CAPHRI School for Public Health and Primary Care, Department Health, Ethics and Society, Maastricht University, The Netherlands.
Health Care Anal. 2011 Dec;19(4):295-311. doi: 10.1007/s10728-010-0153-9.
Evaluation of quality of life, psychic and bodily well-being is becoming increasingly important in oncology aftercare. This type of assessment is mainly carried out by medical psychologists. In this paper I will seek to show that body experience valuation has, besides its psychological usefulness, a normative and practical dimension. Body experience evaluation aims at establishing the way a person experiences and appreciates his or her physical appearance, intactness and competence. This valuation constitutes one's 'body image'. While, first, interpreting the meaning of body image and, second, indicating the limitations of current psychological body image assessment, I argue that the normative aspect of body image is related to the experience of bodily wholeness or bodily integrity. Since this experience is contextualized by a person's life story, evaluation should also focus on narrative aspects. I finally suggest that the interpretation of body experience is not only valuable to assess a person's quality of life after treatment, but that it can also be useful in counseling prior to interventions, since it can support patients in making decisions about interventions that will change their bodies. To apply this type of evaluation to oncology practice, a rich and tailored vocabulary of body experiences has to be developed.
在肿瘤学康复后护理中，对生活质量、心理和身体幸福感的评估变得越来越重要。这种评估主要由医学心理学家进行。在本文中，我将试图表明，身体体验评估除了具有心理上的用处外，还有规范和实践的维度。身体体验评估旨在确定一个人对自己的外貌、完整性和能力的体验和欣赏方式。这种评估构成了一个人的“身体形象”。在首先解释身体形象的含义，其次指出当前心理身体形象评估的局限性的同时，我认为身体形象的规范性方面与身体完整性或整体性的体验有关。由于这种体验是由一个人的生活故事所构成的，评估也应该关注叙述方面。我最后建议，对身体体验的解释不仅有助于评估治疗后一个人的生活质量，而且在干预之前的咨询中也很有用，因为它可以帮助患者做出关于改变他们身体的干预措施的决策。为了将这种评估应用于肿瘤学实践，需要开发丰富和量身定制的身体体验词汇。
