臺灣博碩士論文加值系統

本研究的目的為：（1）探討受虐兒童在藝術治療後，對其自我概念的改善效果（2）探討受虐兒童的自我概念在藝術治療過程中的改善歷程。
本研究以一名國小二年級之受虐兒童為對象，以精神分析取向之兒童藝術治療介入。本研究採用單一受試研究之A-B實驗設計，個案接受每週一次，每次50至60分鐘，共十五次的藝術治療。
本研究運用了房子-樹-人測驗（H-T-P）與家庭動力繪畫測驗（K-F-D）、行為觀察記錄表、兒童自我概念問卷、行為困擾量表等研究工具，藉以了解、評估個案的主要問題所在，及其行為變化，並呈現個案在十五次藝術治療活動過程中的改善歷程。
本研究結果顯示如下：
（1）經由藝術治療的介入，個案對自我概念增強，行為困擾降低。
（2）經由藝術治療的介入，個案在治療過程中，由抗拒、防衛的態度，逐漸與研究者建立信任的治療關係。此外，在創作方面個案專注程度與對作品的滿意度都有明顯的改善。
本研究並根據上述結果提出藝術治療藝術受虐兒童若干檢討與建議供實務工作者應用及進一步研究之參考。
關鍵字：藝術治療、受虐兒童、自我概念、個案研究

This research aimed to: (1) discuss the improvement of the self-concept of the abused child after the art therapy intervention; (2) discuss the process that under art therapy.
This research took an abused child in the elementary school of grade 2 as the client, and used the psychoanalytic art therapy as the direction. The A-B experimental design of the single case was taken. The therapy took place in 50-60 minutes a time, once a week, for 15 times.
This research used House-Tree-Person (H-T-P) Projective Test、Kinesthetic-Family-Drawing (K-F-D) Test、Behavior Observation Form、Children’s Self-concept Questionnaire and Behavior Disturbance Measurement as research measurements to understand to problems of the client, and to evaluate the change of the behavior. By those information, the proper art therapy activities that the client needed are provided, and the improving process of the 15 art therapy are presented.
The result of this research showed: (1) the self-concept of the client was enhanced, and the behavior problems were reduced with the intervention of art therapy; (2) the client built reliable therapeutic relationship with the researcher during the art therapy process. Besides, the client’s concentration in the art—making process and the satisfaction to the art works had apparent improvement.
In this thesis, discussion and suggestions of art therapy intervention with an abused child were also provided for the application of relevant practitioners and for the reference of further researches.
Key Word ： Art therapy, Child Abused, Self-concept, A Case Study

目　　次
第一章緒論
第一節 研究動機與目的…………………………………………1
第二節 研究問題…………………………………………………4
第三節名詞解釋…………………………………………………4
第四節研究限制…………………………………………………6
第二章 文獻探討
第一節 受虐事件對兒童造成的影響及其相關研究……………7
第二節 藝術治療的特性與理論……………………..…………16
第三節 藝術治療對受虐兒童的介入……………………..……28
第三章　研究方法
第一節 研究對象…………………………………………..……42
第二節 研究設計…………………………………………..……46
第三節 研究工具…………………………………………..……47
第四節 實施程序…………………………………………..……53
第五節 資料處理…………………………………………..……54
第六節 治療目標…………………………………………..……56
第四章 研究結果與討論
第一節 H-T-P與K-F-D投射測驗前、後測之結果與比較……57
第二節 藝術治療的介入對受虐兒童的改變…………………...65
第三節　個案於治療歷程中的表現……………………………...76
第五章　結論、檢討與建議
第一節　結論………………………………………………….…118
第二節 檢討………………………………………………….…121
第三節　建議……………………………………………….……125
參考文獻
中文部分….………………………………………………………127
英文部分….………………………………………………………129
附錄一 兒童虐待／ 疏忽診斷評估表─身體指標…………….…133
附錄二 兒童虐待／ 疏忽診斷評估表─行為指標…………….…134
附錄三　 個案同意書………………………………………………...136
附錄四　 行為觀察記錄表…………………………………………...137
附錄五　 H-T-P與K-F-D前測之情感特質評量表…………………138
附錄六　 H-T-P與K-F-D後測之情感特質評量表…………………139
附錄七　 H-T-P與K-F-D測驗結果評量表………………………....140
附錄八 藝術治療活動口語表達記表……………………………...141
附錄九 個案藝術創作作品………………………………………...143

中文部份：
中華兒童福利基金會（民85）：兒童虐待統計資料。
王明仁、翁慧圓、何素秋、尤幸玲編（民84）：兒童虐待的診斷與處置。台中：兒童福利基金會。
王明仁、翁慧圓、何素秋、尤幸玲編（民80）：兒童虐待疏忽知多少。台中：兒童福利基金會。
王淑娟（1998）：受虐兒對父母施虐行為之因應初探。東吳大學社會工作研究所碩士論文
何長珠（民84）：應用遊戲治療於受虐兒的三個實例研究。輔導學報，18期， 頁1-37。
邱美華（民81）：繪畫治療團體對國小適應欠佳兒童的自我概念及行為困擾之輔導效果。政治大學心理研究所碩士論文。
余漢儀（民84）：兒童虐待：現象檢視與問題反思。台北：巨流出版社。
林坤隆（民81）：被虐待兒童與少年暴力犯罪之研究。文化大學兒童福利研究所碩士論文。
侯禎塘（民86）：行為導向藝術治療對國小多重障礙兒童行為問題及圖畫概念之輔導效果之研究。台灣師範大學特殊教育研究所博士論文。
陸雅青（民82）：藝術治療：繪畫詮釋─從美術進入孩子的心靈世界。台北：心理出版社。
陸雅青譯（民86）：兒童藝術治療。台北：五南出版社。
陸雅青（民89）：藝術治療團體實務研究──以破碎家庭兒童為例。台北：五南出版社。
陳若璋（民86）：家庭暴力防治與輔導手冊。台北：張老師出版社。
陳姚如（民86）：團體諮商方案對受虐兒童之處理效果研究。彰化師範大學輔導學系碩士論文。
陳孟吟（民86）：性虐待兒童在畫人測驗之分析研究。國立師範大學教育心理與輔導研究所碩士論文。
陳超凡（民76）：兒童被虐待與少年犯罪相關性之研究─台灣地區之實證分析。中央警官警政研究所碩士論文。
陳慧鴻（民87）：沙箱治療對受虐兒童生活適應之影響歷程研究。台南師範學院國民教育研究所碩士論文。
范瓊芳（民85）：家庭動力繪畫概論。台北：五南出版社。
葉貞屏（民81）：受創的幼苗---談遊戲治療對被虐待兒童之應用。初等教育學刊, 1, 173-179頁。
葉貞屏（民83）：應用遊戲治療改善被虐待兒童之自我概念之過程研究。初等教育學刊, 3, 205─236頁。
葉貞屏（民86）：兒童中心式遊戲治療中兒童問題行為改善歷程研究。國立師範大學教育心理與輔導學系博士論文。
黃千佑（民80）：虐待兒童的父母之社會心理探討。東海大學社會工作研究所碩士論文。
黃彥宜（民83）：兒童虐待與家庭。社會建設, 88, 56-66頁。
黃素珍（民79）：父母童年受虐經驗與兒童虐待之研究。東海大學社會工作研究所碩士論文。
黃惠玲、郭明珠、王文秀（民83）：兒童虐待─如何發現與輔導「兒童虐待」家庭。台北：心理出版社。
彭淑華（1998）：家庭暴力的迷思與因應。社區發展季刊，84，48-62。
蔡宜青（民89）：藝術治療對選擇性緘默症兒童的介入─個案研究。台北市立師範學院視覺藝術研究所碩士論文。
劉可屏（民82）：兒童虐待個案案童及其家長、環境之特徵。輔仁學誌, 25,35-38。
鄭瑞隆（民76）：我國兒童被虐待嚴重性之評估研究。文化大學兒童福利研究所碩士論文。
賴念華（民83）：成長團體中藝術媒材的介入：一個成員體驗的歷程分析。台灣師範大學教育與心理輔導研究所碩士論文。
Korbin, Jill E.原著．Child Abuse and Neglect: The Cultural Context. 何素秋譯（民83）：受虐兒童的發展性治療方法。載於：Helfer,Raf E.& Kempe, Ruth S.(eds)《The Battered Child》受虐兒童─美國如何防治兒童受虐。台中：兒童福利會。頁34-37.
英文部份：
AATA (1995). Ethical Standrds for Art Therapists. IL: American Art Therapy Association.
Allan, J. & Berry, P. (1987). Sandplay. Elementary School Guidance & Counseling, 21, 300-306.
Ammerman, R.T. (1990). Etiological models of child maltreatment. Behavior Modification, 14, 230-254.
Anderson, F. E. (1992). Art for all the children: Approaches to art therapy for children with disabilities (2nd ed.). Spring-field, IL: Charles C Thomas.
Azer, S. T. & Pearlmutter, R. (1993). Physical abuse and neglect. In R. T. Ammerman, C. G. Last, & M. Hersen (Ed.). Handbook of perscriptive treatments for children and adolescents (pp.367-382). Boston: allyn and Bacon.
Bandura, A. (1969). Principles of behavior modification. New York: Holt, Rinehart, and Winston.
Barnett, D. ,Vondra, J. I. & Shonk, S. M. (1996). Selfperceptions, motivation, and school functioning of low-income malteated and comparison. Child Abuse & Neglect, 20, 397-410.
Blatner, A. (1992). Theoretical principles underlying creative arts therapies. The Arts in Psychotherapy, 18 (5), 405-409.
Buck, J. N. (1966). The House-Tree_Person technique: Revised manual. Beverly Hills, CA: Western Psychological Sevices.
Burns, R. C. & Kaufman, S. H. (1970). Kinetic Family drawings (K-F-D): An introduction to understanding children through kinetic drawings. New York: Brunner/Mazel.
Cattanch, A. (1992). Play therapy with abuse children. London: Jessica Kingsley Publishers Ltd.
Cerezo, M. A., & Frias, D. (1994). Emotional and cognitive adjustment in abused children. Child Abuse & Neglect, 18, pp.923-932.
Cohen, F. W. & Phelps, R. E> (1985). Incest makers in children’s artwork. TheArts is Psychotherapy, 12(4), pp.265-283.
Dalley, T. (Ed.). (1984). Art as therapy: An introduction to the use of as a therapeutic technique. London/Tavistock/New York: Methuen.
Doyie, J. S., & Stoop, D. (1991). Witness and victim of multiple abuse: Collaborative Treatment of 10-year=old randy in a residential treatment center. In N.B. Webb (Ed.). Play therapy with children in crisis: Acasebook for practitioners (pp.111-142). New York: The Guilford press.
Felt, S. K. (1983). The Effects of Neglect on Children and Implications for Treatment. American Humane Association (pp.15-27). Dever. Co, Inc.
Grubbs, B. L. (1995).Acomparative analysis of the sandplay process of sexally abuse and nonclinical children. Arts in oschotherapy, 22 (5), 429-446.
Halperin, M. (1979). Helping maltreatment children: school and community involvement. St. Louis: The C. V. Mosby Co.
Jantzen, K., Magai, C., Allen, R. (1993). Long term emotional and psychological effects of childhood abuse. Americam Psychological Associatio One Hundred First Annual Convention, 22(8), 17.
Jones, C. O. (1981). Characteristics and needs of abuse and neglected children. In Faller, K. C. (Ed.) Social Work with Abuse and Neglect Children (pp.79-83). New York Free Press, Inc.
Jouriles, Ernest N., Mehta,Paras , McDonald, Renee & Francis ,David J. (1997). Psychometric properties of family members'' reports of parental physical aggression toward clinic-referred children. Journal of consulting and clinical psychology , 65(2), 309-318.
Kendall-Tackett, K. A. (1996). The effects of neglect on academeic achievement and disciplinary problems: A developmental perspective. Child abuse & neglect, 20, 161-169.
Kempe, R. S. (1987). A developmental basis of child abuse and neglect: An epidemiological approach. In R. E. Heler, & R. S. Kempe (Eds.), The battered child(4th ed., pp.360-381). Chicago The University of Chicago Press.
Kline, D. F. (1977). The consequence of neglected case. In Thomas, A. M. (Ed.) Children Alone: What Can be Exceptional Children (pp.53-60)
Kolko, D. J. (1996). Clinical monitoring of treatment course in child physical abuse: psychometric characteristics and treatment comparisons. Child Abuse and Neglect, 20, 23-43.
Koppitz, E. M. (1968). Psychological evaluation of children’s human figure drawings. Yorktown Heights, NY: Psychological Corporation.
Kramer, E. (1971). Art as Therapy with Children. New York: Schocken Books.
Kurtz, P. D., Gaudin, J. M., Howing, P. T., Wodarski, J. S. (1993). Maltreatment and school Age Child: development Outcomes and System Issues. Gerogia Univ., Athens. School of Social Work.
Liebmann, M. F. (1986). Art therapy for groups. London: Croom Helm.
Lowenfeld, V., & Brittain, W. L. (1957). Creative and mental growth. (3rd ed.). New York: Macmillan.
Lowenfwld, V.,& Brittain, W. L. (1987). Creative and mental growth. (8th ed.). New York: Macmillan.
Luntz, B. K. & Widom, C. S. (1994). Antisocial personality disorder in abusedand neglected children grown up. American Journal of Psychiatry, 151(5), 670-674.
Lusebrink, V. R. (1990). Imagery and Visual Expression in Therapy. New York: Plenum Press.
Lusebrink, V. R. (1992). A system oriented approach to the expressive therapy: The expressive therapies continuation. The ArtS in Psychotherapy, 18(5), 395-403.
Lynch, M. (1988). The consequence of child abuse. In Browne K., Davies C. and Stratton P. (Eds)., Early predication and prevention of child abuse. New York: John Wiley and Sons, 203-211.
MacLeer, S. V. (1988). Psychoanalytic perspectives on family violence. In V. B. V. Hasselt, et al (Eds)., Handbook of family violence (pp. 11-30). New York: Plenum Press.
Mann, E., & McDermott, J. F. J. (1983). Play therapy for Victims of child abuse and neglect. In C.E. Schaefer, & K. J. O’Conner (Ed.), Handbook of play therapy (pp.287-307). New York: Awiley-Interscience Pubilcation.
Martin, H. P. (1976). The abused child. Mass: Ballinger Publishing.
Michele, J. M. Wood (1998). What is art therapy? In Mandy P. & Michele, J. M. (Eds.), Art Therapy in Palliative Care (pp.1-11). London/American/Canada: New Fetter Lane.
Mullen, P. E., Martin, J. L., Anderson, J. C., Romans, S. E., & Herbison, G. P. (1996). The long-term impact of the physical emotional, and sexual abuse of children: A community study. Child Abuse & Neglect, 20, 7-21.
Murdock, R. L. (1992). Suffer the Children. A Pediatrician’s Reflections on Abuse. (pp.2-19). Santa Fe, NM: Health Press.
NaumburgPual, J. D., & Arruadarrena, M. I. (1995). Behavior problem in school-age physically abuse and neglected children in Spain. Child Abuse & Neglect, 19, 409-418.
Ogdon, D. P. (1986). Psychodiagnostics and personality assessment: A handbook. Los Angles: Wetern Psychological Services.
Riggs, S., Alario, A. J., Mchorney, C. (1990). Health Risk Behavors and Attempted Stuicide in Adolescents Who Roport Prior Maltreatment. Journal of Pedatric, 116 (5), 815-821.
Rubin, J. A. (1978). Children art therapy: Understanding and helping children grow through art. New York: Van Nostrand Reinhold.
Schubert, D. S. P. (1969). Decrease of rated adjustment on repeat DAP tests apparently due to lower motivation. Journal of Projective Techniques and Personality Assessment, pp.33-34.
Silver, R. A. (1987). A cognitive approach to art therapy. In J. A. Rubin (Ed.), Approaches to Art Therapy: Theory and Technique (pp.233-250). New York: Brunner/Mazel.
Smith, S., Honigsberger, L., ＆ Smith, C. (1973). E.E.G. and Personality Factors in Baby Batterers. British Medical Journal. 2, pp.20-22.
Soong, W. T. & Liu, K. P. (1995). Family violence in Taiwan. Paper presented at 5th scientific Meeting of East Asian Academy of Cultural psychiatry. Tokyo, Japan, January, 25-27.
Soutter, G. (1994). A Comparison of children’s drawings from Ireland and Oman. Irish Journal of Psychology, 15(4), pp.587-594.
Swensen, C. H. (1968). Empirical evaluations of human figure drawings. Psychological Bulletin, 70, pp.20-44.
Thompson, C. L. (1992). Counseling children. California: Brooks.
Toth, S.L., & Cicchetti, D. (1993). Child maltreatment:Where do we go from here in our treatment of victims? In I. E. Sigel (Ed.), Child abuse, child development, and social policy (pp.399-437).
Uhlin, D. M. (1972). Art for exceptional children. Dubuque, IA: Wm. C. Brown.