為探究身心障礙兒母親之憤怒情緒諮商歷程中有效治療因素及其如何帶來改變，本研究以事件典範研究為基礎，採用質性研究深度訪談法蒐集6位身心障礙兒童的母親進行四至十次憤怒情緒諮商之歷程資料。分析92份含初次接案會談、諮商及諮商後訪談逐字稿，發現五項有助於當事人改變之治療因素：「自我瞭解」出現頻率最高且為6位當事人皆指認之治療因素；87%「信任諮商關係」出現時帶來憤怒情緒降低之立即效果，而多數「情緒覺察」出現後卻升高親子間憤怒情緒張力；「想法改變」、「形成新目標」兩項因素不會單獨出現，最常出現時機在「自我瞭解」之後。本研究針對治療因素出現時機及與憤怒改變之關係進行討論，最後提出關鍵治療因素及憤怒情緒改變歷程，作為實務工作者與教育訓練者之參考。

This qualitative study explored the therapeutic factors that effectively cause changes in the anger feelings of clients. Six mothers of handicapped children were interviewed after they had received 4-10 counseling sessions. The transcripts of the intakes, counseling sessions, and interviews were analyzed. Five helpful therapeutic factors were identified by the participants: self-understanding, emotional awareness, “views-changing,” establishing a new goal, and trust in the therapeutic relationship. Self-understanding was the most important factor, and “views-changing” was the key factor. On the basis of these factors, the therapeutic change process of anger was induced.