- 學位論文
生命的結與覺 高齡老人自我統整經驗之敘說探究
Retrospection of Life Narrative Inquiry of Elderly Self Integrity
摘要
這個研究是我在老人實務工作場域中，多年從事生命回顧帶領，以及自我照顧老人的經驗而產生的問題意識：到底老人的自我統整是什麼？它是如何進行？我依循著Erickson提出老年期的自我統整概念出發，採取Clandinin和Cornnelly（2000/2003）的敘事探究方法，意圖探討高齡老人的自我統整經驗。在研究參與者的尋找上，我以立意取樣的方式進入中部某一個老人社區服務據點邀請三位女性高齡老人（平均86歲）成為本研究的研究參與者，並以半結構式深度訪談蒐集資料，訪談集中於研究參與者生命歷程的關鍵性事件與當前的生活狀態，並依據敘事探究途徑進行現場文本與研究文本轉譯。而自我統整的研究結果，貫穿於整個研究過程，其中，我呈現了三個女性高齡老人的自我統整故事，包括她們對生命關鍵性事件的情緒調節、問題解決與意義建構，並在年老時展現出安處、獨立、自在、自信、圓融、助人、積極社區參與、老年生活安排與更新等自我狀態、以及對死亡的思考與準備，亦即本研究中結與覺的交互作用；為了更清晰的呈現出故事文本的自我統整面貌，我進一步將研究結果的詮釋與分析與Erickson的3W進行對話，獲得三個結論：1.成年期的心理健康是促進老年期自我統整的基石，2.高齡老人自我統整是生命各階段累增的學習經驗，3.高齡老人自我統整展現出自我安處、自我更新與自我超越。最後，我依據研究的發現，對社區樂齡課程、生命回顧帶領方式、老人諮商工作及未來的研究提供些許建議。
並列摘要
According to my practice experiences on life-review for elderly which raised me the questions: What is self-integrity of elderly? How the process of integrity? By following the concepts of self-integrity that Erickson advocated, narrative inquiry (Clandinin & Cornelly, 2000/2003) was conducted in the study intended to explore the experiences of elderly self-integrity. Three female elderly participants (mean=86 yrs) were recruited from the elderly community service stop which located in central Taiwan by purposely sampling method. The data were collected by semi-structure interviewing focused on life events of the life course and daily life’s experiences. All the data was encoded to field text and analytical text through the way of narrative inquiry. The findings of self-integrity were embedded in the whole process of the study. Particularly, three self-integrity stories have been presented, including emotional/affect regulation, problem solving, and meanings construction of the life events. There have several characteristic of self-integrity in the ageing phase which include harmony, independent, and feel free in the daily life, self-confidence, harmony in relationship, altruist, involve in community activity and daily life arrangement, self-refresh, and death preparation. For the whole picture of self-integrity, the stories analyzed and interpreted by Erickson 3 W question of self-integrity. There were three conclusions as following: 1. Adult mental health is the base of enhancing elderly self-integrity. 2. Elderly self-integrity is accumulate learning experiences through the different phase of the life. 3. Self-harmony, self-refresh and self-transcendence are characteristics of elderly self-integrity. Lastly, there are several recommendations which include community elderly learning program, leading style of life-review method, elderly counseling practice and study in the future were provided.