處境與時態－慢性病患者身體意象

Spatiality and Temporality: Body Image of Chronic Illness Patients

林耀盛(Yaw-Sheng LIN)

《護理雜誌》 66卷5期 (2019/10) Pp. 14-19

https://doi.org/10.6224/JN.201910_66(5).03

摘要

本文提出「身體我」與「我身體」概念，首先透過造口與瘻管的意象為例，顯示慢性病的身體意象，是兼具時態與處境雙重意義。慢性病身體意象與患者的自我認同是互為影響的關係。自我認同又涉及「同一認同」與「我性認同」。這樣的身體意象，不是器官化身體的認識，而是揭示時間、處境、身體、自我和他者的互動與協調的多樣性關係，這是理解個體及其生活世界的重要面向。最後，本文以人文臨床心理學的反思，經由「我們感」的倫理關係實踐，是通往豐富理解慢性病患者身體意象的一個面向。

關鍵字

身體意象 ； 處境 ； 時間 ； 自我

並列摘要

This paper proposed the concepts of ＂body me＂ and ＂I body＂. Furthermore, the images of colostomy and fistula are used as examples to show that the body image of chronic illness has both temporal and situational meanings and shares a reciprocal relationship with self-identity (i.e., idem identity and ipse identity). Rather than providing an organic explanation, body image is an interactive relationship among time, situation, body, self, and others, which are all important aspects necessary to understand the individual and the world in which she/he lives. Finally, reflecting on humanistic clinical psychology, the ethical relationship practice of ＂we-ness＂ is proposed to shed illustrative light on the body image of chronic illness patients from a new perspective.

並列關鍵字

body image ； situation ； time ； self

參考文獻

林耀盛（2009）．逆向呈現與過度呈現之間：慢性病患者的身心受苦經驗．生死學研究，9，1–43。[Lin, Y. S. (2009). Between the dys-appearance and hyper-appearance: Exploring the suffering experiences of the chronic illness patients. Journal of Life-and-Death Studies, 9, 1–43.] https://doi.org/10.29844/JLDS.200901.0001

林耀盛（2012）．因應多樣性與效用性：慢性病門診病人的疾病因應方式．生死學研究，13，83–119。[Lin, Y. S. (2012). Coping diversity and effectiveness: Coping with the chronic illness of the outpatients. Journal of Life-and-Death Studies, 13, 83–119.] https://doi.org/10.29844/JLDS.201201.0003

林耀盛、李弘毅（2016）．朝向疾病的療癒：血液透析者心理經驗之詮釋．本土心理學研究，45，129–174。[Lin, Y. S., & Lee, H. I. (2016). Toward the healing process of chronic illness: Exploring the psychological experiences of hemodialysis patients. Indigenous Psychological Research in Chinese Societies, 45, 129–174.] https://doi.org/10.6254/2016.45.129

林耀盛、胡至家、張娟鳳 (2009)．憂鬱傾向和親密關係對乳癌術後婦女身體意象影響之相關探討．高雄行為科學學刊，1（1），25–39。[Lin, Y. S., Hu, C. C., & Chang, C. F. (2009). The effect of depressed tendency and intimate relationship on the body image of women with postmastectomy breast cancer. The Journal of Kaohsiung Behavioral Sciences, 1(1), 25–39.] https://doi.org/10.29854/TJKBS.200901.0002

林耀盛、陳玫蓉 (2009)．「和而不同」的生病事件建構：以對偶關係探究腸造口癌症患者及其照顧者的心理生活經驗．本土心理學研究，32，251–325。[Lin, Y. S., & Chen, M. L. (2009). In harmonious yet different worlds: Exploring psychological experiences and co-constructive illness events from the dyadic relationship between stoma patients and their primary care-giver. Indigenous Psychological Research in Chinese Societies, 32, 251–325.] https://doi.org/10.6254/2009.32.251