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題名:一位思覺失調症男病患接受烙印的自我感受
書刊名:長庚護理
作者:辜矞卉洪瑞鎂
作者(外文):Ku, Yu-huiHong, Rei-mei
出版日期:2016
卷期:27:3=95
頁次:頁414-423
主題關鍵詞:精神疾患烙印思覺失調症Mental illnessStigmaSchizophrenia
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)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:4
  • 點閱點閱:8
背景:思覺失調症病患存有慢性和退化的疾病特徵,儘管規則的接受藥物治療仍存有部份殘餘症狀,不僅造成社會大眾對於精神疾病的歧視和污名化現象,也嚴重影響病患的心理、婚姻、人際、家庭和職業等關係。對重視「家庭關係」和「面子」的華人社會而言,污名化的重要性與影響更甚於西方社會。目的:描述一位在日間病房男性思覺失調症病患受烙印之自我感受,以瞭解個案對於精神疾病的態度、看法、與社會互動情形和受疾病烙印的體會與經驗歷程。方法:使用深入訪談與個案共深度訪談五次,每次60-90 分鐘。結果: 依個案描述將結果歸納為三大主題:「無力感」、「陷入兩難- 告知與保密」、與「婚配阻礙」等結果。結論/ 實務應用:期望藉由此個案報告能幫助第一線精神醫療臨床護理人員瞭解精神疾患受疾病烙印之經驗,以便提供適切介入措施,期能藉此自我醒思對精神疾患烙印觀感,讓病患得到更好的照顧與家庭支持。
Background: Patients with schizophrenic disorder have chronic and regressive features which have residual symptoms even if the patients have received regular medication treatment. These symptoms not only cause discrimination and stigma but also influence patients' psychological, marital, interpersonal, and occupational aspects. For Chinese, stigma may be much more serious and significant than that of Western people because of social culture and family structure. Purpose: This case report explored the perspectives of stigma as described by one Taiwanese man living with schizophrenia at a day care center. Method: Five in-depth interviews with the patient with each lasted 60 to 90 minutes. Results: Three core themes were explicated after data analysis: Feeling powerless, caught in a dilemma, and marriage block. Conclusions: The findings not only help psychiatric professional understand the experiences of stigma, but also provide suitable intervention for self-reflection of stigma for people with schizophrenia and enhance better caring and support for family.
期刊論文
1.曾秋蓉、邱政元、顏文娟、蘇惠珍、蕭秋月(20120800)。社區復健中心之精神分裂症患者其污名感受、污名因應與生活品質相關因素之探討。護理雜誌,59(4),62-70。new window  延伸查詢new window
2.Livingston, J. D.、Boyd, J. E.(2010)。Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis。Social Science & Medicine,71(12),2150-2161。  new window
3.Mittal, D.、Sullivan, G.、Chekuri, L.、Allee, E.、Corrigan, P. W.(2012)。Empirical studies of self-stigma reduction strategies: A critical review of the literature。Psychiatric Services,63(10),974-981。  new window
4.Tandon, R.、Nasrallah, H. A.、Keshavan, M. S.(2009)。Schizophrenia, "just the facts" 4. Clinical features and conceptualization。Schizophrenia Research,110(1-3),1-23。  new window
5.Yang, L. H.、Purdie-Vaughns, V.、Kotabe, H.、Link, B. G.、Saw, A.、Wong, G.、Phelan, J. C.(2013)。Culture, threat, and mental illness stigma: Identifying culture-specific threat among Chinese-American groups。Social Science and Medicine,88,56-67。  new window
6.Abdullah, T.、Brown, T. L.(2011)。Mental illness stigma and ethnocultural beliefs, values, and norms: An integrative review。Clinical Psychology Review,31(6),934-948。  new window
7.Fung, K. M. T.、Tsang, H. W. H.、Cheung, W. M.(2011)。Randomized controlled trial of the self-stigma reduction program among individuals with schizophrenia。Psychiatry Research,189(2),208-214。  new window
8.Karidi, M. V.、Stefanis, C. N.、Theleritis, C.、Tzedaki, M.、Rabavilas, A. D.、Stefanis, N. C.(2010)。Perceived social stigma, self-concept, and self-stigmatization of patient with schizophrenia。Comprehensive Psychiatry,51(1),19-30。  new window
9.Mellor, D.、Carne, L.、Shen, Y. C.、McCabe, M.、Wang, L.(2013)。Stigma toward mental illness a cross-cultural comparison of Taiwanese, Chinese immigrants to Australia and Anglo-Australians。Journal of Cross-Cultural Psychology,44(3),352-364。  new window
10.Mestdagh, A.、Hansen, B.(2014)。Stigma in patients with schizophrenia receiving community mental health care: A review of qualitative studies。Social psychiatry and psychiatric epidemiology,49(1),79-87。  new window
11.Ochoa, S.、Usall, J.、Cobo, J.、Labad, X.、Kulkarni, J.(2012)。Gender differences in schizophrenia and first-episode psychosis: A comprehensive literature review。Schizophrenia Research and Treatment,2012。  new window
12.Rathod, S.、Kingdon, D.、Weiden, P.、Turkington, D.(2008)。Cognitive-behavioral therapy for medication-resistant schizophrenia: A review。Journal of Psychiatric Practice,14(1),22-33。  new window
13.Sanchez-Gistau, V.、Baeza, I.、Arango, C.、Gonzalez-Pinto, A.、de la Serna, E.、Parellada, M.、Castro-Fornieles, J.(2012)。Predictors of suicide attempt in early-onset, first-episode psychoses: A longitudinal 24-month followup study。The Journal of Clinical Psychiatry,74(1),59-66。  new window
14.Schoepf, D.、Uppal, H.、Potluri, R.、Heun, R.(2013)。Physical comorbidity and its relevance on mortality in schizophrenia: A naturalistic 12-year follow-up in general hospital admissions。European Archives of Psychiatry and Clinical Neuroscience,1-26。  new window
15.Larson, J. E.、Corrigan, P.(2008)。The stigma of families with mental illness。Academic Psychiatry,32(2),87-91。  new window
學位論文
1.林美伶(2001)。精神分裂病患烙印之生活經驗(碩士論文)。國立臺灣大學。  延伸查詢new window
2.張志誠(2010)。精神分裂症患者之烙印與差別待遇經驗調查研究(碩士論文)。國立成功大學。  延伸查詢new window
3.鄭伊真(2011)。Rosenberg自尊量表中文版的修訂分析(碩士論文)。國立成功大學。  延伸查詢new window
圖書
1.Corrigan, Patrick W.(2005)。On the stigma of mental illness: Practical strategies for research and social change。American Psychological Association。  new window
2.Goffman, Erving(1963)。Stigma: Notes on the Management of Spoiled Identity。New York:Touchstone Book。  new window
3.Mathers, C.、Fat, D. M.、Boerma, J. T.(2008)。The global burden of disease: 2004 update。World Health Organization。  new window
 
 
 
 
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