喪親兒童悲傷反應及其調適之探究－以喪父兒童為例

The Grief Experience and Adjustment of Bereaved Children-Focused on the Children Who Facing the Father's Death

李玉嬋(Yu-Chan Li)；柯雅惠(Ya-Hui Ke)；黃傳永(Chuan-Yung Huang)

喪親兒童 ； 悲傷經驗 ； 悲傷調適 ； bereaved children ； grief adjustment ； grief experience

臺中教育大學學報：人文藝術類

35卷1期（2021 / 06 / 01）

23 - 44

繁體中文

本研究目的在探究喪親兒童悲傷反應及其調適的展現方式，採取質性研究的內容分析法進行分析，透過一對一的個別訪談蒐集資料，研究結果分為兩個部分：在喪親兒童的悲傷反應部分包括：一、情緒方面出現包括有恐懼、擔心、突然的驚嚇、孤單、寂寞、失落、傷心難過等各種忐忑不安之情緒反應。二、認知方面呈現對死亡的陌生和好奇，認為爸爸沒死、不知死後去哪、擔心死後被處罰；不想被看見悲傷，或感覺逝者存在等；或出現對鬼魂懼怕；甚至擔心尚存母親死亡等念頭。三、外顯行為方面，哭泣、看照片和死者對話都是在與死去爸爸維繫關係的主要方式；另外也會有做惡夢、逃避隔離、觸景傷情、表現堅強、性情的轉變、日常行為的改變和人際關係退縮等外顯的表徵行為。四、生理方面悲傷反應則包括有尿床、失眠、胸口疼痛和呼吸困難等顯現在不同兒童身上。其次，在悲傷調適的部分則有以下八項，包括宣洩情緒、回憶、訴說、轉移注意力、對自我期許、透過儀式調適、尋求心靈與宗教的慰藉、以及他人的安慰和陪伴。最後，依據研究結果進行討論，並提出建議供兒童工作者在面對兒童悲傷獨特經驗的建議。

The purpose of this study is to explore the grief and adjustment of bereaved children. All the information collected from individual interviews is analyzes with the content analysis method of qualitative research. The results are divided into two parts: 1. Grief experience of bereaved children: (a) Emotional reactions including fear, worry, sudden shock, loneliness, frustration, sadness and loss. (b) In terms of cognition, the bereaved children are not familiar with and curious about death. For them, their father is still alive, or may just be on a trip. Less understanding may lead them to wonder about life after death and the existence of spirits and ghosts. Sometimes they even choose to hide their emotions and are afraid that their mother will die too. (c) Explicit behavior like crying, withdrawing socially, hiding emotions, changing behavior, having nightmares, acting strong or attempting to have an imaginary conversation with the deceased while looking at old photo was observed. (d) Physiological reactions included bedwetting, insomnia chest pain and difficulty breathing. 2. Grief adjustment of bereaved children: There are eight common coping mechanisms, including: catharsis, recalling, telling, shifting attention, positive thinking, ritualization, becoming spiritual or religious, and seeking comfort and company from others. Finally, the findings are discussed and suggestions are provided for child counselors to help children go through loss and heal.

1. 李秉倫,黃光國,夏允中(2015)。建構本土哀傷療癒理論：儒家關係主義和諧哀傷療癒理論。諮商心理與復健諮商學報，28，7-33。
   連結：
2. 林書如,陳慶福(2014)。一位兒童期喪親青少年哀傷經驗之敘說研究。家庭教育與諮商學刊，17，61-89。
   連結：
3. Attig,T.(2001).Relearning the world: Making and finding meanings.Meaning reconstruction & the experience of loss,Washington,DC:
4. Bergman, A.S.,Axberg, U.,Hanson, E.(2017).When a parent dies–a systematic review of the effects of support programs for parentally bereaved children and their caregivers.BMC Palliative Care,16(1),39.
5. Biank, Nancee,Werner-Lin, Allison(2011).Growing up with Grief: Revisiting the Death of a Parent over the Life Course.Omega,63,271-90.
6. Bowlby,J.(1980).Attachment and loss: Loss,sadness,and depression.New York, NY:Basic Books.
7. Christ, G.(2000).Impact of development on children's mourning.Cancer Practice,8(2),72-81.
8. Corr, C. A.,Corr, D. M.,Nabe,C. M.(2013).Death and dying,life and living.Belmont, CA:Wadsworth.
9. Corr,C. A.,Corr,D.M(1996).Handbook of childhood death and bereavement.New York, NY:Springer.
10. Doka, K. J.(1996).Living with grief after sudden loss.Philadelphia, PA:Taylor & Francis.
11. Doka, K. J.(ed.)(2000).Living with grief: Children, adolescents, and loss.Washington, DC:Hospice Foundation of America.
12. Dutton, Y.,Zisook, S.(2005).Adaptation to bereavement.Death Studies,26,877-903.
13. Edelman, H.(2006).Motherless daughters: The legacy of loss.Cambridge, MA:Da Capo Lifelong Books.
14. Edelman, H.(2006).Motherless mothers: How mother loss shapes the parents we become.New York:Harper Collins.
15. Ellis, J.,Dowrick, C.,Lloyd-Williams, M.(2013).The long-term impact of early parental death: lessons from a narrative study.Journal of the Royal Society of Medicine,106(2),57-67.
16. Fox, S. S.(1988).Good grief: Helping groups of children when a friend dies.Boston, MA:New England Association for the Education of Young Children.
17. Furman, E.(1984).Children’s patterns in mourning the death of a loved one.Childhood and death,Washington,DC:
18. Goldman, L.(2001).Breaking the silence: A guide to helping children with complicated grief suicide,homicide,AIDS,violence and abuse.New York, NY:Taylor and Frances.
19. Goldman,L.(2006).Children also grieve.Philadelphia, PA:Jessica Kingsly.
20. Harris, M.(1995).The loss that is forever: The lifelong impact of the early death of a mother or father.New York, NY:Penguin.
21. Huntley, T. R.(2002).Helping children grieve: When someone they love dies.Minneapolis,MN:Augsburg Books.
22. Hwang, K. K.(2014).Dual belief in heaven and spirits.Routledge handbook of religions in Asia,New York, NY:
23. Landreth,G. L.(2012).Play therapy: The art of the relationship.New York,NY:Brunner-Routledge.
24. Lehman,D. R.,Chiu,C. Y,Schaller,M(2004).Psychology and culture.Annual Review of Psychology,55,689-714.
25. Parkes, C.(1972).Bereavement: Studies of grief in adult life.London, England:Tavistock.
26. David J. Schonfeld & Marcia Quackenbush.(2009).After a Loved One Dies—How Children Grieve And How Parents and other adults can support them.New York. Retrieved From https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Children-and-Disasters/Documents/After-a-Loved-One-Dies-English.pdf
27. Seidman, I. E.(2013).Interviewing as qualitative research: A guide for researchers in education and the social sciences.New York, NY:Teachers College Press.
28. Shiah,Y. J.,Chang,F.,Tam,W. C. C.,Chuang,S. F.,Yeh,L. C.(2013).I don't believe but I pray: Spirituality,instrumentality,or paranormal belief ?.Journal of Applied Social Psychology,43(8),1704-1716.
29. Stroebe, M,Schut, H.(2010).The dual process model of coping with bereavement: A decade on.OMEGA-Journal of Death and Dying,61(4),273-289.
30. Webb,N. B.(2010).Helping bereaved children: A handbook for practitioners.New York, NY:Guilford.
31. Weiss, R. S.(1988).Loss and recovery.Journal of Social Issues,44(3),37-52.
32. Wiseman, A. M.(2013).Summer’s end and sad goodbyes: Children’s picturebooks about death and dying.Children's Literature in Education,44(1),1-14.
33. Worden, J. W.(1996).Children & grief: When a parent dies.New York:Guilford Press.
34. Worden, J. W.(2009).Grief counseling and grief therapy: A handbook for the mental health practitioner.New York, NY:Springer Pub.
35. 李玉嬋,李佩怡,李開敏,侯南隆,陳美琴,張玉仕(2012).導引悲傷能量：悲傷諮商助人者工作手冊.臺北市:張老師出版社.
36. 李雪瑩(2012)。成人經歷喪親之悲傷、失落與復原。諮商與輔導，318，17-20。
37. 黃傳永(2012)。臺北市，臺北市立大學教育系。

1. (2023)。看見災難中的創傷──談兒盟失依家庭服務模式與悲傷復原力推廣。社區發展季刊，181，245-266。