Existential Issues of Terminal Cancer Patients with Major Depressive Disorder-Analyze Text from Psychotherapy with Patients

癌症末期併憂鬱症病人的存在議題：分析病人心理治療的文本

方俊凱(Chun-Kai Fang) ； 李佩怡(Pei-Yi Li)

《安寧療護雜誌》 12卷3期 (2007/08) Pp. 257-272

https://doi.org/10.6537/TJHPC.2007.12(3).1

摘要

在安寧緩和照顧中，處理癌症末期併憂鬱症病人是困難的。至今有關癌末期併憂鬱症病人的臨床研究仍然罕見，透過瞭解這類病人的存在議題可能會有臨床工作有所貢獻。本研究中，4位簽署受試者同意書的癌症末期併憂鬱症病人接受心理治療，而心理治療的文本，根據海德格的此在詮釋學，分析其存在議題。4位病人共有22個有效的文本。研究結果顯示，癌症末期併憂鬱症病人的存在議題包括：死亡、自我覺察、尊嚴、意義與無意義、自主權與選擇、與關係。本研究結果將對瞭解與處理癌症末期併憂鬱症病人有所幫助。

關鍵字

存在議題 ； 癌症末期病人 ； 憂鬱症 ； 詮釋學

並列摘要

It is difficult to manage terminal cancer patients with major depressive disorder in hospice palliative care. There have been still few literatures about clinical studies among terminal cancer patients with major depressive disorder. Understanding existential issues of those patients may be contributed for clinical practice. According to Heidegger's dasein hermeneutics, the texts from psychotherapies which included four terminal cancer inpatients with major depressive disorder after signing letters of informed consent were analyzed to find the existential issues. There were twenty two valid texts of all four patients. The existential issues of terminal cancer patients with major depressive disorder are death, self-awareness, dignity, meaning and meaninglessness, autonomy and choice, and relations. The results will contribute to understand and deal with terminal cancer patients with major depressive disorder.

並列關鍵字

existential issues ； terminal cancer ； patient major depressive disorder ； hermeneutics