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夫妻对直肠癌及永久性结肠造口生活的适应过程中的“我-我们”边界波动

'I-We' boundary fluctuations in couple adjustment to rectal cancer and life with a permanent colostomy.

作者信息

McCarthy Molly, Fergus Karen, Miller Debbie

机构信息

Department of Psychology, York University, Canada.

Department of Psychology, York University, Canada; Odette Cancer Centre, Sunnybrook Health Sciences Centre, Canada.

出版信息

Health Psychol Open. 2016 Mar 16;3(1):2055102916633582. doi: 10.1177/2055102916633582. eCollection 2016 Jan.

Abstract

This study investigates couples' adjustment to rectal cancer and a colostomy using the 'Classification System of Couple Adjustment to Cancer', a framework delineating fluctuations in couples' sense of 'I' and 'We' in response to cancer. Nine couples affected by rectal cancer and adjusting to life with a colostomy were interviewed. A theoretical thematic analysis of the transcripts was conducted; nearly all 'I-We' shifts of the Classification System of Couple Adjustment to Cancer were observed - often in unique ways in response to rectal cancer-specific challenges - and one new shift was described. The results provide a novel and experientially grounded means of conceptualizing complex dyadic coping processes.

摘要

本研究使用“夫妻对癌症的调适分类系统”来调查夫妻对直肠癌和结肠造口术的调适情况,该框架描绘了夫妻在应对癌症时“我”和“我们”意识的波动。对九对受直肠癌影响并适应结肠造口术生活的夫妻进行了访谈。对访谈记录进行了理论主题分析;观察到了“夫妻对癌症的调适分类系统”中几乎所有的“我-我们”转变——通常是以应对直肠癌特定挑战的独特方式——并描述了一种新的转变。研究结果提供了一种新颖且基于经验的方法来概念化复杂的二元应对过程。

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