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叙事意义的构建与整合:更好地理解患病对生活质量的影响方式。

Narrative meaning making and integration: Toward a better understanding of the way falling ill influences quality of life.

机构信息

University of Amsterdam, The Netherlands.

Radboud University Nijmegen, The Netherlands.

出版信息

J Health Psychol. 2020 May;25(6):738-754. doi: 10.1177/1359105317731823. Epub 2017 Sep 26.

Abstract

Falling seriously ill is often experienced as a life event that causes conflict with people's personal goals and expectations in life and evokes existential questions. This article presents a new humanities approach to the way people make meaning of such events and how this influences their quality of life. Incorporating theories on contingency, narrative identity, and quality of life, we developed a theoretical model entailing the concepts life event, worldview, ultimate life goals, experience of contingency, narrative meaning making, narrative integration, and quality of life. We formulate testable hypotheses and describe the self-report questionnaire that was developed based on the model.

摘要

患病通常被视为一种生活事件,会与人在生活中的个人目标和期望产生冲突,并引发存在主义问题。本文提出了一种新的人文学科方法,探讨人们如何理解此类事件,以及这如何影响他们的生活质量。我们整合了关于偶然性、叙事认同和生活质量的理论,提出了一个理论模型,其中包含生活事件、世界观、终极生活目标、偶然性体验、叙事意义建构、叙事整合和生活质量等概念。我们提出了可检验的假设,并描述了基于该模型开发的自我报告问卷。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8873/7221864/d87a0ed4dc99/10.1177_1359105317731823-fig1.jpg

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