生命末期的叙事身份:从存在的角度对尊严治疗采访进行定性分析
Pia Devuyst1, Richard E Leiter2,3,4, Aimee Milliken5
1University of Zurich, Zurich, Switzerland.
BMC palliative care
|October 23, 2025
概括
叙事方法,如尊严治疗 (DT),通过促进身份巩固和减轻存在的痛苦,帮助个人应对生命结束的挑战. 这促进了治愈,创造意义,在绝症期间更强烈的自我意识.
科学领域:
- 心理学 心理学 心理学
- 存在心理学的心理学
- 叙事疗法是一种叙事疗法.
背景情况:
- 绝症和生命的终点可能会导致存在的痛苦,绝望和焦虑.
- 在终身护理过程中,身份和目标感经常受到挑战.
- 存在的痛苦需要有效的干预来促进福祉.
研究的目的:
- 探索叙事方法如何缓解存在的痛苦,促进身份巩固.
- 使用Ricoeur的框架分析尊严治疗 (DT) 遗留文档中的身份维度.
- 开发一个生命结束时叙述身份的概念模型.
主要方法:
- 使用MAXQDA软件对32个DT采访进行了定性分析.
- 归纳类别开发用于三层编码系统的身份维度.
- 解释术和存在现象学的方法来理解生活经验.
主要成果:
- 识别了叙事身份维度:起源,家庭,运动,社会,工作,娱乐,破坏,当前经验,感受,自我概念和未来.
- 获得了对存在痛苦的理解,以及对真实性和整体性的对比经验.
- 发现了三种减轻痛苦的机制:治疗联系,创造意义和内在成长.
结论:
- 生命末期的挑战可以催化自我意识,成长和真实性.
- 讲故事是一种强大的工具,可以恢复叙事身份并减少痛苦.
- 生命末期叙事身份模型展示了叙事工作如何促进适应并赋予个人权力.
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