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The impact of the death of a child on meaning and purpose in life 孩子的死亡对人生意义和目标的影响
Pub Date : 1997-07-01 DOI: 10.1080/10811449708414420
S. Brabant, C. Forsyth, Glenda McFarlain
Abstract This article examines one aspect of parental readjustment to the death of a child, change in meaning and purpose in life, through use of thick descriptions (Geertz, 1973) from parents bereaved for 1 or more years. Findings are congruent with Frankl's (1963) argument that meaning in life can be discovered in three different ways; parents expressed having found new meaning in life through helping others, through changing their values and priorities, and through having endured suffering. Implications for counselors are discussed.
摘要本文考察了父母对孩子死亡的重新调整的一个方面,改变了生活的意义和目的,通过使用厚描述(Geertz, 1973)从父母丧亲1年或更长时间。研究结果与Frankl(1963)的观点一致,即生命的意义可以通过三种不同的方式发现;父母们表示,通过帮助他人、改变自己的价值观和优先考虑的事情以及忍受痛苦,他们找到了生活的新意义。讨论了对辅导员的影响。
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引用次数: 9
Ethnicity and the ethic of caring in african american families 非裔美国人家庭的种族和关怀伦理
Pub Date : 1997-04-01 DOI: 10.1080/10811449708414410
S. Hill
Abstract Several important demographic and economic factors have led to the shift in medical caregiving work from health care professionals to family members, primarily women. The growth in family caregiving has spawned numerous studies on how caring for the sick affects unpaid family caregivers. While caregiving work can be gratifying, most studies have focused on the negative effects, such as its adverse impact on the health and employment of caregivers. Only recently have we begun to expand this literature by examining the impact of ethnicity, specifically culture, on family caregiving. This study argues that African American families have retained specific cultural values and developed family systems which may lessen the negative impact of caregiving on families.
几个重要的人口和经济因素导致医疗护理工作从卫生保健专业人员转移到家庭成员,主要是妇女。家庭照顾的增长催生了许多关于照顾病人对无薪家庭照顾者的影响的研究。虽然照顾工作可以令人满意,但大多数研究都集中在负面影响上,例如对照顾者的健康和就业的不利影响。直到最近,我们才开始通过研究种族,特别是文化对家庭照顾的影响来扩展这一文献。本研究认为,非裔美国家庭保留了特定的文化价值观和发达的家庭制度,这可能会减轻照顾对家庭的负面影响。
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引用次数: 5
Termination of Parental Rights Conflicts: Small-Group Therapy with Adolescent Boys. 父母权利冲突的终止:青少年男孩的小组治疗。
Pub Date : 1997-04-01 DOI: 10.1080/10811449708414414
P. Nelson
Abstract In the 1990s Children's Village, a residential treatment center, has been able to return fewer boys to their families of origin and has sought court-supported terminations of parental rights (TPRs). A clinically sound approach was formulated to support the boys during and after the TPR process. Coleaders conducted group therapy with small numbers (2, 4, 5) of boys aged 10 to 14 years. The task was to help them relinquish the parent as a discharge resource. Impact of the groups varied with the boys' ages and the presence or absence of an identified peer leader. An identified date for ending resulted in vigorous therapeutic work in the final meetings.
在20世纪90年代的儿童村,一个寄宿治疗中心,已经能够将更少的男孩送回他们的原生家庭,并寻求法院支持终止父母权利(tpr)。在TPR过程中和之后,制定了临床合理的方法来支持男孩。领导们对10至14岁的小男孩(2、4、5)进行了小组治疗。我们的任务是帮助他们放弃父母作为出院资源。小组的影响因男孩的年龄和是否有同伴领导而异。确定的结束日期导致在最后会议上进行了积极的治疗工作。
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引用次数: 0
Psychological trauma reconsidered: Overview and proposed psychotherapy for survivors 重新考虑心理创伤:概述和建议的幸存者心理治疗
Pub Date : 1997-04-01 DOI: 10.1080/10811449708414412
S. Elbedour
Abstract This paper attempts to establish a conceptual approach to the etiology of psychological trauma. The literature on the subject of the impact of trauma–particularly on the coherent sense of self and effective ego functioning–is reviewed. The case of a young victim of trauma is included to exemplify hew the disruption of social relationships and their internal cognitive representations, through abuse, exploitation, and other acts of unpredictable trauma, can interfere with the normal functioning of personality in the posttraumatic state until an appropriate therapeutic intervention or experience occurs. A construct for the psychotherapy treatment of trauma is suggested.
摘要:本文试图建立一种关于心理创伤病因的概念方法。回顾了有关创伤影响的文献,特别是对连贯的自我意识和有效的自我功能的影响。一个年轻的创伤受害者的案例被包括在内,以说明社会关系及其内部认知表征的破坏,通过虐待、剥削和其他不可预测的创伤行为,可以干扰创伤后状态下的正常人格功能,直到适当的治疗干预或经历发生。提出了创伤心理治疗的概念。
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引用次数: 0
Parental grief of a perinatal loss: A comparison of individual and relationship variables 围产期损失的父母悲伤:个体和关系变量的比较
Pub Date : 1997-04-01 DOI: 10.1080/10811449708414413
V. Thomas, P. Striegel, D. Dudley, J. Wilkins, Darlene Gibson
Abstract This study focuses on the comparison of individual variables of bereavement, depression, and stress with variables associated with the couple relationship, including cohesion, adaptability, communication, satisfaction, and partner support. In total, 24 couples completed self-report instruments within 2 weeks after a miscarriage. Mothers had significantly stronger grief reactions than fathers. Fathers and mothers perceived their relationships similarly as highly functional. Except for mothers' depression and their satisfaction with the couple relationship, the correlations between individual and relationship variables were rather weak. Implications of the results for family professionals are discussed.
摘要本研究主要研究丧亲、抑郁和压力个体变量与夫妻关系相关变量(凝聚力、适应性、沟通、满意度和伴侣支持)的比较。总共有24对夫妇在流产后2周内完成了自我报告工具。母亲的悲伤反应明显强于父亲。父亲和母亲同样认为他们的关系是高功能的。除母亲抑郁与夫妻关系满意度外,个体变量与关系变量之间的相关性较弱。讨论了结果对家庭专业人员的影响。
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引用次数: 3
This century, this country: One survivor's story of posttraumatic stress syndrome 这个世纪,这个国家:一个创伤后应激综合症幸存者的故事
Pub Date : 1996-10-01 DOI: 10.1080/10811449608414397
Shoshanah Maduff, Antonio Martinez
Abstract Posttraumatic stress syndrome, also called posttraumatic stress disorder (PTSD), affects people who have experienced extremely traumatic events. Individuals who live with posttraumatic stress syndrome must continually overcome many obstacles to live their daily lives. The following is one woman's story of abuse, its after effects, and survival. By telling her story, I hope to make her suffering that much more meaningful. In addition, I wish to call attention to what goes on behind closed doors and explain what we can do about it.
创伤后应激综合症,又称创伤后应激障碍(PTSD),主要影响那些经历过极度创伤事件的人。患有创伤后应激综合症的人必须不断克服许多障碍才能过上日常生活。以下是一位女性遭受虐待的故事,其后果,以及她的生存。通过讲述她的故事,我希望让她的痛苦变得更有意义。此外,我希望提请注意在紧闭的门后面发生的事情,并解释我们对此可以做些什么。
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引用次数: 0
The stigma of the self 自我的耻辱
Pub Date : 1996-10-01 DOI: 10.1080/10811449608414398
G. Alper
Abstract After recounting some personal life experiences that sensitized him to the kind of stigma that Erving Goffman systematically explored in his 1963 classic, Stigma, the author, who Is a psychoanalytic psychotherapist, introduces hit concept of the stigma of the self. Paradoxically, the stigma of the self may occur when a person is treated as merely normal, and as only a social self and when, a? a consequence, there does not seem to be any recognition of what D. W. Winnicott has termed the true self. Drawing on his studies of the self [in his recently published The Singles Scene: A Psychoanalytic Study of the Breakdown of Intimacy(Alper, 1995)] the author explores the dynamics of what he calls intimacy hunger, an unappreciated but powerful need that, especially after a sufficient period of deprivation has elapsed, cannot be satuifed by a purely social substitute.
作者是一位精神分析心理治疗师,在叙述了一些使他对欧文·戈夫曼在1963年的经典著作《耻辱》中系统探讨的耻辱敏感的个人生活经历之后,引入了自我耻辱的概念。矛盾的是,当一个人仅仅被视为正常人,仅仅被视为一个社会自我,而当一个?因此,人们似乎对温尼科特所说的“真我”没有任何认识。根据他对自我的研究[在他最近出版的《单身场景:亲密关系破裂的精神分析研究》(Alper, 1995)中],作者探索了他所谓的“亲密饥饿”的动态,这是一种未被欣赏但强大的需求,特别是在一段足够的剥夺期过去之后,不能被纯粹的社会替代品所满足。
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引用次数: 0
The relativity of grief: Differential adaptation reactions of younger and older persons 悲伤的相对性:年轻人和老年人的不同适应反应
Pub Date : 1996-10-01 DOI: 10.1080/10811449608414395
M. Barnes, J. Harvey, Heather Carlson, Jeffrey R. Haig
Abstract A study was conducted to investigate the differential emotional and coping responses of 41 older (M = 66.5 years) and 48 younger (M = 23.5 years) respondents who had recently lost a close loved one to death. Respondents completed a questionnaire in which they gave an account of the death of their loved one, information about how they coped with this loss, and responses concerning their emotions pertaining to the loss. As predicted, older respondents reported a higher degree of account-making (i.e., story-like constructions) about their losses and confiding in close others than did younger respondents. Further, older respondents showed fewer negative and more positive responses than younger respondents. These results were interpreted to suggest that older respondents were less acutely devastated by their losses and are consistent with the idea that
摘要本研究调查了41名年龄较大(M = 66.5岁)和48名年龄较小(M = 23.5岁)最近失去至亲至爱者的情绪和应对反应的差异。受访者完成了一份调查问卷,在问卷中,他们描述了他们所爱的人的死亡,他们如何应对这种损失的信息,并回答了他们与损失有关的情绪。正如预测的那样,与年轻的受访者相比,年长的受访者报告了更高程度的关于他们的损失和向亲密的人倾诉的帐户制作(即故事式结构)。此外,年长的受访者比年轻的受访者表现出更少的负面反应,而更多的积极反应。这些结果被解释为,年龄较大的受访者对他们的损失不那么严重,这与他们的观点是一致的
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引用次数: 10
Barriers to maintaining a sense of meaning and control in the face of loss 在面对损失时,保持意义感和控制力的障碍
Pub Date : 1996-10-01 DOI: 10.1080/10811449608414393
S. Thompson
Abstract Although finding meaning and reestablishing a sense of control following a major loss are important contributors to successful coping, many individuals are unable to restore these adaptive assumptions. Five strategies for reestablishing meaning and control are identified, and it is proposed that the use of these strategies requires cognitive work, the ability to change views and try new perspectives, and flexibility in goal identification. This framework is used to understand why many people fail to find meaning and control following a serious loss. Characteristics of the situation that make it difficult to find meaning and control include the severity and type of the loss. Personal factors that block or impede the restoration of adaptive assumptions include an avoidant coping style, few opportunities to vent, the belief that positive interpretation involves self-delusion, a rigid belief system, and difficulty in disengaging from goals. Interventions to address these blockades and increase succes...
虽然在重大损失后找到意义和重新建立控制感是成功应对的重要因素,但许多人无法恢复这些适应性假设。本文确定了重建意义和控制的五种策略,并提出这些策略的使用需要认知工作、改变观点和尝试新观点的能力以及目标识别的灵活性。这个框架被用来理解为什么许多人在严重的损失之后无法找到意义和控制。情况的特点,使其难以找到意义和控制包括严重程度和类型的损失。阻碍或阻碍适应性假设恢复的个人因素包括逃避的应对方式、发泄的机会很少、相信积极的解释涉及自我欺骗、僵化的信仰体系以及难以脱离目标。解决这些障碍和增加成功的干预措施……
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引用次数: 6
Grief and mourning reactions following abortion and miscarriage 流产和流产后的悲伤和哀悼反应
Pub Date : 1996-10-01 DOI: 10.1080/10811449608414394
Anmarie J. Widener
Abstract The loss of an unborn child, like the loss of a child through death, may cause both normal and pathological grief reactions. This paper explores the current research of psychological reactions following induced and spontaneous (miscarriage) abortions. Examples of studies wherein reserachers have, based their understanding of the experience on a loss model are provided. Possible reasons for the apparent inattention to grief reactions following this type of loss are explored. An alternative model based on loss and acknowledging social, political, and interpersonal stigmas is offered. Although these findings do not suggest that abortions should be made unavailable, they demonstrate a need for alertness to possible negative psychological sequelae as well as possible negative physical sequelae.
失去未出生的孩子,就像失去死亡的孩子一样,可能会引起正常和病态的悲伤反应。本文探讨了人工流产和自然流产后的心理反应的研究现状。提供了研究人员基于损失模型对经验的理解的研究实例。在这种类型的损失之后,对悲伤反应的明显忽视的可能原因进行了探讨。另一种基于损失和承认社会、政治和人际耻辱的模式被提出。虽然这些发现并不表明堕胎应该不可用,但它们表明需要对可能的负面心理后遗症以及可能的负面身体后遗症保持警惕。
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引用次数: 4
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Journal of Personal & Interpersonal Loss
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