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研究生: 徐偉玲
Wei-ling Hsu
論文名稱: 暴食症患者的生病經驗與因應方式之敘說研究
The experiences of illness and coping methods from bulimics
指導教授: 林家興
Lin, Chia-Hsin
學位類別: 碩士
Master
系所名稱: 教育學系
Department of Education
論文出版年: 2004
畢業學年度: 92
語文別: 中文
論文頁數: 124
中文關鍵詞: 暴食症生病經驗因應方式
英文關鍵詞: bulimia nervosa, the experiences of illness, coping methods
論文種類: 學術論文
相關次數: 點閱:581下載:60
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  • 本研究的目的是探討暴食症患者面對暴食症狀時所經歷的生命經驗,與所發展出的因應方式。本研究參與者包括四名暴食症患者。研究方法則採用敘說研究取向與「類別-內容」分析方法來分析所有訪談轉譯稿。研究結果發現:
    一、暴食症的促發因素:患者對自我形象不滿
    二、暴食症患者的人際關係疏離
    三、暴食症患者與憂鬱症及衝動性行為有共病關係
    四、長期暴食對患者的自信心有負面影響
    五、暴食症患者有控制權的議題
    六、採自助方式因應暴食並不足以解決問題,而需向外求援
    七、自我覺察與支持系統為復原的關鍵
    最後,根據研究結果提出本研究的限制,以及未來研究的建議。

    The purposes of the research were to explore the experiences of illness and coping methods from bulimics. The participants of this study were four bulimics. Narrative and Categorical- Content analytic methods were used for this research. Results of the study are as the following:
    1.The development of bulimic symptoms was predicted by self dissatisfaction.
    2.Bulimics perceive themselves as having isolated interpersonal relationships.
    3.Bulimic behaviors and attitudes are associated with depression and impulsive behaviors.
    4.Bulimic symptoms over a long period of time will lower bulimics’ self-esteem.
    5.There was control issue in bulimics’ life.
    6.It was not sufficient to solve bulimic problem only through one’s own efforts, additional supports from others were necessary.
    7.The keys to recovery from bulimia nervosa were self-awareness and social supports.
    The restrictions of current study and suggestions for future studies were also discussed.

    中文摘要 英文摘要 第一章 緒論 第一節 研究動機………………………………………………1 第二節 研究目的………………………………………………4 第三節 研究問題………………………………………………4 第四節 名詞釋義………………………………………………4 第二章 文獻探討 第一節 暴食症患者及其生病經驗……………………………7 第二節 心理疾病的因應與復原………………………………19 第三節 敘說研究理論基礎與分析方法………………………23 第三章 研究方法 第一節 研究參與者……………………………………………31 第二節 研究工具………………………………………………35 第三節 研究歷程………………………………………………38 第四節 研究之信度、效度檢核………………………………45 第五節 研究倫理………………………………………………49 第四章 結果 第一節 受訪者之背景與暴食促發因素………………………51 第二節 暴食症患者的生病經驗………………………………62 第三節 暴食症患者的因應方式………………………………75 第四節 暴食症的影響循環……………………………………85 第五章 討論與建議 第一節 研究結果的討論………………………………………87 第二節 研究者的省思…………………………………………93 第三節 研究限制與建議………………………………………97 參考文獻 中文部分…………………………………………………………101 英文部分…………………………………………………………104 表目次 表2-1 暴食症與共病症狀之研究………………………………17 表3-1 正式研究訪談大綱………………………………………36 表3-2 前導性研究初步訪談大綱………………………………38 表3-3 資料編號之說明範例……………………………………42 表3-4 受訪者文本主題編碼範例………………………………43 表3-5 受訪者文本完整編碼範例………………………………44 表4-1 受訪者的個人資料簡介…………………………………52 圖目次 圖2-1 暴食循環圖………………………………………………16 圖2-2 敘說研究五種層級經驗的再呈現………………………26 圖4-1 暴食症影響循環圖………………………………………85 附錄 附錄一 研究邀請函……………………………………………113 附錄二 訪談同意書……………………………………………114 附錄三 受訪者檢核與回饋函…………………………………115 附錄四 轉錄保密同意書………………………………………116 附錄五 研究者省思札記………………………………………117 附錄六 受訪者的重要轉錄句…………………………………118

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