: The Korean Journal of Counseling and Psychotherapy 2004, Vol. 16, No. 1, 1-20 :. 19,.,,,,,,.,,,.,,.,,,,,,,,.,,,.,,..,,,. :,,,, : - 1 -
:,.,.,,,. (Gelso & Carter, 1985; Gelso & Carter, 1994)., 5,, (self-insight), (empathy ability), Langs(1981:, 1997 ) (self-integration), (anxiety management), (conceptualizing skills) (Wagoner, Gelso, Hayes, & (bipersonal phenomenon), Diemer, 1991; Hayes, Wagoner, Gelso, & Diemer, 1991).. (Gelso, Latts, Gomez, & Fassinger, 2002) Egan(1994), 5,.,,, (Hayes, McCraken, McClanahan, & Hill, 1998),,,,,. (2000),,,,..,,,..,, (2001) (,,,, 2001).. - 2 -
/ : Nutt-Williams, Judge, Hill Hoffman(1997),,,,,,.,,,,,., (self-talk), (Hill, Nutt-Williams, Heaton, Thompson, &,, Rhodes, 1996). (, 2002). Safran Muran(2000),,, Nutt-Williams (1997)..,, (corrective emotional experience),, (interpersonal, schema)..,,,,,,.,,,,,,.., (impass), (, 2002),, (, 1998), (,,, 2002),,. (, 1999;, 2002). - 3 -
: 70 <, >, (skill).. 8, 90,. 5 (, 2001) 4.,.,. 24.,, 1-2 40., 5,,, 19.. 5, 14., 2.8,, 13, 6.?,?,?., 5,, - 4 -
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: (Auditing of, Cross Analysis),.,,,. 13. (Construction Core Ideas). (Auditing of Domains and Core Ideas).,.,,., 1-5, 10, 6-10. 4. (Cross Analysis),. Elliot(1989) (general), 50% (typical), 50% (variant)., 1. (general), (typical), (variant). 1. 1-5 3 3 6 6-10 4 3 7 11-15 3 2 5 30 1 1 2. 1-5 4 6 10 6-10 2 2 4 11-15 2 1 3 25 2 2-6 -
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:. Hayes et al., 1991).,,, (., 1998), (, 2000),.(., 2001).,..,,,.,., (, 2001; Rhodes, Hill, Thompson &. Eliiot, 1994; Safran, 1990).,,,...,, (,, 1997),..,,,.., (Wagoner et al., 1991 ; - 16 -
/ :,., (2000).,..,,. (2001)., (2001). :.,., (2002).,. (1998).,, (2002).,.,.,. (1997).,,, -.. :, 12(2), 33-53., (2001).. :, 20(1), 19-36.. :, 13(3), 19-37....... :, 14(2), 257-272., (1997).. :, 9(1), 157-180. (1999).,.. - -, 365-395. (2002). - 17 -
:.. (2002)..., (2001). Hill, C. E., Thompson, B. J., & Nutt-Williams, E.. :, 13(1), 31-48. Egan, G. (1999). :. (,, ). :. Gelso, C. J. & Carter, J. A. (1985). The relationship in counseling and psychotherapy: Components, Consequences, and Theoretical Antecedents. The counseling psychologist, 13(2), 155-243. Gelso, C. J. & Carter, J. A. (1994). Components of the Psychotherapy Relationship: Their Interaction and Unfolding During Treatment. Journal of Counseling Psychology, 41(3), 296-306. Gelso, C. J., Latts, M. G., Gomez, M. J., & Fassinger, R. E. (2002). Countertansference management and Therapy Outcome: An Initial Evaluation. Journal of clinical psychology, 58(7), 861-867. Hayes, J. A., Wagoner, S. L. V., Gelso, C. J. & Diemer, R. A. (1991). Managing countertransference: What the experts think, Psychological Reports, 69, 139-148. Hayes, J. A., McCracken, J. E., McClanahan, M. K., & Hill, C. E. (1998). Therapist Perspectives on Countertransference: Qualitative Data in Search of a Theory. Journal of Counseling Psychology, 45, (4), 468-482. Hill, C. E., Nutt-Williams, E., Heaton, K. J., Thompson, B, J., & Rhdes, R. E. (1996). Therapist Retrospective Recall of Impasses in Long-Term Psychotherapy: A Qualitative Analysis. Journal of Counseling Psychology, 43(2). 207-217. (1997). A guide to conducting consensual qualitative research. The Counseling Psychologist, 25(4), 517-572. Kvale, S. (1998). -. ( ). :. Nutt-Williams, E., Judge, A. B., Hill, C. E., & Hoffman, M. A. (1997). Experience of novice therapist in prepracticum: traniees', client', and supervisors' perceptions of therapists' personal reactions and management strategies. Journal of Counseling Psychology, 44(4), 390-399. Rhodes, R. H., Hill, C. E., Thompson, B. J., & Elliott, R. (1994). Client Retrospective Recall of Resolved and Unresolved Misunderstanding Events. Journal of Counseling Psychology, 41(4), 473-483 Rogenberger. (2002). Origins, consequences and management of countertransference: A case study, Journal of Counseling Psychology, 49(2), 221-232. Safran, J. D., Crocker, P., McMain, S., & Murray, P. (1990). The therapeutic alliance rupture as a therapy event for empirical investigation. Psychotherapy, 27(2), 154-156. Safran, J. D. & Muran, J. C. (2000). Resolving therapeutic alliance ruptures: diversity and integration. Journal of clinical psychology, 56(2), 233-243. Wagoner, S. L. V., Gelso, C. J., Hayes, J. A., & - 18 -
/ : Diemer, R. A. (1991). Countertransference and the reputedly excellent therapist. Psychotherpy, 28(3), 411-421. : 2003. 9. 29 : 2003. 11. 26 : 2003. 11. 28-19 -
: The Korean Journal of Counseling and Psychotherapy 2004, Vol. 16, No. 1, 1-20 Novice Therapists' Difficulty Experienced in Counseling Session and Coping Process: A Qualitative Analysis Gil-Moon Kim Nam-Woon Chung Department of Psychology, The Catholic University of Korea This study tried to search novice therapists' difficulties experienced in counseling session and coping process. The nineteen novice therapists were interviewed about their experiences for collecting data. And then, these data were rated with Consensual Qualitative Research. As the result, novice therapists reported that they experienced negative affection and thought when clients manifested non-cooperative responses and attitudes, dissatisfactions about counseling, intentions to drop-out. And they thought that difficulties in counseling session were derived from clients' traits, therapists' traits, deficiencies in professionalism and clinical experience, effects of situation and environment. The typical process of positive result group is as follows. Externally, novice therapists mainly coped with clients' responses positively or maintained passive attitudes when they experienced difficulties. And during the session, internally they tried to understand clients, suppress therapist' feeling, seek for coping strategy much. And after the session, they also tried to be supervised, discuss with other therapists, make an effort in personal, take counsel and read references. As the result, therapists were influenced positively and negatively and clients were influenced negatively in a temporally moment. But all of therapists, clients, counseling relationships and counseling processes were influenced positively in the long term. The typical process of negative result group is as follows. Externally, novice therapists mainly maintained passive attitudes or responded to client negatively when they experienced difficulties. And they hardly tried to resolve difficulties. As the result, therapists were influenced negatively in a temporally moment. But all of clients, counseling relationships and counseling processes were influenced negatively without therapists in the long term. Key Words : novice therapist, difficulty, positive result, negative result, Consensual Qualitative Research - 20 -