The Mechanism of Free-Floating Discussion in a Psychiatric/Mental Health Nursing Supervisory Group
Chiang, H-Hsien.
Hu Li Za Zhi Journal of Nursing 62(3): 41-48
2015
ISSN/ISBN: 0047-262X PMID: 26073955 Document Number: 684228
Although the free-floating discussion format is widely used in group therapy, the application of this format in the context of supervisory groups has yet to be clarified. The purpose of this study was to explore the mechanisms involved in facilitating and learning the free-floating discussion format in a supervisory group. A phenomenological approach was used to investigate the group content and personal feedback of a psychiatric-nurse supervisory group. The group held on 12 sessions. Each session was conducted once weekly and lasting 150 minutes. The findings identified the functions of free-floating discussions in the context of supervisory groups as: embodied interaction and initiation by handling. Embodied interaction included: reflection on the experience of the other, sense of body, and present action. Initiation by handling included: facilitating the self-narrative, following the lead of the group, and reflecting in accordance with the group. The role of the facilitator is to parallel process rather than to lead in order to produce practical wisdom. Free-floating discussion and self-evidence from initiation by handling has the potential to promote spontaneity, creativity, and self-confidence in clinical practice and to promote deep learning. 自 談的督導團 運作- 精神衛 護理人員的經驗. 自 談或自 聯想的討論（free-floating discussion）， 常應 於治療 團 ，以此運作督導團 的機制並不明確 . 本 究旨在探討自 談督導團 促成學習的運作機制 . 採 現象學 究方法， 集 階精神衛 護理臨床實習中督導團 之內容與學習心得 行分析，督導團 是每 次，每次150分鐘，共計12次團 . 自 談的督導團 具有 驗與引導兩種功能，分別是 驗 領悟， 引導 自明 驗的內容包括他人的經驗 身 的感知 自身的行動；引導的方式是，鼓勵陳述事例 跟隨話題的流動 引發彼此的映照 . 自 談督導團 的 驗與引導，是經 帶領 的無為 為，以及督導過程的平行運作，使臨床人員 自發 創 力 自信心，促 深度的學習，蘊 出實踐 智慧 .