From devastation to integration: Adjusting to and growing from medical trauma

From devastation to integration: Adjusting to and growing from medical trauma
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DOI:
10.1177/1049732306292166
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发表时间:
2006-10-01
影响因子:
3.2
通讯作者:
Auerbach, Carl F.
Auerbach, Carl F.
中科院分区:
医学2区
文献类型:
--
作者:
Salick, Elizabeth C.;Auerbach, Carl F.

文献摘要

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最近的创伤研究已经开始调查创伤后成长的可能性。然而,大多数研究采用定量方法调查创伤后成长,因此忽视了人们的主观经验,并留下了未经检查的创伤后成长的人与明显的障碍。为了填补其中的一些空白,作者使用定性方法研究了恢复和创伤后成长的过程。他们使用半结构化访谈采访了10名患有慢性疾病或严重损伤的参与者。使用扎根理论的数据分析程序,作者开发了一个阶段模型的创伤和恢复的采访。这些阶段的主题分别是:依恋、诊断和毁灭、选择继续、建立生活方式、创伤与自我扩张的整合。作者讨论了该研究的局限性和对这一人群心理咨询的临床意义。
Recent trauma research has begun to investigate the possibility of posttraumatic growth. However, most studies have investigated posttraumatic growth using quantitative methods and thus have neglected people's subjective experience and have left unexamined posttraumatic growth in persons with visible impairment. To fill some of these gaps, the authors examined the process of recovery and posttraumatic growth using a qualitative method. They interviewed 10 participants with visible impairment from chronic illness or serious injury using a semistructured interview. Using a grounded theory data analysis procedure, the authors developed a stage model of trauma and recovery from the interviews. The stages that emerged are thematically entitled Apprehension, Diagnosis and Devastation, Choosing to Go On, Building a Way to Live, and Integration of the Trauma and Expansion of the Self. The authors discuss limitations of the study and clinical implications for psychological counseling with this population.