华人生死学
探索一种临终心智蜕变视角下生命历史时序感知紊乱的临床调适模式
作者:
作者单位:

上海安疗健康服务中心

作者简介:

1、孔泽士,临床心理咨询师,安宁疗护社工,上海安疗健康服务中心理事:通讯地址:上海黄浦区普育西路105号6号楼105室,电子邮箱:705694882@qq.com
2、黄伟青,临床安宁疗护师,上海安疗健康服务中心主任,通讯地址:同1,电子邮箱:2480957073@qq.com

通讯作者:

中图分类号:

R48;B846

基金项目:


From the Perspective of End-of-Life Mental Transformation: Exploring a Regulatory Adjustment Model for the Disorder of Sense of Life Chronology at the End of Life
Author:
Affiliation:

Shanghai End-of-Life Care Health Service Center

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    摘要:

    在临终安宁疗护的临床研究中,尤其是在心理精神层面,自我感(sense of self)常被视为一个核心议题。然而,另一个与之密切相关且对理解临终心理有重要意义的概念——生命历史时序感(sense of life chronology),却鲜少被深入探讨。这两个概念之间潜在的相互作用及其在临终阶段可能出现的紊乱,为研究临终过程中心理精神状态的变化提供了一个独特的分析框架。本文基于作者在安宁疗护临床实践中多年的观察和经验,探索了生命末期患者的自我感与生命历史时序感的交互关系。文章进一步提出了一种针对临终生命历史时序感知紊乱的临床调适模式,旨在通过叙事性心理-心性调节,帮助患者重构生命历史的连贯性与时序感知流动性,恢复个体的心理-心性平衡,从而提升临终患者的生活质量和心理-心性福祉。

    Abstract:

    In the clinical study of palliative care and hospice, particularly from psychological and spiritual perspectives, the Sense of Self is often seen as a core issue. However, another closely related concept essential for understanding terminal psychology, the Sense of Life Chronology, has rarely been explored in depth. The potential interaction between these two concepts and their possible disorders during the terminal phase offers a unique analytical framework for studying changes in psychological and spiritual states at the end of life. Drawing on years of observation and experience in palliative care and hospice clinical practice, this paper examines the interrelation between terminal patient's Sense of Self and Sense of Life Chronology. It further proposes a clinical adjustment model to address disarray in the terminal Sense of Life Chronology. The aim is to help patients reconstruct the coherence and fluidity of their life history perception through narrative psycho-spiritual interventions, thereby restoring psycho-spiritual balance and enhancing the quality of life and well-being of terminal patients.

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孔泽士,黄伟青.探索一种临终心智蜕变视角下生命历史时序感知紊乱的临床调适模式[J].华人生死学,2024,(1):41-60

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  • 收稿日期:2024-03-06
  • 最后修改日期:2024-06-03
  • 录用日期:2024-06-06
  • 在线发布日期: 2024-07-05
  • 出版日期: 2024-07-05
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