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理论视角下对将阈限概念应用于理解癌症体验的研究的批判性回顾:对健康心理学中肿瘤新议程的启示。

A Theoretically Informed Critical Review of Research Applying the Concept of Liminality to Understand Experiences with Cancer: Implications for a New Oncological Agenda in Health Psychology.

机构信息

School of Psychology and Counselling, The Open University, Walton Hall, Milton Keynes MK7 6AA, UK.

Faculty of Law, Giustino Fortunato University, Via Delcogliano 12, 82100 Benevento, Italy.

出版信息

Int J Environ Res Public Health. 2023 May 29;20(11):5982. doi: 10.3390/ijerph20115982.

Abstract

Liminality was described more than 20 years ago as a major category explaining how cancer is experienced. Since then, it has been widely used in the field of oncology research, particularly by those using qualitative methods to study patient experience. This body of work has great potential to illuminate the subjective dimensions of life and death with cancer. However, the review also reveals a tendency for sporadic and opportunistic applications of the concept of liminality. Rather than being developed in a systematic way, liminality theory is being recurrently 're-discovered' in relatively isolated studies, mostly within the realm of qualitative studies of 'patient experience'. This limits the capacity of this approach to influence oncological theory and practice. In providing a theoretically informed critical review of liminality literature in the field of oncology, this paper proposes ways of systematizing liminality research in line with a processual ontology. In so doing, it argues for a closer engagement with the source theory and data, and with more recent liminality theory, and it sketches the broad epistemological consequences and applications.

摘要

阈限性在 20 多年前被描述为解释癌症体验的主要类别。从那时起,它就在肿瘤学研究领域得到了广泛应用,特别是在那些使用定性方法研究患者体验的领域。这部分工作具有阐明癌症患者生死的主观维度的巨大潜力。然而,该综述还揭示了该概念在实践中的应用存在随意性和偶然性。阈限理论并没有以系统的方式得到发展,而是在相对孤立的研究中反复被“重新发现”,主要是在定性的“患者体验”研究领域。这限制了这种方法对肿瘤学理论和实践的影响。本文通过对肿瘤学领域的阈限文献进行理论导向的批判性综述,提出了将阈限研究系统化的方法,使其符合过程本体论。这样做,本文主张更紧密地与源理论和数据以及最近的阈限理论接触,并概述了广泛的认识论后果和应用。

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