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題名 乳癌患者生命故事字詞分析與創傷後成長的關係
The relationship between word-frequency analysis of life narrative and posttraumatic growth in breast cancer patients
作者 李昀潔
Li, Yun-Chieh
貢獻者 許文耀
Hsu, Wen-Yao
李昀潔
Li, Yun-Chieh
關鍵詞 乳癌
創傷後成長
字詞分析
生命故事
Breast cancer
Posttraumatic growth
Word analysis
Life narrative
LIWC
日期 2018
上傳時間 4-一月-2019 16:30:40 (UTC+8)
摘要 創傷後成長是個體經驗到認知層面及意義建構上的轉變，而生命故事可以幫助我們了解個體的意義、人格建構及自我認同，故本研究透過生命故事的字詞分析來了解個體的創傷後成長如何反映在生命故事中。本研究以字詞分析軟體LIWC2007針對不同類型（高峰、轉折、低潮）之生命故事進行文本分析，於研究一中探討不同類型生命故事的差異，透過字詞分析中去探索不同故事中所展現的特性。於研究二中透過字詞分析來探索創傷後成長程度不同的個體，在敘說生命故事時會有什麼不同的字詞使用特性，以及在不同類型生命故事中是否有所差異。本研究採用生命故事訪談法針對127位乳癌患者進行生命故事訪談，並填寫創傷後成長量表。研究結果顯示：（一）不同類型生命故事具有不同特性，患者在高峰故事中使用較多正向情緒詞、工作詞、成就詞、休閒詞，顯示在敘述高峰故事時會展現正向情緒性歷程，內容上較常提及個人成就、休閒活動；在低潮故事中使用較多負向情緒詞、健康詞、認知歷程詞，顯示低潮故事使個體舊有世界觀產生衝擊，因此產生較深度的認知處理，在故事中會展現事件帶來的負向情緒，更重要的是會強調對於事件的認知評估及因應；在轉折故事中使用較多宗教詞、健康詞，顯示其在內容上較常提及所經歷的重大改變，如宗教與靈性發展、罹癌經驗。（二）創傷後成長程度高的患者在敘述生命故事時使用較多第一人稱單數代名詞、相對詞、確切詞，LSM指標分數亦較高，顯示其在敘述生命故事時具有完整詳細、敘事連貫及肯定斷言的特性，且經驗與自我貼近程度較高，生命整合程度較高。此外，創傷後成長程度低的患者使用較多的否定詞，特別是在低潮與轉折故事中，顯示其在這兩類型的生命故事中傾向否定事件對於自己影響及意義。最後，針對本研究結果進行討論並提出臨床應用、研究限制與建議。
Posttraumatic growth (PTG) is that people experience a transformation of cognitive processing and meaning construction. Life narratives help us understand individual meaning, personality construction and self-identity. Therefore, this study was to explore PTG through word analysis of life narratives. Linguistic Inquiry and Word Count (LIWC2007) was used to analyze different types of life narratives (high point, low point & turning point). In study 1, we explored the different characteristics displayed in the different life narratives through word analysis. In Study 2, we used word analysis to explore the word-use pattern differences of different degrees of PTG when they described their life narratives, and found out whether there were differences between different types of life narratives. Life story interview was used to collect 127 breast cancer patients’ stories. Results show that (1) Different types of life narratives have different characteristics. Patients used more positive emotion words, work words, achievement words, and leisure words in high point stories, which showed the positive emotional process when describing the high point stories. The content was often about personal achievements and leisure activities. In the low point stories, more negative emotion words, health words, cognitive words were used, which showed the challenge to the individual`s old assumptive world, and it produced a deeper cognitive process. In low point stories, people showed negative emotions brought by the event, and emphasized the cognitive assessment and response to the event. In the turning point stories, more religious words and health words were used. The content was often about people’s significant changes in lives, such as religious and spiritual development, cancer experience. (2) Patients with high level PTG used more first-person singular pronouns, relative words, and certain words when describing life narratives, and the LSM index scores are also higher, indicating that their narratives were complete, detailed, coherence, assertive, and the experience is more closer to self. In addition, patients with low level PTG used more negate words, especially in the low point and turning point stories, which shows that they tend to deny the impact and meaning of the events in these two types of life stories. Finally, implications and limitations of this study were discussed.
參考文獻 王韋婷（2014）。初診斷乳癌患者創傷後成長與心理適應的關係之長期追蹤研究－從創傷後成長異質性變化軌跡的觀點探討。政治大學心理學研究所博士論文，1-185。
李世文、陳秋梅（1993）。中文口語與書寫語的比較研究。教學與研究，15，63-96。
林瑋芳（2014）。「我們」談談，「好」嗎？－第一人稱複數代名詞在人際互動中所表徵的心理意涵。臺灣大學心理學研究所學位論文，1-87。
馬雨沛（2011）。與癌症共舞－32歲的馬雨沛對抗乳癌歷程。台北市：原水文化。
張硯評（2012）。感恩表達與配偶之生活適應。國立臺灣大學心理學研究所碩士論文，1-34。
黃金蘭、林以正（2014）。語言與心理彈性：語言風格變化作為觀點轉換內隱指標的檢驗。
黃金蘭、林以正、謝亦泰、程威銓（2012）。中文版「語文探索與字詞計算」 詞典之建立。中華心理學刊，54（2），185-201。
黃金蘭、張仁和、程威銓、林以正（2014）。我你他的轉變：以字詞分析探討大學生心理位移書寫文本之位格特性。中華輔導與諮商學報，39，35-58。
黃素菲（2008）。敘事治療的本質與精神。載於陳阿月（譯），從故事到療癒：敘事治療入門（13-16 頁）。台北：心靈工坊。Morgan, A. (2000). What is narrative therapy? An easy-to-read introduction.
黃素菲（2018）。敘事治療的精神與實踐。台北：心靈工坊。
蔡佩真（2007）。宗教信仰與喪親者的悲傷療癒。安寧療護雜誌，12（4），385-394。
Agnew, C. R., Van Lange, P. A., Rusbult, C. E., & Langston, C. A. (1998). Cognitive interdependence: Commitment and the mental representation of close relationships. Journal of personality and social psychology, 74(4), 939.
Angus, L., & Hardtke, K. (1994). Narrative processes in psychotherapy. Canadian Psychology/Psychologie canadienne, 35(2), 190.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association.
Badr, H., Milbury, K., Majeed, N., Carmack, C. L., Ahmad, Z., & Gritz, E. R. (2016). Natural language use and couples’ adjustment to head and neck cancer. Health Psychology, 35(10), 1069.
Bauer, J. J., & McAdams, D. P. (2004). Personal growth in adults` stories of life transitions. Journal of personality, 72(3), 573-602.
Bauer, J. J., McAdams, D. P., & Sakaeda, A. (2005). Interpreting the good life: Growth memories in the lives of mature, happy people. Journal of Personality and Social Psychology, 88, 203–217.
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. University of Pennsylvania Press.
Bruner, J. S. (1994). The remembered self. In U. Neisser & R. Fivush(Eds.), The remembering self: Construction and accuracy in the selfnarrative(pp. 41–54). New York: Cambridge University Press.
Bucci, W., & Freedman, N. (1981). The language of depression. Bulletin of the Menninger Clinic, 45(4), 334.
Calhoun, L. G., & Tedeschi, R. G. (1998). Posttraumatic growth: Future directions. In R. G. Tedeschi, C. L. Park, & L. G. Calhoun (Eds.), Posttraumatic growth: Positive change in the aftermath of crisis (pp. 215-238). Mahwah, NJ: Lawrence Erlbaum Asso ciates, Inc.
Chartrand, T. L., & Van Baaren, R. (2009). Human mimicry. Advances in experimental social psychology, 41, 219-274.
Cheng, C., Wong, W.-m., & Tsang, K. W. (2006). Perception of benefits and costs during SARS outbreak: An 18-month prospective study. Journal of Consulting and Clinical Psychology, 74(5), 870.
Chung, C., & Pennebaker, J. W. (2007). The psychological functions of function words. Social communication, 1, 343-359.
Cohen, L. H., Hettler, T. R., & Pane, N. (1998). Assessment of posttraumatic growth. Posttraumatic growth: Positive changes in the aftermath of crisis, 23-42.
Cordova, M. J., Cunningham, L. L., Carlson, C. R., & Andrykowski, M. A. (2001). Posttraumatic growth following breast cancer: a controlled comparison study. Health Psychology, 20(3), 176.
Crossley, M. (2000). Introducing narrative psychology: McGraw-Hill Education (UK).
Freud, S. (1966). The psychopathology of everyday life: WW Norton & Company.
Graesser, A. C., McNamara, D. S., Louwerse, M. M., & Cai, Z. (2004). Coh-Metrix: Analysis of text on cohesion and language. Behavior research methods, instruments, & computers, 36(2), 193-202.
Graybeal, A., Sexton, J. D., & Pennebaker, J. W. (2002). The role of story-making in disclosure writing: The psychometrics of narrative. Psychology and Health, 17(5), 571-581.
Greenberg, M. A., & Stone, A. A. (1992). Emotional disclosure about traumas and its relation to health: Effects of previous disclosure and trauma severity. Journal of personality and social psychology, 63(1), 75.
Gurevich, M., Devins, G. M., & Rodin, G. M. (2002). Stress response syndromes and cancer: conceptual and assessment issues. Psychosomatics, 43(4), 259-281.
Ho, S. M., Chan, C. L., & Ho, R. T. (2004). Posttraumatic growth in Chinese cancer survivors. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 13(6), 377-389.
Ho, S., Rajandram, R. K., Chan, N., Samman, N., McGrath, C., & Zwahlen, R. A. (2011). The roles of hope and optimism on posttraumatic growth in oral cavity cancer patients. Oral oncology, 47(2), 121-124.
Hofmann, S. G., Moore, P. M., Gutner, C., & Weeks, J. W. (2012). Linguistic correlates of social anxiety disorder. Cognition & Emotion, 26(4), 720-726.
Holmes, D., Alpers, G. W., Ismailji, T., Classen, C., Wales, T., Cheasty, V., et al. (2007). Cognitive and emotional processing in narratives of women abused by intimate partners. Violence Against Women, 13, 1192-1205.
Ireland, M. E., & Pennebaker, J. W. (2010). Language style matching in writing: Synchrony in essays, correspondence, and poetry. Journal of personality and social psychology, 99(3), 549.
Ireland, M. E., Slatcher, R. B., Eastwick, P. W., Scissors, L. E., Finkel, E. J., & Pennebaker, J. W. (2011). Language style matching predicts relationship initiation and stability. Psychological science, 22(1), 39-44.
James, W. (1902). The varieties of religious experience: A study in human nature. New York, NY, US: Longmans, Green and Co. http://dx. doi.org/10.1037/10004-000.
Janoff-Bulman, R. (1989). Assumptive worlds and the stress of traumatic events: Applications of the schema construct. Social cognition, 7(2), 113-136.
Jayawickreme, E., & Blackie, L. E. (2014). Post‐traumatic growth as positive personality change: Evidence, controversies and future directions. European Journal of Personality, 28(4), 312-331.
Kahn, J. H., Tobin, R. M., Massey, A. E., & Anderson, J. A. (2007). Measuring emotional expression with the Linguistic Inquiry and Word Count. The American journal of psychology, 263-286.
King, L. A., Scollon, C. K., Ramsey, C., & Williams, T. (2000). Stories of life transition: Subjective well-being and ego development in parents of children with Down Syndrome. Journal of Research in Personality, 34(4), 509-536.
Lieblich, A., Tuval-Mashiach, R., & Zilber, T. (1998). Narrative research: Reading, analysis, and interpretation (Vol. 47): Sage.
Maercker, A., & Langner, R. (2001). Persönliche Reifung (personal growth) durch Belastungen und Traumata: Validierung zweier deutschsprachiger Fragebogenversionen. Diagnostica, 47(3), 153-162.
Maguen, S., Vogt, D. S., King, L. A., King, D. W., & Litz, B. T. (2006). Posttraumatic growth among Gulf War I veterans: The predictive role of deployment-related experiences and background characteristics. Journal of Loss and Trauma, 11(5), 373-388.
Martino, M. L., Onorato, R., & Freda, M. F. (2015). Linguistic markers of processing trauma experience in women’s written narratives during different breast cancer phases: Implications for clinical interventions. Europe`s journal of psychology, 11(4), 651.
McAdams, D. P. (1985). Power, intimacy, and the life story. Homewood, IL: Dorsey.
McAdams, D. P. (1987). A life-story model of identity Perspectives in personality: JAI Press.
McAdams, D. P. (1993). The stories we live by: Personal myths and the making of the self: Guilford Press.
McAdams, D. P. (1995). What do we know when we know a person? Journal of personality, 63(3), 365-396.
McAdams, D. P. (1996). Personality, modernity, and the storied self: A contemporary framework for studying persons. Psychological inquiry, 7(4), 295-321.
McAdams, D. P., Josselson, R. E., & Lieblich, A. E. (2001). Turns in the road: Narrative studies of lives in transition: American Psychological Association.
McAdams, D. P., & McLean, K. C. (2013). Narrative identity. Current Directions in Psychological Science, 22(3), 233-238.
McFarland, C., & Alvaro, C. (2000). The impact of motivation on temporal comparisons: Coping with traumatic events by perceiving personal growth. Journal of personality and social psychology, 79(3), 327.
McLean, K. C., & Pratt, M. W. (2006). Life`s little (and big) lessons: Identity statuses and meaning-making in the turning point narratives of emerging adults. Developmental psychology, 42(4), 714.
Mehl, M. R., & Pennebaker, J. W. (2002). The Sounds of Social Life: A Psychometric Analysis of Students’ Daily Social Environments and Natural Conversations. Submitted
Mishler, E. G. (1986a). The analysis of interview–narratives. In T. Sarbin (Ed.), Narrative psychology: The storied nature of human conduct (pp. 233–255). New York: Praeger.
Mishler, E. G. (1986b). Research interviewing: Context and narrative. Cambridge, MA: Harvard University Press.
Newman, M. L., Pennebaker, J. W., Berry, D. S., & Richards, J. M. (2003). Lying words: Predicting deception from linguistic styles. Personality and social psychology bulletin, 29(5), 665-675.
Pals, J. L. (2000). Self-narrative of difficult life experiences in adult hood. Unpublished doctoral dissertation, University of Califor nia, Berkeley
Pals, J. L., & McAdams, D. P. (2004). The transformed self: A narrative understanding of posttraumatic growth. Psychological inquiry, 65-69.
Park, C. L. (2010). Making sense of the meaning literature: an integrative review of meaning making and its effects on adjustment to stressful life events. Psychological bulletin, 136(2), 257.
Pasupathi, M., & Mansour, E. (2006). Adult age differences in autobiographical reasoning in narratives. Developmental psychology, 42(5), 798-808.
Pennebaker, J., Chung, C., Ireland, M., Gonzales, A., & Booth, R. (2007). The development and psychometric properties of LIWC2007: LIWC. net.
Pennebaker, J., Chung, C., Ireland, M., Gonzales, A., & Booth, R. (2010). The LIWC2007 application: Technical report, 2007, http://www. liwc. net/liwcdescription. php.
Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological science, 8(3), 162-166.
Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event: toward an understanding of inhibition and disease. Journal of abnormal psychology, 95(3), 274.
Pennebaker, J. W., Booth, R. J., & Francis, M. E. (2007). LIWC2007: Linguistic inquiry and word count. Austin, Texas: liwc. net.
Pennebaker, J. W., Boyd, R. L., Jordan, K., & Blackburn, K. (2015). The development and psychometric properties of LIWC2015. Retrieved from
Pennebaker, J. W., Colder, M., & Sharp, L. K. (1990). Accelerating the coping process. Journal of personality and social psychology, 58(3), 528.
Pennebaker, J. W., & Francis, M. E. (1996). Cognitive, emotional, and language processes in disclosure. Cognition & Emotion, 10(6), 601-626.
Pennebaker, J. W., Francis, M. E., & Booth, R. J. (1993). Linguistic Inquiry and Word Count. Retrieved from
Pennebaker, J. W., Francis, M. E., & Booth, R. J. (2001). Linguistic inquiry and word count: LIWC 2001. Mahway: Lawrence Erlbaum Associates, 71(2001), 2001.
Pennebaker, J. W., Kiecolt-Glaser, J. K., & Glaser, R. (1988). Disclosure of traumas and immune function: health implications for psychotherapy. Journal of consulting and clinical psychology, 56(2), 239.
Pennebaker, J. W., & King, L. A. (1999). Linguistic styles: language use as an individual difference. Journal of personality and social psychology, 77(6), 1296.
Pennebaker, J. W., & Lay, T. C. (2002). Language use and personality during crises: Analyses of Mayor Rudolph Giuliani`s press conferences. Journal of Research in Personality, 36(3), 271-282.
Pennebaker, J. W., Mehl, M. R., & Niederhoffer, K. G. (2003). Psychological aspects of natural language use: Our words, our selves. Annual review of psychology, 54(1), 547-577.
Powell, S., Rosner, R., Butollo, W., Tedeschi, R. G., & Calhoun, L. G. (2003). Posttraumatic growth after war: A study with former refugees and displaced people in Sarajevo. Journal of clinical psychology, 59(1), 71-83.
Prati, G., & Pietrantoni, L. (2014). Italian adaptation and confirmatory factor analysis of the full and the short form of the Posttraumatic Growth Inventory. Journal of Loss and Trauma, 19(1), 12-22.
Pyszczynski, T., & Greenberg, J. (1987). Toward an integration of cognitive and motivational perspectives on social inference: A biased hypothesis-testing model. Advances in experimental social psychology, 20, 297-340.
Rochon, E., Saffran, E. M., Berndt, R. S., & Schwartz, M. F. (2000). Quantitative analysis of aphasic sentence production: Further development and new data. Brain and Language, 72(3), 193-218.
Rogers, C. R. (1995). On becoming a person: A therapist`s view of psychotherapy: Houghton Mifflin Harcourt.
Rude, S. S., Gortner, E. M., & Pennebaker, J. W. (2004). Language use of depressed and depression-vulnerable college students. Cognition & Emotion, 18(8), 1121-1133.
Shakespeare‐Finch, J., & Barrington, A. J. (2012). Behavioural changes add validity to the construct of posttraumatic growth. Journal of traumatic stress, 25(4), 433-439.
Shapiro, S., Angus, L., & Davis, C. (1997). Identity and meaning in the experience of cancer: Three narrative themes. Journal of Health Psychology, 2(4), 539-554.
Simmons, R. A., Chambless, D. L., & Gordon, P. C. (2008). How do hostile and emotionally overinvolved relatives view relationships?: What relatives` pronoun use tells us. Family Process, 47(3), 405-419.
Simmons, R. A., Gordon, P. C., & Chambless, D. L. (2005). Pronouns in Marital Interaction What Do “You” and “I” Say About Marital Health? Psychological science, 16(12), 932-936.
Smith, J., & Baltes, P. B. (1990). Wisdom-related knowledge: Age/cohort differences in response to life-planning problems. Developmental psychology, 26(3), 494.
Solomon, Z., & Dekel, R. (2007). Posttraumatic stress disorder and posttraumatic growth among Israeli ex‐pows. Journal of traumatic stress, 20(3), 303-312.
Stirman, S. W., & Pennebaker, J. W. (2001). Word use in the poetry of suicidal and nonsuicidal poets. Psychosomatic Medicine, 63(4), 517-522.
Taku, K., Calhoun, L. G., Tedeschi, R.G., Gil-Rivas, V., Kilmer, R.P., Cann A. (2007). Examining posttraumatic growth among Japanese university students. Anxiety, Stress, and Coping, 20, 353–367.
Taku, K., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2008). The factor structure of the Posttraumatic Growth Inventory: A comparison of five models using confirmatory factor analysis. Journal of traumatic stress, 21(2), 158-164.
Tausczik, Y. R., & Pennebaker, J. W. (2010). The psychological meaning of words: LIWC and computerized text analysis methods. Journal of language and social psychology, 29(1), 24-54.
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of traumatic stress, 9(3), 455-471.
Tedeschi, R. G., & Calhoun, L. G. (2004). " Posttraumatic growth: Conceptual foundations and empirical evidence". Psychological inquiry, 15(1), 1-18.
Tennen, H., & Affleck, G. (2002). Benefit-finding and benefit-reminding. Handbook of positive psychology, 1, 584-597.
Triplett, K. N., Tedeschi, R. G., Cann, A., Calhoun, L. G., & Reeve, C. L. (2012). Posttraumatic growth, meaning in life, and life satisfaction in response to trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4(4), 400.
Wang AW, Chang CS, Chen ST, Chen DR, Hsu WY. Identification of posttraumatic growth trajectories in the first year after breast cancer surgery. Psychooncology. 2014. doi:10.1002/pon.3577.
Weintraub, W. (1981). Verbal behavior: Adaptation and psychopathology: Springer Publishing Company.
Weintraub, W. (1989). Verbal behavior in Everyday Life: Springer Publishing Company.
White, M. K. (2007). Maps of narrative practice: WW Norton & Company.
Yuan, N. P., Blount, Z., Kopkowski, A., McKendry, M. K., & Hamby, S. (2016). The High and Low Points of Life: Using Narratives to Understand Meaning, Impacts, and Resilience among Youth Living in Rural Appalachia. DOI: 10.13140/RG.2.1.1209.7521
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatrica scandinavica, 67(6), 361-370.
描述 碩士
國立政治大學
心理學系
104752019
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0104752019
資料類型 thesis
dc.contributor.advisor 許文耀zh_TW
dc.contributor.advisor Hsu, Wen-Yaoen_US
dc.contributor.author (作者) 李昀潔zh_TW
dc.contributor.author (作者) Li, Yun-Chiehen_US
dc.creator (作者) 李昀潔zh_TW
dc.creator (作者) Li, Yun-Chiehen_US
dc.date (日期) 2018en_US
dc.date.accessioned 4-一月-2019 16:30:40 (UTC+8)-
dc.date.available 4-一月-2019 16:30:40 (UTC+8)-
dc.date.issued (上傳時間) 4-一月-2019 16:30:40 (UTC+8)-
dc.identifier (其他 識別碼) G0104752019en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/121734-
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) 104752019zh_TW
dc.description.abstract (摘要) 創傷後成長是個體經驗到認知層面及意義建構上的轉變，而生命故事可以幫助我們了解個體的意義、人格建構及自我認同，故本研究透過生命故事的字詞分析來了解個體的創傷後成長如何反映在生命故事中。本研究以字詞分析軟體LIWC2007針對不同類型（高峰、轉折、低潮）之生命故事進行文本分析，於研究一中探討不同類型生命故事的差異，透過字詞分析中去探索不同故事中所展現的特性。於研究二中透過字詞分析來探索創傷後成長程度不同的個體，在敘說生命故事時會有什麼不同的字詞使用特性，以及在不同類型生命故事中是否有所差異。本研究採用生命故事訪談法針對127位乳癌患者進行生命故事訪談，並填寫創傷後成長量表。研究結果顯示：（一）不同類型生命故事具有不同特性，患者在高峰故事中使用較多正向情緒詞、工作詞、成就詞、休閒詞，顯示在敘述高峰故事時會展現正向情緒性歷程，內容上較常提及個人成就、休閒活動；在低潮故事中使用較多負向情緒詞、健康詞、認知歷程詞，顯示低潮故事使個體舊有世界觀產生衝擊，因此產生較深度的認知處理，在故事中會展現事件帶來的負向情緒，更重要的是會強調對於事件的認知評估及因應；在轉折故事中使用較多宗教詞、健康詞，顯示其在內容上較常提及所經歷的重大改變，如宗教與靈性發展、罹癌經驗。（二）創傷後成長程度高的患者在敘述生命故事時使用較多第一人稱單數代名詞、相對詞、確切詞，LSM指標分數亦較高，顯示其在敘述生命故事時具有完整詳細、敘事連貫及肯定斷言的特性，且經驗與自我貼近程度較高，生命整合程度較高。此外，創傷後成長程度低的患者使用較多的否定詞，特別是在低潮與轉折故事中，顯示其在這兩類型的生命故事中傾向否定事件對於自己影響及意義。最後，針對本研究結果進行討論並提出臨床應用、研究限制與建議。zh_TW
dc.description.abstract (摘要) Posttraumatic growth (PTG) is that people experience a transformation of cognitive processing and meaning construction. Life narratives help us understand individual meaning, personality construction and self-identity. Therefore, this study was to explore PTG through word analysis of life narratives. Linguistic Inquiry and Word Count (LIWC2007) was used to analyze different types of life narratives (high point, low point & turning point). In study 1, we explored the different characteristics displayed in the different life narratives through word analysis. In Study 2, we used word analysis to explore the word-use pattern differences of different degrees of PTG when they described their life narratives, and found out whether there were differences between different types of life narratives. Life story interview was used to collect 127 breast cancer patients’ stories. Results show that (1) Different types of life narratives have different characteristics. Patients used more positive emotion words, work words, achievement words, and leisure words in high point stories, which showed the positive emotional process when describing the high point stories. The content was often about personal achievements and leisure activities. In the low point stories, more negative emotion words, health words, cognitive words were used, which showed the challenge to the individual`s old assumptive world, and it produced a deeper cognitive process. In low point stories, people showed negative emotions brought by the event, and emphasized the cognitive assessment and response to the event. In the turning point stories, more religious words and health words were used. The content was often about people’s significant changes in lives, such as religious and spiritual development, cancer experience. (2) Patients with high level PTG used more first-person singular pronouns, relative words, and certain words when describing life narratives, and the LSM index scores are also higher, indicating that their narratives were complete, detailed, coherence, assertive, and the experience is more closer to self. In addition, patients with low level PTG used more negate words, especially in the low point and turning point stories, which shows that they tend to deny the impact and meaning of the events in these two types of life stories. Finally, implications and limitations of this study were discussed.en_US
dc.description.tableofcontents 中文摘要 I
英文摘要 II
目次　　　 III
表次 V
圖次 VI
第一章 緒論 1
第二章 文獻探討 4
第一節 創傷與創傷後成長 4
第二節 生命故事訪談法 10
第三節 語文探索與字詞計算 13
第四節 LIWC相關應用研究 15
第五節 LIWC與創傷後成長 20
第六節 研究目的、問題與假設 21
第三章 研究方法 27
第一節 研究參與者 27
第二節 研究程序 27
第三節 研究工具 27
第四節 生命故事前置處理 28
第五節 分析方法 29
第四章 研究結果 30
第一節 描述統計分析 30
第二節 不同類型生命故事字詞使用之差異 32
第三節 不同程度PTG患者於不同類型生命故事中字詞使用之差異 37
第四節 其他研究發現 43
第五章 討論與建議 46
第一節 研究結果討論 46
第二節 研究應用、限制與建議 57
參考文獻 59
附錄一：生命故事訪談內容 69
附錄二：創傷後成長量表問卷內容 72		zh_TW
dc.format.extent 1977527 bytes-
dc.format.mimetype application/pdf-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0104752019en_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) 字詞分析zh_TW
dc.subject (關鍵詞) 生命故事zh_TW
dc.subject (關鍵詞) Breast canceren_US
dc.subject (關鍵詞) Posttraumatic growthen_US
dc.subject (關鍵詞) Word analysisen_US
dc.subject (關鍵詞) Life narrativeen_US
dc.subject (關鍵詞) LIWCen_US
dc.title (題名) 乳癌患者生命故事字詞分析與創傷後成長的關係zh_TW
dc.title (題名) The relationship between word-frequency analysis of life narrative and posttraumatic growth in breast cancer patientsen_US
dc.type (資料類型) thesisen_US
dc.relation.reference (參考文獻) 王韋婷（2014）。初診斷乳癌患者創傷後成長與心理適應的關係之長期追蹤研究－從創傷後成長異質性變化軌跡的觀點探討。政治大學心理學研究所博士論文，1-185。
李世文、陳秋梅（1993）。中文口語與書寫語的比較研究。教學與研究，15，63-96。
林瑋芳（2014）。「我們」談談，「好」嗎？－第一人稱複數代名詞在人際互動中所表徵的心理意涵。臺灣大學心理學研究所學位論文，1-87。
馬雨沛（2011）。與癌症共舞－32歲的馬雨沛對抗乳癌歷程。台北市：原水文化。
張硯評（2012）。感恩表達與配偶之生活適應。國立臺灣大學心理學研究所碩士論文，1-34。
黃金蘭、林以正（2014）。語言與心理彈性：語言風格變化作為觀點轉換內隱指標的檢驗。
黃金蘭、林以正、謝亦泰、程威銓（2012）。中文版「語文探索與字詞計算」 詞典之建立。中華心理學刊，54（2），185-201。
黃金蘭、張仁和、程威銓、林以正（2014）。我你他的轉變：以字詞分析探討大學生心理位移書寫文本之位格特性。中華輔導與諮商學報，39，35-58。
黃素菲（2008）。敘事治療的本質與精神。載於陳阿月（譯），從故事到療癒：敘事治療入門（13-16 頁）。台北：心靈工坊。Morgan, A. (2000). What is narrative therapy? An easy-to-read introduction.
黃素菲（2018）。敘事治療的精神與實踐。台北：心靈工坊。
蔡佩真（2007）。宗教信仰與喪親者的悲傷療癒。安寧療護雜誌，12（4），385-394。
Agnew, C. R., Van Lange, P. A., Rusbult, C. E., & Langston, C. A. (1998). Cognitive interdependence: Commitment and the mental representation of close relationships. Journal of personality and social psychology, 74(4), 939.
Angus, L., & Hardtke, K. (1994). Narrative processes in psychotherapy. Canadian Psychology/Psychologie canadienne, 35(2), 190.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association.
Badr, H., Milbury, K., Majeed, N., Carmack, C. L., Ahmad, Z., & Gritz, E. R. (2016). Natural language use and couples’ adjustment to head and neck cancer. Health Psychology, 35(10), 1069.
Bauer, J. J., & McAdams, D. P. (2004). Personal growth in adults` stories of life transitions. Journal of personality, 72(3), 573-602.
Bauer, J. J., McAdams, D. P., & Sakaeda, A. (2005). Interpreting the good life: Growth memories in the lives of mature, happy people. Journal of Personality and Social Psychology, 88, 203–217.
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. University of Pennsylvania Press.
Bruner, J. S. (1994). The remembered self. In U. Neisser & R. Fivush(Eds.), The remembering self: Construction and accuracy in the selfnarrative(pp. 41–54). New York: Cambridge University Press.
Bucci, W., & Freedman, N. (1981). The language of depression. Bulletin of the Menninger Clinic, 45(4), 334.
Calhoun, L. G., & Tedeschi, R. G. (1998). Posttraumatic growth: Future directions. In R. G. Tedeschi, C. L. Park, & L. G. Calhoun (Eds.), Posttraumatic growth: Positive change in the aftermath of crisis (pp. 215-238). Mahwah, NJ: Lawrence Erlbaum Asso ciates, Inc.
Chartrand, T. L., & Van Baaren, R. (2009). Human mimicry. Advances in experimental social psychology, 41, 219-274.
Cheng, C., Wong, W.-m., & Tsang, K. W. (2006). Perception of benefits and costs during SARS outbreak: An 18-month prospective study. Journal of Consulting and Clinical Psychology, 74(5), 870.
Chung, C., & Pennebaker, J. W. (2007). The psychological functions of function words. Social communication, 1, 343-359.
Cohen, L. H., Hettler, T. R., & Pane, N. (1998). Assessment of posttraumatic growth. Posttraumatic growth: Positive changes in the aftermath of crisis, 23-42.
Cordova, M. J., Cunningham, L. L., Carlson, C. R., & Andrykowski, M. A. (2001). Posttraumatic growth following breast cancer: a controlled comparison study. Health Psychology, 20(3), 176.
Crossley, M. (2000). Introducing narrative psychology: McGraw-Hill Education (UK).
Freud, S. (1966). The psychopathology of everyday life: WW Norton & Company.
Graesser, A. C., McNamara, D. S., Louwerse, M. M., & Cai, Z. (2004). Coh-Metrix: Analysis of text on cohesion and language. Behavior research methods, instruments, & computers, 36(2), 193-202.
Graybeal, A., Sexton, J. D., & Pennebaker, J. W. (2002). The role of story-making in disclosure writing: The psychometrics of narrative. Psychology and Health, 17(5), 571-581.
Greenberg, M. A., & Stone, A. A. (1992). Emotional disclosure about traumas and its relation to health: Effects of previous disclosure and trauma severity. Journal of personality and social psychology, 63(1), 75.
Gurevich, M., Devins, G. M., & Rodin, G. M. (2002). Stress response syndromes and cancer: conceptual and assessment issues. Psychosomatics, 43(4), 259-281.
Ho, S. M., Chan, C. L., & Ho, R. T. (2004). Posttraumatic growth in Chinese cancer survivors. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 13(6), 377-389.
Ho, S., Rajandram, R. K., Chan, N., Samman, N., McGrath, C., & Zwahlen, R. A. (2011). The roles of hope and optimism on posttraumatic growth in oral cavity cancer patients. Oral oncology, 47(2), 121-124.
Hofmann, S. G., Moore, P. M., Gutner, C., & Weeks, J. W. (2012). Linguistic correlates of social anxiety disorder. Cognition & Emotion, 26(4), 720-726.
Holmes, D., Alpers, G. W., Ismailji, T., Classen, C., Wales, T., Cheasty, V., et al. (2007). Cognitive and emotional processing in narratives of women abused by intimate partners. Violence Against Women, 13, 1192-1205.
Ireland, M. E., & Pennebaker, J. W. (2010). Language style matching in writing: Synchrony in essays, correspondence, and poetry. Journal of personality and social psychology, 99(3), 549.
Ireland, M. E., Slatcher, R. B., Eastwick, P. W., Scissors, L. E., Finkel, E. J., & Pennebaker, J. W. (2011). Language style matching predicts relationship initiation and stability. Psychological science, 22(1), 39-44.
James, W. (1902). The varieties of religious experience: A study in human nature. New York, NY, US: Longmans, Green and Co. http://dx. doi.org/10.1037/10004-000.
Janoff-Bulman, R. (1989). Assumptive worlds and the stress of traumatic events: Applications of the schema construct. Social cognition, 7(2), 113-136.
Jayawickreme, E., & Blackie, L. E. (2014). Post‐traumatic growth as positive personality change: Evidence, controversies and future directions. European Journal of Personality, 28(4), 312-331.
Kahn, J. H., Tobin, R. M., Massey, A. E., & Anderson, J. A. (2007). Measuring emotional expression with the Linguistic Inquiry and Word Count. The American journal of psychology, 263-286.
King, L. A., Scollon, C. K., Ramsey, C., & Williams, T. (2000). Stories of life transition: Subjective well-being and ego development in parents of children with Down Syndrome. Journal of Research in Personality, 34(4), 509-536.
Lieblich, A., Tuval-Mashiach, R., & Zilber, T. (1998). Narrative research: Reading, analysis, and interpretation (Vol. 47): Sage.
Maercker, A., & Langner, R. (2001). Persönliche Reifung (personal growth) durch Belastungen und Traumata: Validierung zweier deutschsprachiger Fragebogenversionen. Diagnostica, 47(3), 153-162.
Maguen, S., Vogt, D. S., King, L. A., King, D. W., & Litz, B. T. (2006). Posttraumatic growth among Gulf War I veterans: The predictive role of deployment-related experiences and background characteristics. Journal of Loss and Trauma, 11(5), 373-388.
Martino, M. L., Onorato, R., & Freda, M. F. (2015). Linguistic markers of processing trauma experience in women’s written narratives during different breast cancer phases: Implications for clinical interventions. Europe`s journal of psychology, 11(4), 651.
McAdams, D. P. (1985). Power, intimacy, and the life story. Homewood, IL: Dorsey.
McAdams, D. P. (1987). A life-story model of identity Perspectives in personality: JAI Press.
McAdams, D. P. (1993). The stories we live by: Personal myths and the making of the self: Guilford Press.
McAdams, D. P. (1995). What do we know when we know a person? Journal of personality, 63(3), 365-396.
McAdams, D. P. (1996). Personality, modernity, and the storied self: A contemporary framework for studying persons. Psychological inquiry, 7(4), 295-321.
McAdams, D. P., Josselson, R. E., & Lieblich, A. E. (2001). Turns in the road: Narrative studies of lives in transition: American Psychological Association.
McAdams, D. P., & McLean, K. C. (2013). Narrative identity. Current Directions in Psychological Science, 22(3), 233-238.
McFarland, C., & Alvaro, C. (2000). The impact of motivation on temporal comparisons: Coping with traumatic events by perceiving personal growth. Journal of personality and social psychology, 79(3), 327.
McLean, K. C., & Pratt, M. W. (2006). Life`s little (and big) lessons: Identity statuses and meaning-making in the turning point narratives of emerging adults. Developmental psychology, 42(4), 714.
Mehl, M. R., & Pennebaker, J. W. (2002). The Sounds of Social Life: A Psychometric Analysis of Students’ Daily Social Environments and Natural Conversations. Submitted
Mishler, E. G. (1986a). The analysis of interview–narratives. In T. Sarbin (Ed.), Narrative psychology: The storied nature of human conduct (pp. 233–255). New York: Praeger.
Mishler, E. G. (1986b). Research interviewing: Context and narrative. Cambridge, MA: Harvard University Press.
Newman, M. L., Pennebaker, J. W., Berry, D. S., & Richards, J. M. (2003). Lying words: Predicting deception from linguistic styles. Personality and social psychology bulletin, 29(5), 665-675.
Pals, J. L. (2000). Self-narrative of difficult life experiences in adult hood. Unpublished doctoral dissertation, University of Califor nia, Berkeley
Pals, J. L., & McAdams, D. P. (2004). The transformed self: A narrative understanding of posttraumatic growth. Psychological inquiry, 65-69.
Park, C. L. (2010). Making sense of the meaning literature: an integrative review of meaning making and its effects on adjustment to stressful life events. Psychological bulletin, 136(2), 257.
Pasupathi, M., & Mansour, E. (2006). Adult age differences in autobiographical reasoning in narratives. Developmental psychology, 42(5), 798-808.
Pennebaker, J., Chung, C., Ireland, M., Gonzales, A., & Booth, R. (2007). The development and psychometric properties of LIWC2007: LIWC. net.
Pennebaker, J., Chung, C., Ireland, M., Gonzales, A., & Booth, R. (2010). The LIWC2007 application: Technical report, 2007, http://www. liwc. net/liwcdescription. php.
Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological science, 8(3), 162-166.
Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event: toward an understanding of inhibition and disease. Journal of abnormal psychology, 95(3), 274.
Pennebaker, J. W., Booth, R. J., & Francis, M. E. (2007). LIWC2007: Linguistic inquiry and word count. Austin, Texas: liwc. net.
Pennebaker, J. W., Boyd, R. L., Jordan, K., & Blackburn, K. (2015). The development and psychometric properties of LIWC2015. Retrieved from
Pennebaker, J. W., Colder, M., & Sharp, L. K. (1990). Accelerating the coping process. Journal of personality and social psychology, 58(3), 528.
Pennebaker, J. W., & Francis, M. E. (1996). Cognitive, emotional, and language processes in disclosure. Cognition & Emotion, 10(6), 601-626.
Pennebaker, J. W., Francis, M. E., & Booth, R. J. (1993). Linguistic Inquiry and Word Count. Retrieved from
Pennebaker, J. W., Francis, M. E., & Booth, R. J. (2001). Linguistic inquiry and word count: LIWC 2001. Mahway: Lawrence Erlbaum Associates, 71(2001), 2001.
Pennebaker, J. W., Kiecolt-Glaser, J. K., & Glaser, R. (1988). Disclosure of traumas and immune function: health implications for psychotherapy. Journal of consulting and clinical psychology, 56(2), 239.
Pennebaker, J. W., & King, L. A. (1999). Linguistic styles: language use as an individual difference. Journal of personality and social psychology, 77(6), 1296.
Pennebaker, J. W., & Lay, T. C. (2002). Language use and personality during crises: Analyses of Mayor Rudolph Giuliani`s press conferences. Journal of Research in Personality, 36(3), 271-282.
Pennebaker, J. W., Mehl, M. R., & Niederhoffer, K. G. (2003). Psychological aspects of natural language use: Our words, our selves. Annual review of psychology, 54(1), 547-577.
Powell, S., Rosner, R., Butollo, W., Tedeschi, R. G., & Calhoun, L. G. (2003). Posttraumatic growth after war: A study with former refugees and displaced people in Sarajevo. Journal of clinical psychology, 59(1), 71-83.
Prati, G., & Pietrantoni, L. (2014). Italian adaptation and confirmatory factor analysis of the full and the short form of the Posttraumatic Growth Inventory. Journal of Loss and Trauma, 19(1), 12-22.
Pyszczynski, T., & Greenberg, J. (1987). Toward an integration of cognitive and motivational perspectives on social inference: A biased hypothesis-testing model. Advances in experimental social psychology, 20, 297-340.
Rochon, E., Saffran, E. M., Berndt, R. S., & Schwartz, M. F. (2000). Quantitative analysis of aphasic sentence production: Further development and new data. Brain and Language, 72(3), 193-218.
Rogers, C. R. (1995). On becoming a person: A therapist`s view of psychotherapy: Houghton Mifflin Harcourt.
Rude, S. S., Gortner, E. M., & Pennebaker, J. W. (2004). Language use of depressed and depression-vulnerable college students. Cognition & Emotion, 18(8), 1121-1133.
Shakespeare‐Finch, J., & Barrington, A. J. (2012). Behavioural changes add validity to the construct of posttraumatic growth. Journal of traumatic stress, 25(4), 433-439.
Shapiro, S., Angus, L., & Davis, C. (1997). Identity and meaning in the experience of cancer: Three narrative themes. Journal of Health Psychology, 2(4), 539-554.
Simmons, R. A., Chambless, D. L., & Gordon, P. C. (2008). How do hostile and emotionally overinvolved relatives view relationships?: What relatives` pronoun use tells us. Family Process, 47(3), 405-419.
Simmons, R. A., Gordon, P. C., & Chambless, D. L. (2005). Pronouns in Marital Interaction What Do “You” and “I” Say About Marital Health? Psychological science, 16(12), 932-936.
Smith, J., & Baltes, P. B. (1990). Wisdom-related knowledge: Age/cohort differences in response to life-planning problems. Developmental psychology, 26(3), 494.
Solomon, Z., & Dekel, R. (2007). Posttraumatic stress disorder and posttraumatic growth among Israeli ex‐pows. Journal of traumatic stress, 20(3), 303-312.
Stirman, S. W., & Pennebaker, J. W. (2001). Word use in the poetry of suicidal and nonsuicidal poets. Psychosomatic Medicine, 63(4), 517-522.
Taku, K., Calhoun, L. G., Tedeschi, R.G., Gil-Rivas, V., Kilmer, R.P., Cann A. (2007). Examining posttraumatic growth among Japanese university students. Anxiety, Stress, and Coping, 20, 353–367.
Taku, K., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2008). The factor structure of the Posttraumatic Growth Inventory: A comparison of five models using confirmatory factor analysis. Journal of traumatic stress, 21(2), 158-164.
Tausczik, Y. R., & Pennebaker, J. W. (2010). The psychological meaning of words: LIWC and computerized text analysis methods. Journal of language and social psychology, 29(1), 24-54.
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of traumatic stress, 9(3), 455-471.
Tedeschi, R. G., & Calhoun, L. G. (2004). " Posttraumatic growth: Conceptual foundations and empirical evidence". Psychological inquiry, 15(1), 1-18.
Tennen, H., & Affleck, G. (2002). Benefit-finding and benefit-reminding. Handbook of positive psychology, 1, 584-597.
Triplett, K. N., Tedeschi, R. G., Cann, A., Calhoun, L. G., & Reeve, C. L. (2012). Posttraumatic growth, meaning in life, and life satisfaction in response to trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4(4), 400.
Wang AW, Chang CS, Chen ST, Chen DR, Hsu WY. Identification of posttraumatic growth trajectories in the first year after breast cancer surgery. Psychooncology. 2014. doi:10.1002/pon.3577.
Weintraub, W. (1981). Verbal behavior: Adaptation and psychopathology: Springer Publishing Company.
Weintraub, W. (1989). Verbal behavior in Everyday Life: Springer Publishing Company.
White, M. K. (2007). Maps of narrative practice: WW Norton & Company.
Yuan, N. P., Blount, Z., Kopkowski, A., McKendry, M. K., & Hamby, S. (2016). The High and Low Points of Life: Using Narratives to Understand Meaning, Impacts, and Resilience among Youth Living in Rural Appalachia. DOI: 10.13140/RG.2.1.1209.7521
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatrica scandinavica, 67(6), 361-370.		zh_TW
dc.identifier.doi (DOI) 10.6814/THE.NCCU.PSY.019.2018.C01en_US