华人生死学
试析安宁病房中过渡性慰藉物的价值
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泰康燕园康复医院

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An Exploratory Analysis of the Value of Transitional Objects in Hospice Care
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    摘要:

    二十世纪英国心理学家温尼科特提出过渡性慰藉物(Transitional Object)概念,指出其在缓解婴儿分离焦虑中的功能。对过渡性慰藉物的依恋,一方面帮助婴儿体验到对“非我”客体的操控感,另一方面引领其领会如何将“非我”的外在世界纳入自身心理发展模型。本研究在安宁病房长期参与观察的基础上,发现安宁病房里也时有过渡性慰藉物出现。临终阶段可以被视为生与死之间的过渡状态,过渡性慰藉物的功能在于舒缓这一过渡状态中的角色撕裂、身心痛苦和死亡焦虑等。这一发现不仅拓展了过渡性慰藉物理论的应用范畴,更为提升安宁疗护质量提供了新的理论视角和实践路径。

    Abstract:

    In the last century, British psychologist D.W.Winnicott introduced the concept of the Transitional Object, revealing its significant role in alleviating infants separation anxiety from caregivers. Attachment to transitional objects not only allows infants to experience a sense of control over the "not-me" object but also guides them in integrating the external "not-me" world into their psychological development model. Based on long-term participant observation, this study finds transitional objects also appear in hospice care settings sometimes. The end-of-life stage can be viewed as a transitional state between life and death. Transitional objects serve to alleviate social role fragmentation, physical and psychological suffering, and death anxiety. This finding not only expands the application of transitional object theory, but more importantly, provides new theoretical perspectives and practical approaches for enhancing the quality of hospice care.

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陆晓娅,李子珍.试析安宁病房中过渡性慰藉物的价值[J].华人生死学,2025,(1):32-43

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  • 收稿日期:2025-05-25
  • 最后修改日期:2025-05-25
  • 录用日期:2025-06-23
  • 在线发布日期: 2025-06-24
  • 出版日期: 2025-06-30
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  • 张孟镇