遊戲治療是兒童心理工作的主要模式，但是國内目前對遊戲治療的訓練 與督導資源並不足夠，而遊戲治療是一門獨特的專業領域，要有效發揮遊戲 治療對兒童的心理療癒功效，治療師必須要有一定的訓練，以面對進行遊戲 治療過程中的諸多挑戰。研究者因此想探究目前國内的遊戲治療師在使用遊 戲治療模式時，其所遭遇的困難有哪些？本研究採用質性方法，藉由深度訪 談十七位從事遊戲治療的實務工作者，以瞭解其主觀治療困境並進行跨案例 综合性分析。研究結果整理出十四個困境要素，分別是運用技術的不確定與 困難、遊戲治療師的焦慮議題、來自個案的挑戰、個案概念化的困難、不確 定評估的内涵與指標、預期具體效果的壓力、來自家庭的阻力、工作環境的 壓力、督導資源的貧乏、期望協助專業知能的提升、理想督導的期待、具體 發揮對孩子的正向影響力、成就感與動機、以及尋求解決專業困境的管道。 可進一步歸納為五大主題：遊戲治療歷程中的困難、評估遊戲治療效果的困 難、來自脈絡因素的干擾、遊戲治療督導不足與期待、以及回應困境的自我 調整。本文針對上述主題分述受訪者與研究者觀點並加討論。最後，根據研 究結果進行相關困境主題的討論，並提出因應之道與建議，以供遊戲治療師、 訓練與督導者、專業發展關注之參考。

Play therapy is the current dominant model in working with child-clients. However, resources for training and supervision are not sufficient to meet the needs in continuing education of play therapists. Play therapy is a specialty which requires special trainings. The researcher believes that proper continuing education can be provided only through accurate understandings of play therapists5 work difficulties. Reflecting this viewpoint, this study focuses on investigating and exploring the difficulties in play therapists9 experiences. The research data was gathered by qualitative methods through interviewing with 17 play therapists and analyzing the interview transcripts. Results show that play therapists reported fourteen factors belonging to five main themes of therapeutic predicaments. They are unsureness and difficulties of techniques, anxiety issues of the play therapist, challenges from clients, difficulties of case conceptualization, unsureness of assessment, pressure from expected effectiveness, disturbances from clients9 families, pressure from work environment, lack of supervision resource, desire of promoting professional abilities, expectation of an ideal supervisor, positive effects on the child, sense of achievement and motivation, and ways to resolve predicaments. The five main themes include difficulties in the play therapy process, unsureness of effectiveness of play therapy, pressure and conflict from the working context, unmeet supervision needs, and self-adapting to the difficulties. According to the findings, it is evident that play therapists confront various challenges in their clinical work. Based on the results, meaning of the findings and continuing education and supervision concerns for the play therapists are discussed. Suggestions for play therapy educators and practitioners as well as for further research are given.