Zunkel Gretchen
a School of Nursing , University of Minnesota , 6-101 Weaver-Densford Hall, 308 Harvard Street S.E. , Minneapolis , MN , 55455-0342 , USA.
J Psychosoc Oncol. 2002;20(4):39-55. doi: 10.1300/J077v20n04_03.
A diagnosis of breast cancer requires a woman to cope with a variety of physical and psychosocial challenges that are not faced in isolation. Interpersonal relationships are the context for appraisal, development of coping strategies, and defining of resources for adaptation to a serious illness. Of particular interest is the couple relationship. The level of complexity in understanding the process of adaptation is far greater when considering the impact of each partner's response on the other partner's coping strategies and the interactive management of the emotional recovery. The purpose of this study was to understand the specific processes that developed within the partner relationship as the couple began the process of recovery. Case-intensive interview data were analyzed using an interpretive methodology to construct the dyadic process of the woman and her partner. The data analysis revealed two types of processes: one process in which the patient's and partner's thoughts, feelings, and emotions were acknowledged; the other in which their thoughts, feelings, and emotions were moderated or minimized in some way. These patterns were present across couples.
乳腺癌的诊断要求女性应对一系列并非孤立面临的身体和心理社会挑战。人际关系是评估、制定应对策略以及确定适应严重疾病所需资源的背景。伴侣关系尤其令人关注。在考虑每位伴侣的反应对另一方应对策略的影响以及情感恢复的互动管理时，理解适应过程的复杂程度要高得多。本研究的目的是了解伴侣关系中在夫妻开始康复过程时所形成的具体过程。使用解释性方法对深入访谈的数据进行分析，以构建女性及其伴侣的二元过程。数据分析揭示了两种类型的过程：一种是承认患者和伴侣的想法、感受和情绪的过程；另一种是他们的想法、感受和情绪在某种程度上受到调节或被最小化的过程。这些模式在各对夫妻中都存在。
