— 心理社會完整性 · MEDIUM · MCQ —
一位家暴受害支持團體的個案表示：「我一直覺得他打我是因為我的錯。」護理師最具治療性的回應為何？
A client in a support group for survivors of domestic violence states, 'I keep thinking it was my fault he hit me.' Which response by the nurse is most therapeutic?
- AHave you considered reporting the abuse to the authorities?您有考慮向當局舉報虐待行為嗎？
- BWhy do you feel that you are responsible for his actions?為什麼您認為要為他的行為負責？
- CYou should not blame yourself for his abusive behavior.您不應該為他的虐待行為責怪自己。
- DIt sounds like you are struggling with the guilt of the situation.✓ 正解聽起來您正在為這種情況帶來的罪惡感而掙扎。
— Explanation · 中文詳解 —
此回應運用了「反映情感（reflecting feelings）」的技巧，確認並同理個案的內在感受，而非直接反駁或論斷。B 選項含有「為什麼」字眼，易讓個案產生防衛心；B 為說教式的建議；A 則是轉換話題，未處理當下的心理需求。
Reflecting the client's feelings validates their emotional experience and encourages further communication without being judgmental. Telling the client not to blame themselves is non-therapeutic advice, while asking "why" may induce defensiveness. Ignoring the statement by changing the topic fails to address the client's immediate psychological distress.
✦ 台美臨床差異
美國諮商技巧訓練較強調反映情感；台灣醫療環境忙碌，護理師較常傾向直接提供建議或衛教。