2009年1月6日 星期二

Depression, she wrote/ by Peter Lavelle


If you suffer from mild depression, writing about your experiences can help lift your mood, psychologists say.


Published 11/12/2008


[Image source: iStockphoto]


If you're feeling depressed, can writing help?


Joanna Rowling thought it might. She had recently separated from her husband after a disastrous marriage, had a two-year-old child and no job prospects. She soon found the best way to deal with her situation, as well as an emotionally distant father and her mother's early death, was isolate herself in a small flat and write about her experiences.


Joanna is not alone. Many people find writing is a good way to help overcome depression, especially following a traumatic event in the past, says Karen Baikie, a clinical psychologist and post-doctoral research fellow at the School of Psychiatry at the University of New South Wales. She says psychologists and psychiatrists often recommend it to patients suffering from mild depression.


Baikie is running an online study, through the Black Dog Institute*, that looks at how the subject you write about affects your depression – whether it makes a difference if you write about a traumatic event, a positive event, or just something neutral in your everyday life, neither good nor bad.


Just why writing lifts a person's mood is a bit of mystery, she says.


It may simply be that writing is a form of expressing oneself. We've known for centuries that talking about traumatic events with others can help relieve pent up anxiety and depression. 'A problem shared is a problem halved', as the old saying goes.


People who are isolated, who don't have good social networks, or those who find it awkward or embarrassing to unburden themselves to others, may find it easier to express themselves through writing.


Putting your thoughts, feelings and experiences down in black and white can make it easier to reach a conclusion about what they mean.


There's also a theory that the writing process itself actually changes the way the brain processes memories of that event.


Traumatic events tend to be stored in the brain as emotional memory, which has a tendency to jump back up at you at odd times and cause anxiety and depression. By writing your experiences down, you transfer those memories out of emotional memory into everyday memory, so they become part of the humdrum memories of everyday existence, and less likely to intrude into your conscious thinking, Baikie says.


How much should you write? As much as you want. But psychologists typically recommend a minimum of three to four sessions of 20 minutes to an hour each time. Just one session doesn't seem to work, says Baikie.


You don't need to worry about grammar, punctuation, and spelling – no-one is going to mark it or correct it.


You can write about your past, what's happening in the present, or your hopes for the future; or all three. You can write about yourself, your relationship with your spouse, or friends and family.


Some people worry about revisiting a particularly painful event. You don't need to write about it if you don't want to, although one of the advantages of writing is that it allows you to explore places in your life you wouldn't otherwise visit, and there's absolutely no evidence writing about painful experiences does any harm, says Baikie.


You can write longhand, type on a computer, or if you prefer you can record your experiences on a tape recorder or MP3 player. Some people like to illustrate their writing with drawings, pictures or other artwork, while others prefer to express themselves through drawings and pictures without writing anything. This works just as well.


Writing and chronic illness


Writing can also help if you have a chronic illness. Several studies have shown that people who write about their experiences with chronic illness find their symptoms improve.


Much of the work in this field over the last 20 years comes from James Pennebaker, Professor of Psychology at the University of Texas at Austin, and author of the book Opening Up: The Healing Power of Expressing Emotions.


In a 1988 study, published in the Journal of Consulting and Clinical Psychology, Pennebaker and colleagues recruited 50 healthy undergraduates who were told to write about either past traumatic experiences or superficial topics over a four-day period. Six weeks after the writing sessions, students who wrote about past traumas reported more positive moods and fewer physical symptoms than those writing about everyday experiences. They also scored better on tests of immune function.


A 1999 study published in the Journal of the American Medical Association found patients with asthma or rheumatoid arthritis also reported improved symptoms after writing about the most stressful experiences in their lives.


On his website, Pennebaker offers the following tips:



  • Find a time and place to write where you won't be disturbed (at the end of your workday or before you go to bed is ideal).


  • Write for a minimum of 20 minutes a day for four consecutive days.


  • Once you start, keep writing. If you run out of things to write about, repeat what you have already written.


  • Be open and honest and don't hold back.


  • Write about any problem that keeps coming back to your mind over and over; write down what it is about this problem that worries or angers you.


Some of the world's greatest writers suffered from depression; Joseph Conrad, Robert Lewis Stevenson, and Leo Tolstoy, to name a few.


These writers were doing the same thing but attributing their experiences to fictional characters, says Karen Baikie. This allowed them to communicate their experiences to a wider audience.


It worked for Joanna Rowling, whom we mentioned earlier. Writing as J K Rowling, she's the author of the seven Harry Potter books, which, including film rights, have earned her about US$I billion so far.


That ought to be enough to cheer anyone up.


*The Black Dog Institute's 5th annual writing competition is now open – for details and entry form, see the link below.


More info



Confident kids, healthy adults/ by Peter Lavelle



Kids with high levels of confidence and self-control are more likely to be healthy in adulthood, say UK researchers.


Published 26/06/2008


[Image source: iStockphoto]


Do you get annoyed when your child refuses a goodnight kiss, claiming they're too old? When they say it's their room, and you're trespassing? When they demand you adhere to the 2008 Negotiated Pocket Money Agreement, and pay their pocket money on time?


This is a child who knows how to work the system. No adult likes to be in the same household as one of these.


On the other hand, a kid like this, who oozes self-confidence and self-control, is more likely to be fit and well in middle age – the time when he or she begins to realise just what a good parent you actually were all those years ago.


Kids who have high levels of self-confidence and self-esteem and are in control of their lives grow up to be healthy adults, according to researchers from the Universities of Glasgow and Edinburgh.


They looked at a group of several thousand children from birth and followed them as they grew up, over a 30-year period.


These kids, 11,500 of them, were part of a larger study looking at the general health of people living in the UK born in 1970.


Once the kids reached the age of 10, they were given IQ tests and a questionnaire designed to find out the degree of self-control they felt they had in their lives: asking, for instance, questions like 'Do you feel that most of the time it is not worth trying hard because things never turn out right anyway?'; and 'When bad things happen to you, is it usually someone else's fault?' The children were given a score according to how much self-control they had.


The researchers compared these scores with data from 20 years later, when the participants, now aged 30, were asked about their lifestyles and their health: whether they smoked, how much they exercised, whether they were overweight, had high blood pressure, or a mental illness.


After adjusting for socioeconomic status, income, and levels of education (factors that also affect health) the researchers found that the more self-control the subjects showed as children, the better their health turned out to be as adults: they rated their overall health better, they were less likely to be overweight or obese, they were less likely to be psychologically stressed, and (in the case of women) were less likely to have high blood pressure.


What explained the connection between self-confidence as a child and good heath as an adult?
We know from past studies that the more self-control adults have over their lives, the better their health tends to be. People with more control over their lives have more self-esteem and hence a greater incentive to look after themselves – they're more likely to adopt a lifestyle that preserves their good health. They smoke less, exercise more, eat a better diet, get medical check-ups more frequently, and this all translates to less heart disease, diabetes and cancer, and less psychological illness.


If self-control and self-esteem are present in childhood, these character traits tend to be preserved into adulthood and help protect an adult from these conditions, say the researchers.


Encouraging self-control


So if you're a parent, how do you encourage self-control in a child, so that that child grows into a self-confident, healthy adult?


Well, it helps if the child is naturally bright, the researchers say. There's a link between intelligence and self-confidence; the more naturally intelligent a child is, the more likely it is he or she will have control of his or her life.


But self-control is also shaped by childhood experiences – including children's interactions with their parents, say the researchers.


In other words, it can be taught. Parents can help children learn independence, confidence and self-control and increase their chances of being fit and healthy in adulthood.


Here's some typical advice from childhood eductors:


  • Be confident and in control yourself. Your child looks to you as a role model. If your level of self-confidence is high, it will 'rub off' on your child.


  • Keep your expectations realistic. Don't expect too much. Help them aim for goals that are achievable – when they are successful, it will build their self-esteem.


  • Praise the effort, not just the outcome. Winning is good, but trying is the important thing. If the child doesn't succeed, don't make negative personal comments but show the child alternative ways to achieve the goal.


  • Respect a child's individuality. Encourage a child's independence, unique gifts and ability to think differently.


  • Give the child unconditional love. Succeed or fail, they need to know that they're loved and accepted, whatever they do.


Follow these steps and you may not get that goodnight kiss. Your child's bedroom may be as familiar to you as a canal on Mars; you might even get an email asking for interest on overdue pocket money (calculated at bank term deposit rates and compounding).


But you'll have a better relationship with them. In 20 years time they'll be fit and healthy, and you can remind them that they owe it all to you.


More info