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論文 |
論文
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長田, 恭子 ; Nagata, Kyoko
概要:
金沢大学医薬保健研究域保健学系<br />自殺企図を行ったうつ病あるいは双極性障害をもつ者の希死念慮を緩和していく過程における語りの変化と研究者の関わりを明らかにすることを目的として、ナラティヴ・アプローチの原則に基づいた非構造化面接を行っ
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た。その結果、【死への執着】【自殺前と変わらない孤独感】【先がみえない不安】【現実に直面することによる自信喪失】【生きることに気もちが向く】【生への意欲の芽生え】の6つのカテゴリーが抽出された。参加者は生と死の間を揺れ動きながらも前に進んでいること、一度は自ら死を選ぶほどの絶望の淵に立たされた人であっても、わずかながらの希望をもち将来に向かって歩き始めていることが明らかになった。<br />This study examined to clarify changes after talking to alleviate suicidal ideation in persons with depression or bipolar disorder who have attempted suicide, and to clarify the role of the researcher in this process. Data was collected through unstructured interviews. The following six categories were extracted as a result of analyzing the narratives of depressed individuals who attempted suicide: [Obsession with death], [Loneliness the same as before the suicide attempt], [Anxiety about an uncertain future], [Losing self-confidence by confronting reality], [Feeling inclined to live], and [Developing motivation for life].The results of this study clearly show that after a suicide attempt patients with depression were moving forward yet still vacillating between life and death. Even those who were hopeless and desperate enough to choose their own death had taken definite steps toward the future.<br />研究課題/領域番号:25670993, 研究期間(年度):2013-04-01 - 2017-03-31
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| 2.
論文 |
論文
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長田, 恭子 ; Nagata, Kyoko
概要:
金沢大学医薬保健研究域保健学系<br />自殺未遂が原因で入院となったうつ病あるいは双極性障害患者11名を対象に、ナラティヴ・アプローチを活用した非構造化面接を行い、その内容を質的帰納的に分析した。その結果、自殺に至るまでの感情および状況と
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して【常在する自殺念慮】【強い孤独感】【長年にわたる家族への我慢】【価値のない自分】【生への絶望感】【自殺の衝動】の6カテゴリー、自殺企図後の感情および状況として【死への執着】【自殺の肯定】【医療者への隠された本音】【抑うつ状態の持続】【家族からの疎外感】【先がみえない不安】【自殺念慮の緩和】【再生への意欲の芽生え】の8カテゴリーが抽出された。<br />Participants were 11 people with depression or bipolar disorder were hospitalized due to their attempted suicide. Unstructured interviews based on narrative approach were conducted, and qualitative method was used to analyze. As a result, six categories,[suicidal ideation that always exist][strong sense of loneliness][endurance over family for long years][valueless self][despair to life][impulse of suicide]were extracted as emotions and conditions they had before their suicide attempt. There were eight categories extracted as emotions and conditions they had after their suicide attempt, and they were [obsession with death][affirmation of suicide][real intention hidden to the medical professions][continuation of depression][sense of alienation from the family][anxiety of future that cannot be seen][evaluation of the interview][sprouting desire to live again].<br />研究課題/領域番号:23792701, 研究期間(年度):2011-2012
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