毒癮愛滋感染者之生活世界

南華大學機構典藏系統 > 人文學院 > 生死學系(生死學系碩士班,哲學與生命教育碩士班) > 博碩士論文-生死學系碩士班 > Item 987654321/22676

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题名:	毒癮愛滋感染者之生活世界
其它题名:	The Life World of HIV-Positive Drug Addict
作者:	邱美珠 Chiu, Mei-chu
貢獻者:	生死學研究所蔡昌雄 Chiang-hsiung Tsai
关键词:	疾病污名;存在挫折;生活世界;毒癮愛滋感染者 HIV-positive Drug Addict;disease stigma;life world;existential frustration
日期:	2007
上传时间:	2015-08-05 16:29:22 (UTC+8)
摘要:	本研究旨在探討毒癮愛滋感染者的生活世界。以詮釋現象學為研究方法，在台灣關愛之家協會的愛滋中途之家，以深度訪談方式收集七位研究參與者的生活經驗文本加以分析，以此對吸毒感染愛滋感染者的主觀經驗進行描寫與詮釋。　　　研究發現，毒癮愛滋感染者的接觸毒品，係生活失去目標的一種替代，卻因此走上關係斷裂及為毒所控的不歸路；自身的存在意義因為喪失生活目標而陷入無能的處境；感染愛滋病毒，在喪失身體控制感之外，更被社會文化嚴重歧視與污名；此一歧視與污名則是促使毒癮愛滋感染者面臨存在心理挫折的主因。　　　研究也發現，毒癮愛滋感染者有以下的經驗特徵：(1)在生理層面上，擔憂不確定的病症變化與死亡恐懼；(2)在心理層面上，面對種種失落卻無力解決，時時沉浸在悲觀、絕望及無意義的負面情緒狀態中；(3)在社會層面上，因負面觀感、家庭支持度低及種種社交隔離，故常有拒絕接受追蹤治療的傾向；(4)在存在層面上，常透露出生活無趣、抑鬱的言詞，被挫敗、自卑、孤獨及無望的深度挫折感糾纏，感受不到活著的意義與價值。　　　基於上述毒癮愛滋感染者的特性，他們是一群極不容易與他人發生真誠接觸關係的人，也因此對於詮釋現象學的主觀經驗研究構成一定程度的挑戰。能夠在關愛之家找到讓他們開放談論自我經驗的場域，是本研究最大的突破，由此建立對他們主觀經驗的現象脈絡描寫及詮釋，則是本研究的主要貢獻。建議未來在研究上可以更深入探討類似關愛之家的社福機構對毒癮愛滋感染者所提供的照顧功能評析，並在社會福利資源及實務照顧上，提供更具體、更多元的協助。　　This study purpose to explore the life world of HIV-positive Drug Addiction. It takes hermeneutic- phenomenology of research method, and the way of profound interview with 7 research participants at the AIDS Middle Home of Harmony Home Association. By analyzing their experience, HIV-positive drug Addict subjective experience was described and explained.　　　The study found that drug is a kind of substitute for HIV-positive drug Addiction client lost goals. Since they began to break normal social relationship with others and choose a way of been controlled by drug, they fall into a kind of helpless situation due to the missing life goals. Further more, in addition to losing the feeling of body control, they are seriously discriminated and stigmatized from social culture . This discrimination and stigma are the main reasons that make HIV-positive Drug Addict have existential psychological frustration.　　　The study also fount that HIV-positive Drug Addict have the follow experience characteristics: (1)physical aspect：worry about the changes of uncertain disease and death threat; (2)psychological aspect：facing various loss, but could not solve it, and often sinking in pessimistic, disappointed, meaningless and negative emotion; (3) social aspect: they often refusing to accept treatment due to negative viewpoint, low-level family support and all kinds of social contact isolation; (4) existence aspect：they often appear deeply frustrated feelings of uninteresting life, depressed words, self despite, loneliness, hopelessness, and can not feel the meaning of live.　　　Because of the characteristics described above, they are not easy to sincerely contact with others, which occurs difficulty for the research in the way of constructing subjective experience of hermeneutic- phenomenology. This study breakthrough is in the Harmony Home Association offered a place for them to talk their own experience freely, which is the largest. Only due to the interviews can their subjective experience and phenomenon be established, described and explained, which is the main contribution of this study. It is suggested that future researches can more profoundly explore the functional role that welfare institutions, similar to the Harmony Home Association, play on looking after HIV-positive Drug Addict. Referring to social welfare resources and practical care, it is suggested that we shall offer more concrete and diverse aid to them.
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