Chiang H-H, Lu Z-Y, Wear S E
Faculty of Nursing, National Yang-Ming University, No. 155, Li-Nong St Sec. 2, Pai Tou, Taipei, Taiwan 112.
J Med Ethics. 2005 Mar;31(3):154-8. doi: 10.1136/jme.2003.004101.
The aim of this article is to report the results of therapy sessions conducted with survivors of an earthquake that struck Luku Township in Nantou County, central Taiwan, in September 1999. The sessions explored survivors' feelings, interactions, and interpretations of the crisis, as well as their roles in post-earthquake relief efforts. The participants were teachers and administrators from four primary schools. The results indicated three distinct forms of caring, namely: encumbered caring, connected caring, and reflected caring. The findings were used to construct a framework for caregiver self-monitoring. They also suggest that therapy groups provide an inner space that self-regulates the frustrations arising from this type of experience, for both caregivers and survivors. The intrasubjective and intersubjective dialogues within the groups are essentially reflective practices for improving services and generating new knowledge about medical ethics.
本文旨在报告1999年9月发生在台湾中部南投县鹿谷乡的地震幸存者治疗课程的结果。这些课程探讨了幸存者的感受、互动、对危机的解读，以及他们在地震后救援工作中的角色。参与者是四所小学的教师和管理人员。结果显示了三种不同形式的关怀，即：负担沉重的关怀、有联系的关怀和反思性关怀。这些发现被用于构建一个照顾者自我监测的框架。它们还表明，治疗小组为照顾者和幸存者提供了一个内部空间，以自我调节这类经历产生的挫折感。小组内的主观内和主观间对话本质上是用于改进服务和产生关于医学伦理新知识的反思性实践。
