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題名：臺灣女性的不孕經驗：關係的觀點
書刊名：中華輔導學報
作者：林旖旎 引用關係／蔡永杰 引用關係／康介乙
作者(外文)：Lin, Yii-nii／Tsai, Yung-chieh／Kung, Chieh-yi
出版日期：2006
卷期：19
頁次：頁175-210
主題關鍵詞：不孕女性；關係；Infertile woman；Relationship
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:23
  • 點閱點閱:47
本研究由關係的觀點，描述台灣女性於不孕診斷確立後，因不孕症影響其人生各層面關係的經驗，包括與自我、配偶、家庭、家族、朋友與他人、和社會文化的關係互動經驗。十三位女性參與者平均年齡為32.46歲，均為原發性不孕症患者，平均結婚6.38年，且曾在台灣南部一家醫學中心的不孕症治療中心接受治療，已完成至少一次不孕療程，平均接受不孕醫療的時間約4.27年。本研究採取現象學質化分析的方法，進行深度訪談與資料分析。研究發現女性關係連結為網狀多層面交互連結，負面情緒、同理性與相互性影響關係連結情況。台灣不孕女性的關係連結與社會文化特色密切相關，女性因不孕經歷各種層面的關係變化，經歷關係的急性失連與慢性失連的情況，並掙扎於各層面關係的重新建立。而時間點、不孕診斷與治療情況及個人接受程度影響關係連結的轉化歷程。作者最後探討相關實務、研究、與教育訓練的議題。
The purpose of this study was to describe Taiwanese female patients' perspectives of the relational changes toward self, spouse, family, extended family, friends and others, and sociocultural characteristics after being diagnosed with primary infertility. Thirteen female patients from the middle or higher socioeconomic class in southern Taiwan voluntarily participated in this study. They averaged 32.46 years old, 6.38 years' marriage, and 4.27 years of infertility medical treatment. A phenomenological qualitative research method with in-depth interviews was employed. The study found that infertile women's relationship connections revealed a multi-layered network and were affected by the accumulation of their negative emotions and the acquisition of empathy and mutuality from others. The changes of relationship connections were deeply influenced by the societal and cultural characteristics in Taiwan. Infertility significantly influenced the relationships of infertile women in multiple aspects, and these participants suffered from three stages of relational changes: acute disconnection, chronic disconnection, and relational reconstructions. The transformation of infertile women's relationship connections depended on the timing, the status of infertility diagnosis and treatment, and the acceptance of infertility. Finally, implications of clinical practice, education/training and research were delineated.
期刊論文
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2.張秀玉、郭碧照(20000400)。初次與重覆接受試管嬰兒治療不孕症夫妻之心理社會反應。護理研究，8(2)，190-202。new window  延伸查詢new window
3.李麗熒(19941200)。不孕症婦女的壓力源及因應行為。輔英學報，14，50-68。  延伸查詢new window
4.Downey, J.、Yingling, S.、McKinney, M.、Husami, N.、Jewelewicz, R.、Maidman, J.(1989)。Mood disorders, psychiatric symptoms, and distress in women presenting for infertility evaluation。Fertility and Sterility，52(3)，425-432。  new window
5.Mahlstedt, Patricia P.、Macduff, Susan、Bernstein, Judith(1987)。Emotional factors and the in vitro fertilization and embryo transfer process。Journal of in Vitro Fertilization & Embryo Transfer，4(4)，232-236。  new window
6.Lee, R. M.、Robbins, S. B.(2000)。Understanding social connectedness in college women and men。Journal of Counseling and Development，78(4)，484-491。  new window
7.李淑杏、郭碧照、李孟智、賴慶祥、李茂盛(19980300)。不孕症夫妻成為父母後的心理反應變化。臺灣醫學，2(2)，133-140。  延伸查詢new window
8.郭碧照、王郁茗(19930400)。中部某教學醫院不孕症婦女之憂傷過程與反應之研究。公共衛生，20(1)，46-57。  延伸查詢new window
9.李從業、張昇平、陳嘉琦(19971000)。不孕夫妻的困擾程度、壓力感受及因應策略的比較。護理研究，5(5)，425-438。new window  延伸查詢new window
10.陳淑(19950900)。一位充滿失落經驗的繼發性不孕症婦女再次生產時對身體功能的關注。護理雜誌，42(3)，57-65。new window  延伸查詢new window
11.蘇燦煮、余玉眉、陳月枝(19980600)。不孕婦女面對不孕及治療的困惑與護理需求。護理雜誌，45(3)，15-20。new window  延伸查詢new window
12.李淑杏、郭碧照、李孟智、李茂盛(1995)。接受人工生殖科技治療的不孕症夫妻之心理社會反應。臺灣醫學會雜誌，94(附冊1)，26-33。  延伸查詢new window
13.Nachtigall, R. D.、Becker, G.、Wozny, M.(1992)。The Effects of Gender-Specific Diagnosis on Men's and Women's Response to Infertility。Fertility and Sterility，57(1)，113-121。  new window
14.Chao, S. C.、孫光煥、Lee, Tsong-Yeh(2001)。The Effect of an Infertility Diagnosis on the Distress, Marital and Sexual Satisfaction between Husbands and Wives in Taiwan。Human Reproduction，16(8)，1762-1767。  new window
15.Lee, Tsong-Yeh、孫光煥(2000)。Psychosocial response of Chinese infertile husbands and wives。Archives of Andrology，45(3)，143-148。  new window
16.Davis, D. C.、Dearman, C. N.(1991)。Coping strategies of infertile women。Journal of Obstetric, Gynecologic, and Neonatal Nursing，20，221-228。  new window
17.Remennick, L.(2000)。Childless in the Land of Imperative Motherhood: Stigma and Coping Among Infertile Israeli Women。Sex Roles，43(11/12)，821-841。  new window
18.李淑杏、郭碧照、李孟智、李茂盛(1991)。接受人工生殖科技治療之不孕症婦女的心理壓力及其相關因子。公共衛生，18(2)，148-163。  延伸查詢new window
19.Berg, B. J.、Wilson, J. F.、Weingartner, P. J.(1991)。Psychological sequelae of infertility treatment: The role of gender and sex role identification。Social Science & Medicine，22，1071-1080。  new window
20.Eugster, A.、Vingerhoets, A. J. J. M.(1999)。Psychological aspects of in vitro fertilization: A review。Social Science & Medicine，48，575-589。  new window
21.李淑杏、郭碧照、王郁茗、李茂盛(1998)。傳統生育觀念與不孕夫妻憂傷反應之相關探討。中山醫學雜誌，9(1)，89-99。  延伸查詢new window
22.Lee, Tsong-Yeh、孫光煥、Chao, S. C.、Chen, C. C.(2000)。Development of the coping scale for infertile couples。Archives of Andrology，45(3)，149-154。  new window
23.Morrow, K. A.、Thoreson, R. W.、Penney, L. L.(1995)。Predictors of Psychological Distress among Infertility Clinic Patients。Journal of Consulting and Clinical Psychology，63(1)，163-167。  new window
24.Slade, P.、Emery, J.、Lieberman, B. A.(1997)。A prospective, longitudinal study of emotions and relationships in in-vitro fertilization treatment。Human Reproduction，12，183-190。  new window
25.Andrews, F. M.、Abbey, A.、Halman, J.(1992)。Is Fertility-problem Stress Different? The Dynamics of Stress in Fertile and Infertile Couples。Fertility and Sterility，57(6)，1247-1253。  new window
26.林旖旎、蔡永杰、康介乙(2004)。不孕夫妻於不孕歷程的反應與互動：臺灣不孕女性的觀點。彰化師大輔導學報，26(1)，39-66。new window  延伸查詢new window
27.郭美璋、張利中、江漢聲(1999)。男性不孕病人的生育諮商。臺北市醫師公會會刊，44(2)，24-27。  延伸查詢new window
28.劉春年、郭碧照、李茂盛(1991)。不孕症婦女之社會心理反應及其相關因素的探討。衛生教育雜誌，12，1-12。  延伸查詢new window
29.Atwood, J. D.、Dobkin, S.(1992)。Storm Clouds Are Coming: Ways to Help Reconstruct the Crisis of Infertility。Contemporary Family Therapy，14，385-403。  new window
30.Berg, B. J.、Wilson, J. F.(1991)。Psychological Functioning Across Stages of Treatment for Infertility。Journal of Behavioral Medicine，14，11-26。  new window
31.Collins, A.、Freeman, E. W.、Boxer, A. S.、Tureck, R.(1992)。Perceptions of Infertility and Treatment Stress in Females as Compared with Males Entering in Vitro Fertilization Treatment。Fertility and Sterility，57，350-356。  new window
32.Daniluk, J. C.、Fluker, M.(1995)。Fertility Drugs and the Reproductive Imperative: Assisting the Infertile Woman。Women & Therapy，16(Special Issue)，31-47。  new window
33.Ferber, G. M.(1995)。An Empathy-supporting Approach to the Treatment of Infertile Women。Psychotherapy，32(3)，437-442。  new window
34.Forrest, L.、Gilbert, M. S.(1992)。Infertility: An Unanticipated and Prolonged Life Crisis。Journal of Mental Health Counseling，14，42-58。  new window
35.Gibson, D. M.、Myers, J. E.(2002)。The Effect of Social Coping Resources and Growth-fostering Relationships on Infertility Stress Women。Journal of Mental Health Counseling，24，68-80。  new window
36.Hart, V. A.(2002)。Infertility and the Role of Psychotherapy。Mental Health Nursing，23，31-41。  new window
37.Imeson, M.(1996)。Couples' Experience of Infertility: A Phenomenological Study。Journal of Advanced Nursing，24，1014-1022。  new window
38.Keystone, M.、Kaffko, K.(1992)。The Braided Threads: Intimacy, Sexuality and Gender Differences。The Canadian Journal of Human Sexuality，1，47-54。  new window
39.Lee, R. M.、Robbins, S. B.(1998)。The Relationship Between Social Connectedness and Anxiety, Self-esteem, and Social Identity。Journal of Counseling Psychology，45，338-345。  new window
40.MacDaniel, S. H.、Hepworth, J.、Doherty, W.(1992)。Medical Family Therapy with Couples Facing Infertility。The American Journal of Family Therapy，20，101-122。  new window
41.Mahlstedt, P. P.(1985)。The Psychological Component of Infertility。Fertility and Sterility，43，335-346。  new window
42.Osboroe, J. W.(1994)。Some Similarities and Differences Among Phenomenological and Other Methods of Psychological Qualitative Research。Canadian Psychology，35，167-189。  new window
43.Robinson, G. E.、Stewart, D. E.(1996)。The Psychological Impact of Infertility and New Reproductive Technologies。Harvard Review of Psychiatry: Women's Issues，4，168-172。  new window
44.Singer, D.(1999)。Dealing with Loss of Fertility。British Medical Journal，314(7099)，66-66。  new window
45.Watkins, K. J.、Baldo, T. D.(2004)。The Infertility Experience: Biopsychosocial Effects and Suggestions for Counselors。Journal of Counseling and Development，82(3)，394-402。  new window
46.Williams, L.、Bischoff, R.、Ludes, J.(1992)。A Biopsychosocial Model for Treating Infertility。Contemporary Family Therapy，14，309-322。  new window
47.Woollett, A.(1985)。Childlessness: Strategies for Coping with Infertility。International Journal of Behavioral Development，8，473-482。  new window
48.Zucker, A. N.(1999)。The Psychological Impact of Reproductive Difficulties on Women's Lives。Sex Roles，40，767-786。  new window
49.張利中、郭美璋、江漢聲(2000)。男性不孕症求診患者之生育概念研究。臺灣性學學刊，6(1)，64-76。  延伸查詢new window
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學位論文
1.徐怡伶(2000)。接受生殖科技治療不孕夫妻情緒反應及因應行為與其相關因素之探討(碩士論文)。中山醫學院。  延伸查詢new window
2.陸瑩華(2002)。中年雙薪不孕夫妻生活經驗之研究(碩士論文)。國立高雄師範大學。  延伸查詢new window
圖書
1.Miller, J. B.(1988)。Connections, disconnections, and violations。Wellesley, MA：Stone Center Working Paper Series。  new window
2.Survey, J. L.(1985)。Self-in-relation: A theory of women's development。Wellesley, MA：Stone Center。  new window
3.Martin, Emily(1987)。The Woman in the Body: a Cultural Analysis of Reproduction。Milton Keynes：Boston：Open University Press：Beacon Press。  new window
4.Miller, J. B.、Stiver, I. P.(1997)。The Healing Connection: How Women form Relationships in Therapy and in Life。Beacon Press。  new window
5.Miller, Jean Baker(1986)。Toward a New Psychology of Women。NY：Beacon Press。  new window
6.Mishler, Elliot G.(1986)。Research Interviewing: Context and Narrative。Cambridge, MA：Harvard Univeersity Press。  new window
7.Guba, E. G.、Lincoln, Y. S.(1984)。Naturalistic inquiry。Newbury Park, CA：Sage。  new window
8.Gilligan, Carol(1982)。In a Different Voice: Psychological Theory and Women's Development。Harvard University Press。  new window
9.Kvale, Steinar(1996)。Inter Views: An introduction to qualitative research interviewing。Sage。  new window
10.蔡文輝(1994)。家庭社會學。家庭社會學。臺北市。  延伸查詢new window
11.Abbey, A.、Andrews, F. M.、Halman, L. J.(1991)。The Importance of Social Relationships for Infertile Couples' Well Being。Infertility: Perspectives from Stress and Coping Research。New York, NY。  new window
12.Applegarth, L. D.(2000)。Individual Counseling and Psychotherapy。Infertility Counseling: A Comprehensive Handbook for Clinicians。New York, NY。  new window
13.Becker, G.(1997)。Healing the Infertile Family。Healing the Infertile Family。Berkeley, CA。  new window
14.Bergman, S. J.、Surrey, J. L.(1997)。The Woman-man Relationship: Impasses and Possibilities。Women's Growth in Diversity。New York, NY。  new window
15.Daniluk, J. C.(1997)。Gender and Infertility。Infertility: Psychological Issues and Counseling Strategies。New York, NY。  new window
16.Domar, A. D.(1997)。Stress and Infertility in Women。Infertility: Psychological Issues and Counseling Strategies。New York, NY。  new window
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18.Greil, A. L.(1991)。Not Yet Pregnant: Infertile Couples in Contemporary America。Not Yet Pregnant: Infertile Couples in Contemporary America。London, UK。  new window
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20.Jordan, J. V.(1997)。Relational Development Through Mutual Empathy。Empathy Reconsidered: New Directions in Psychotherapy。Washington, DC。  new window
21.Jordan, J. V.(2003)。Relational-cultural Therapy。Handbook of Counseling Women。Thousand Oaks, CA。  new window
22.Klock, S. C.(1997)。To Tell or Not to Tell: The Issue of Privacy and Disclosure in Infertility Treatment。Infertility Psychological Issues and Counseling Strategies。New York, NY。  new window
23.Leiblum, S. R.、Greenfeld, D. A.(1997)。The Course of Infertility: Immediate and Long-term Reactions。Infertility Psychological Issues and Counseling Strategies。New York, NY。  new window
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25.(1997)。Infertility Psychological Issues and Counseling Strategies。Infertility Psychological Issues and Counseling Strategies。New York, NY。  new window
圖書論文
1.Smith, J. A.(1995)。Semi-structured Interviewing and Qualitative Analysis。Rethinking Methods in Psychology。London, UK：Sage。  new window
 
 
 
 
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