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題名：從系統思維探討基督徒癌婦的家庭關係與靈性經驗
書刊名：中華輔導與諮商學報
作者：賈紅鶯 引用關係／陳秉華 引用關係／溫明達
作者(外文)：Chia, Hong-ying／Chen, Ping-hwa／Woon, Ming-dar
出版日期：2013
卷期：37
頁次：頁243-279
主題關鍵詞：系統思維；家庭關係；基督徒；敘事研究；癌婦；靈性；Cancer-laden housewives；Christian；Family relationships；Narrative research
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(7) 博士論文(0) 專書(0) 專書論文(1)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:174
  • 點閱點閱:29
本研究針對四位基督徒癌症婦女，兩位失婚罹患大腸癌、陰道癌的慕道友，及兩位信仰多年的已婚乳癌婦女，分別進行四至八小時不等時間深度訪談，以質性敘事研究「整體－內容觀點」方法進行分析。研究結果發現癌婦的家庭關係反映性別與宗教信仰的文化脈絡，癌症引發失婚癌婦過往的婚姻創傷之慟，不下於癌症生理之痛，因而先發出靈性的需要，也帶來靈性的療癒。已婚癌婦對癌前夫妻、親子、婆媳關係予以反思，從身為沉重照顧者到返身自我照顧並經歷身心靈的「重生」。癌婦的靈性經驗呈現成長與掙扎的交織歷程，靈性掙扎與生理疼痛、心理情緒、家庭關係及教會關係等有關。研究結果顯示癌症不只是個人的身心靈問題，也是家庭系統的議題。依此，研究者參考Rolland「家庭系統－疾病模式」提出「家庭系統思維的癌婦身心靈」架構，供未來探究。
Taking the a narrative approach with the ”whole-content analysis” method, this researcher interviewed four female Christian cancer patients. Two were breast cancer patients who had already been Christians for years, and two were divorced women (one with colon cancer and one with vaginal cancer) who were Christian seekers looking into Christianity . In-depth interviews with the subjects ranged from four to eight hours. It was found that the states of the body, mind, and spirit of cancer-laden housewives were correlated to their family relationships and reflected their socio-cultural contexts. The cancer experience inflicted further marriage trauma for the divorced women who, and encountered spirituality and spiritual healing while looking back on the hardships they endured during marriage. Through reflecting upon family relationships before becoming ill, the married women realized how they had adjusted from the role of care-giver of for the family to that of care-giver for to themselves and increased their trust in God's transcendental power, reflecting on the meaning of ”rebirth”. Their spiritual growth maintained a dialectic relationship with spiritual struggle. Spiritual struggles due to cancer induced physical pain, depression, marital relationships, conflicts with in-laws and alienation from church. Cancer is not only personal disease but also the issues of family relationship. The researcher attempted to construct a theory regarding the ”body, mind and spirit within relational context” through using a systematic framework.
期刊論文
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11.Jenkins, R. A.、Pargament, K. I.(1995)。Religion and spirituality as resources for coping with cancer。Journal of Psychosocial Oncology，13，51-74。  new window
12.Kagawa-singer, M.、Wellisch, D. K.(2003)。Breast cancer patient's perceptions of their husband's support in a cross-cultural context。Psycho-Oncology，12，24-37。  new window
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14.Mytko, J. J.、Knight, S. J.(1999)。Body, mind and spirit: Towards the integration of religiosity and spirituality in cancer quality of life research。Psycho-Oncology，8，439-450。  new window
15.Romero, C.、Lindsay, J. E.、Dalton, W. T.、Nelson, D. V.、Friedman, L. C.(2008)。Husband's perceptions of wive's adjustment to breast cancer: The impact on wive's mood。Psycho-Oncology，17，237-243。  new window
16.Reynolds, P.、Kaplan, G.(1990)。connections and risk for cancer: Prospective evidence from Alameda County Study。Behavioral Medicine，16(3)，101-110。  new window
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19.Walsh, S. R.、Manuel, J. C.、Avis, N. E.(2005)。The impact of breast cancer on younger women's relationships with their partner and children。Families, Systems and Health，23(1)，80-93。  new window
20.Waxler-Morrison, N.、Hislop, T. G.、Mears, B.、Kan, L.(1991)。Effects of social relationships on survival for women with breast cancer: A prospective study。Social Science and Medicine，33(2)，177-183。  new window
21.Zahlis, E. H.(2001)。The child's worries about the mother's breast cancer: Sources of distress in school-age children。Oncology nursing forum，28(6)，1019-1025。  new window
22.唐婉如、羅文珮、郭小菁、游瓊瑤(20041200)。臨終與非臨終消化道癌症病患生活品質與其相關因素探討。腫瘤護理雜誌，4(2)，1-13。  延伸查詢new window
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24.Highfield, M. F.、Cason, C.(1983)。Spiritual needs of Patients：Are they recognized？。Cancer Nursing，6，187-192。  new window
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27.Soto-Fulp, S.、DelCampo, R. L.(1995)。Structural family therapy with Mexican-American family systems。Contemporary Family Therapy，16(5)，349-362。  new window
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29.張淑美、陳慧姿(20061200)。癌症病人生命意義與靈性關懷之探討。成人及終身教育學刊，7，1-20。new window  延伸查詢new window
30.Daaleman, T. P.、Frey, B. B.、Wallace, D.、Studenski, S. A.(2002)。Spirituality index of well-being scale: development and testing of a new measure。Journal of Family Practice，51(11)，952。  new window
31.胡文郁、戴玉慈、陳慶餘、釋惠敏、陳月枝(20030500)。從臺灣文化脈絡下剖析與建構癌末病人健康相關生活品質內涵之研究。安寧療護，8(2)，113-133。new window  延伸查詢new window
32.Carson, V. B.、Soeken, K. L.、Shanty, J.、Terry, L.(1990)。Hope and spiritual well-being: Essentials for living with AIDS。Perspectives in Psychiatric Care，26(2)，28-34。  new window
33.杜明勳(20041000)。談靈性照顧。護理雜誌，51(5)，78-83。new window  延伸查詢new window
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35.鍾美玲、顧乃平、吳肖琪、趙祖怡、陽琪(20010400)。乳癌婦女治療後婚姻調適及其相關因素探討。護理研究，9(2)，137-146。new window  延伸查詢new window
36.楊克平、尹祚芊(19990400)。癌末病患健康相關生活品質內涵之確認。護理研究，7(2)，129-144。new window  延伸查詢new window
37.楊克平(19980600)。護理實務中之靈性照護。護理雜誌，45(3)，77-83。new window  延伸查詢new window
38.黃囇莉(20010600)。身心違常--女性自我在父權結構網中的「迷」途。本土心理學研究，15，3-62。new window  延伸查詢new window
39.趙淑珠(19990600)。家庭系統研究中之性別議題。應用心理研究，2，125-139。new window  延伸查詢new window
40.胡幼慧(19910100)。性別、社會角色與憂鬱症狀。婦女與兩性學刊，2，1-18。new window  延伸查詢new window
41.Pargament, Kenneth I.、Smith, Bruce W.、Koenig, Harold G.、Perez, Lisa(1998)。Patterns of Positive and Negative Religious Coping with Major Life Stressors。Journal for the Scientific Study of Religion，37(4)，710-724。  new window
42.Jack, D. C.、Dill, D.(1992)。The Silencing the Self Scale: Schemas of intimacy associated with depression in women。Psychology of Women Quarterly，16(1)，97-106。  new window
43.Gartner, J.、Larson, D. B.、Allen, G. D.(1991)。Religious commitment and mental health: a review of the empirical literature。Journal of Psychology and Theology，19(1)，6-25。  new window
44.Rolland, J.(1984)。Toward psychosocial typology of chronic and life threatening illness。Family Systems Medicine，2(3)，245-262。  new window
45.Ellison, C. G.(1991)。Religious involvement and subjective well-being。Journal of Health and Social Behavior，32(1)，80-99。  new window
會議論文
1.賈紅鶯(2007)。苦難的美學：一個家暴倖存家庭的關係、靈性與反思。2007年家族治療學術研討會，(會議日期: 2007年12月)。彰化。249-283。  延伸查詢new window
2.陳秉華、程玲玲、賈紅鶯、李島鳳、范嵐欣(2010)。基督徒的靈性掙扎與靈性因應。2010年基督宗教諮商輔導研討會，(會議日期: 2010年6月)。新北市：天主教輔仁大學。  延伸查詢new window
3.賈紅鶯、溫明達(2008)。從「家庭系統--疾病模式」建構乳癌婦女家庭病情告知歷程。2008「醫療處遇與諮商介入」學術暨實務研討會，(會議日期: 10月)。花蓮：東華大學。  延伸查詢new window
研究報告
1.行政院衛生署(2010)。98年度死因統計完整統計表。  延伸查詢new window
學位論文
1.Chiu, L.(1996)。Spirituality of women living with breast caner in Taiwan: A phenomenological study(博士論文)。University of Texas，Austin, UT。  new window
2.馮日安(2004)。安寧療護中的靈性照顧--安寧志工的觀點(碩士論文)。南華大學。  延伸查詢new window
3.賴維淑(2002)。晚期癌症病患對臨終事件之感受與身、心、社會及靈性之需求(碩士論文)。國立成功大學。  延伸查詢new window
4.沈麗靚(2004)。安寧護理人員靈性概念之建構研究(碩士論文)。南華大學。  延伸查詢new window
圖書
1.Exline, J. J.、Rose, E.(2005)。Religious and spiritual struggles。Handbook of the psychology of religion and spirituality。New York, NY：The Guilford Press。  new window
2.Wright, L. M.、Watson, W. L.、Bell, J. M.(1996)。Beliefs: The heart of healing in families and illness。New York：Basic Books。  new window
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4.Storm, C.、Todd, T.(2011)。系統取向督導完全指南。台北：心靈工坊。  延伸查詢new window
5.楊淑琴、龔振成、楊陳好(1998)。向癌宣戰。台北：正中書局。  延伸查詢new window
6.趙可式(2001)。臨終關懷‧生死學。台北：空中大學。  延伸查詢new window
7.Baider, L.、Cooper, C. L.、De-Nore, A. K.(1996)。Cancer and the family。New York, NY：John Wiley & Sons。  new window
8.Pargament, K. I.(2007)。Spiritually integrated psychotherapy: Understanding and addressing the sacred。New York：The Guilford Press。  new window
9.Linde, Charlette(1993)。Life Stories: The Creation of Coherence。Oxford University Press。  new window
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11.Bateson, Gregory(1979)。Mind and nature: A necessary unity。Cresskill, NJ：Hampton Press。  new window
12.Lieblich, Amia、Tuval-Mashiach, Rivka、Zilber, Tamar、吳芝儀(2008)。敘事研究：閱讀、詮釋與分析。嘉義市：濤石文化。  延伸查詢new window
13.Bowen, M.(1978)。Family therapy in clinical practice。New York：Northvale, NJ：Basic Books：Jason Aronson。  new window
14.Kleinman, Arthur(1988)。The Illness Narrative: Suffering, Healing, and the Human Condition。Basic Books。  new window
15.Kastenbaum, Robert. J.(1991)。Death, Society, and Human Experience。New York：MaCmillan Publishing Company。  new window
16.楊克平、杜友蘭(1999)。安寧與緩和療護學：概念與實務。台北：偉華。  延伸查詢new window
17.Minuchin, S.、Rosman, B. L.、Baker, L.(1978)。Psychosomatic Families: Anorexia Nervosa in Context。Cambridge, Mass：Harvard University Press。  new window
18.von Bertalanffy, Ludwig(1968)。General Systems Theory: Foundations, Development, Applications。New York, NY：George Brazilier。  new window
19.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, appraisal, and coping。Springer Publishing Company。  new window
20.Nichols, Michael P.、劉瓊瑛(2011)。家族治療。洪葉。  延伸查詢new window
21.Riessman, Catherine Kohler(1993)。Narrative Analysis: Qualitative Research Method。Sage Publications, Inc.。  new window
22.趙可式(1998)。康泰安寧療護手冊。臺北：康泰醫療教育基金會。  延伸查詢new window
23.蔡美娟(1998)。我的抗癌歲月。臺北：遠流。  延伸查詢new window
其他
1.陳旻苹(2007)。2006婦女健康新聞十大出爐子宮頸癌疫苗在台上市票選第一顯示女性憂心癌症威脅，http://www.womenclinic.com.tw/news/news-146.htm， 2007/02/03。  延伸查詢new window
圖書論文
1.胡台麗(1998)。蔡美娟的有用人生。我的抗癌歲月。台北：遠流。  延伸查詢new window
2.鄭翠津(1998)。永不妥協的抗癌女鬥士。我的抗癌歲月。台北：遠流。  延伸查詢new window
3.Barton, D.(1977)。The dying person。Dying and death: Aclinical guide for caregivers。Baltimore, MD：Williams。  new window
4.Klaassen, D. W.、Mcdonald, M. J.、James, S.(2006)。Advance in the study of religious and spiritual coping。Handbook of multicultural perspectives on stress and coping。New York, NY：Springer Publishing。  new window
5.Weihs, K.、Reiss, D.(1996)。Family reorganization in response to cancer: A developmental perspective。Cancer and the family。New York, NY：John Wiley and Sons。  new window
6.Stoll, R. I.(1989)。The essence of spirituality。Spiritual dimensions of nursing practice。Philadelphia：Saunders。  new window
7.Walsh, F.(1999)。Opening family therapy to spirituality。Spiritual Resource in Family Therapy。New York：The Guilford Press。  new window
 
 
 
 
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