本研究旨在探討家族治療師於治療中家族治療聯盟的內涵、有效與阻礙因素及其因應，以及社會文化因素對家族治療聯盟的影響。研究者透過與八位家族治療師訪談資料，研究者採質性研究之訪談法進行資料的蒐集，並以內容分析法進行資料的分析。研究發現的主要結果為：（一）家族治療聯盟的內涵是：始於邀請成員之評估、治療師致力維持系統動態平衡、立體連結的工作關係、家庭能與治療師情感連結、治療師和每個成員建立安全的關係，以及治療師與家庭擁有共同目標。（二）有利於家族治療聯盟的因素：（1）家族治療歷程的治療聯盟因素：家族治療聯盟的評估，包含個案系統尚未進入治療時的評估、個案系統進入治療後的評估與個案系統進入治療時的再評估。（2）家族治療聯盟的建立，包含治療師以輕鬆與非結構化的談話模式、治療師能清楚看見家庭關係的互動模式、治療師開放的與家庭討論過往的諮商經驗、治療師促成家庭成員間的彼此連結、治療師主動與外系統成員合作及治療師營造平等的治療關係。（3）家族治療聯盟的維持，包含治療師以理解成員隱晦的部分與動機、治療師與成員同調、治療師營造安全治療環境、家族治療師與成員互相信任、家族治療師與成員同在、治療師讓成員感受到希望感、家族治療師的特質與專業知識、治療師幫助成員在治療裡反思與覺察、治療師彈性維持與家庭成員的平衡狀態、治療師保持與跨系統合作關係及治療師的彈性融入與退出家庭關係。（4）家族治療師影響治療聯盟之正向因素，包含家族治療師在治療中的態度、治療師能自我照顧與保持良好的精神狀態、家族治療師的專業特性。（三）阻礙家族治療聯盟的因素：（1）來自於家庭成員之間，包含成員企圖與治療師結盟或是與弱系統結盟、家庭成員未投入治療、成員對治療師的不信任、成員情緒高張與情緒化的表現、成員間有僵化的溝通模式、成員曾有負向的諮商經驗及成員擔憂邀請新成員對治療聯盟的影響。（2）來自家族治療師，包含治療師的個人狀態與特質及缺乏自我覺察。（3）與治療有關，包含治療聯盟的複雜化、不安全的治療環境、加入新成員後的失衡及制式的諮商架構。（四）社會文化影響家族治療聯盟的因素分為正向與負向：正向因素，包含治療師覺察自身文化與應用自我、透過督導及同儕討論增進文化層面自我覺察及區辨理論與實務間之文化差異並妥善運用。負向因素：成員對家族治療的專業認識不足、華人傳統家庭文化觀、華人性別文化、治療師未能適應世代變遷的教養模式及治療師未覺察東西文化衝突而直接套用。家族治療師對於阻礙的部分提出相關的因應方式。依據研究結果，分別就研究與實務兩方面提出相關的建議。

The purpose of this study is to explore the connotation of family therapy alliance, and the effective and hindered factors in the family therapy alliances from the family therapists and their coping response, as well as the impact of sociocultural factors on family therapy alliances. Through the interview with eight Taiwanese family therapists, the researcher analyzed and summarized data using the content analysis method.
The main results are: 1. The connotation of the family therapy alliance is: starting with the evaluation of the invited members, the therapist's efforts to maintain the system's dynamic balance, the three-dimensional working relationship, the family's emotional connection with the therapist, the therapist and each member to establish a safe relationship, and therapists and families have a common goal. 2. Factors conducive to family therapy alliances: (1) Therapeutic alliance factors in family therapy course: assessment of alliance, including assessments when the case system has not yet entered treatment, assessment of the case system after treatment, and reassessment of the case system when entering treatment. (2) The establishment of a therapy alliance, including therapists using relaxed and unstructured conversation mode, clearly seeing the interactive pattern of family relationships, openly discussing the past consultation experience with the family, promoting the connection between family members, actively cooperation with the external system, and creating an equal therapeutic relationship. (3) Maintenance of the therapy alliance, which includes the therapist to understand the parts and motivations of the concealment of the members, the coordination of the therapist and the members, the therapist to create a safe treatment environment, the family therapist and the members trust each other, the therapist is being with the members, the therapist make the members to feel the sense of hope, etc. (4) The positive factors affecting the treatment alliance by family therapists include the attitude of the family therapist in treatment, the self-care and self-care of the therapist, and the professional characteristics of the family therapist. 3. Factors that hinder family therapy alliances: (1) From family members, including members attempting to form alliances with therapists or alliances with weak systems, family members not being treated, members' distrust of therapists, high emotional and emotional performance of members, and rigidity among members etc. (2) From a family therapist, including the personal status and traits of the therapist and lack of self-awareness. (3) From treatment, including the complexity of the treatment alliance, the unsafe treatment environment, the imbalance after joining new members, and the consultative structure of the standard. 4. The factors that influence the family therapy alliance in social culture are divided into positive and negative: positive factors, including the therapist's awareness of his own culture and self-application, through the supervision and peer discussion to promote cultural self-awareness and district theory and practice. Negative factors: members' lack of professional understanding of family therapy, Chinese traditional family culture, Chinese gender culture, therapist's failure to adapt to the changes in the pattern of generations and the therapist did not notice the cultural conflicts of things directly applied. The family therapist proposes relevant ways of coping with the obstruction. Based on the research results, relevant recommendations are made on both research and practice.

第一章緒論1
第一節 研究動機與目的1
第二節 研究目的與研究問題2
第三節 名詞解釋2
第二章 文獻探討5
第一節 家族治療的治療聯盟內涵5
第二節 形成家族治療聯盟之正向因素7
第三節 形成家族治療聯盟之阻礙9
第四節 家族治療聯盟的阻礙因應12
第五節 在文化脈絡下，家族治療聯盟的限制17
第三章　研究方法 19
第一節 內容分析法19
第二節 研究參與者20
第三節 研究工具21
第四節 研究歷程22
第五節 研究判準24
第六節 研究倫理25
第四章 結果與討論27
第一節 家族治療聯盟的內涵27
第二節 形成治療聯盟的正向因素34
第三節 家族治療聯盟的阻礙與因應51
第四節 文化影響治療聯盟76
第五章 結論與建議89
第一節 結論89
第二節 研究限制與建議91
參考文獻 95
附錄103

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