本研究旨在探討治療者與成員的口語互動行為關係及團體互動模式；應用同質性策略，選取在中部某醫學中心接受精神科門診治療之六名病患為研究對象，徵得同意後施予為期十二週的封閉式團體心理治療；資料以錄音方式收集後轉譯，再根據Hill互動矩陣進行同時性三角交叉檢視法(simultaneous triangulation)，以分析恐慌症病患接受認知行為治療之團體動力發展歷程。結果發現：團體治療者與成員的互動行為關係分別呈現上下起伏波動。而團體歷程之發展可分為：初期—適應與熟悉階段、中期—探索階段及後期—生產與製造階段，其中又以第三象限的口語行為參與量最多。在團體互動行為模式中，治療者之行為類別以探討團體成員的個人問題居多，以日常說話或提供支持的溝通方式居次；而成員的行為類別亦以談論個人的問題為主，顯示團體治療者與成員的口語行為相當一致；另外團體治療者與成員的互動行為類型方面，在內容型態上以成員中心為主，在工作型態上則達工作前階段，顯示團體對成員的治療價值頗有幫助。

　　　　　The study explores the verbal interaction relationship between therapists and members, and the interaction model of this group. Six subjects were chosen by convenience sampling from the psychiatric OPD of a medical center in the Taichung area. Subjects with informed consent participated in a 12-week course of closed group psychotherapy. All data was tape-recorded and the Hill Interaction Matrix (HIM) scale was applied for simultaneous triangulation, in order to analyze the group's dynamic development of cognitive-behavioral psychotherapy for patients with panic disorder. The results indicated that the interactive relationship between therapists and members fluctuated during the group process. Development of the group process can be subdivided into three stages: initial stage-adaptive and familiar, middle stage-explorative, and terminal stage-productive. The amount of verbal interaction was greatest in the third quadrant. In the group interaction model, the therapist tended to explore the members' problems most. Providing support was the second most frequent. Meanwhile, members also tended to discuss personal problems. It was revealed that the verbal interaction of the therapists and members were the same. The content style of this group session is member-centered, and work style is pre-worked. The results showed that the group sessions did have great therapeutic value for members.