Råholm Maj-Britt, Arman Maria, Rehnsfeldt Arne
Department of Health Care Studies, Stord/Haugesund University College, Norway.
J Adv Nurs. 2008 Sep;63(6):597-606. doi: 10.1111/j.1365-2648.2008.04734.x.
This paper is a report of a study of the immediate lived experiences of victims and relatives of the 2004 tsunami disaster.
Disasters serve to remind us of our frailty and vulnerability and raise existential questions. From the perspective of caring sciences, suffering is regarded as a natural source for change in patients' understanding of the world and the meaningfulness of their lives.
A phenomenological hermeneutic study was conducted, using in-depth interviews with a convenience sample of 19 informants in 2006-2007. Ricoeur's theory of interpretation served as a guiding principle for interpreting the interview texts.
The immediate lived experiences of the tsunami survivors and their relatives revealed a comprehensive picture, described as different acts of the drama. These acts were: 'experiencing the very core of existence', 'a changed understanding of life' and 'the power of communion'. Confronting our frailty and vulnerability makes us more authentic to ourselves, to our relatives and to life itself. The first step towards progression involves an act where the suffering is seen and validated by another person. Reshaping the suffering together with the family adds a valuable dimension to life. Availability and presence by the family opened up for communion.
The immediate lived experiences of the tsunami disaster from an existential and ontological perspective constitute an important aspect of understanding the whole phenomenon. Concepts such as communion, understanding life and progression of suffering can help us construct an image of this previously unresearched dimension.
本文是一项关于2004年海啸灾难受害者及其亲属即时生活体验的研究报告。
灾难让我们意识到自身的脆弱与易受伤害性,并引发有关生存的问题。从关怀科学的角度来看,苦难被视为患者改变对世界的理解及其生活意义的自然源泉。
采用现象学诠释学研究方法,于2006 - 2007年对19名便利抽样的受访者进行了深入访谈。里科尔的诠释理论作为解读访谈文本的指导原则。
海啸幸存者及其亲属的即时生活体验呈现出一幅全面的图景,被描述为这场“戏剧”的不同行为。这些行为包括:“体验生存的核心”、“对生活的全新理解”以及“交流的力量”。直面我们的脆弱与易受伤害性会让我们对自己、对亲人以及对生活本身更加真实。迈向进步的第一步涉及到一种行为,即苦难被他人看到并得到认可。与家人共同重塑苦难为生活增添了宝贵的维度。家人的陪伴与在场开启了交流的大门。
从生存和本体论的角度来看,海啸灾难的即时生活体验是理解这一整体现象的重要方面。诸如交流、理解生活以及苦难的进展等概念有助于我们构建这一此前未被研究的维度的形象。