本研究旨在探討自我傷害經驗者的存在處境結構，透過懸置既有對自傷的理解，與作為生命存有的自傷經驗者進行全新的遭逢與認識。本研究採用現象學還原方法，分析三位自傷經驗者的訪談文本。
研究結果呈現出自傷經驗者處境的普遍結構，從不被接應的受苦開始，與周遭關係的斷裂，使自傷者進入痛苦無法疏通的孤獨狀態，自傷與身體受難緊密相連，是不被聽見的表達與張力釋放過程。在與重要之人眼光拉鋸的過程，隨著他人的不退讓，自傷成為能疏通掉緊繃的關係張力的辦法。而在「假裝」的經驗中，自傷以照顧與壓迫的樣貌同時現身，讓經驗者能繼續留在受苦的現世中。最後，隨著經驗者完全認同了嚴厲的眼睛，自傷遂成為一種自我責難與懲罰。當自傷的歷程與疤痕結果顯露在他人面前，卻未能被通達，羞恥感因此而生。
本研究結果有別於過去對自傷病理化的論述，指出自傷經驗者在他人的觀看之下，作為倫理受苦者的理解層次，並論述自傷研究作為相應之倫理行動的倡議，最後指出透過眼睛的置換，討論自傷者獲得安身的療癒可能性。

This study aims to discuss the situatedness of self-harm experiencers. By bracketing the existing understanding of self-harm, the researchers have a new encounter with self-harm experiencers as beings. The method used in this study is phenomenological reduction. This study analyzes interview texts from three individuals who have experienced self-harm.
The results of the research show the general structure of the situatedness of self-harm experiencers, starting from suffering without being cared for, and the disconnection with the surroundings, which makes self-harm sufferers enter a state of loneliness where the pain cannot be undone. Self-harm and physical suffering are closely linked, a process of unheard expression and tension release. In the process of arguing with the sight of important relationships, as others do not give in, self-harm becomes a way to unblock the tension. In the phase of pretense, self-harm appears in the form of care and oppression at the same time, so that the experiencer can continue to stay in the suffering world. In the end, self-harm becomes a form of self-blame and punishment as the experiencer fully identifies with the stern eye. Shame arises when self-inflicted wounds and scars appear in front of others but are not seen.
The results of this study are different from previous discussions on the pathogenesis of self-harm, pointing out that self-harm experiencers are understood as ethical sufferers under the eyes of others, and discuss self-harm research as a corresponding ethical action initiative. Finally, the research points to the possibility that self-harm experiencers may be healed through the adjustment of viewing.

第一章 緒論 1
第二章 文獻探討 3
第一節 自我傷害的定義演變 3
第二節 對自我傷害的論述 5
第三節 對心理實體論的自傷研究之反思 10
第三章 研究方法 13
第一節 研究取向 13
第二節 研究對象暨研究實施 15
第三節 研究分析方法 16
第四節 研究倫理 20
第四章 研究結果一：自我傷害經驗者的置身結構 21
第一節 受訪者H的置身結構 21
第二節 受訪者W的置身結構 27
第三節 受訪者S的置身結構 35
第五章 研究結果二：普遍結構的分析 41
第一節 在受苦不被承認與接應的處境中，自傷作為一種不被聽見的表達與張力的釋放 41
第二節 「他人優先」的經驗、自己「可被犧牲」的經驗，以及渴望重要之人「過來這邊」的掙扎拉鋸歷程 42
第三節 為了被他人眼睛視作為好，而展開「假裝」結構與張力的累積及釋放 44
第四節 逼迫與照料並行的自傷，崩潰後得以回到可繼續假裝的心理狀態 45
第五節 與嚴厲的眼光站在同側，對不夠好的自己給出懲罰 46
第六節 自傷歷程及其疤痕結果作為存在處境現身的一處裂口，未能獲得通達，感受至此被「羞恥」命名與烙印 47
第六章
第一節 以鏡像理論說明自傷經驗者的受苦 49
第二節 自傷與他人：與既有自傷文獻對話 58
第三節 通透的看見：作為倫理行動的自傷研究 62
第四節 療癒如何可能——關於「眼睛」的替換 66
參考文獻
附錄一 IRB同意臨床試驗證明書

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