南華大學數位論文

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1 The Collapsing of Life Pillars The Research of The Perception of Pain and Adjustment Experience for People with Spinal Cord Injury

3 ShannonHaroldVagic 3Q Renee Grace NicoleFian Danny little M N 2005.

5 Abstract This study on people with Spinal Cord Injury was carried out for the aim of researching and discussing their perception of pain and adjustment experiences, in which the researcher adopted Hermeneutical Phenomenology as the principle and the body ontology of Merleau-Ponty as the meta-theory, proceeding with the analysis of the living experiences through narration and unveiling the sensational chaos of the body-subject and the on-going sensation of suffering in our society/culture, which the 3 participants in this research have been subjected to. Spinal Cord injury causes transformation on corporeal schema. The tangible agony encountered by the subjects is considered experiences that vary from normality and in addition to that, the bodily decomposition also results in some sensations, in terms of spatiality and temporality, uniquely known by the injurers. Besides, the body-subject is the dissimilation as far as the physical sensation is concerned and the changes in the body image after the injury, existing in our society/culture, which expresses the life experience under certain kind of circumstances of disability. Key Words: Spinal Cord Injury, The Perception of Pain, Adjustment Experience, Merleau-Ponty, Hermeneutic Phenomenological

sensational chaos of the body-subject and the on-going sensation of suffering in our society/culture, which the 3 participants in this research have been subjected to.

6 I

7 II

8 1 100

10 Erikson1968

13 a

14 7 2003

15 International Associational for the study of Pain

16 9 2003b 2003 Stenger, 1993 Acute stage spinal shock

17 Guttmann, 1978Meinecke, Rehabilitation Sauer & Harvey,

18 1-3 C3 3-4 C

19 c

20 d

21 ProcacciMaresca a gate control theory Melzack Wall 1965 IASPInternational Associational for the study of Pain 14

22 Sternbach b 1999 gate

23 16 Nepomuceno % 25% 19% 6 Anke Stenehjem Stanghelle1995 Defrin OhryBlumen Urca1999 PhilipJoanSusan Michael % musculoskeletal

24 a ( 2003a)

25 body image body image memory image perceptual image

26 suffering pain Cassell, 2001

27 20 Piaget Pruitt Adjustment Assimilation Roy1970 regulator cognitive structure schema 1997

28 21 subsystem cognator subsystem Liveneh

29 Krause Kjorsvig

30 23 Bozzacco1993 Mackelprang Hepworth 1996 Crewe Krause

31 24

32 Denzin1999 mind, Geist Thou 1991xvi

33 phenomenological reduction epoche brackets 1996 Joseph

34 27 hermeneutic phenomenology Van Manen empirical phenomenology hermeneutic phenomenology

35 28 (intentionality) 2001 text encounter 2003

36 Joseph1987 Dutch School

37 30

38 31

39 A1-1~8 A

40 33

41 MSN Messenger 9 9 MSN Messenger 34

42 35

43 Fontana Freypp

44 37 being-in-the-world

45 38 A1-10~36 A2-103~ A1-1~8 T A1-10~36 T A1-56~62

46 39 A1-63~77 T A2-136~156 A1-129~134 T2 B2-132~148

47 40 B2-61~89 T1112

48 41 C1-1~40 C1-1~40

49 42

50 43 corporeal schema body in this moment A1-1~8 A1-10~36

51 44 T A1-56~62 10 A1-10~36 A1-37~49 B2-61~89 10 Cassell

52 45 B2-61~89 C1-41~74 C1-41~74

53 habit-body 46

54 47 A1-10~36

55 48 A1-1~8 A1-10~36 A1-63~77 A1-201~212 A1-63~77

56 49 A1-258~272 A1-276~282

57 50 A1-201~212 A1-78~99 A1-251~257 A1-273~275

58 51 A1-283~299 intentional arc reflex arc Langer, 1989, p.46

59 habit-body body in this moment implicatory structure anonyous non-thetic

60 53 B2-61~89

61 54 Y B1-1~13 B1-1~13 B1-1~13 B2-202~206 B1-34~35

62 55 B2-155~170 B2-100~131 B2-155~ B2-171~179 B2-202~206

63 operative intentionality

64 57 reflectively B1-34~35

65 B2-155~170

66 59 C1-41~74

67 60 C2-1~6 X X C2-25~29 C1-41~74 C2-84~89 C2-25~29 C2-84~89

68 61 C1-113~117 C2-12~16 C1-41~74 C2-7~11 C1-75~81

69 62 C2-17~24 C1-113~117 C2-124~131

70 63 C2-40~65 C2-124~131 Plesser

71 64 C30825

72 65 chiasma Henry Head

73 66 Paracelsus, C1-118~120 T C2-12~16

74 67 A1-1~8 A1-10~36

75 68 B1-1~13 A1-63~77

76 implicatory structure compensate Langer, 1989, p A1-78~99

77 70 B1-34~35 B2-202~206

78 71 B2-100~131 B1-29~33 C1-41~74

79 72 C1-41~74 C2-25~29 Langer, 1989, p

80 73 existential phenomena the motor grasping of a motor significance

81 74 B2-149~154 B2-149~154 B2-215~221 orientated space

82 75 A1-37~49 A1-168~

83 76 C2-30~39 C2-66~83 A1-100~110 B2-180~201 C1-75~81 A1-100~110

84 reversibility

85 world time internal time the consciousness awareness consciousness

86 champ de presence Q A1-63~77 A1-10~36

87 80 A1-56~62 A1-37~49 A1-56~62

88 81 A1-10~36 A1-56~62 A1-78~99 A2-103~135

89 82 A2-17~ B2-132~148

90 83 B2-222~

91 84 B2-171~179 B2-202~206 ok B2-180~201

92 85 B2-100~ Vital Ego confront suffering

93 86 C1-1~

94 87 Q C

95 meaning-establishment meaning-interpretation stream of consciousness

96 89 Henri Bergson A1-111~112 A1-283~299

97 90 Jane A1-168~193 A1-258~272 A1-100~110

98 91 A1-213~250 A2-1~16 A1-251~257 A1-283~299

99 praktognosis I think I can a thing in-itself for us B2-5~11 92

100 93 B2-61~89

101 94 B2-90~

102 95 C2-95~106

103 96 C1-113~117 C2-30~39

104 97 C2-40~65

105 C2-90~94 98

106 99 OOO A1-213~250

107 100 B2-5~11 B2-41~60

108 101 B2-61~89 C1-82~95 Erikson, 1968

109 Erich Fromm

110 uncanny

111 104 B2-41~60 B2-41~60 B2-233~239

112 105 C1-96~110

113 106 A1-213~250 Bugental B2-41~60

114 107

115 108 C2-90~94

116 109 C2-114~123 C2-124~131

117 110

118 111 body image 1981 Schilder A1-113~128

119 112 A1-135~

120 113 A1-310~322 B2-12~40

121 114 B2-12~ C2-66~83 C1-113~117 C2-95~106

122 115 C2-114~ Goffman1963 stigma

123 116 stigma

124 common-sense

125 self-affirmation

126 119

127

128 Fatalism

129 122 B1-14~ p

130 123 C2-95~ C1-113~117

131 124 C1-111~112

132 125

133 126

134

135 12 Drew Leder Drew Leder 1990, pp sensory intensification episodic structure

136 affective call intentional disruption spatiotemporal constriction alien presence telic demand hermeneutical pragmatic 14 Drew Leder Drew Leder

137 130

138

139

140 133 P31-36

141 134

142 Norman K. Denzin 1999 Interpretive Interactions Michael Quinn Patton Palmer, R. E.1992 Hermeneutics 1969 Peter L. Berger Thomas Luckman

143 1999 Frank Vertosick1999 When the Air Hits Your BrainTales of Neurosurgery 1996 Paul Brand Philip Yancey1995 Pain: the gift nobody wants Edo Pivcevic 1997 Husserl And Phenomenology Marurice Merleau-Ponty Kleinman, Arthur1994 The illness narrative: suffering, healing, and the human condition

144 1991 A. Schutz1991 The Phenomenology of Social Word S. Kay Toombs2000 The Meaning of Illness: A Phenomenological Account of Different Perspectives of Physician and Patient 1995 The Phenomenological Movement

145 (2002) Robert Sokolowski2004 Rollo May2003 Power and Innocence 1972 Susan Sontag2000 Illness as metaphor; and, AIDS and its metaphors a b c

146 2003d =699&array_fod_list_no=1,698&level_no=3&doc_no= a dr_writings_1_xv.asp?docid=

147 /91 /1.xls Anke, A. G. W., Stenehjem, A. E. & Stanghelle, J. K. (1995). Pain and life quality within 2 years of spinal cord injury. Paraplegia, 33, Bozzacco, C. S. (1993). Long term psychosocial effects of spinal cord injury. Rehabilitation Nursing, 18 (2), Cassell E. (2001). The phenomenon of suffering and its relationship to pain. In S. K. Toombs (Ed.), Handbook of phenomenology and medicine, Defrin, R., Ohry, A., Blumen, N., & Urca, G. (1999). Acute pain threshold in subjects with chronic pain following spinal cord injury. PAIN, 83, Drew Leder (1990). The Absent Body. Chicago: The University of Chicago Press. Erikson, E. H Identity: Youth and crisis. New York: Norton. Fontana A.& Frey J. (1994). Interviewing: The Art of Science. In Norman K. Denzin & Yvonna S. Lincoln (ED.) (pp ). London: Sage. Joseph, J. K.ED Phenomenological psychology. Netherlands: Martinus Nijhoff Publication. Langer, Monika M Merleau-Ponty's Phenomenology of Perception: A 140

148 Guide and Commentary. Houndmills, Basingstoke, Hampshire: Macmillan. Liveneh, H A unified approach to existing models of adaptation to disabilityparrt 1a model adaptation. Journal of applied rehabilitation counseling, 17(1), Merleau-Ponty, Maurice (1981). Phenomenology of Perception (Colin Smith, Trans.). New Jersey: The Humanities. (Original work published 1945). Nepomuceno, C., Fine, P. R.,Richards, J. S., Stoven, S. L., Rantanuabol, U., & Houston, R. (1979). Pain in patients with spinal cord injury. Archive of Physical Medicine and Rehabilitation, 60, Philip, J.S.,Joan, M.M., Susan, B. R. & Michael, J. C.(2003). A longitudinal study of the prevalence and characteristics of pain in the first 5 years following spinal cord injury. Pain, 103, Roy, S. C Adaptation: A conceptual framework for nursing. Nursing Outlook, 183, Sauer, S. P., & Harvey, C, J. (1993). Spinal cord injury and pregnancy. Journal of perinatal and Neonatal Nursing, 7 (1), Stenger, K. M. (1993). Surveillance of spinal cord motor and sensory function. Nursing Clinical North American, 28 (4), Van Manen, M. (1990). Researching lived experience: Human science for an action sensitive pedagogy. New York: State University of New York Press. 141

149 XXXXXX 05XXXXXXXXXXX

150 143

151 144 A1 A1-1~8 Q Q habit-body body in this moment A1-10~36 Q

152 145 Q

龔卓軍：傳授生活經驗.doc

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