Wiener C L, Dodd M J
University of California, San Francisco.
Sch Inq Nurs Pract. 1993 Spring;7(1):17-31; discussion 33-5.
This paper offers an alternative to the conventional social/psychological definition of "coping." Using a theoretical framework of "illness trajectory," the authors examine the uncertainty of temporality, body, and identity inherent in coping with cancer. Analysis then turns to the interaction among these uncertain conditions and the complex work processes described by people with cancer, as they tolerate, i.e., "cope with," the disease. Although presented separately for purposes of clarity, these processes and their related activities are experienced in varying combinations and with varying and fluctuating importance by each individual. Viewed comprehensively, however, they constitute the larger process of coping with cancer, with implications for other diseases as well.
本文提供了一种不同于传统社会/心理学对“应对”的定义。作者运用“疾病轨迹”的理论框架,研究了应对癌症过程中固有的时间性、身体和身份认同的不确定性。接着分析转向这些不确定状况之间的相互作用,以及癌症患者所描述的复杂工作过程,即他们如何耐受,也就是“应对”疾病。尽管为清晰起见而分别呈现,但这些过程及其相关活动在每个个体身上是以不同组合经历的,其重要性也各不相同且会波动。然而,从整体来看,它们构成了应对癌症的更大过程,对其他疾病也有启示意义。