Guidance Quarterly, 54(1), March 2018 以完形治療的觀點看儲物症之成因 The Causes of Hoarding Disorder: A Gestalt Therapy Perspective 1 游心慈 Hs

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1 Guidance Quarterly, 54(1), March 2018 以完形治療的觀點看儲物症之成因 The Causes of Hoarding Disorder: A Gestalt Therapy Perspective 1 游心慈 Hsin-Tzu Yu 1 摘要儲物症 ( 又譯囤積症 ) 是現代社會的文明病, 患者因囤積物品而導致居住空間雜亂不堪, 不但影響了個人生活人際功能, 也會影響重要他人的生活品質, 甚至增加整個社會的負擔儲物症於 2013 年始正式公告於精神疾病診斷準則手冊第五版中, 目前相關研究甚少, 但盛行率卻已開始提升, 顯示我們有必要正視儲物症的預防與治療, 探討其可能成因與療法本文目的即是透過完形治療的觀點來詮釋儲物症, 以完形觀點解釋其成因, 盼望進一步引發相關治療或介入方案的生成, 乃初步論述性文章首先描述儲物症的診斷盛行率, 並回顧現有之相關研究, 接著概述完形治療的三大觀點 - 未竟事宜接觸循環圈與接觸干擾 - 嘗試透過完形治療的觀點說明儲物症的成因, 最後總結全文並指出可能的治療方向關鍵詞 : 壹前言 2006 Hoarding disorder DSM Kress, Stargell, Zoldan & Paylo, Oltmanns & Emery, 2015 DSM cd031111@yahoo.com.tw 49

2 Carbonella & Timpano, 2015 Seedat & Stein, 2002 J o n e s - S m i t h, 貳儲物症一儲物症的診斷 ( 一 ) 精神疾病與診斷手冊 (DSM-5) DSM

3 ( 二 ) 國際疾病傷害及死因分類標準第十版 (ICD-10) ICD F42.3 ICD LIST, 2018 二儲物症的病程與盛行率 6%1.2% Oltmanns & Emery, Steketee & Frost, 2003 三儲物症之成因與現行療法 Carbonella & Timpano, 2015 Wheaton, Abramowitz, Jacoby, Zwerling & Rodriguez, 2016 Steketee & Frost, 2003 Kress, Stargell, Zoldan & Paylo, 2016 Raines, 51

4 Portero, Unruh, Short & Schmidt, 2015 P o r t e r o, D u r m a z, R a i n e s, S h o r t & S c h m i d t, 2015 Steketee & Frost, 2003 Kress, et al., 2016 Tolin, Frost, Steketee & Muroff, M u r o f f, Steketee, Frost & Tolin, 2014 Tompkins, 2014 Kress, et al., 2016 Dobrian, 2015 參完形治療的觀點一完形治療概觀 Jones-Smith, 二圖形 / 背景與未竟事宜 52

5 Jones-Smith, 2014 Unfinished Business 2009 三接觸循環圈與接觸干擾 2010 圖一 2010Joyce, P. & Sills, C

6 2002 Perls Jones-Smith, 2014 肆以完形治療的觀點詮釋儲物症之成因 Wheaton, et al., 2016 Portero, et al., 2015 Steketee & Frost, 2003 Steketee & Frost,

7 伍結論 Steketee & Frost, 參考文獻 2015 American Psychiatric Association Petruska Clarkson 1989, Joyce, P. & Sills, C

8 general/index.html#cat_list Hoarding disorder newcongress.tw/?p=3387 Carbonella, J. Y., & Timpano, K. R. (2015). Examining the link between hoarding symptoms and cognitive flexibility deficits. Behavior Therapy, 47 (2), Dobrian, J. (2015). Hoarding disorder: the ten ton problem & the elephant in the r o o m. J o u r n a l o f P r o p e r t y Management, 80 (2), ICD LIST. (2018). ICD-10 Diagnosis Code F42.3 [Diagnosis code]. Retrieved from Jones-Smith, E. (2014). Theories of counseling and psychotherapy: An i n t e g r a t i v e a p p r o a c h. S a g e Publications. Kress, V. E., Stargell, N. A., Zoldan, C. A., & Paylo, M. J. (2016). Hoarding disorder: diagnosis, assessment, and treatment. Journal of Counseling & Development, 94(1), Muroff, J., Steketee, G., Frost, R. O., & To l i n, D. F. ( ). C o g n i t i v e behavioral therapy for hoarding disorder: Follow-up findings and predictors of outcome. Depression and anxiety, 31 (12), Oltmanns, T. F. & Emery, R. E. (2015). Abnormal psychology (8 th edition). Boston: Pearson. Portero, A. K., Durmaz, D. A., Raines, A. M., Short, N. A., & Schmidt, N. B. (2015). Cognitive processes in hoarding: The role of rumination. Personality and Individual Differences, 86, Raines, A. M., Portero, A. K., Unruh, A. S., Short, N. A., & Schmidt, N. B. (2015). A n i n i t i a l i n v e s t i g a t i o n o f t h e relationship between insomnia and h o a r d i n g. J o u r n a l o f c l i n i c a l psychology, 71 (7), Seedat, S., & Stein, D. J. (2002). Hoarding in obsessive-compulsive disorder and related disorders: a preliminary report of 15 cases. Psychiatry and Clinical Neurosciences, 56 (1), Steketee, G., & Frost, R. (2003). Compulsive hoarding: current status of the research. Clinical Psychology Review, 23 (7), Tolin, D. F., Frost, R. O., Steketee, G., & Muroff, J. (2015). Cognitive behavioral therapy for hoarding disorder: A meta analysis. Depression and anxiety, 32 (3), Tompkins, M. A. (2014). Clinician's guide to severe hoarding: A harm reduction approach. Springer Wheaton, M. G., Abramowitz, J. S., Jacoby, R. J., Zwerling, J., & Rodriguez, C. I. (2016). An investigation of the role of intolerance of uncertainty in hoarding symptoms. Journal of Affective Disorders, 193,

目錄廣州中山大學翻譯學院 ( 珠海校區 ) 學生論文 1. 淺談湘西農村義務教育之現狀以湘西吉首矮寨中小學為例作者 : 劉陽荷 ( 翻譯系 ) 2. 國內大學生對囤積症的認知作者

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