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作者:楊知憲
作者(英文):Chih-Hsien Yang
論文名稱:瀕死經驗或重生經驗:心臟停止期間經歷變異狀態之病人的生活經驗
論文名稱(英文):Near-death experience or the experience of rebirth: the lived experience of patients reporting altered states in cardiac arrest
指導教授:李維倫
指導教授(英文):Wei-Lun Lee
口試委員:彭榮邦
劉効樺
口試委員(英文):Rong-Bang Peng
Shiau-Hua Liu
學位類別:碩士
校院名稱:國立東華大學
系所名稱:諮商與臨床心理學系
學號:610383009
出版年(民國):107
畢業學年度:106
語文別:中文
論文頁數:57
關鍵詞:瀕死經驗重生經驗現象學心臟停止
關鍵詞(英文):near-death experiencethe experience of rebirthphenomenologycardiac arrest
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瀕死經驗被認為是挑戰當代「意識與腦神經關係假說」之現象。研究指出,人類在心臟停止後,理應進入無意識或意識不清的狀態,然而在瀕死經驗中卻出現清楚的意識經驗。本研究受此現象指引,進行瀕死經驗的探究,但於研究結果後發現一個更適切的觀點是,將之視為重生經驗。
本研究探討於心臟停止期間出現變異狀態之病人的生活經驗。研究方法係以現象學方法對三名「心臟停止期間經歷變異狀態」之心臟科病患進行訪談並分析其意識經驗,由此探究心臟停止期間經歷變異狀態之病人的生活經驗本質結構。
研究結果發現在「重生」的經驗結構中,關鍵在於「雙重實在的形成」與「線性時間的置換」。此二者指向的是,心臟停止期間經歷「變異狀態」,進而恢復至清醒狀態後,在生活中各面向如人際關係、健康與飲食習慣等發生改變。在本研究之最後,期許能以「重生」的經驗結構回應「瀕死經驗之真實性」之議題,及對瀕死經驗進行重新概念化的討論,也探討「重生」經驗在心理治療上的應用。
Near-death experience has been seen as a phenomenon that challenge the theory about the relationship between conscious and neuroscience. Previous studies showed that during the cardiac arrest period, there should be no conscious, but found that cases have clear conscious experience during that time. Because of the above findings about near-death experience, the purpose of this study is to explore the phenomenon of “the lived experience of patients reporting altered states in cardiac arrest”. However, the result showed that the perspective of “the experience of rebirth” is more suitable than “near-death experience”. In order to find out the essential structure of “the lived experience of patients reporting altered states in cardiac arrest”, we analyze three interviewees' experience about “the lived experience of patients reporting altered states in cardiac arrest” through phenomenological methods. The result showed the structure of “rebirth”, the key component of the structure are “the formation of double reality” and “the reconnect of the time line”; in addition, when the experience of “altered state” occurred during the cardiac arrest, after the recovery of consciousness, the patient shows different aspect of changes, such as interpersonal relationship and eating habits. Finally, this study attempts to use this rebirth structure to answer the issue of the reality of near-death experience, and discuss about the reconceptualization of near-death experience, in addition, we will discuss about the application of the experience of rebirth on psychotherapy.
摘要 i
Abstract iii
目次 v
表目次 vii
圖目次 ix
第一章、緒論 1
第二章、文獻探討 3
第一節、瀕死經驗的現象 3
第二節、瀕死經驗的解釋觀點 8
第三節、檢討與反思 10
第三章、研究方法 11
第一節、研究問題與研究方法 11
第二節、研究對象 12
第三節、研究程序 14
第四節、資料分析方法與判准 15
第五節、研究倫理 16
第四章、研究結果 19
第一節、「重生」經驗者的置身結構 19
第二節、「重生」經驗者的普遍結構 33
第五章、討論 43
第一節、研究主要發現:「重生」的經驗結構 43
第二節、以研究結果回應過去文獻所發現的相關問題 45
第三節、研究結果對心理治療的應用啟示 47
第六章、結論 51
參考文獻 53
附錄:IRB研究計畫許可書 55
(一)、中文文獻
林宏濤譯(2012)。死後的世界(原作者:Moody, R.A.)。台北:商周。(原作出版年:1975)
李傳龍、李雅寧譯(2001)。穿透生死迷思(原作者:Ring, K., Valarino, E.E.)。台北:遠流。(原出版年:1998)
阮祺文(2005)。心肺腦復甦術簡介。台灣醫界。48,9。
施議強(2006)。瀕死經驗。安寧療護雜誌,11(3),285-298。
郭慧婷(2009)。失智症之妄想症狀。諮商與輔導,(287),20-23。
國際瀕死中心(IANDS)。http://iands.org/about-ndes.html。
(二)、英文文獻
Bernstein, E.M., Putnam, F.W.(1986). Development, reliability, and validity of a dissociation scale. J Nerv Ment Dis; 174: 727–35.
French, C. C. (2005). Near-death experiences in cardiac arrest survivors. Progress in Brain Research, 150, 351-367.
Greyson, B. (2003). Incidence and correlates of near-death experiences in a cardiac care unit. General Hospital Psychiatry, 25(4), 269. doi: 10.1016/S0163-8343(03)00042-2
Greyson, B. (2007). Near-death experience: clinical implications. Archives of Clinical Psychiatry, 34, 116-125.
Greyson, B., Holden, J. M., & van Lommel, P. (2012). ‘There is nothing paranormal about near-death experiences’ revisited: comment on Mobbs and Watt. Trends in cognitive sciences, 16(9), 445.
Irwin, H.J.(1993). The near-death experiences as a dissociative phenomenon: An empirical assessment. J Near-Death Stud. 12: 95-103.
Morse, M., Castillo, P., Venecia, D., Milstein, J., & Tyler, D. C. (1986). Childhood near-death experiences. American Journal of Diseases of Children, 140(11), 1110-1114.
Owens, J., Cook, E. W., & Stevenson, I. (1990). Features of" near-death experience" in relation to whether or not patients were near death. The Lancet, 336(8724), 1175-1177.
Parnia, S., & Fenwick, P. (2002). Near death experiences in cardiac arrest: visions of a dying brain or visions of a new science of consciousness. Resuscitation, 52(1), 5.
Parnia, S., Waller, D. G., Yeates, R., & Fenwick, P. (2001). A qualitative and quantitative study of the incidence, features and aetiology of near death experiences in cardiac arrest survivors. Resuscitation, 48(2), 149-156.
Persinger, M. A.(1989). Modern neuroscience and near-death experiences: Expectancies and implications. Comments on “A neurobiological model for near-death experiences.” J Near-Death Stud. 7: 233-9.
Schwaninger, J., Eisenberg, P. R., Schechtman, K. B., & Weiss, A. N. (2002). A prospective analysis of near-death experiences in cardiac arrest patients. Journal of Near-Death Studies, 20(4), 215-232.
Sleutjes, A., Moreira-Almeida, A., & Greyson, B. (2014). Almost 40 Years Investigating Near-Death Experiences: An Overview of Mainstream Scientific Journals. The Journal of nervous and mental disease, 202(11), 833-836.
van Lommel, P., van Wees, R., Meyers, V., & Elfferich, I. (2001). Near-death experience in survivors of cardiac arrest: a prospective study in the Netherlands. Lancet, 358(9298), 2039.
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