簡易檢索 / 詳目顯示

研究生: 林怡秀
Lin, Yi-Hsiu
論文名稱: 非預期喪失手足者悲傷經驗之敘說研究
A Narrative Research on the Death of a Sibling with Unexpected Loss Experience
指導教授: 鄔佩麗
Wu, Pei-Li
學位類別: 碩士
Master
系所名稱: 教育心理與輔導學系
Department of Educational Psychology and Counseling
論文出版年: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 181
中文關鍵詞: 非預期死亡喪失手足悲傷經驗敘說研究
英文關鍵詞: unexpected death, loss of siblings, grief experiences, narrative research
DOI URL: https://doi.org/10.6345/NTNU202203162
論文種類: 學術論文
相關次數: 點閱:178下載:17
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
  • 本研究採取敘說研究法進行資料蒐集與分析歷程,透過生命故事敘說與研究者的理解與詮釋來瞭解研究參與者身處手足驟逝事件之當下以及後續之因應型態。研究者以立意取樣邀請三位願意分享喪失手足經驗的研究參與者,運用半結構式訪談大綱進行深度訪談;將研究參與者的訪談內容謄寫為逐字稿後,研究者為呈現研究參與者的角度,以第一人稱撰寫其生命故事,再以敘事分析法中的「整體-內容」形式進行分析。
    本研究發現研究參與者面對手足因非預期的原因死亡時,讓生者感到不知所措或是造成心理上難以平復的創傷,同時也帶給生者許多遺憾與未竟事務。三位參與者在手足過世的初期,都面臨了震驚、不知所措、難以置信、悲傷等等的歷程,且在調適的歷程中面臨來來回回的悲傷、罪惡感與愧疚感的情緒,而這些情緒足以轉化成具有啟發性的生命價值。在後續影響方面,研究者發現,手足死亡的經驗對喪失手足者的影響,主要為生命觀的改變、對生死態度的影響、個性的改變、以及在面對導致手足死亡情境時所引發的情緒連結。
    最後,研究者根據上述研究結果與發現,分別對於專業心理工作人員、喪失手足者、陪伴者,以及未來研究提出建議。

    This study adopted the narrative research method for data collection and analysis with the aim to understand how those losing their siblings responded to and were faced with such sad experience when the tragedy happened. Besides, finding out the subsequent impacts through narration of life stories and the researcher’s apprehension and interpretation is the goal of this study as well.
    Three subjects were invited to share the experiences of losing their siblings through purposive sampling and applied semi-structured interview outlines to conduct in-depth interviews. After transcribing the interview content, the researcher wrote their life stories with first person and conducted analysis through the “overall - content” form of the narration analysis to present the perspectives of the subjects.
    This study found that when faced the unexpected death of their siblings, the subjects were at a loss as to what to do or had unrecoverable mental trauma, left with sorrow and unfinished business. The three subjects all experienced the process of being shocked and sad, finding it hard to believe at the beginning of their siblings’ death. As time passes, their sadness went on and off while adapting their loss. Gradually, these feelings transformed into inspiration about the meaning of life. Furthermore, the result showed the impacts of their loss included changes of the values of life, attitudes towards life and death, personalities, and the emotional connections with the deceased triggered when faced with the scenarios reminding them of the death of the siblings.
    To sum up, based on the above mentioned results and findings, the researcher make recommendations for professional psychologists, those who lost their siblings and companions, as well as on future research.

    致謝辭 i 中文摘要 iii 英文摘要 iv 目次 vi 表次 viii 第一章 緒論 1 第一節 研究動機 1 第二節 研究目的與問題 7 第三節 名詞釋義 8 第二章 文獻探討 9 第一節 喪失親人的失落與悲傷 9 第二節 悲傷的相關理論 16 第三節 非預期悲傷 22 第四節喪失手足的相關研究 30 第三章 研究方法 39 第一節 研究取向與方法 39 第二節 研究參與者的選擇 44 第三節 研究工具 47 第四節 研究歷程 51 第五節 研究的嚴謹性 55 第六節 研究倫理 57 第四章 研究結果 61 第一節 以家人為生命動力前進的衛生紙 61 第二節 以痛止痛的千 84 第三節 把妹妹當作永遠守護者的彈頭 109 第五章 綜合討論 135 第一節 父母對待喪失手足經驗者的方式如何影響其失落因應 135 第二節 喪失手足者的悲傷反應 140 第三節 喪失手足的影響 143 第四節 喪失手足如何理解此喪失手足的經驗 148 第六章 結論與建議 151 第一節 研究結論 151 第二節 研究限制與建議 153 第三節 研究省思 159 參考文獻 163 中文部分 163 英文部分 167 附錄 174 附錄一 研究參與邀請函 174 附錄二 研究參與同意書 176 附錄三 訪談大綱 178 附錄四 訪談紀錄表 178 附錄五 故事文本檢核回饋表 180

    中文部分
    丁興祥、賴誠斌 (2005)。自我書寫與生命創化:以蘆荻社大學員蕃薯的故事為例。應用心理研究 ,25,73 - 114。
    內政部統計處(2014)。民國99年度至103年度死亡統計。取自內政部統計處網站:http://statis.moi.gov.tw/micst/stmain.jsp?sys=220&ym=9100&ymt=10300&kind=21&type=1&funid=c0120202&cycle=4&outmode=0&compmode=0&outkind=1&fldlst=111&codspc0=0,2,7,1,13,1,19,1,25,1,31,1,37,1,43,1,49,1,55,1,61,1,67,1,73,1,79,1,85,1,91,1,97,1,103,1,109,1,115,1,121,1,&rdm=7A4WdtJB %87%E5%BC%B7%E6%B4%AA%E6%85%88%E5%BA%B8/,2015年11月23日。
    王祥維、吳東牧、邱彥瑜(2016)。【摻政治】為姊則強~洪慈庸。取自公視新聞網:http://www.appledaily.com.tw/appledaily/article/headline/20150802/36700089/。2016年3月13日。
    史晶瑩(2007)。喪親青少年的喪慟特殊性與悲傷輔導。諮商與輔導,262,21-24。
    成虹飛(2014)。行動/敘說探究與相遇的知識。課程與教學季刊,17(4),1-24。
    吳佩玲(2008)。二次喪失手足者悲傷反應對手足關係影響之研究。國立台北護理學院生死教育與輔導研究所。
    呂建豪(2015)。周天觀臉書怒吼:我不是周大觀。蘋果日報。取自:http://www.appledaily.com.tw/appledaily/article/headline/20150802/36700089/。2015年8月2日。
    宋博鳳(2002)。成年前期手足關係之研究。國立臺灣師範大學人類發展與家庭學系碩士論文。
    巫志忠(2005)。青少年時期喪失手足悲傷經驗之敘說分析。國立高雄師範大學輔導與諮商研究所碩士論文。
    李玉嬋(2003)。悲傷輔導的理論基礎與康復之路。諮商與輔導,212,2-8。
    李佳容(2002)。個人面對親人死亡事件心裡復原歷程之研究。國立彰化師範大學輔導與諮商所碩士論文。
    周玲玲(2001)。癌症病逝者其中年配偶悲傷適應之研究。東海大學社會工作研究所博士論文。
    林于清(2006)。成年喪親者的悲傷復原經驗之研究。國立嘉義大學家庭教育研究所碩士論文。
    林生傳(2003):教育研究法:全方位的統整與分析。台北:心理出版社。
    林如萍(2001)。老人的手足關係-- 從家庭連帶理論分析。行政院國家科學委員會專題研究計畫成果報告(編號:NSC 90-2412-H-003-002)。
    林姿慧(2010)。走在愛與療癒之路─真實面對妹妹去世後的失落與憤怒。國立新竹教育大學教育心理輔導所碩士論文。
    林美珠(2000)。敘事研究:從生命故事出發。輔導季刊,36(4),27-34。
    林家瑩(1999)。喪失子女的父母失落與悲傷反應及復原歷程之研究。國立高雄師範大學輔導研究所碩士論文。
    林綺雲(2005)。社會文化與悲傷反應。生死學研究,2,107-127。
    施靜芳(2004)。走過生命的幽谷-九二一喪親青少年的悲傷與復原。國立暨南國際大學社會政策與社會工作學所碩士論文。
    胡幼慧(2008):質性研究;理論、方法與本土女性研究實例。台北:巨流。
    張春興(1992):現代心理學。台北:東華。
    許玉霜(2008)。喪手足成人的悲傷反應及調適歷程之研究 。南華大學生死學研究所碩士論文 。
    許育光(2000)。敘說研究的初步探討—從故事性思考和互為主体的觀點出發。輔 導季刊,36(4),17-26。
    許敏桃、余德慧與李維倫(2005):哀悼傷逝的文化模式:由連結到療癒。 本土心理學研究,24,49-84。
    陳佳玲(2008)。成年前期喪失手足者家庭角色轉換之研究。國立彰化師範大學輔導研究所碩士論文。
    陳昌蘭 (2000)。兒童手足關係之探討。師友月刊,402,28-32。
    曾煥堂(2005)。認識生死學-生死有涯。台北市:揚智。
    鈕文英(2007)。教育研究方法與論文寫作。台北:雙葉。
    黃依婷(2008)。倖存手足經驗喪親後家人關係改變之敘說研究。淡江大學教育心理與諮商研究所碩士論文。
    黃朗文(1999)。青少年與手足互動關係之研究。東吳社會學報,8,123-154。
    葉何賢文.(2003)。悲傷調適歷程及生命意義展現之研究-以喪子(女)父母為例。南華大學生死學研究所碩士論文。
    賈馥銘、楊深坑(1993):教育學方法論。台北:五南。
    鄔佩麗(2008)。危機處理與創傷治療。台北:學富。
    廖育青(2006)。成年前期子女經歷父母罹患癌症其家庭角色經驗與個人發展任務之初探。台灣大學社會工作研究所碩士論文。
    甄曉蘭(2006):從典範轉移的再思論質的研究崛起的意義。嘉義師院學報,10,119-146。
    歐陽愛華(2006)。癌症末期患者其成年子女照護經驗之詮釋研究。國立臺灣師範大學教育心理與輔導研究所碩士論文。
    潘淑滿(2003):質性研究:理論與應用。台北:心理。
    蔡佩真(2009)。台灣喪親家庭關係之變化與探究。生死學研究,10,159-198。
    蔡敏玲、余曉雯(譯)(2003)。敘說探究-質性研究中的經驗與故事。(原作者:D. J. Clandinin,F.M. Connelly)。台北:心理。(原著出版年:2000)
    蔡榮美、吳晶萍、黃初雪 (2007)。 失落之概念分析。馬偕護理雜誌, 1(2),16-23。
    謝臥龍(2004):質性研究。台北:心理。
    蘇建文(1989)。宜兄宜弟-談手足關係。學前教育月刊,12(2),8-9。

    吳芝儀(譯)(2008)。敘事研究:閱讀、詮釋與分析。(原作者:Amia Lieblich, Rivka Tuval-Mashiach, & Tamar Zilber)。嘉義:濤石。(原著出版年:1998)
    吳芝儀、李奉儒(譯)(1995)。質的評鑑與研究。(原作者:atton, Michael. Quinn)。台北:桂冠。(原著出版年:1990)
    李開敏、林方皓、張玉仕、葛書倫(譯)(2011)。悲傷輔導與悲傷治療:心理衛生實務工作者手冊(第三版)。(原作者:Worden, J. W.)。台北:心理。(原著出版年:2001)
    張美惠(譯)(2006)。當綠葉緩緩落下。(原作者:Elisabeth Kubler-Ross, &David Kessler)。台北:張老師。
    章惠安(譯)(2012)。見證幽谷之路:悲傷輔導助人者的心靈手冊。(原作者:Alan D. Wolfelt)。台北:心理。(原著出版年:2006)
    章惠安(譯)(2015)。悲傷治療的技術:創新的悲傷輔導實務。(原作者:Robbert A. Neimeyer)。台北:心理。(原著出版年:2012)
    許玉來、成蒂、林芳皓、陳美琴、楊筱華、葛書倫、呂嘉惠(2002)譯。與悲傷共渡—走出親人驟逝的喪慟。 (原作者:Doka, K. J) 。臺北:心理。(原著出版年:1996)。
    楊淑智(譯)(2001)。難以承受的告別-自殺親友的悲傷旅程。(原作者:Christopher Lukas& Henry M. Seiden )。台北:心靈工坊。
    英文部分
    Archer, J. (1999). The Nature of Grief: The Evolution and Psychology of Reactions to Loss. New York,NY: Routledge.
    Azmitia, M., & Hesser, J. (1993). Why siblings are important agents of cognitive development: A comparison of siblings and peers. Child Development, 64, 430-444.
    Bank, S. P., & Kahn, M. D. (1975). Sisterhood-brotherhood is powerful: Sibling subsystems and family therapy. Family Process, 14, 311-337.
    Boelen, P. A.(2015). Peritraumatic Distress and Dissociation in Prolonged Grief and Posttraumatic Stress Following Violent and Unexpected Deaths。Journal Of Trauma & Dissociation: The Official Journal of The International Society For The Study Of Dissociation (ISSD),16(5), 41-550. doi: 10.1080/15299732.2015.1027841
    Bowlby, J. (1980).Attachment and loss: Loss, sadness and depression . New York,NY: Basic Books.
    Bowlby, J. (1982). Attachment and loss: retrospect and prospect. American journal of Orthopsychiatry, 52(4), 664.
    Bradach,K. M. & Jordan,J. R. (1995). Long-term effects: Of a family history of traumatic death. on adolescent individuation. Death Studies, 19, 315-336.
    Braiden, H. J., McCann, M., Barry, H., &, Lindsay, C. (2009). Piloting a therapeutic residential for children, young people and families bereaved through suicide in Northern Ireland. Child Care in Practice, 15(2), 81-93.
    Brubaker, R., & Cooper, F. (2000). Beyond ‘‘identity’’. Theory and Society, 29, 1–47.
    Carolyn Ambler Walter. (2012). The Loss of a Life Partner: Narratives of the Bereaved. Columbia University Press.
    Carter, S. L. (1989). Themes of grief. Nursing Research, 38 , 354-358.
    Chow, A. Y. M., & Chan, C. L. W. (2006). Introduction. In C. L. W. Chan, & A. Y. M. (Ed.), The handbook of Chinese psychology (pp. 166-188). Oxford, England.
    Cicirelli, V. G. (1978). The relationship of sibling structure to intellectual abilities and achievement. Review of Educational Research, 48(3), 365-379.
    Cicirelli, V. G. (1991). Sibling Relationships in Adulthood. Marriage & Family Review, 16(3-4), 291-310.
    Cicirelli, V. C. (1995). Sibling relationships across the life span. New ork,NY: Plenum.
    Clandinin, D. J. & Connelly, F. M. (2000). Narrative inquiry: Experience and story in qualitative research. San Francisco: Jossey-Bass Publishers.
    Clewell, T. (2004). Mourning beyond melancholia: Freud's psychoanalysis of loss. Journal of the American Psychoanalytic Association, 52(1), 43-67.
    Cody, W. K. (1991). Grieving a personal loss. Nursing Science Quarterly, 4(2), 61-68.
    Connidis, I. A. (1989). Siblings as friends in later life. American Behavioral Scientist, 33, 81-93.
    Cook, P., White, D. K., & Ross-Russell, R. I.(2002). Bereavement support following sudden and unexpected death: guidelines for care。Archives Of Disease In Childhood, 87(1), 36-38.
    Corr, Charles A. (2012).Death and Dying, Life and Living. Belmont, California, CA: Wadsworth Cengage Learning .
    Currie, E. R., Dailey, K.D., & Knight, C. C.(2015).An Introduction to Unexpected Grief for Pre-Licensure Nursing Students: A Simulation and Interprofessional Expert Panel Regarding Fetal Demise. Nursing Education Perspectives, 36, 414-416.
    David Kessler., & Elisabeth Kübler-Ross. (2005).On Grief and Grieving: Finding the    Meaning of Grief Through the Five Stages of Loss.New York, NY. Simon and Schuster
    DeSpelder, L., & Strickland, A. L. (1992). The Last Dance : encountering death and dying(3rd ed.). CA : Mayfield Publishing Company.26-30
    Doughty, E. A., Crews, J. A., & Harrawood, L. K. (2013). Grief and Loss Education: Recommendations for Curricular Inclusion. Counselor Education & Supervision, 52(1), 70-80. doi: 10.1002/j.1556-6978.2013.00029.x
    Eilegard, A., Steineck, G., Nyberg, T., & Kreicbergs, U. (2013). Bereaved siblings' perception of participating in research-a nationwide study. Psycho-Oncology, 22(2), 411-416. doi: 10.1002/pon.21050
    Eilertsen, M.-E. B., Eilegard, A., Steineck, G., Nyberg, T., & Kreicbergs, U. (2013). Impact of Social Support on Bereaved Siblings' Anxiety: A Nationwide Follow-Up. Journal of Pediatric Oncology Nursing, 30(6), 301-310. doi: 10.1177/1043454213513838
    Firth, P. (2005). Loss change and bereavement in palliative care. England: Open University Press.
    Frank, A. W. (2004). Narratives of spirituality and religion in end-of-life care. In B. Hurwitz, T. Greenhalgh,& V. Skultans (Eds.), Narrative research in health and illness (pp. 132–145). Massachusetts: Black-well Publishing Ltd.
    from grieving children and adolescents., Washington ,WA. The Dougy Center .
    Glass, J. C. (1991). Death, loss, and grief among middle school children: Implications for the school counselor. Elementary School Guidance & Counseling, 26(2), 139-148.
    Goetting, A. (1986). The developmental tasks of siblingship over the life cycle.Journal of Marriage and the Family, 48, 703-714.
    Gorer, G(1965). Death grief, and mourning. London,LON:Cresset.
    Guba, E. G., & Lincoln, Y. S. (1994). Competing paradigms in qualitative research. Handbook of qualitative research , (pp. 105-117). London,LON: Sage.
    Hatch, J. A., & Wisniewski, R. (Eds.). (1995). Life history and narrative.(pp. 113-135).Washington, DC: Falmer Press. 
    Hazzard, A., Weston, J., & Gutterres, C. (1992). After a child's death: factors related to parental bereavement. Journal of Developmental & Behavioral Pediatrics, 13(1), 24-30.
    Herberman, H. B., Fullerton, C. S., & Ursano, R. J. (2013). Complicated grief and bereavement in young adults following close friend and sibling loss. Depression and anxiety, 30(12), 1202-1210.
    Hogan, N.S(1988) . The effects of time on the adolescent sibling bereavement process. Pediatric Nursing, 14(4), 335.
    Humphrey, G., & Zimpfer, D. (1996). Counselling forgrief and bereavement: London: Sage.
    Jackson, M. (1998). Minima ethnographica: Intersubjectivity and the anthropological project. Chicago: University of Chicago Press.
    Jaques, D. (2000). Theory: Surviving Suicide: The Impact on the Family.The Family Journal,8(4), 376-379.
    Keene, E. A., Hutton, N., Hall, B.,& Rushton, C. (2010). Bereavement Debriefing Sessions: An Intervention to Support Health Care Professionals in Managing Their Grief After the Death of a Patient. Pediatric Nursing, 36(4), 85-189.
    Kho, Y., Kane, R. T., Priddis, L., & Hudson, J. (2015). The Nature of Attachment Relationships and Grief Responses in Older Adults: An Attachment Path Model of Grief. Plosone,10(10), 1-11. doi: 10.1371/journal.pone.0133703.
    Kobler, K. (2014). Leaning in and holding on: team support with unexpected death。MCN. The American Journal of Maternal Child Nursing,39(3), 148-154.doi: 10.1097.
    Krell, R., Rabkin, L. (1979)The effects of sibling death on the surviving child: A family perspective. Family Process. 18(1),471-477.
    Kubler-Ross, E. (1969). On Death and Dying. New york, N. Y. Macmillan.
    Mcness, A. (2007). The social consequences of 'how the sibling died' for bereaved young adults. Youth Studies Australia, 26(4), 12-20.
    Miller, E. D. (2015). Evaluations of hypothetical bereavement and grief: the influence of loss recency, loss type and gender. International Journal Of Psychology: Journal International De Psychologie, 50(1), 60-63. doi: 10.1002/ijop.12080
    Minnett, A. M., Vandell, D. L., & Santrock, J. W. (1983). The effects of sibling status on sibling interaction: Influence of birth order, age pacing, sex of child, and sex of sibling. Child Development, 54(4), 1064-1072.
    Moayedoddin, B.,& Markowitz, J. C. (2015). Abnormal Grief: Should We Consider a More Patient-Centered Approach. American Journal of Psychotherapy, 69(4),61-378。
    Murphy, S. A., Gupta, A. D., Cain, K. C., Johnson, L. C., Lohan, J., Wu, L., & Mekwa, J. (1999). Changes in parents’ mental distress after the violent death of an adolescent or young adult child: A longitudinal prospective analysis. Death Studies, 23(2), 129-159
    Packman, M., Horsley, H., Davies, B. & Kramer, R. (2006). Sibling Bereavement and Continuing Bonds. Death Studies, 30, 817-841.
    Pennels, M. & Smith, S.C. (1995). The forgotten Mourners: Guidelines for working with bereaved children. London,LON. Jessica Kingsley Publishers Ltd.
    Pike, A.; Coldwell, J.; Dunn, J. F. (2005). Sibling Relationships in Early/Middle Childhood: Links With Individual Adjustment. Journal of Family Psychology, 19(4), 23-32.
    Polkinghorne, D. E. (2005) Language and Meaning: Data Collection in Qualitative Research. Journal of Counselling Psychology, 52, 137-145. 
    Raffaelli, M. (1992). Sibling Confl ict in Early Adolescence. Faculty Publications, Department of Psychology, 130,652-663.
    Rando, T. A. (1984). Grief, dying and death. Champaign, I.L.: Research Press
    Rando, T. A. (1993). Treatment of complicated mourning. Champaign, IL:R
    Raphael, B. (1983). The Anatomy of Bereavement, Basic books, New York, NY.
    Reed, M. D. (1998). Predicting grief symptomatology among the suddenly bereavement. Suicide and Life-Threatening Behavior, 28(3), 285-301.
    Reed, M. D. (1998). Predicting grief symptomatology among the suddenly bereaved. Suicide and Life-Threatening Behavior, 28, 285-300.
    Reis, H. T., & Shaver, P. (1988). Intimacy as an interpersonal process. In S. Duck, D. F. Hay, S. E. Hobfoll, W. Ickes, & B. M. Montgomery (Eds.), Handbook of personal relationships: Theory, research, and interventions. Oxford, UK: Wiley.
    Rotenberg, K. J. (Ed.). (1995). Disclosure processes in children and adolescents, (pp. 166-168). New York, NY: Cambridge University Press.
    Russell, J. A., & Yik, M.S.M. (1996). Emotion Among the Chinese. In M. H. Bond The Handbook of Chinese Psychology, (pp. 166-168). Hong Kong, HK.Oxford University Press.
    Stroebe, M. S., (1998). New directions in bereavement research: exploration of gender differences. Palliative Medicine. 12, (1), 5-12.
    Stroebe, M. S., Hansonn, R. O., Stroebe, W., & Schut, H. (2004). Handbook of Bereavement Research. Consequences, Coping, and Care. Washington, WA.:American Psychological Association,
    Stroebe, M., & Schut, H., (1999) The dual process model of coping with bereavement: rationale and description. Death Studies, 23,(3), 197-224.
    Waller, A., Turon, H., Mansfield, E., Clark, K., Hobden, B., & Sanson-Fisher, R. (2016). Assisting the bereaved: A systematic review of the evidence for grief counselling. Palliative Medicine, 30(2), 132-148.
    Webster,N. (1988). Webster’s new world dictionary(3rd ed.). New York, NY: Simon & Schuster.
    Weenolsen, P. (1988). Transcendence of loss over the life span. United States,US.Taylor & Francis US.
    Wray, T. J. (2003). Surviving the Death of a Sibling. New York, NY: Tree Rivers Press.

    下載圖示
    QR CODE