Hutson Sadie P, Hall Joanne M, Pack Frankie L
College of Nursing (Drs Hutson and Hall), and Department of Anthropology, College of Arts and Sciences (Ms Pack), University of Tennessee-Knoxville.
ANS Adv Nurs Sci. 2015 Jan-Mar;38(1):20-33. doi: 10.1097/ANS.0000000000000058.
Survivor guilt, a concept associated with the interpersonal process of "surviving" harm while others do not, increasingly appears in nursing, medicine, and psychology literature. Paradoxically, the phenomenon is rarely defined and often poorly described. Combining Rodger's evolutionary concept analysis with a comprehensive literature review, we explain the attributes, antecedents, consequences, related concepts, and surrogate terms of survivor guilt. A new definition emerged from the evolving use of the concept in new contexts. Survivor guilt is a valid form of suffering for which effective interventions need to be developed. This analysis extends the concept, laying the foundation for comprehensive treatment strategies.
幸存者内疚感，这一与在他人未“幸免于”伤害时自己却“幸存”下来的人际过程相关的概念，越来越多地出现在护理、医学和心理学文献中。矛盾的是，这一现象很少被定义，且常常描述得很差。我们将罗杰的进化概念分析与全面的文献综述相结合，阐释了幸存者内疚感的属性、前因、后果、相关概念及替代术语。随着该概念在新情境中的不断应用，一个新的定义应运而生。幸存者内疚感是一种切实存在的痛苦形式，需要制定有效的干预措施。这一分析拓展了该概念，为全面的治疗策略奠定了基础。
