悲悼的歧義：癌症新近喪偶者的心理反應經驗探究

The Plurality and Diversity of the Bereavement Process: Exploring the psychological reaction experiences to the cancer death events of the new widows/widowers

林耀盛(Yaw-Sheng Lin) ； 侯懿真(Yi-Chen Hou) ； 許敏桃(Min-Tao Hsu)

《生死學研究》 11期 (2011/01) Pp. 1-40

https://doi.org/10.29844/JLDS.201101.0001

摘要

目的：本文旨在探討癌症新近喪偶者（配偶過世一個月到近一年半間）的哀悼心理和復原歷程。 方法：研究場域位於南部某醫院安寧病房，以深度訪談法和現象心理描述法，瞭解癌症喪偶者心理反應經驗。共有十位受訪者參與研究（三男七女），喪偶時平均年齡為46歲，每人接受三至四次訪談。 結果：經資料沉浸閱讀、多重比較和現象分析，發現癌症新近喪偶者的心理反應經驗歷程，包含「想像體的縈繞」、「象徵界的轉化」和「人常關係的裂合」三大脈絡主題。 討論：有受訪者處於想像體；有進入象徵界；有重返真實生活，呈現異質性，可知新近喪偶者悲悼體驗，是擺盪在「情感相依的共變」和「倫理行動的延擱」之間。本文最後提出心理反應經驗的兩個中介因素，亦即「從感官到時態」和「從存有到流變」的反思探討。

關鍵字

想像 ； 象徵 ； 關係 ； 喪親 ； 悲悼

並列摘要

Objective: To explore the way Taiwanese widowers and widows who lost their loved one for suffering the cancer event how to transform their ”limited experience” to be back to the life world in the first one and half years after the loss. The study was aimed to release the complicated bereaved reaction experience processes.
Method: While the depth interviews method was adopted to collect the narratives, the phenomenological descriptive method was conducted to construct the text. Ten subjects (in the ratio of 3 to 7 between man and women) with a mean of 46 years from the hospice care unit in a certain southern Taiwan hospital were interviewed.
Result: Three contextual themes were emerged from the narrative analysis, namely, the imaginative rumination, the transformative symbol and the ethical relationship.
Discussion: We found the medium processes for the emerged context were divided into two mechanisms-from 'sense' to 'tense' to denote the sharing feelings to the dead, and from 'being' to 'becoming' to denote the ethical act. Finally, the implications about the study were discussed.

並列關鍵字

imagination ； symbol ； relationship ； bereavement ； mourning

參考文獻

林耀盛、吳英璋(2004)。雙重變奏曲：探究「九二一」地震「失親家毀」受創者之心理經驗現象。中華心理衛生學刊。17(2)，1-41。

林耀盛(2005)。說是一物即不中：從倫理性轉向療癒觀點反思震災存活者的悲悼歷程。本土心理學研究。23，259-317。

林耀盛、羅愔愔(2010)。患者與照顧者間照顧覺知落差對雙方心理與生活適應之影響：以婦癌病患為例。中華輔導與諮商學報。27，161-197。

余德慧、石世明、夏淑怡、王英偉(2006)。病床陪伴的心理機制：一個二元複合模式的提出。應用心理研究。29，71-100。

許敏桃()。