McKenzie Heather, Crouch Mira
Department of Family & Community Nursing, University of Sydney, NSW 2006, Australia.
Health (London). 2004 Apr;8(2):139-57. doi: 10.1177/1363459304041067.
This article concerns persons who live in uncertainty following an earlier diagnosis of (and completed treatment for) cancer. Fear of recurrence of the disease underlies the uncertainty and the attendant perception of being profoundly endangered, more 'at risk' than anyone else. Such a reflective assessment engenders a sense of separation from the everyday 'practical consciousness' that seems effortlessly to be shared by 'ordinary' others. The mismatch between the interaction order and individual psychology gives rise to interpersonal emotional dissonance, which forms a significant aspect of the chronic suffering contained in the 'at-risk illness' experience of cancer survivors. The article examines the emotional patterns involved in their situation and seeks to elucidate the pain that accompanies their alienation from the lifeworld in which nonetheless they must continue to dwell.
本文关注的是那些在早期被诊断患有癌症（并已完成治疗）后生活在不确定性中的人。对疾病复发的恐惧是不确定性的根源，以及随之而来的深感自己受到严重威胁、比其他人“风险更高”的认知。这种反思性评估产生了一种与日常“实践意识”相分离的感觉，而“普通”人似乎能毫不费力地拥有这种意识。互动秩序与个体心理之间的不匹配引发了人际情感失调，这构成了癌症幸存者“高危疾病”经历中慢性痛苦的一个重要方面。本文审视了他们处境中所涉及的情感模式，并试图阐明伴随他们与生活世界疏离而来的痛苦，尽管他们仍必须继续生活在这个世界中。
