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Spousal loss in late life: A 1-year follow-up of perceived changes in life meaning and psychosocial functioning following bereavement 晚年丧偶:对丧偶后生活意义和社会心理功能的感知变化进行为期1年的随访
Pub Date : 1998-10-01 DOI: 10.1080/10811449808409711
P. Fry
Abstract Ninety-two elderly men and women were participants in two separate but related phases of a study designed to investigate the multidimensional nature of elderly persons' grief reactions following spousal loss. At Time 1 (4 months after spousal death) and at Time 2 (12 months after spousal death), 92 and 78 participants, respectively, responded to an open-ended questionnaire asking for a brief description of grief reactions to spousal loss as experienced in personal meanings, psychosocial behaviors, and interpersonal relationships. In addition, at Time 2, 27 participants agreed to an in-depth interview in which they were encouraged to trace their recovery process and to talk about their transition and adaptation to widow(er)hood. Two separate principal-components factor analyses were conducted on the questionnaire data drawn from 92 individuals at Time 1 and 78 individuals at Time 2. The data from the in-depth interviews were analyzed by means of a qualitative approach. At Time 1, the factor analys...
摘要:92名老年男性和女性参与了一项研究,该研究分为两个独立但相关的阶段,旨在调查老年人在失去配偶后的悲伤反应的多维性质。在时间1(配偶去世后4个月)和时间2(配偶去世后12个月),分别有92名和78名参与者回答了一份开放式问卷,问卷要求他们简要描述失去配偶后在个人意义、社会心理行为和人际关系方面的悲伤反应。此外,在时间2,27名参与者同意接受深度采访,在采访中,他们被鼓励追溯自己的恢复过程,并谈论他们的过渡和适应寡妇(er)身份。对时间1的92名受试者和时间2的78名受试者的问卷数据进行了两次独立的主成分因子分析。对深度访谈的数据采用定性方法进行分析。在时间1,因子分析…
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引用次数: 37
Network and Mutual Support for Parents Bereaved Following the Violent Deaths of Their 12- to 28-Year Old Children: A Longitudinal, Prospective Analysis. 12至28岁子女暴力死亡后丧失父母的网络和相互支持:一项纵向、前瞻性分析。
Pub Date : 1998-10-01 DOI: 10.1080/10811449808409708
S. Murphy, J. Lohan, M. Dimond, Juanjuan Fan
Abstract Social support provided by bereaved parents' networks was examined in this study. Seven dimensions of support were assessed over time. Of special interest to the investigators were the types and frequency of posttreatment contacts among bereaved parents who participated in an experimental support program. The study compared those who reported high versus low social support and high versus low numbers of network confidants on selected outcome and coping variables. The authors recruited a community-based sample of 171 bereaved mothers and 90 bereaved fathers whose 12- to 28-year-old children had died by accident, suicide, or homicide 4 months previously. Parents were randomly assigned to a 12-week bereavement program or control group. It was expected that intervention group parents would report more social network in involvement and greater satisfaction with support received than control group parents. This hypothesis was only partially supported. Only 20% of the parents who participated in the ber...
摘要本研究考察了失亲父母网络提供的社会支持。随着时间的推移,对七个维度的支持进行了评估。研究人员特别感兴趣的是参与实验性支持计划的丧亲父母治疗后接触的类型和频率。该研究比较了那些社会支持程度高与低、网络知己数量多与网络知己数量少的人在选择结果和应对变量上的差异。作者招募了一个基于社区的样本,包括171位丧亲母亲和90位丧亲父亲,他们12岁至28岁的孩子在4个月前死于意外、自杀或他杀。父母被随机分配到为期12周的丧亲计划或对照组。预期干预组的父母会比对照组的父母报告更多的社会网络参与和更高的满意度。这一假设仅得到部分支持。只有20%的父母参加了这次调查。
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引用次数: 16
The erosion of a friendship 友谊的侵蚀
Pub Date : 1998-07-01 DOI: 10.1080/10811449808409705
M. Warner
Abstract The following story is about my childhood friend Amber and the loss of a close relationship. The story traces the relationship from grade school through adolescence. As we grew, we faced different obstacles, at first together and then apart. I follow in the footsteps of Ellis (1995) and Uematsu (1996) in discussing the advantages of writing about loss.
下面的故事是关于我童年的朋友Amber和她失去了一段亲密的关系。这个故事追溯了他们从小学到青春期的关系。随着我们的成长,我们面临着不同的障碍,起初在一起,然后分开。我跟随Ellis(1995)和Uematsu(1996)的脚步,讨论写关于失去的好处。
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引用次数: 0
Impact of chronic illness: Differing perspectives of younger and older women 慢性病的影响:年轻和老年妇女的不同观点
Pub Date : 1998-07-01 DOI: 10.1080/10811449808409702
P. Gordon, D. Feldman
Abstract The purpose of this study was to examine the life experiences of six women with chronic illness who represent three differing life stages. The participants included two women who were in young adulthood, two who were between the ages of 40 and 60, and two women in their late 70s. The women were all diagnosed with multiple sclerosis, systemic lupus erythematosus, rheumatoid arthritis, osteoporosis, or a combination of these disorders. They were interviewed concerning the impact illness has had on their lives, the manner in which chronic illness has altered their self-perceptions, and the ways in which they have come to make meaning from the event. While the women had achieved varying levels of acceptance of their illness, it appeared that the ability to cope was dependent on numerous factors across several life circumstances. Distinctions were made regarding ability to either adjust to the illness or use the experience as a catalyst for personal growth.
摘要本研究的目的是探讨六名慢性疾病女性的生活经历,她们代表了三个不同的生命阶段。参与者包括两名刚刚成年的女性,两名年龄在40到60岁之间的女性,以及两名70多岁的女性。这些女性都被诊断患有多发性硬化症、系统性红斑狼疮、类风湿关节炎、骨质疏松症或这些疾病的组合。他们接受了采访,内容涉及疾病对他们生活的影响,慢性疾病改变他们自我认知的方式,以及他们从疾病中获得意义的方式。虽然这些女性对自己的疾病的接受程度各不相同,但她们应对疾病的能力似乎取决于多种生活环境中的许多因素。区别在于适应疾病的能力,或者利用这种经历作为个人成长的催化剂。
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引用次数: 4
Communication comforting strategies and social bereavement: Verbal and nonverbal planning and appropriateness 沟通安慰策略与社会丧亲:言语与非言语计划与适当性
Pub Date : 1998-07-01 DOI: 10.1080/10811449808409704
Lance R. Angell
Abstract Based on Applegate's (1980) hierarchy of comforting strategies, this study assessed the effects of verbal planning (e.g., Berger & Bell, 1988; Infante, 1980) and nonverbal planning on the perceived appropriateness of comforting communication. Participants indicated their verbal and nonverbal communication strategies in response to a hypothetical bereavement scenario, and these strategies were coded into Apple-gate's (1980) hierarchy. Bereavement counselors also rated the appropriateness of each respondent's comforting message strategies. Results are discussed in terms of reflection-enhancing relational strategies and the bereavement counselors' perspectives of the effects on surviving family members.
本研究以Applegate(1980)的安慰策略层次理论为基础,评估了言语计划的效果(如Berger & Bell, 1988;Infante, 1980)和非语言计划对安慰沟通感知适当性的影响。参与者指出了他们的语言和非语言沟通策略,以回应一个假设的丧亲场景,这些策略被编码到Apple-gate(1980)的层次结构中。丧亲辅导员还评估了每个受访者安慰信息策略的适当性。研究结果从反思增强关系策略和丧亲咨询师的观点对幸存家庭成员的影响进行了讨论。
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引用次数: 8
Predictors of complicated grief 复杂悲伤的预测因子
Pub Date : 1998-07-01 DOI: 10.1080/10811449808409703
M. Horowitz, C. Milbrath, G. Bonanno, N. Field, C. Stinson, A. Holen
Abstract This study examined whether process variables predict an outcome of complicated grief. A turbulent and prolonged grief was predicted to occur after the death of a spouse in subjects who had self-blame, used the deceased for an extension of self, had ambivalence toward the deceased, or overcontrolled emotional responses. Ninety subjects were examined at 6, 14, and 25 months after the loss via a self-report battery of process variables and a structured clinical interview designed to assess symptoms. Subjects with complicated grief were compared with those with normative grief. Predictions were supported only in tertiary data analyses; they were not supported well in the primary and secondary statistical analyses. The authors concluded that either self-reports of process variables are inadequate measures or the theory that led to these measures and predictions is in need of revision.
摘要本研究探讨过程变量是否能预测复杂悲伤的结局。研究预测,在配偶去世后,有自责倾向、将死者作为自我延伸、对死者有矛盾心理或过度控制情绪反应的受试者,会出现剧烈而持久的悲伤。90名受试者在失智后6、14和25个月通过一系列过程变量的自我报告和旨在评估症状的结构化临床访谈进行了检查。将复杂悲伤的受试者与正常悲伤的受试者进行比较。预测仅在三级数据分析中得到支持;他们在初级和次级统计分析中都没有得到很好的支持。作者得出结论,要么过程变量的自我报告是不充分的措施,要么导致这些措施和预测的理论需要修订。
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引用次数: 26
An Explication of Rational Suicide: Its Definitions, Implications, and Complications. 理性自杀的解释:它的定义、含义和复杂性。
Pub Date : 1998-04-01 DOI: 10.1080/10811449808414440
J. Maltsberger
Abstract Logical analysis of arguments in favor of “rational suicide” reveals eleven commonly encountered premises. Most of the premises are unclear on close scrutiny, and six are ethical propositions that although acceptable to some will not be acceptable to others. The “rational suicide” literature appears to be an effort to legitimize certain kinds of suicide, largely by appeal to a consensus of experts. This kind of argument is criticized on historical grounds; it has led to moral and social disasters in the past.
对支持“理性自杀”的论点进行逻辑分析,揭示了11个常见的前提。大多数前提在仔细审查后都是不清楚的,其中六个是伦理命题,尽管有些人可以接受,但其他人却不能接受。“理性自杀”的文献似乎是在努力使某些类型的自杀合法化,主要是通过呼吁专家达成共识。这种论点受到历史依据的批评;它在过去曾导致道德和社会灾难。
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引用次数: 4
Mental Ghosts and the Process of Grief. 精神鬼魂和悲伤的过程。
Pub Date : 1998-04-01 DOI: 10.1080/10811449808414443
M. R. Maples
Abstract Grieving the death of a loved one is an experience that many people will face at least once in their lifetime, but the lack of widely accepted guidelines as to what constitutes “normal” grieving results in mourning being a common experience with little universality. Memories may keep the deceased alive in the minds of the survivor and may even interfere with the formation of new relationships. This article considers the process of grieving the loss of a spouse and some of the individual factors, such as age, sex, and personal beliefs, that may account for variability in grief experiences. While several modeh detailing the grief process are discussed, the inappropriateness of establishing expectations for the nature and duration of grief is argued for.
许多人一生中至少要面对一次对所爱之人死亡的悲痛,但由于缺乏被广泛接受的关于什么是“正常”悲伤的指导方针,导致哀悼成为一种普遍的经历,而不是普遍的。记忆可能会使死者在生者的脑海中存活,甚至可能会干扰新关系的形成。这篇文章考虑了失去配偶的悲伤过程和一些个人因素,如年龄、性别和个人信仰,这些因素可能会导致悲伤经历的变化。虽然讨论了几个详细描述悲伤过程的模型,但对悲伤的性质和持续时间建立期望的不恰当性是有争议的。
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引用次数: 5
Reply to Lokhandwala and Westefeld. 回复Lokhandwala和Westefeld。
Pub Date : 1998-04-01 DOI: 10.1080/10811449808414438
L. Range
Abstract Lokhandwala and Westefeld's article highlighting the ethical dilemma in rational suicide raises the pragmatic question of how one would actually assess a client's situation. A particularly relevant diagnosis that should be ruled out is clinical depression. The DSM-IV lists nine symptoms of major depressive disorder, eight of which could easily be masked as symptoms of the physical illness or side effects of treatment. These symptoms can be grouped into three categories: central features of depression, physical signs of depression, and cognitive signs of depression. All three of these categories, particularly physical signs, could easily be mistaken for medical problems. Reviewing the nine criteria for a diagnosis of clinical depression might be a good way to explore the possibility of clinical depression in a terminally ill person who is supposedly making a “rational” decision to commit suicide.
Lokhandwala和Westefeld的文章强调了理性自杀的伦理困境,提出了一个实用的问题,即人们如何实际评估客户的情况。应该排除的一个特别相关的诊断是临床抑郁症。DSM-IV列出了重度抑郁症的九种症状,其中八种很容易被伪装成身体疾病的症状或治疗的副作用。这些症状可以分为三类:抑郁症的中心特征、抑郁症的身体症状和抑郁症的认知症状。这三种症状,尤其是身体上的症状,很容易被误认为是医学问题。回顾临床抑郁症诊断的九项标准,可能是一个很好的方法,可以探索在一个被认为做出“理性”自杀决定的绝症患者身上出现临床抑郁症的可能性。
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引用次数: 1
Rational Suicide and the Crisis of Terminal Illness. 理性自杀与绝症危机。
Pub Date : 1998-04-01 DOI: 10.1080/10811449808414437
Tasneem M. Lokhandwala, J. Westefeld
Abstract One of the controversial issues facing counselors in the 1990s is whether or not suicide may be considered a rational choice for clients with terminal illness. This article begins by reviewing the definition of rational suicide and the literature and statistics pertaining to suicide and terminal illness. Then various issues related to rational suicide as a treatment option are addressed, including moral and ethical issues.
20世纪90年代,心理咨询师面临的一个有争议的问题是,自杀是否可以被认为是绝症患者的理性选择。本文首先回顾了理性自杀的定义以及有关自杀和绝症的文献和统计数据。然后讨论了与理性自杀作为治疗选择有关的各种问题,包括道德和伦理问题。
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引用次数: 7
期刊
Journal of Personal & Interpersonal Loss
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