團體諮商歷程中乳癌患者對疾病經驗解釋之研究

Breast Cancer Members' Perceiving Meaning of Their Disease Getting in Counseling Group

研究旨在探討社區機構的乳癌患者參與團體諮商過程中對疾病經驗的主觀解釋，以作為團體諮商實務與研究的參考。本研究以質性研究法的解釋性互動論作為觀察法及訪談法的依據，分析六位研究參與者在四週非結構團體諮商歷程及結束後所知覺的團體經驗，並聚焦在成員對其疾病經驗的主觀解釋。研究結果顯示，團體成員知覺有關「疾病」的解釋有：（1）致病的心理成因，包含：未覺察的長期生活壓力、情緒壓抑、完美主義的個性等；（2）領悟真正的復原之道，包含：實踐健康的生活型態、活在當下的生活態度、選擇正向思考以創造正向情緒、感激疾病的啟發；（3）疾病隱約影響自我認同、情緒起伏和家人互動和關係；（4）在團體諮商歷程中，疾病議題隱藏於情緒和人際問題下，團體提供成員對疾病的心理議題意識化、疾病的意義化和康復行動化的機會；（5）以病為師而不受制於病，體會無常而做真實自我，是團體成員領悟的賦能方向。本研究依上述發現進行討論，並提出團體諮商實務及未來研究之建議。

This study aimed to explore how and what breast cancer patients perceived the reasons and impacts of getting the disease while participating in a counseling group. Data were collected from six women with breast cancer who participated in a non-structured counseling group. The group met once a week for 4 times and each meeting lasted about 6 hours. Research data were gathered from interviewing members and observing the group process by the researcher. An interpretative interaction method of the qualitative research method was employed in this study and the main results included five themes. 1. Lack of awareness of long-term life stress, emotional pressure, and perfectionism characters was perceived as the main causes for their disease. 2. Insights shared by members regarding how to recover from the illness included adopting a healthy pattern of life, living in here and new, choosing positive thinking and creating positive feelings and emotions, and appreciating inspirations from experiencing this disease. 3. Experiencing the disease had impacted their self- identification, emotions and their interactions with families. 4. The group process provided an opportunity for members to increase awareness on how the disease impacts on their personal issues, gives meanings to their disease, and adopts actions for recovery. 5. Instead of being controlled by the disease, members were empowered by taking a lesson from it, experiencing unexpected changeable world and being a true self. Recommends and suggestions for clinical group counseling practice, group leader training, and future researches are discussed