慢性病、照顧和健康行為：建構多樣性議題與多元方法論

Chronic Illness, Caring, and Health Behavior: Reconceptualizing Diversity Issues and Methodology

林耀盛(Yaw-Sheng Lin)

《中華心理衛生學刊》 28卷2期 (2015/06) Pp. 179-188

https://doi.org/10.30074/FJMH.201506_28(2).0001

摘要

本次專輯進一步顯示國人慢性病症候群屬性、慢性疾病（腎臟病）的療癒狀態，亦涉及癌末患者臨終處境與照顧者倫理議題。面對臨床心理學實務場域，逐步拓展健康心理學議程，指向多樣性研究議題與多元化研究典範的連通實踐，是本專輯的階段成果。收錄的四篇論文，顯示健康與疾病並非二元對立，這樣的觀點檢視，在慢性病歷程長期與生病世界共存的轉折，更可以發現患者在疾病狀態下的創造性適應與新力量的生成。慢性病及其照顧經驗，不只是一種「個人事故」，也非僅止於「醫療檔案」，更是一種人我關係和生活世界的「社會事件」。同時，健康心理學健康促進方案的推廣與健康識能素質的提升，如何結合不同學科的對話與合作，積極建構新時代的健康心理論述，是未來需共同面對的推動議題。

關鍵字

慢性病 ； 健康行為 ； 方法論

並列摘要

The four essays in this special issue are empirical studies in the field of clinical health psychology that reflect the interaction between diversity issues and methodology. The articles highlight the importance of investigating the association between metabolic syndrome and psychological factors among adults, the healing and resilience processes associated with chronic illness, and perceptions of ethical behavior by terminal cancer patients and their caregivers. Health and disease are not in opposition, especially with chronic illness. Patients can use creativity to find new norms. Caring for chronically ill patients can be more than just a stress burden. Chronic illness can be construed as a social event. It is far more complicated than what can be captured in a simple bio-medical model. Enhancing health literacy, and promoting health and health management can reduce both health problems and health costs. Facilitating a dialogue and a collaborative relationship among different disciplines, and constructing a new discourse of health psychology are the essential goals for the future.

並列關鍵字

chronic illness ； health behavior ； methodology

參考文獻

林耀聖(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。

Blaxter, M.(1997).Whose fault is it? People's own conceptions of the reasons for health inequalities.Social Science and Medicine.44(6),747-756.

Canguilhem, G.(1989).The Normal and the Pathological.New York:Zone Books.

Denzin, N. K.(Ed.),Lincoln, Y. S.(Ed.)(1994).Handbook of qualitative research.Thousand Oaks, CA:Sage.

Gough, B.,Deatrick, J. A.(2015).Qualitative health psychology research: Diversity, power, and impact.Health Psychology.34(4),289-292.