諮商師性別偏見對不同性別個案...

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國立台中教育大學諮商與應用弖理學系 碩士論文 指導教授:韓楷檉博士 諮商師性別偏見對不同性別個案 概念化之影響 研 究 生:賴宜均 撰 中華术國九十九年七月

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  • I

  • II

    The influence of counselors sex bias on case

    conceptualization

    Abstract

    The study explored when counselors were faced with male/female clients,

    whether or not they set a different standard of mental health, used different

    treatments, form different conceptualization, or interpreted the client in a

    different way. By means of analyzing case conceptualization questionnaires

    from 18 counselors, the researcher made the following conclusions:

    1. Counselors assessments of problems: Male clients career issue tended to

    be considered the key issue. Female clients problems were apt to be

    viewed as the self issue.

    2. Male clients counselors focused on instrumental exploration, setting the

    career assurance as the goal; female clients counselors concentrate on

    self-improvement, taking the self-efficacy enhancement as the objective.

    3. In working orientation aspect, female clients counselors are willing to

    lead the clients to see their position in the mainstream frame in systematic

    view.

    4. Counselors expect male clients for more improvement than female clients.

    5. The sex bias in case conceptualization is as follows

    (1) Counselors refer to the sex-role schema as the basis of

    conceptualization and strategies-froming.

    (2) Male clients have restricted self-exploration in counseling sessions.

    (3) Female clients career issues might not be dealt with in an aggressive

    process.

    key words: mental counselors, sex bias, case conceptualizaiton

  • III

    01

    05

    05

    07

    14

    23

    29

    57

    60

    62

    63

    65

    68

  • IV

    71

    76

    80

    - 83

    89

    90

    99

    104

    109

    117

  • V

    2-1 09

    2-2 12

    2-3 16

    2-4 Loganbill Stoltenberg 30

    2-5 Stevens Morris 33

    2-6 199940

    2-7 43

    2-8 200152

    2-9 54

    3-1 61

    3-2 62

    4-1 71

    4-2 74

    4-3 79

    4-4 80

    4-5 84

    2-1 10

    2-2 21

    3-1 66

  • 1

    (social justice

    Constantine, Hage, Kindaichi & Bryant, 2007

    (stereotype)

  • 2

    (gender bias) 1970

    20012002Danzinger & Welfel, 2000;

    Seem & Johnson, 1998

    (social construction)

    Seem & Johnson, 1998

    Gilbert, 1980; Worell Remer, 1992; Gilbert & Scher,

    1999/2008

    Danzinger Welfel2000

  • 3

    Cook, Warnke, & Dupuy, 1993

    1997

    (double binds

    2004

    Helms Cook

    1999

    2004Danzinger Welfel2000

    Yalom

    1995/2001, p105

  • 4

    2001

    Constantine 2007

    Abreu2000

  • 5

    1.

    2.

    3.

    (sex bias)

    (counselor)

  • 6

    (case conceptualization)

  • 7

    (sex)

    /Bem, 1993;

    Gilbert & Scher, 1999/2008---

    (sex)

    ---(gender)

    Gilbert & Scher, 1999/2008

    Sherif1982

    Brannon, 2008

  • 8

    Deaux & LaFrance, 1998 Gilbert & Scher,

    1999/2008

    Burr, 1998/2002

    (gender socialization)

    1999Keller

    1992

    Gilbert & Scher,

    1999/2008

    Gilbert & Scher, 1999/2008

    Scher, 1994 Gilbert & Scher,

    1999/2008

  • 9

    Gilbert Scher1999/2008

    2-1

    2-1

    43~47Gilbert & Scher

    1999/2008

    Gilbert & Scher,

    1999/2008

  • 10

    (gender

    differentiation)

    Pogrebin1983

    Maccoby Jacklin1974

    2-1

    2-1

  • 11

    1999

    (instrumental traits)

    (expressive traits)

    2005Brannon2008

    true

    womanhood---

    pietypuritysubmissivenessdomesticity

    masculinity

    2-2

  • 12

    2-2

    piety

    purity

    submissiveness

    domesticity

    No sissy stuff

    The big wheel

    The sturdy oak

    Give em hell

    Gender: Psychological Perspectives (5th ed.; p.50), by L.

    Brannon, 2008, New York, Pearson Education.

    1991

    2003

    Paul1998Mahzarin Banaji

    Brannon, 2008

  • 13

    Weber1995

    Aronson

    Aronson, Wilson & Akert,

    1995

    Sears, Freedman & Peplau, 1987

    2004

    Tajfel, Flament, Billig, & Bundy; 2003

    2004

    Miller1980

    Fear-Fenn1986

    2003

  • 14

    Weisstein1970

    Brannon, 2008; Enns, 2000

    Freud

    Freud

    (castration anxiety)

    Papalia & Olds, 1992/1994

    2006Freud

    Papalia & Olds, 1992/1994

    Freud

    Brannon, 2008

    2003

  • 15

    1988222-223 2003

    2003

    1.

    2.

    3.

    4.

    5.

    2003

    behaviourism

    psychometrics

    (intrapsychic)

    Sherif, 1979; Gilbert, 1994;

    Hare-Mustin Marecek, 1990; Gilbert & Scher, 1999/2008

  • 16

    Brannon2008

    2-3

    2-3

    Gender: Psychological Perspectives (5th ed.; p.7), by L. Brannon,

    2008, New York, Pearson Education

    .

    MarecekHare-Mustin1987

    Gilbert & Scher,

    1999/200860

    Brannon, 2008

    1970Broverman,

    Broverman, Clarkson, Rosenkrantz & Vogel, 1970; 2001

  • 17

    Gilbert & Scher,

    1999/2008Weisstein1968

    Psychology Constructs the Female

    Chesler

    1972(Women and Madness)

    Chesler

    BrovermanBrovermanClarksonRosenkrantzVogel1970

    (Sex-Role Stereotypes

    and Clinical Judgments of Mental Health)Broverman

    Danzinger & Welfel, 2000Broverman

    2001

    2002Danzinger & Welfel, 2000; Seem & Johnson, 1998

    Sesan, 1983

    19991975 (American Psychological Association,

    APA)

    Betz &

    Fitzgerald,1993; Sesan,1988

  • 18

    Popes1990

    1988

    Betz & Fitzgerald,1993

    (sex violence)

    Seem & Johnson, 1998

    GilbertScher1999/2008

    1.

    2.

    3.

    4.

  • 19

    Constantine 2007

    Gilbert

    Scher(1999/2008)

    Gilbert Scher1999/2008

    1.

    2.

    3.

    Betz & Fitzgerald,1993; Fitzgerald & Nutt,1986;

    Gilbert & Scher, 1999/2008; Hare-Mustin, 1983; Sesan,1988

    1.

    2.

  • 20

    3.

    4.

    5.

    6.

    7.

    8.

    9.

    10.

    1.

    2.

    3.

    4.

    5.

    6.

    7.

    8.

    Deaux Major 1987

    Gilbert & Scher, 1999/2008

  • 21

    (perceiver)(target)

    2-2Deaux Major

    2-2

    Gilbert & Scher(1999/2008) 225

  • 22

    Falvey,

    Bray & Hebert, 2005

    Cook Warnke Dupuy1993

    2006

    (out group)

    Helms Cook1999

    2004

    1997

    Morrow

    2006

    1999Cook, Warnke & Dupuy, 1993; Knudson-Martin & Laughlin,

  • 23

    2005; Seem & Johnson, 1998; Sesan, 1988

    Seem Johnson1998

    :

    2001

    Danzinger

    & Welfel, 200020011999

    Broverman 1970

    Danzinger &

  • 24

    Welfel, 2000

    Cook, Warnke

    & Dupuy,1993

    1997

    (double binds)

    Knudson-Martin Laughlin

    2005

    2004 Nolen-Hoeksema1998

  • 25

    Enns, 2000

    Bepko, 1989;

    Perlick, & Silverstein,1994; Meth, 1990; Pearson, 1993;

    Knudson-Martin & Laughlin, 20052008

    (gender role strain)Pleck1995

    2010

    1.

    2.

    3.

    (Frank & Rothblum, 1983; Kaplan, 1983; Enns,

    2000

    (1995)

  • 26

    Seem

    Johnson1998 210

    Seem Johnson

    Seem Johnson

    Sesan1988 192

    Werner-Wilson, Zimmerman & Price, 1999

    2001

    Sesan

  • 27

    APA1975

    Sesan

    Sesan 1988

    1998

    Fromm1967

    Fromm, 1967:201

    20052004

    1998

  • 28

    Danzinger Welfel2000 147

    Roberson Fitzgerald1990 47

    Cook, et al.,1993

    1997

    1999

    2001 58

  • 29

    Pengilly1988 1954 Pepinsky

    Pepinsky 1999

    Pepinsky& Pepinsky1954

    Falvey, Bray & Hebert,

    2005

    LoganbillStoltenberg1983

  • 30

    2-4

    2-4 LoganbillStoltenberg

    The case conceptualization formatA training device

    for practicum. By Loganbill, C., & Stoltenberg, C, 1983,

    Counselor Education and Supervision, 223, 235-241.

    Pengilly1988

    1.

    2.

    3.

    a. b c. d.

    e.f. g.

    a. b.c.

    d. e.

    a. b.c.

    d. e. f.

    .

  • 31

    /

    1999

    Benard1979

    1.2.

    3.4.5.

    1.

    2.3.

    4.

    5.1.

    2.3.

    4.5.6.7.

    1999

    CormierCormier1991

    CormierCormier

    Cormier Cormier

    assessment

  • 32

    Stevens Morris1995 Loganbill Stoltenberg

    Biggss1988

    2-5

  • 33

    2-5 Stevens Morris

    1.

    2.

    3.

    4.

    5.

    6.

    7.

    8.

    9.

    10.

    11.

    12.

    13.

    14.

    A format for case Conceptualization. by StevensM.J.&

    MorrisS.J., 1995, Counselor Education and Supervision3582-94.

  • 34

    Stevens Morris

    1999 Stevens Morris

    Holloway1995

    1999 Holloway

    Berman1997

    what the client is like

    why the client is like this

  • 35

    Meier1999

    WillsSanders1997

    Constantine2001

    Sperry2005

    WHAT

    WHY

    HOW

    Sperry2005

    1.

  • 36

    2.

    3.

    Sperry2005

    (pattern analysis)

    case

    conceptualization

    2003199919941996

    1995(case conceptualization)

    (conceptualization)

    1991

    1994

    Loganbill Stoltenberg, 1983Cormier& Cormier, 1991

    Abbey, Hunt, & Weister, 1985

  • 37

    1.

    2.3.

    4.

    1995Bernard, 1981;

    Biggs,1988; Lanning, 1996; Morran, Kurpius, Brack & Brack, 1995

    1.

    2.

    3.

    4.

    1995

    1.

    2.3.

    4.5.

  • 38

    6.7.

    1996

    1.

    2.

    3.

    1996Bernard

    1.2.

    3.4.5.

    6.

    7.

    Bernard

    1999

  • 39

    1999

    1.2.3.

    4.5.6.

    7.8.9.

    2-6

  • 40

    2-6 1999

    1

    2

    3

    4

    5

    6

    7

    8

    1999

  • 41

    2000

    2003

    2002

    2009

  • 42

    2-7

  • 43

    2-7 Loganbill

    Stoltenberg

    1983

    Stevens

    Morris

    Bernard Cormier

    Cormier

    1991

    1995

    1

    2

    3

    4

    5

    6

    7

    8

    9

  • 44

    2-7

    Loganbill Stoltenberg1983 Cormier Cormier1991

    Bernard19791995

    Stevens Morris19951999

    Berman, 1997

    (treatment planning)Falvey, Bray &

    Hebert, 2005

  • 45

    2001

    Pengilly1988

    2001Loganbill

    Stoltenberg1983

    Bernard1979

    19891999Murdock1991

    1995

    Sperry

    2005)

  • 46

    Sperry2005

    Falvey,2001

    Sperry2005)

    Berman1997

    Cormier Cormier1991

    Murdock1991

    Murdock

    Murdock

  • 47

    1. (core motivation)

    2.

    3.

    4.

    5.

    6.

    1.

    2.

    3.

    4.

    5.

    Sansburay1982

    1

    2

    3

  • 48

    Hieber Noor 1988 Hieber Johnson

    1994

    Gentry1995

    1998 49

    1999

    1999Hill

    1981

  • 49

    Sansbury1982

    MartinMartinMeyer Slemon1986

    MartinSlemon Hallberg

    1989 11 12

    Cummings, Hallberg Martin 1990 1989

    Myfield, Kardash Kivligham1999 4 5

    Stoltenberg1988

  • 50

    199920012001

    Stoltenberg

    1991

    1992

    284

    --

    1994

    between the counseling sessions

    (in the counseling

    sessions)

    1997

    1999

  • 51

    1999Borders Fong

    1994

    Bernard1979

    Stoltenberg1988

    1995

    1999

    1992

    1999

    2001

    1.

    2.

    3.

    4.

    2-8

  • 52

    2-8 2001

    1.

    2.

    3.

    4.

    1.

    2.

    3.

    1.

    2.

    2001

    192, 21-24

    Bernard1979

    1999Anderson1982,1985

    1999

    1991 Martin1984

    Martin 1989 Martin1990

    1999

    1991

  • 53

    12

    3

    FalveyBray Hebert2005

    Constantine2001

    2-9

  • 54

    2-9

    (Constantine & Ladany, 2000)

    2001

    Constantine, 2001; Constantine &

    Ladany, 2000 ;Ladany, Inman & Constantine, 1997

    Constantine(2001 120

  • 55

    Constantine

    22

    1.

    2.

    FalveyBray Hebert2005

    (thinking aloud process-tracing strategy)

    Falvey

    1994(Clinical Treatment Planning

    SimulationCTPS)CTPS 33

    (Delphi technique)

    Falvey CTPS

    Falvey

    Novak,&

    Gowin, 198420022004

    2009

  • 56

    Loganbill,& Stoltenberg,1983; Cormier, & Cormier, 1991;

    Stevens,& Morris, 1995Egan1994

    Berman,

    1997 Constantine2001

  • 57

    HepperKivlighor Wampold1992/1996

    (methodological diversity)

    2001

    (analogue

    research)

  • 58

    20082003

    Patton, 2001(Critical

    Theory)

    self-reflection

    1996

    (Frankfurt School)

    1920

    Morrow, 1994Habermas

    2008

    (critique

    (science

    1996Habermas KantHegel Marx

    Husserl

    Freud

    20052000

  • 59

    Neuman,

    1997/2008

    Comstock 1982

    2008

    1.

    2.

    3.

    4.

    5.

    6.

    7.

  • 60

    (consensus qualitative research, CQR) Hill

    Thompson Williams 1997 (grounded theory)

    (comprehensive process analysis)

    (phenomenological approach)(feminist theories)

    Wang, 2008

    2000

    Hill, Thompson, & Williams, 1997

    (Auditor)

  • 61

    (consensus)

    3-1

    3-1

    11

    7

    3-2

  • 62

    5.8

    3-2

    01 01 5 31-40 **

    02 02 0.5 25-30

    03 03 2.5 31-40

    04 04 13 41-50

    05 05 5 31-40 **

    06 06 10 31-40

    07 07 4 31-40

    08 08 1 31-40 **

    09 09 2 25-30 **

    10 10 3 31-40 **

    11 11 8 31-40

    12 01 3 31-40 **

    13 02 1 25-30

    14 03 1 25-30 **

    15 04 * 41-50

    16 05 25 41-50

    17 06 10 31-40

    18 07 4 31-40 **

    ***

  • 63

    Tesch1990

    2004

  • 64

    Falvey 2005

  • 65

    01 11

    AB

    C

    0102

    09-1C-01

  • 66

    Consensus

    Qualitative Research, CQRHill, Thompson, & Williams, 1997; Hill,

    Knox, Thompson, Williams, Hess, & Ladany, 2005; Wang, 2008CQR

    CQR Hill, et al.,

    1997 Hill

    3-1

    3-1

    1.

  • 67

    (domain)

    2.

    (abstract)

    (domain)

    (abstract)

    3.

    4.

    5.

    6.

    7.

    8.

    9.

  • 68

    Hill 2005

    (general)

    (typical)(variant)

    10.

    11.

    Hill 2005

    Patton1990/1995credibility issue

    Strauss & Corbin,

    1990/1997

  • 69

    Patton1990/1995

    Mcleod, 2003/2006

    (triangulation)

  • 70

  • 71

    4-1

    4-1

    /

    4 3 3 1

    1 1 3 3

    CL

    03-1B-02

  • 72

    10-1B-01

    05-1B-02

    07-1B-02

    11-1B-01

    CL

    07-1B-01 07-1C-01

    01-1B-01

    08-1B-01

    CL 09-1B-02

    CL

    02-1B-01

  • 73

    (ego

    function) 05-1B-01

    01-1B-01

    01-1B-02

    05-1c-02

    06-1B-03

  • 74

    4-2

    4-2

    /

    5 3 2 1 4 1 0 0 0 0

    3 1 0 0 0 0 2 1 1 1

    01-1C-02

    02-1C-01

    07-1C-02

    02-1C-02

    07-1C-01

  • 75

    09-1C-01

    06-1C-01

  • 76

    Hill 2005

    CL 01-2-01

    CL

    CL

    03-2-01

    10-2-01

  • 77

    CL

    02-2-02

    CL

    CL

    04-2-02

    08-2-03

    CL

    CL

    05-2-05

    CL CL

    CL CL

    07-2-04

    06-2-03 06-2-05

  • 78

    01-2-02

    02-2-01 02-2-02

    03-2-01 03-2-02 03-2-03

    A a

    b

    c

    B a BDIBAI

    b

    c 07-2-01

    CL

    04-2-01

  • 79

    4-3

    4-3

    4 1 0 0 6

    0 1 2 1 3

  • 80

    4-4

    4-4

    6 4 0 1 5 4 1 2 3 1 3 2 1

    3 2 1 4 0 3 0 0 0 0 2 0 0

    CL 03-3-01

    C L

    09-3-01

    10-3-01

  • 81

    CL 03-3-01

    07-3-01

    01-3-03

    03-3-03

    07-3-04

    08-3-01

    06-3-01

    11-3-03

    01-3-02

    true self 05-3-01

  • 82

    06-3-01

    07-3-02

    01-3-02

    03-3-02

    04-3-01

    07-3-02

    CL 03-3-01

    02-3-01

    06-3-02

  • 83

    01-3-06

    04-3-02

    CL 11-3-01

    06-3-02 06-3-03

    4-5

  • 84

    4-5

    (2005Brannon, 2008

    Betz & Fitzgerald,1993; Fitzgerald & Nutt,1986; Gilbert

    & Scher, 1999/2008; Hare-Mustin, 1983; Sesan,1988

    2010

  • 85

    (life-span)Hernandez Morales1999

    (multicultural

    competencies)HargroveCreaghKelly2003

    (1)

    (2)

    (3)

    Lynch

    Kilmartin1999

    2010

    Roberson Fitzgerald1990

  • 86

    Levant1998(male

    alexithymia)2010

    2010

    (gendered being)

    2007

    GilbertWalker2001

  • 87

    1.

    2.

    3.

    2010

    1.

    2.

    (non-deficit)

    3.

    4.

    (empowerment)

    5.

    2005

  • 88

    Deaux

    Major1987

    (2007)

    Danzinger Welfel2000

  • 89

    1.

  • 90

    2.

    3.

    4.

    2006

  • 91

    2007/07/03

    2009/01/11

  • 92

    2009/01/17

    8500

    UNDP

    119100 107100

    Kathryn Bigelow

    http://tw.news.yahoo.com/article/url/d/a/100308/19/?http://tw.news.yahoo.com/article/url/d/a/100309/4/?
  • 93

    Kathryn Bigelow

    2010

    2010/3/9

    2010/03/09

    2010/06/11

  • 94

  • 95

    1.

    Carter1992

    2007

    2.

  • 96

    3.

    2007

    1.

    2.

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    1.

    2.

    3.

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    http://www.guidance.org.tw/ethic.shtml

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    1991

    2010

    46(1)32-43

    2005

    492008/12/09 http://www.nhu.edu.tw/~society/e-j/49/49-56.htm

    2000

    36(47-16

    2000Neuman, W. L.1997

    19911213-20

    1995Patton, M. Q.1990

    2008Gilbert, L. A., & Scher, M.1999

    2004

    2000

    1995Aronson, E., Wilson, T. D., & Akert, R. M.(1994)

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    2010

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    2003

    1990

    1999I-D-E

    (2005)41(3)

    11-17

    2006

    2004

    2006244

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    1997Strauss, A. L., Corbin, J.1990

    2009

    2008 18 -

    2005

    13(4)411-413

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    1991

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    1998

    19982007/6/20 http://140.111.34.46/dict/

    1996

    2003:

    2073-104

    2003McLeod, J.2006

    199531(2)37-42

    199834(2)31-34

    2001

    101-39

    2004

    255-274

    2001a

    193, 20-26

    2001b

    192, 21-24

    2003

    1999

    2001

    221-32

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    22193-230

    1996

    1994Papalia, D. E., & Olds, S. W.1992

    1999/

    2002Vivien Bur

    1996

    2004

    40215-26

    1999

    2005

    2006

    20201230

    199733(1)26-31

    1995

    NSC 84-2413-H-018-099

    (1996)Heppner, P. P., Kivlighan, D. M. & Wampold, B. E.1992

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    404642-651

    1991, 13, 10-12

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