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題名：聆聽受苦之聲：從「咱們」關係析究慢性病照顧
書刊名：應用心理研究
作者：林耀盛 引用關係
作者(外文)：Lin, Yaw-sheng
出版日期：2006
卷期：29
頁次：頁183-212
主題關鍵詞：照顧；咱們；建構；詮釋；存有；Care；We-ness；Constructive；Hermeneutic；Ontological
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(23) 博士論文(4) 專書(0) 專書論文(1)
  • 排除自我引用排除自我引用:11
  • 共同引用共同引用:13
  • 點閱點閱:58
本文將從「建構」、「詮釋」和「存有」三重構面，探討慢性病思者的照顧議題。首先，經由慢性病身體作為中介平台，說明慢性病照顧是一種生活經驗的完形關係轉換，故僅著重身體層次的症狀控制照顧模態，其實是一種社會建構下的技術導向產物。其次，回到疾病詮釋模式的討論，還原患者的疾苦病痛之聲。其次，從存有開顯的立場，提出以照顧自己∕關切他人為複合體的「咱們」位元作為一種照顧模態，得以回應受苦此有「存在上的掛慮」之召喚；進而呼應慢性病什麼也不是，幾乎可以看作是一種「生命本體意義遭受侵襲之苦」的生存事件論點。最後，本文抵達現象學心理學的園地，反思以「咱們」關係為位元的照顧倫理踐行理由；透過本研究的發聲，相信得以對慢性病患者的活現經驗，注入異質性的理解窗口，使「咱們」的存有遺忘，不再成為人類世界裡失落的連帶。同時，本文以為，在臨床處境下，照顧自己∕關切他人所複合的關係，也可說是一種本土脈絡照顧形態的展演。期許文本的立場，可以為建立「以照顧增補於治癒」、「以生活關懷增補於專業治療」及「照顧現象增補於機構診療」的心理照顧領域，奠下一點基礎。
The paper aims to explore issues concerning the care of the chronic illness sufferers from three perspectives. First, from the perspective of social construction, the management of chronic illness is so much focused on the symptom control that the physical, psychological and the social progress of the patient's gradual loss of integrity as a holistic person is ignored. Second, from the hermeneutics, we will examine the need for the patients of chronic illness to resume their voice, and how it could be done. Third, a “we-ness” care pattern that emphasizes an ontological care is proposed based upon an evocation of the patient' need for empathy. Last but not least, from the phenomenological psychological perspective, this “we-ness” care pattern will be examined from an ethical point of view. Unlike patients with an acute illness, whose diseases can be cured and their body restored to health within a relatively short time, patients with chronic illness have to start up a new life with a deformed physical situation. In this article, the stories of the chronically ill are reconstructed from two selective narratives in other researches. It is hoped that through attentive listening, a heterogeneous but comprehensive understanding of the needs of the chronic illness patients can be covered. And by enacting a “we-ness” care pattern, we can see the chronically ill patients as variants situated along a continuum of modes of beings in the world and further provide them with an ontological system that can offer healing by taking care of their medical/social/psychological and other needs.
期刊論文
1.Brown Ill, F. M.(2002)。Inside every chronic patient is an acute patient wondering what happened。In Session: Psychotherapy，58(11)，1443-1449。  new window
2.Kelley, M. P.、Field, David(1996)。Medical Sociology, Chronic Illness and the Body。Sociology of Health and Illness，18(2)，241-257。  new window
3.Van Manen, M.(1998)。Modalities of body experience in illness and health。Qualitative Health Research，8(1)，7-24。  new window
4.Kottow, M. H.(2001)。Between caring and curing。Nursing Philosophy，2，53-61。  new window
5.Frank, A. W.(2000)。The standpoint of storyteller。Qualitative Health Research，10(3)，354-365。  new window
6.Tutton, E.、Seers, K.(2003)。An exploration of the concept of comfort。Journal of Clinical Nursing，12(5)，689-696。  new window
7.Morse, J. M.(2001)。Toward a praxis theory of suffering。Advances in Nursing Science，24(1)，47-59。  new window
8.Polaschek, N.(2003)。Living on dialysis: concerns of clients in a renal setting。Journal of Advanced Nursing，41(1)，44-52。  new window
9.林耀盛、吳英璋(20000900)。進退維谷：糖尿病患者的認同建構。中華心理衛生學刊，13(3)，1-34。new window  延伸查詢new window
10.Rogers, Carl R.(1957)。The necessary and sufficient conditions of therapeutic personality change。Journal of Consulting Psychology，21(2)，95-103。  new window
11.Campbell, R., Pound, P., Pope, C., Britten, N., Pill, R., Morgan, M.,、Donovan, J.(2003)。Evaluating meta-ethnography: A synthesis of qualitative research on lay experiences of diabetes and diabetes care。Social Science and Medicine，56，67 1-684。  new window
12.Frank, A. W.(2001)。Can we research suffering?。Qualitative Health Research，11(3)，353-362。  new window
13.Hollinger, D.(2003)。Curing, caring and beyond: Reflections for a clinical ethics。Ethics & Medicine，19(1)，45-53。  new window
14.Kleinman, A.、Kleinman, J.(1991)。Suffering and its professional transformation。Culture, Medicine and Psychiatry，15(3)，275-301。  new window
15.Paley, J.(2001)。An archeology of caring knowledge。Journal of Advancing Nursing，36(2)，188-198。  new window
16.Rimmon-Kenan S.(2002)。The story of “I': Illness and narrative identity。Narrative，10(1)，9-27。  new window
17.Tang, Y. S.、Anderson, J, M.(1999)。Human agency and the process of healing: Lessons learned from women living with a chronic illness-'re-writing the expert‘。Nursing Inquiry，6，83-93。  new window
18.Williams, S. J.(1996)。Medical sociology, chronic illness and the body: A rejoinder to Michael Kelly and David Field。Sociology of Health and Illness，18，699-709。  new window
會議論文
1.余德慧(2004)。臨終陪伴之倫理與心性互轉機制之探討。台灣本土心理治療學術研討會。  延伸查詢new window
學位論文
1.陳美貴(2003)。負傷的敘事者 : 洗腎者因應資源之調整與轉化(碩士論文)。高雄醫學大學。  延伸查詢new window
2.林耀盛(1999)。疾病意義、身體意象與認同形式：糖尿病患者社會心理因應歷程(博士論文)。國立臺灣大學。new window  延伸查詢new window
圖書
1.Toombs, S. K.(1992)。The meaning of illness: A phenomenological account of the different perspectives of physician and patient。Boston：Kluwer Academic Press。  new window
2.張杰、李勇華、港道隆(2002)。列維納斯：法外的思想。河北：河北教育出版社。  延伸查詢new window
3.羅葉(2002)。病愛與救贖。臺北縣新店：木馬文化事業有限公司。  延伸查詢new window
4.Frank, Arthur W.(1995)。The Wounded Storyteller: Body, Illness, and Ethics。Chicago, IL：The University of Chicago Press。  new window
5.Pilisuk, M.、Parks, S. H.(1986)。The healing web: Social networks and human survival。Hanover。  new window
6.Van den Berg, J. H.、石世明(2001)。病床邊的溫柔。臺北：心靈工坊。  延伸查詢new window
7.Sontag, S.(1990)。Illness as metaphor and AIDS and its metaphor。N.Y.：Anchor Book：Doubleday。  new window
8.Zaner, Richard M.、譚家瑜(2001)。醫院裡的哲學家。臺北：心靈工坊文化公司。  延伸查詢new window
9.莫里斯．梅洛-龐蒂、姜志輝(2001)。知覺現象學。北京：商務印書館。  延伸查詢new window
10.May, Rollo、朱侃如(2003)。哭喊神話。臺北：立緒文化公司。  延伸查詢new window
11.Heidegger, Martin、陳嘉映、王慶節(1989)。存在與時間。臺北：唐山出版社。  延伸查詢new window
12.Kleinman, Arthur、陳新綠(1994)。談病說痛--人類的受苦經驗與痊癒之道。臺北：桂冠圖書公司。  延伸查詢new window
13.Heidegger, Martin、Macquarrie, John、Robinson, Edward S.(1962)。Being and Time。Harper & Row。  new window
14.吳汝鈞(2003)。胡賽爾現象學解析。臺北：臺灣商務印書館。  延伸查詢new window
15.張旭春(譯）、O'neill, J.。《五種身體(Five bodies: The human shape of modern society.)。台北。  延伸查詢new window
16.Buytendijk, F.J. J.(1974)。Prolegomena to an anthropological physiology。Pittsburgh。  new window
17.Foucault, M.(1994)。The order of things.(Vintage Books Edition)。New York。  new window
18.Gadamer, H. J.(1993)。The enigma of health。California。  new window
19.Gantt, E. E.、Williams, R. N.(2002)。Psychology for the other: Levinas, ethics and the practice of psychology。Pittsburgh。  new window
20.Madjar, I.(2001)。The lived experience of pain in the context of clinical practice。Handbook of phenomenology and medicine。Dordrecht。  new window
21.Sharf, R. S.(2004)。Theories of psychotherapy and counseling: Concept and cases (3rd)。Australia。  new window
22.Sundtrom, P.(2001)。Disease: The phenomenological and conceptual center of practical-clinical medicine。Handbook of phenomenology and medicine。Dordrecht。  new window
圖書論文
1.Garro, Linda C.(1992)。Chronic illness and the construction of narratives。Pain as human experience: An anthropological perspective。Berkeley：University of California press。  new window
2.Sandy, L. S.、Gibson, R.(1996)。Managed care and chronic care: Challenges and opportunities。Managed care and chronic illness: Challenges and opportunities。Maryland：Aspen Publishers, Inc。  new window
3.Svenaeus, F.(2001)。The phenomenology of health and illness。Handbook of phenomenology and medicine。Dordrecht, NL：Kluwer Academic Publishes。  new window
4.Foucault, Michel(1988)。Technologies of the Self。Technologies Of The Self: A Seminar With Michel Foucault。Amherst, MA：University of Massachusetts Press。  new window
5.Benner, P.(2001)。The phenomenology of care。Handbook of phenomenology and medicine。Dordrecht：Kiuwer Academic Publishes。  new window
6.Cassell, E. J.(2001)。The phenomenon of suffering and its relationship to pain。Handbook of phenomenology and medicine。Dordrecht：Kluwer Academic Publishes。  new window
 
 
 
 
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