精神分裂症患者之烙印處境

The Stigma Experience of Patients with Schizophrenia

10.6440/TZUCMJ.200212.0381

林美伶(Mei-Ling Lin)；熊秉荃(Ping-Chuan Hsiung)；林淑蓉(Shu-Jung Lin)；胡海國(Hai-Gwo Hwu)

精神分裂症 ； 烙印 ； 現象學 ； Schizophrenia ； stigma ； phenomenology

慈濟醫學雜誌

14卷6期（2002 / 12 / 01）

381 - 388

繁體中文

目的：大眾認為精神病患等於暴力、危險，以負向的態度對待，影響患者心理、社會層面，本研究旨在瞭解精神分裂症患者的烙印處境。。病人與方法：本研究以現象學研究法，針對九位精神分裂症患者進行面對面深度訪談，並以Colaizzi分析方法將訪談內容加以整理分析。結果：精神分裂症患者之烙印處境，包括「疾病不被接受」、「他人對能力的質疑」、「本身無法接受疾病」、「多重失落」、「預期生活困境」。結論：精神分裂症患者的烙印問題須長期關切，亦須瞭解患者接受疾病角色的矛盾情感以及家屬對疾病的態度，未來協助烙印的處理可藉認知治療、社交技巧訓練、患者與家屬的支持團體等，協助患者與家屬面對外在壓力，及調適個人內在心理壓力。

Objectives: The general public assumes that patients with schizophrenia are violent and dangerous and therefore holds negative attitudes toward them. This affects the patients in various psychosocial aspects. The purpose of this study was to investigate the stigma experiences of these patients. Patients and Methods: Nine patients participated in this phenomenological study through face to face in-depth interviews with an interview guide. Interview data were analyzed using Colaizzi’s method. Results: Results showed that the stigma experiences of patients could be categorized as: “having an unacceptable disease,” “ability being doubted by others,” ”self-inflicted rejection,” “multiple losses,” and “anticipatory life strains.” Conclusion: The implications of the study are two-fold. First, the stigma experiences of patients should be one of the critical elements of patient care. Secondly, health care professionals need to be aware of ambivalent feelings of patients toward their illness. It is suggested that cognitive therapy, social skill training and support groups can be used to regulate internal and external stresses of patients and families.