泛自閉症光譜疾患者親密關係經驗之探究

Intimate relationship of people diagnosed with Asperger's disease after entering the workforce

10.7034/DSE.202206_(73).0004

李思穎(Sih-Ying Li)；吳淑敏(Shu-Min Wu)

亞斯伯格症 ； 泛自閉症光譜疾患 ； 親密關係 ； 詮釋學 ； Asperger Syndrome ； autism spectrum disorder ； intimacy ； hermeneutics

特殊教育發展期刊

73期（2022 / 06 / 01）

57 - 74

繁體中文

為探究進入職場後才確診為泛自閉症光譜疾患者（ASD）之親密關係的看法與歷程，本研究透過質性研究中的詮釋學觀點，以半結構式訪談，與兩位出社會後進入職場才確診為ASD之男性研究參與者進行對話，透過互為主體性的理解，詮釋其親密關係經驗。資料分析透過質性之持續比較法，將文本單位化為意義單位，並形成子詮釋及整體詮釋架構。研究結果發現，兩位研究參與者皆有找到生命伴侶的渴望，惟親密關係發展歷程互異，其中一位成長過程較為獨來獨往，因工作容易分心而求診精神科，展開自我了解與接納歷程，在追求喜歡的人過程中經常搞砸，目前未有交往經驗，造成對親密關係的渴望但不敢冀望，認為ASD顯現的症狀如同一道跨不過去的高牆；另一位成長過程多數時候自己一個人，有三段交往經驗，與目前伴侶相處時，解讀不出人際訊息，在伴侶建議下求診精神科，確診後覺得伴侶能較為理解他，有自身獨特的親密關係界定及經驗，最終在馬拉松之路上找到終生伴侶並與她結婚生子。兩人在生命中與ASD特質共處，在親密關係上較晚成熟，透過理解及行動，更加了解自己。

To explore the intimacy of who were diagnosed with AS after entering the workforce. With the hermeneutics view,researchers used semi-structured interviewing two male participants who were diagnosed with AS. Second, researchers unitizedtheme, formed sub-interpretation and interpretation groups,and analyzed data bycontinuous comparison method. The results show that these two participantsdesire to own intimacy, but their process of the intimate relationship was different. Both them grew up lonely than most people. One of themdistracted from work severely. As a result,he consulted a psychiatric division, and started toexperience self-understanding and self-acceptance. However, He had no experience of intimacy. He pursued the female he likes but messed. He thinksintimacy is not his priority at this stage. He still desires for love but feels hopeless. The AS characteristic just like a high wall that couldn't across. In contrast, the other participant experiencethree intimacies.When getting along with current partner, he found difficultto understandinterpersonal relationship. Since his partner strongly advised him to see the doctor, he finally went to the hospital. After diagnosed, he felt that his partner could understand his perspectives, and finally made the decision to marry her. They prefer to participate in marathons together, and their lives are surrounded by marathons.In conclusion, both participants live with autistic traitsand mature later in the intimate relationship.Theyconquer those complicated phenomenon by exploring themselves.

1. 田統成,于曉平(2021)。那些年，我們一起追的女孩、男孩─兩位自閉症譜系青少年的追愛歷程之敘事探究。特殊教育研究學刊，46(1)，59-84。
   連結：
2. 林利群(2015)。亞斯伯格症（現名—自閉症類群障礙症 Autism Spectrum Disorder）的臨床實例。諮商與輔導，351，46-48。
   連結：
3. 劉萌容(2008)。自閉症光譜量表」─Autism-spectrum Quotient 中文成人版之預測效度及相關因素分析。特殊教育研究學刊，33(1)，73-92。
   連結：
4. 鄭津妃(2017)。中年輕症自閉症男性的成長境遇與自我調適。特殊教育研究學刊，42(2)，57-84。
   連結：
5. Baron-Cohen, S.,Wheelwright, S.,Skinner, R.,Martin, J.,Clubley, E.(2001).The Autism-Spectrum Quotient (AQ): Evidence from Asperger syndrome/ high-functioning autism, males and females, scientists and mathematicians.Journal of Autism and Developmental Disorders,31,5-17.
6. Neihart, M.(2000).Gifted children with Asperger’s Syndrome.Gifted Child Quarterly,44(4),222-230.
7. Sala, G.,Hooley, M.,Stokes, M. A.(2020).Romantic Intimacy in Autism: AQualitative Analysis.Journal of Autism and Developmental Disorders,50,4133-4147.
8. Sperry, L. A.,Mesibov, G. B.(2005).Perceptions of social challenges of adults with autism spectrum disorder.autism,9(4),362-376.
9. Wilson, B.,Hay, S.,Beamish W,Attwood, T(2017).The communication “Roundabout”: Intimate relationships of adults with Asperger’s syndrome.Cogent Psychology,4(1),1283828.
10. Zelazo, P. D.,Carlson S. M.(2012).Hot and cool executive function in childhood and adolescence: Development and plasticity.Child Development Perspective,6(4),354-360.
11. 江孟恩(2018)。國立臺灣大學。
12. 俞和萱(2014)。臺北市立大學。
13. 洪奕星(2011)。亞斯伯格症的成因與因應。諮商與輔導，305，51-56。
14. 胡海國(1985)。精神醫學的概念模式──精神疾病的演進模式。中華心理衛生學刊，2(1)，1-17。
15. 徐開慧,鄧杰甫,鍾世明(2014)。成人亞斯伯格症之社交技巧訓練－個案報告。臨床心理學刊，8(1)，81-81。
16. 莊清如(2015)。國立臺灣師範大學。
17. 賴思慎(2016)。國立成功大學。