Johnston Liz B
School for Social Work, Smith College, Northampton, Massachusetts, USA.
J Soc Work End Life Palliat Care. 2011;7(4):363-82. doi: 10.1080/15524256.2011.623471.
Social workers address issues of critical illness and end of life in multiple settings. Due to advances in medical technology, an increasing number of patients survive severe critical illnesses. Little is known about the psychological dynamics of these patients who recover from critical illness and move into the liminal space between life and death. In this article the author analyzes the psychological ambiguities present during recovery from critical illness. Using a case study, connections will be made between surviving critical illness and the theoretical constructs of liminality, illness narratives, ambiguous dying, and ambiguous loss. Practice applications for social workers are addressed.
社会工作者在多种环境中处理重大疾病和生命终结问题。由于医疗技术的进步,越来越多的患者在严重的重大疾病中存活下来。对于这些从重大疾病中康复并进入生死之间临界空间的患者的心理动态,我们知之甚少。在本文中,作者分析了重大疾病康复过程中存在的心理模糊性。通过一个案例研究,将重大疾病幸存与阈限性、疾病叙事、模糊死亡和模糊丧失的理论结构联系起来。文中还探讨了对社会工作者的实践应用。