心與靈的健康觀與疾病觀－以現代泰雅族原住民為例

As Long as My Mind and Soul Are Healthy-A Study of Health and Illness Cognition among Aboriginal People in Taiwan, Atayal Tribe

陳芬苓(Fen-Ling Chen) ； 徐菁苹(Ching-Pin Shu)

《台灣公共衛生雜誌》 27卷5期 (2008/10) Pp. 411-420

https://doi.org/10.6288/TJPH2008-27-05-06

摘要

目標：瞭解原住民族詮釋健康與疾病的特殊性，由其文化脈絡下的生病詮釋，探索原住民對生病與健康的看法，及與現代西醫溝通的困境。方法：以深入訪談法及觀察法收集資料，以桃園縣復興鄉的泰雅族村民為對象，以滾雪球抽樣方式訪談二十二位醫護人員及村民。結果：泰雅族的疾病觀念認為疾病是生命自然循環中的一部份，因此當疾病發生的時候，不是亟思於將疾病去除於生活的軌道，而是如何將病痛納入生活軌道的一部份，繼續運作下去。在泰雅族人的健康觀念中，心理健康與社會健康是健康的人所應具備的基本要素，也是身體不健康的根源。結論：原住民族自有詮釋身體與自然關係的生命價值觀，他們重視心理健康、對疾病正向思考模式、強調人與自然、人與靈的和諧相處、並重視社會健康概念等，許多觀念值得漢民族學習，對他們疾病與健康觀的瞭解強化我們對本土不同社會文化疾病觀的瞭解。

關鍵字

原住民 ； 泰雅族 ； 健康與疾病觀 ； 心理健康

並列摘要

Objectives: This study explored how aboriginal people in Taiwan define 'healthy people,' including mental and physical health, and how they view the existence of disease. Methods: In-depth interviews and observation were conducted with the Atayal People in the Fu-shing village of Taoyuan County. There were 22 health-related workers and villagers who were interviewed. Results: The Atayal people regard health and disease as a natural circle of life. If disease develops, their goal is to live with the disease as best they can instead of getting rid of it. They also emphasize the importance of mental health and social health, and regard their failing as the root of physical disease. Conclusions: Aboriginal people have valuable perspectives towards health and illness which are worthy for us to learn. They value mental health and healthy social relationships within families and throughout the community. They also have a grounded view of the relationships between humans and nature, and apply positive thinking when disease strikes. The understanding of aboriginal perspectives towards health and illness enhances our knowledge of health and illness viewpoints in terms of cultural differences.

並列關鍵字

aboriginal people ； Atayal tribe ； health and illness cognition ； mental health

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