研究生: |
蔡文瑜 Wen-Yu Tsai |
---|---|
論文名稱: |
女性喪偶者的悲傷調適歷程研究 The grieving process of widows |
指導教授: | 王秋絨 |
學位類別: |
碩士 Master |
系所名稱: |
社會教育學系 Department of Adult and Continuing Education |
論文出版年: | 2001 |
畢業學年度: | 89 |
語文別: | 中文 |
論文頁數: | 192 |
中文關鍵詞: | 喪偶 、悲傷調適 |
英文關鍵詞: | widow, widowhood, grief, bereavement |
論文種類: | 學術論文 |
相關次數: | 點閱:423 下載:94 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
中文摘要
本研究企圖瞭解女性喪偶者如何調適其自我悲傷的整體歷程,期能提供相關專業工作者規劃方案,及未來研究一個本土性的視野,因之,本研究擬達成以下的研究目的:
一、了解女性喪偶者在喪偶初期所呈現的生理、情感、認知與行為反應。
二、探討影響女性喪偶者悲傷調適的因素。
三、瞭解女性喪偶者調適悲傷的經驗學習與轉化歷程。
四、綜合上述,提出協助女性喪偶者悲傷調適的具體建議。
基於前述之研究目的,本研究運用質性的深度訪談法所獲得的重要結論有三:
一、 女性喪偶者的悲傷反應,係失調的認知反應與反常的生理反應、負面的情緒反應以及避開死亡事實的行為反應交互作用,並成為其悲傷調適的重點。據此,其重要的概念有二:
(一) 不同的認知衝擊,將引發不同內涵的認知反應及其他悲傷反應
(二) 女性喪偶者認知反應的轉換階段是從「不可置信」、「抗拒與接受的矛盾」到最後的「明白抗議無效」
二、 「可得性資源」是女性喪偶者悲傷調適歷程中主要的轉換助力,其影響力大於個人因素與死亡事件的情境因素。
三、 女性喪偶者悲傷調適結果的重要參考依據有兩項:(一)女性喪偶者進入「介入處理」階段前所需的時間;(二)女性喪偶者介入處理的有效性。
根據前述研究結論,本研究提出以下建議:
一、 為提昇自我調適的能力,女性喪偶者宜嘗試努力的方向如下:
(一)尋求宗教性解釋以減低自我的抗拒,並協助接受死亡事件的真實性
(二)覺察力與內控信念的自我滋養可避免負面的自我評價
(三)接受相關專業工作者的協助以確定自我悲傷調適的方向
(四)促進自我認知的彈性與開放,藉此降低喪偶事件的破壞力,並保持可運用資源的暢通性
二、為加強協助的有效性,女性喪偶者社會網絡成員宜提供高度同理的情緒支持、協助當事者找到死亡事件的合理解釋、讓當事者有接觸喪偶者的機會、以及避免給予當事者不當的評價或指責。
三、為提供喪偶者專業性的干預,相關專業工作者除了透過研究或臨床經驗,正視死亡經驗對個體可能形成的破壞與價值,宜協助當事者釐清自我的悲傷來源及影響其悲傷調適的因素,並開辦喪偶者成長團體課程,讓背景經驗相似者有相互交流並成長的機會,以及結合相關單位,提供女性喪偶者有效的資源網絡以協助生活的適應。
Abstract
The purpose of this paper is to explore the holistic process of how widows were adjusting their grief and to provide those who are concerned a localized vision of program design and research planning. Accordingly, the aims of the paper are as follows:
I. To understand widows’ physical, emotional, cognitive, and behavioral reactions during the early bereavement
II. To explore the factors affecting the effects of bereavement
III. To analyze the process of widows’ experience transforming and learning from their bereavement
IV. To propose concrete suggestions about the ways to help the widows
Based on the aims of the paper, the following conclusions are reached by using qualitative interviews:
I. As for the reactions to widows’ bereavement, disordered cognitive reactions, interacting with atypical physical reactions, negative emotional reactions, and behavioral reactions avoiding the death, constitute the main part of grief widows need to adjust .:
a. Different cognitive impacts result in the different contents of cognitive reactions and others.
b. The transitional stage of widows’ cognitive reactions are from “disbelief”, through “ ambivalence between resistance and acceptance”, to “understanding the invalidity of resistance”.
II. Available resources, more influential than personal factors and situational factors surrounding the death, are found to be major power of helping widows transit their stages of the grieving process.
III. “Time to get to the intervention stage” and “the validity of intervention itself” are two major references to the results of widows’ grieving process.
The following suggestions are proposed according to the conclusions described above:
I. To improve adjusting capability, here are some suggestions for widows:
a. Religious explanation can decrease resistance, and help accept reality of the death.
b. Self-awareness and internal locus can avoid giving negative self-image.
c. By adopting assistance from professional, widows can make sure the direction of their grieving process.
d. To keep cognition flexible and open, widows can lower the destruction of bereavement and stay aware of external resources.
II. To enhance effectiveness of assistance, those who surround a widow are suggested to provide emotional support of highly empathy, assist widows find proper reasons of the death, help the widow to approach other widows, and avoid inappropriate evaluation or blame on widows.
III. To provide widows with professional intervention, the professionals concerned are suggested to realize, on the basis of research or clinical experiences, the destruction and values caused by the death, help widows to clarify the origins and factors of their grief, apply widow-to-widow programs, by which persons with similar background experiences can share with each other, and incorporate units concerned to provide effective resource network for better life adaptability.
一、 中文部分
丁思惠(1995):癌症病逝者其配偶悲傷過程之探究。東吳大學社會工作所碩士論文。
王國慧(1998):漁村婦女喪偶後的心路歷程。國立中正大學心理學研究所碩士論文。
周玲玲、洪麗珍(1999):悲傷輔導團體。安寧療護,12,48-52。
邱亨嘉、謝穎慧、陳正宗(1998):喪偶對社區老人身體、精神及社會功能之影響。中華公共衛生雜誌,17(5),423-431。
林杏足(1996):死亡事件對家庭系統的影響—家庭悲傷反應與任務。輔導季刊,32(4),50-57。
林娟芬(1997):從符號互動論的概念分析和解釋喪偶者的反應。神學與教會,22(2),115-124。
林娟芬(1998):晚年喪偶婦女互助團體方案設計。神學與教會,24(1),128-153。
林娟芬(1999):認識死亡、失落與悲傷。神學與教會,25(1),63-82。
李佩怡(1994):支持團體在悲傷諮商中的應用。諮商與輔導,105,40-42。
李佩怡(1998a):以完形治療法的「接觸」概念看死亡與瀕死的悲傷現象:對助人工作者的啟思初探(上)。諮商與輔導,153,2-9。
李佩怡(1998b):以完形治療法的「接觸」概念看死亡與瀕死的悲傷現象:對助人工作者的啟思初探(下)。諮商與輔導,156,20-25。
李美華等譯(1998):社會科學研究方法。台北:時英出版社。
李開敏、林方浩、張玉仕譯(1999):依附、失落和哀悼的任務。悲傷輔導與悲傷治療。台北:心理出版社。
黃有志(1999):生離死別論悲傷。高中教育,7,16-25。
黃羨斐(2000):婚前性行為內在衝突之分析研究—以大學校園女學生為例。國立台灣師範大學教育心理與輔導所碩士論文。
黃鳳英(1998):喪親家屬之悲傷與悲傷輔導。安寧療護,10,69-83。
陳芳智譯(1994):喪親之痛。生死大事—如何幫助所愛的人走完人生旅程。台北:遠流出版社。
陳宗仁(1999):悲傷輔導的原則。神學與教會,25(1),54-62。
陳蒼多譯(1995):受苦的正面意義。台北:生命潛能出版社。
陳琴富譯(2000):假如我死時,你不在我身邊。台北:張老師文化出版社。
陳澄和譯(1994):如何重建人生—驚變與震痛之後。台北:時報出版社。
畢恆達(1999):詮釋學與質性研究。載於胡幼慧主編:質性研究。台北:巨流出版社。
張淑美(1998):從美國死亡教育的發展論我國實施死亡教育的準備。學生輔導,54,32-43。
楊瑞珠(1998):無懼的愛:面對死亡,活出生命。學生輔導,54,28-31。
劉淑娜(1984):寡婦家庭的支持系統與生活適應。台灣大學社會研究所碩士論文。
鄧美玲(2000):遠離悲傷。台北:三品出版社。
賴美合(1999):安寧照顧團體工作-遺族輔導團體實務分享。安寧療護雜誌,12,32-42。
蘇寄萍(1996):客家農村喪偶老人心理調適之個案研究。桃園農業改良研究報告,24,37-45。
二、 英文部分
Averill, J. R.(1968).Grief:Its nature and significance. Psychological Bulletin,70(6),721-748.
Bass, D. M., & Bowman, K.(1990). The transition from caregiving to bereavement:The relationship of care-related strain and adjustment to death. Gerontologist, 30(1),35-42.
Bankoff, E. A.(1980).Support from family and friends: What helps the widowhood. (ERIC Document Reproduction Service No.ED199584)
Baum, J.(1978).An exploration of widowhood:Implications for adult educators. (ERIC Document Reproduction Service No.ED157804)
Berg, B. L. (1995). Qualitative research methods for the social science. Allyn and Bacon.
Boud, D. & Cohen, R. & Walker D. (eds)(1993).Using experience for learning. SRHE and Open University Press.
Bowlby, J.(1980). Attachment and loss, vol. III.:Loss, sadness and depression. London:Hogarth Press.
Brammer, L. M.(1992).Coping with life transitions. Counseling and Student Services, ERIC.
Bryan, A. (1988). Quantity and quality in social research. London:Unwin Hyman.
Cohen, S., & Wills, T. A(1985).Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2),310-357.
Courtenay, B. C., Merriam S. B. & Reeves, P. M.(1998).The centrality of meaning-making in transformational learning: How HIV-positive adults make sense of their lives. Adult Education Quarterly, 48(2),5-84.
Harvey, C. D., & Bahr, H. M.(1974).Widowhood, morale, and affiliation. Journal of Marriage and the Family, 36, 97-106.
Jarvis, P.(1992). Paradoxes of learning. San Francisco: Jossey-Bass.
Jarvis, P.(1987). Meaningful and meaningless experience: Towards an analysis of learning from life. Adult Education Quarterly, 37(3),164-172.
Kelly, G. A.(1991). The psychology of personal constructs. Vol. I- A theory of personality. London:Routledge.
Lindeman, E. C.(1984). For those who need to be learners. In S. Merriam (eds), selected writings on philosophy and adult education. Malabar, Florida: Robert E. Krieger.
Littlewood, J.(1992).Aspects of grief-bereavement in adult life. London and New York: Routledge.
Livingstone, S. R.(1984).Cultural studies in adult education. In S. Merriam (ed), selected writings on philosophy and adult education. Malabar, Florida: Robert E. Krieger.
Lopata, H. Z.(1979). Women as widows support systems. New York:Elsevier.
Merriam, S. B. & Heuer B.(1996).Meaning-making, adult learning and development: A model with implications for practice. International Journal of Lifelong Education, 15(4),243-255.
Merriam, S. B. & Clark M. C.(1993).Learning from life experience: What makes it significant. International Journal of Lifelong Education, 12(2),129-138.
Merriam, S. B.(1999). Learning in adulthood- A comprehensive guide . San Francisco: Jossey-Bass.
Mezirow, J.(1991).Transformative dimensions of adult learning. San Francisco:Jossey-Bass.
Michelson E.(1996). Usual suspects:Experience, reflection and the (en)gendering of knowledge. International Journal of Lifelong Education,15(6),438-454.
Patton, M. Q.(1990).Qualitative evaluation and research methods. California: Sage Publications.
Parkes, C. M.(1996).Bereavement-studies of grief in adult life. London and New York: Routledge.
Raphael, B.(1984).The anatomy of bereavement. London:Routledge.
Rowland, K. F.(1977). Environmental events predicting death for the elderly. Psychological Bulletin, 84(2),349-372.
Sanders, C. M.(1992).Surviving grief and learning to live again. New York (et al.): John Wiley & Sons,Inc.
Sanders, C. M.(1989). Grief: The mourning after- Dealing with adult bereavement. New York: John Wiley & Sons.
Seligman, M. E. P.(1975). Helplessness on depression, development, and death. San Francisco:W. H. Freeman and Company.
Smith, C. R.(1982). Social work with the dying and bereaved. London:Macmillan.
Stroebe. W.,& Stroebe. M. S.(1989).Bereavement and health. New York: Cambridge University Press.
Worden, J. W.(1982).Grief counseling and grief therapy. London and New York: Tavistock Publications.