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題名 年輕乳癌患者的人我處境與未來感： 心理經驗轉化現象探討
Exploring the transformative felt experiences of interpersonal situatedness and future temporality of young breast cancer patients: The phenomenological psychology approach
作者 楊子慧
Yang, Tzu Hui
貢獻者 林耀盛
Lin, Yaw Sheng
楊子慧
Yang, Tzu Hui
關鍵詞 乳癌
創傷後成長
現象學心理學
breast cancer
posttraumatic growth
phenomenological psychology
日期 2017
上傳時間 8-Feb-2017 16:40:51 (UTC+8)
摘要 目的：本研究探討乳癌患者從受苦到經驗正向改變的轉化，以王韋婷（2014）研究為基礎進行探討。該研究於術後一日、三個月、六個月與一年，追蹤測量乳癌患者的創傷後成長（PTG），並依量表分數變化將參與者分為四種軌跡發展組別，分別為高穩定組、中間組、上升組與下降組。本研究以訪談方式進行後續追蹤。
方法：研究採取雙盲設計，抽取王韋婷（2014）研究參與者樣本，共有五位參與者，平均罹癌年齡35.6歲，接受單次訪談。資料分析以現象學心理學方法進行，並對應其受創傷成長發展軌跡組別（分別為高穩定組三位、中間組兩位），進行討論。
結果與討論：研究結果發現，參與者的主題置身結構包括：「癌症療程是溢出常態的受苦經驗」、「受苦經驗中的照顧倫理行動」、「反求諸己的受苦意涵」、「在世牽掛的流變」，並由此帶出「生活是日常與非日常的背景-前景辯證歷程」。本研究顯示PTG高穩定組的參與者，從焦慮過渡到操煩，朝向生活世界的歷程，是打開此在與生活世界、社會的交往。PTG中間組的兩位參與者，試圖領會身體限制的存在意義，仍在尋求身體的安居。只有身體的返家意識，在安居中獲得熟悉感，才能夠出發朝向世界，因此在未來的時間流變中，仍有持續邁向成長的可能性。
結論：PTG高維持組受訪者以釋放控制，帶出了「朝死而生」的本真活動，是「在己生命」開展了生活世界。PTG中間組以固守控制，將現今未能解除的困境寄望未來，是他人束縛下求全的「為己生命」。最後，提出研究限制與未來研究建議。
Objectives: The study aims to explore how the young breast cancer survivors perceived psychological growth since operation treatment, focusing on their transformative experiences of interpersonal situatedness and sense of future temporality.
Methods: Based on the dissertation by Wang (2014), the participants are recruited from Wang’s research the subjects were divided into four groups (stable high, middle stable, low increasing, and sharp decreasing) by the patterns of their posttraumatic growth(PTG) scores assessed at 1day, 3, 6, 12 months after surgery. There are five participants whose mean age 35.6 at diagnosis were interviewed and data transcribed, and analyzed by phenomenological psychology approach.
Results: Four themes emerged from the data analysis, including: (1) Enduring suffering out of daily order under cancer treatment. (2) Ethical act to care for suffering experiencing. (3) Meaning transformation of the suffering. (4) Different solicitude modes of being-in-the-world. Participants belonging to stable high group turn their state of mind from anxiety (Angst) into care (Sorge), facing the life situation and engage in life world. Participants belonging to middle stable group try to realize existential meaning and the sense of uncanny body, seeking for the dwelling of the habitual body. The ill life is an unhomelike being-in-the-world in which the lived body, the central vehicle of this being-in of Da-sein, takes on alien and uncanny qualities. Health, in contrast to this frustrating unhomelikeness, is a homelike being-in-the-world in which the lived body in most cases has a transparent quality as the point of access to the world in understanding activities.
Conclusion: Participants belonging to stable high group carry on limited lifetime and take authentic mode of being toward death, illustrating ‘being-in-itself’, and the experience of illness underlines our homeless predicament, but it can also serve as a springboard to addressing and living with existential uncertainty in a more authentic way. Participants belonging to middle stable group hold on limited lifetime and take future temporality as a hope to leave the predicament, illustrating ‘being-for-itself’, and it projects the possibilities of the future, on the basis of the care pattern of meaning constituting its past, as a means of constructing its present. In Heidegger’s words, ‘‘The totality of being of Dasein as care means: ahead-of-itself-already-being-in (a world) as being-together-with beings encountered in the world”. The outcome implication and further research agenda are discussed.
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描述 碩士
國立政治大學
心理學系
102752017
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0102752017
資料類型 thesis
dc.contributor.advisor 林耀盛zh_TW
dc.contributor.advisor Lin, Yaw Shengen_US
dc.contributor.author (Authors) 楊子慧zh_TW
dc.contributor.author (Authors) Yang, Tzu Huien_US
dc.creator (作者) 楊子慧zh_TW
dc.creator (作者) Yang, Tzu Huien_US
dc.date (日期) 2017en_US
dc.date.accessioned 8-Feb-2017 16:40:51 (UTC+8)-
dc.date.available 8-Feb-2017 16:40:51 (UTC+8)-
dc.date.issued (上傳時間) 8-Feb-2017 16:40:51 (UTC+8)-
dc.identifier (Other Identifiers) G0102752017en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/106431-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 心理學系zh_TW
dc.description (描述) 102752017zh_TW
dc.description.abstract (摘要) 目的：本研究探討乳癌患者從受苦到經驗正向改變的轉化，以王韋婷（2014）研究為基礎進行探討。該研究於術後一日、三個月、六個月與一年，追蹤測量乳癌患者的創傷後成長（PTG），並依量表分數變化將參與者分為四種軌跡發展組別，分別為高穩定組、中間組、上升組與下降組。本研究以訪談方式進行後續追蹤。
方法：研究採取雙盲設計，抽取王韋婷（2014）研究參與者樣本，共有五位參與者，平均罹癌年齡35.6歲，接受單次訪談。資料分析以現象學心理學方法進行，並對應其受創傷成長發展軌跡組別（分別為高穩定組三位、中間組兩位），進行討論。
結果與討論：研究結果發現，參與者的主題置身結構包括：「癌症療程是溢出常態的受苦經驗」、「受苦經驗中的照顧倫理行動」、「反求諸己的受苦意涵」、「在世牽掛的流變」，並由此帶出「生活是日常與非日常的背景-前景辯證歷程」。本研究顯示PTG高穩定組的參與者，從焦慮過渡到操煩，朝向生活世界的歷程，是打開此在與生活世界、社會的交往。PTG中間組的兩位參與者，試圖領會身體限制的存在意義，仍在尋求身體的安居。只有身體的返家意識，在安居中獲得熟悉感，才能夠出發朝向世界，因此在未來的時間流變中，仍有持續邁向成長的可能性。
結論：PTG高維持組受訪者以釋放控制，帶出了「朝死而生」的本真活動，是「在己生命」開展了生活世界。PTG中間組以固守控制，將現今未能解除的困境寄望未來，是他人束縛下求全的「為己生命」。最後，提出研究限制與未來研究建議。		zh_TW
dc.description.abstract (摘要) Objectives: The study aims to explore how the young breast cancer survivors perceived psychological growth since operation treatment, focusing on their transformative experiences of interpersonal situatedness and sense of future temporality.
Methods: Based on the dissertation by Wang (2014), the participants are recruited from Wang’s research the subjects were divided into four groups (stable high, middle stable, low increasing, and sharp decreasing) by the patterns of their posttraumatic growth(PTG) scores assessed at 1day, 3, 6, 12 months after surgery. There are five participants whose mean age 35.6 at diagnosis were interviewed and data transcribed, and analyzed by phenomenological psychology approach.
Results: Four themes emerged from the data analysis, including: (1) Enduring suffering out of daily order under cancer treatment. (2) Ethical act to care for suffering experiencing. (3) Meaning transformation of the suffering. (4) Different solicitude modes of being-in-the-world. Participants belonging to stable high group turn their state of mind from anxiety (Angst) into care (Sorge), facing the life situation and engage in life world. Participants belonging to middle stable group try to realize existential meaning and the sense of uncanny body, seeking for the dwelling of the habitual body. The ill life is an unhomelike being-in-the-world in which the lived body, the central vehicle of this being-in of Da-sein, takes on alien and uncanny qualities. Health, in contrast to this frustrating unhomelikeness, is a homelike being-in-the-world in which the lived body in most cases has a transparent quality as the point of access to the world in understanding activities.
Conclusion: Participants belonging to stable high group carry on limited lifetime and take authentic mode of being toward death, illustrating ‘being-in-itself’, and the experience of illness underlines our homeless predicament, but it can also serve as a springboard to addressing and living with existential uncertainty in a more authentic way. Participants belonging to middle stable group hold on limited lifetime and take future temporality as a hope to leave the predicament, illustrating ‘being-for-itself’, and it projects the possibilities of the future, on the basis of the care pattern of meaning constituting its past, as a means of constructing its present. In Heidegger’s words, ‘‘The totality of being of Dasein as care means: ahead-of-itself-already-being-in (a world) as being-together-with beings encountered in the world”. The outcome implication and further research agenda are discussed.		en_US
dc.description.tableofcontents 第一章 研究背景與目的 1
第二章 文獻回顧 3
第一節 年輕乳癌患者的經驗特性與遭遇 3
第二節 創傷後成長的理論與相關研究 7
第三節 理論架構應用在癌症經驗上的考量 13
第四節 人我處境與未來感受做為受創與成長的雙面刃 16
第五節 研究問題 18
第三章 研究方法 20
第一節 受訪者、研究場域與流程 21
第二節 訪談指引 21
第三節 資料分析 22
第四章 結果分析─個別置身結構分析 24
第一節 研究參與者背景資料 24
第二節 個別置身結構 25
第五章 結果分析─普遍結構分析 34
第一節 癌症療程是溢出常態的受苦經驗 34
第二節 受苦經驗中的照顧倫理行動 40
第三節 反求諸己受苦意涵 42
第四節 在世牽掛的流變 49
第五節 生活是日常與非日常的背景-前景辯證歷程 54
第六章 綜合討論 56
第一節 從人我關係探討癌症經驗轉化歷程 56
第二節　乳癌經驗的牽掛時間結構 61
第三節 創傷後成長為一多重現象 66
第四節 臨床應用的考量與建議 68
第五節　研究限制與未來方向 70
參考文獻 71
附錄一 創傷後成長量表 81		zh_TW
dc.format.extent 1744191 bytes-
dc.format.mimetype application/pdf-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0102752017en_US
dc.subject (關鍵詞) 乳癌zh_TW
dc.subject (關鍵詞) 創傷後成長zh_TW
dc.subject (關鍵詞) 現象學心理學zh_TW
dc.subject (關鍵詞) breast canceren_US
dc.subject (關鍵詞) posttraumatic growthen_US
dc.subject (關鍵詞) phenomenological psychologyen_US
dc.title (題名) 年輕乳癌患者的人我處境與未來感： 心理經驗轉化現象探討zh_TW
dc.title (題名) Exploring the transformative felt experiences of interpersonal situatedness and future temporality of young breast cancer patients: The phenomenological psychology approachen_US
dc.type (資料類型) thesisen_US
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