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身心障礙研究

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篇名 精神疾病患者道德生涯現象:個案研究
卷期 12:2
作者 林耀盛劉又華
頁次 094-105
關鍵字 位子道德精神病Moralplacepsychotic
出刊日期 201406

中文摘要

背景與目的:本文以「個案研究」探討精神分裂症(思覺失調症)「住院病人」的道德處境,以深入理解精神疾病患者的存在意義。方法:深度訪談一位罹病4年餘的46歲男性(簡稱B)精神分裂症(思覺失調症)病患,深受妄想症狀影響,而後以詮釋現象心理學分析訪談資料。結果:B的罹病經驗呈現(1)『「食物界線的社會分類秩序」診斷為「自我異常」的疑惑感』、(2)『經由「遠距關係」感通以化解「在世災難」』、(3)『對過世母親性「認同」以寬解受苦』、(4)『「人我關係匱乏」和「照顧倫理」行動之間』等處境現象。結論:精神病患的道德生涯,是一種尋找「位子」的過程。從「失位」、「錯位」、「位移」到「在位」的置身結構,顯示症狀的創真行動,是一種再建構的歷程,而非僅是心理病理的意涵。

英文摘要

Background and objectives: This study was to explore the existential situation of moral career through the case study, and to promote understanding of the schizophrenic’s psychological experience. Methods: In-depth interview with a 46-year old male, who had affected more than 4 years (Called B) psychiatric experiences, deeply suffered with paranoid symptoms, was conducted. After data collection, we interpreted data using qualitative method which was grounded in phenomenological psychology. Results: B was infected experience rendering ‘food boundaries of social classification order’ mistaken with the psychopathology diagnosis. B faced the institutional hospital life still instill a sense of hope in the real order. What the reality is understood beyond the positivism paradigm. It is shown the mode of being in the unique way. Conclusion: The moral career of mental disorder patient was found to search for the ‘place’. From ‘displace’ and ‘out of place’ to ‘em-place’ in the situated structure, it is revealed the repetitive symptom is meant the creative action and construction process rather psychopathological meaning.

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