敘事意義性、連貫性與對話性：一次治療書寫的敘事理解與分析

Narrative Meaning, Coherence, and Dialogue: Narrative Understanding and Analyses from a Therapeutic Diary

心理諮商與治療的真實面貌是高度依賴語言的活動，不論哪一種諮商與心理治療學派，其過程都是利用談話來進行，治療中的個案利用諮商與心理治療的機會敘說自己，從敘說與重說的言說過程中逐漸改變自己的生活。本文認為從敘事的觀點來看治療歷程與改變，是一種有別於傳統病理模式追求症狀緩解與客觀療效評估的思考，呼應當代心理治療學者對於「敘事」的重新關注，亦對心理諮商與治療研究提出一種另類隱喻的可能性。基於此，本文初步探討與整理敘事改變之相關概念（包括敘事意義性、敘事連貫性、敘事對話性）與分析方法；以一個案主書寫為例，探討敘事概念分析方法的應用；最後，評析敘事分析及其在研究應用上的可行性。

Counseling and psychotherapy rely highly upon language in essence. Through narrative, clients use their personal story in the process of counseling and psychotherapy to represent their memories and reconstruct their lives regardless of different therapeutic approaches. Given the need of an alternative metaphor for counseling and psychotherapy research, this article argues that a narrative analytic perspective resonates with contemporary research, thus is highly recommended. This article focuses on exploration of concepts and analyses of narrative meaning, narrative coherence, and narrative dialogue. An example from a therapeutic diary is given to highlight the application of the concepts and analyses. Finally, the applicability of concepts and analyses for the research of narrative is discussed.