A PSYCHOLOGICAL STUDY OF ILLNESS NARRATIVES

从健康心理学的生物心理社会观点来看，重要的是关注疾病的心理和社会方面，即主观的疾病经历或疾病叙述，以及生物学方面。人们似乎通过各种求助行为或疾病应对行为形成了自己的疾病叙事。这一系列研究的目的是考察人们的主观疾病经历/疾病叙述。作为定量研究，小规模探索性研究旨在考察人们如何通过健康日记的方法来处理日常健康问题。病程数据收集自男性和女性，他们可以连续7天写健康日记。大多数疾病发作是在流行部门治疗的，特别是在家里。研究还表明，人们对自己的疾病有自己的叙述，他们的实际行为和家人的叙述会影响他们的疾病叙述。作为定性研究，访谈了一些乳腺癌患者及其亲属关于他们的疾病叙述或经历。从常识模型和层级转介系统的角度对数据进行分析。研究发现，患者形成了自己的疾病叙述，非专业转介系统对他们的影响是多种多样的，并对疾病经历或疾病叙述的定性研究方法进行了讨论，因为这些研究兴趣在日本相对较新。

From the biopsychosocial view of health psychology, it is important to focus on the psychological and social aspects of sickness, namely subjective illness experiences or illness narratives, as well as on the biological aspects. It seems that people develop their own illness narratives through the various help-seeking behaviors or coping behaviors for sickness. The purpose of a series of these studies was to examine the subjective illness experiences/ the illness narratives.As the quantitative study, the small-scale exploratory research was operated to examine how people treat their daily health problems by health diary method. The data of sick episodes were gathered from 64 men and women who could keep the health diaries for a continuous seven days period. Most of sick episodes were treated in popular sector, especially at home. It was also suggested that people had their own narratives about their sickness and that the actual behaviors and the narratives of their family members affected their illness narratives.As the qualitative study, some breast cancer patients and their relatives were interviewed on their illness narratives or experiences. The data were analyzed from the point of the commonsense model and the lay referral system. It was found that the patients developed their own illness narratives and that the lay referral system affected them in various ways.The qualitative research methods on illness experiences or illness narratives were also discussed, as these research interests were relatively new in Japan.