年輕成人罹癌康復後生命經驗之詮釋__臺灣人文及社會科學引文索引資料庫

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題名：	年輕成人罹癌康復後生命經驗之詮釋
作者：	方格正
作者(外文)：	Fang Ko-Cheng
校院名稱：	國立臺灣師範大學
系所名稱：	教育心理與輔導學系
指導教授：	李佩怡
學位類別：	博士
出版日期：	2014
主題關鍵詞：	癌症；年輕成人；詮釋現象學；成人初顯期；cancer；young adulthood；hermeneutic phenomenology；emerging adulthood
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:1 共同引用:0 點閱:101

前言：年輕癌症病人族群長久以來未受到研究或實務工作者足夠之關注，年輕人相對而言預後較佳，許多人在罹癌康復後仍需回歸原本的生活。儘管癌症已經緩解，但年輕人的生命往往再也不同了。為了提供年輕癌症病人適當的協助，臨床工作者必須對其生命經驗有深入足夠的了解。
研究目的：以詮釋現象心理學為立基，理解曾經罹患癌症的年輕成人在康復後如何詮釋生病經驗以及後續對人生造成的影響。
方法：研究參與者包含五位介於24至35歲之年輕成人，其中3位診斷為淋巴癌、另外兩位則分別為血癌與乳癌。他們在19到26歲之間確診為癌症並接受治療，受訪時距離治療結束的時間約為5至10年間，每位參與者均接受兩次深度訪談，述說有關癌症之生命經驗，包含確診、治療、以及治療結束後之心路歷程。本研究以視框之破裂與新視框的形成作為理解之基礎，分別針對各文本進行文本分析與理解，文本分析方法包含（1）受訪者的生病故事（2）對子分析與普遍視框之辨識（3）詮釋主題（4）整體性詮釋（5）透過對先前文本的理解來拓展理解。(6)綜合詮釋等六步驟。
結果：本研究除了深入詮釋每一位受訪者所理解之癌症生命經驗與意義之外，亦統整所有的文本以進行綜合詮釋，結果包含「癌症作為邊界經驗」、「人生的中斷與銜接」、「罹患癌症對親密關係與婚姻的阻礙」、「罹患癌症與自我認同的建立」、「網路社群的幫助」、「內在語言的力量」，以及「創造屬於自己的生病意義」等七大主題，並在結論處總結年輕癌症病人的特殊性，提出研究與實務工作層面之建議。
結論：本研究有助於人們深入地理解年輕人生病經驗中的苦、欣賞其堅強與韌性，並認識到其身為人之主體性，將所遭逢之事予以組織、形成意義，並化整為人生的一部分。

以文找文

Young adulthood is a transitional time in life circle when crucial decisions are made that could influence a person’s future, and having cancer makes the tasks even more challenging. Although increasing literatures have identified the unique psychological issues and the late effects of young cancer survivors, the attention to young people’s survivorship in Taiwan is still limited. The objective of this qualitative research is using hermeneutic phenomenology to understand young adults experience as cancer survivors in Taiwan.
Five participants were recruited from a cancer bulletin board. They were diagnosed and treated during age 19 to 26, and were interviewed 5 to 10 years after their treatments. Three of them were diagnosed with lymphoma, the rest were diagnosed with leukemia and breast cancer. We conduct a qualitative analysis to explore the understanding of the meaning in the text and to identify the main themes.
Seven main themes were identified that reflected survivors’ understanding of the impact of cancer in young adulthood: (1) having cancer as a boundary situation, (2) the interruption and resumption of life, (3) the impact on intimate relationship and marriage, (4) survivorship and self-identity, (5) the help from the cancer bulletin billboard, (6) the strength of inner speech, and (7) young adults create their own meaning of life with cancer.
This research helps us to recognize the challenge of the young cancer survivors, to appreciate their strength and resilience, and to understand their subjectivity as their own meaning makers.

以文找文

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1.	教師參與藝術教育治療培訓之經驗—以廣達藝術教育治療種子教師培訓為例
2.	離婚母親在未成年子女探視權司法歷程之詮釋現象研究
3.	大學國語文教師「課程意識與教學實踐」之敘事探究──一位博士生兼任講師的自我敘說
4.	基督信仰下的受苦轉化：一個存在現象學的研究
5.	督導者督導信念和價值觀的內涵及其形成與影響
6.	哀傷的時間性：癌末病患照顧者與過世病人之關係流變與倫理連結
7.	三位國小女性校長性別政治經驗之敘說研究－以女性主義觀點詮釋
8.	寄養媽媽照顧受虐兒童歷程之研究：我不只是照顧者
9.	莊子物學的宗教維度
10.	匍匐前進-軍隊組織性別化操作與制度性矯正
11.	心理師面對案主移情愛的治療經驗與反移情研究
12.	參與樂齡學習工作者對於退休觀點轉化之研究
13.	檢察官運用污點證人制度之理論與實證研究
14.	國小教師專業認同型塑之後現代觀點探究
15.	成功專案推動歷程之研究：民國103至104年

1.	臺灣詩人的囚與逃：以商禽、蘇紹連、唐捐為例
2.	六朝詩歌中知覺觀感之轉移研究
3.	多元文化視野下的音樂通識教育
4.	《莊子》「心」思想硏究：一個「道」「物」兼含與「心」「物」溶融之示例
5.	留美小說論：以1960、70年代《皇冠》、《現代文學》、《純文學月刊》短篇小說為核心
6.	課程理解 : 教師取向之研究
7.	跨界永續治理 : 生活政治取向之永續體制演化研究
8.	親職暴力處遇 : 介入與省思
9.	現象學與科學哲學
10.	人際和諧與衝突 : 本土化的理論與研究
11.	臺灣心理學本土化運動史略：從民族學研究所的歷史經驗談起(1970~1990年代)
12.	社會研究的研究者與倫理
13.	特殊教育之意義--知覺現象學的觀察
14.	教室劇場的劇本是誰寫的--教學藝術實踐的評析
15.	何謂「好」老師？文化互動論觀點的嘗試

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4.	現象學研究法
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12.	護理人員在護持與承擔中的轉化--以臨終照護反思團體為例
13.	校長知識領導之個案研究
14.	經常逃學而不逃家少年其學校與家庭經驗之研究
15.	老年末期腎病患者生命意義感及影響因素之探討

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