臺灣博碩士論文加值系統

本研究旨在探討解離性身份障礙症（Dissociative Identity Disorder, DID）對於確診個案而言是一個怎麼樣的經驗現象？透過訪談，探究從症狀初發到被診斷為DID以及被診斷為DID以後，歷經長期治療到現在較為穩定的狀態這兩段不同的時間個案的生活經驗，包含DID如何在個案身上呈現、如何被個案經驗、如何影響個案與外在世界的互動、以及在這段時間個案與醫療體系的互動等。本研究採用現象學方法對經驗文本進行分析，透過現象學方法，發現DID命名底下涵蓋的經驗結構包含了三個面向之斷裂的互相形構，分別是：跟自身經驗源頭的斷裂、時間經驗/時間連續感的斷裂、他人對「我」的共同認識的斷裂。在此結構之下，不同「身份/人格」的出現做為一種個案與自身經驗、與「他人/外界」互動下的結果，得以包覆個案的所有經驗，個案從而獲得與這些斷裂的經驗、與「他人/外界」重新締結連結的可能。

The purpose of this study is to explore what is Dissociative Identity Disorder (DID) experience for diagnosed cases. Through interviews, we will explore interviewee’s lived experience from onset to be diagnosed as DID and after long-term treatment to now, including how DID are presented to them and how are they experienced DID, how to influence interviewee’s interaction with the world and medical system. This study uses phenomenological methods to analyze. Through phenomenological methods, we find that the general structure covered by the naming of DID contains three different orientations’ fractures: the fracture of sources of their own experience, the fracture of their time-experience or discontinuity of time, and the break in the common understanding of “I” to others. Under this structure, the appearance of different "identity/personality" as a result, which happens after the interaction of interviewee and their own experience and "others/world". They could also be an explanation which can cover all the experience happen to them. After that, interviewees get the possibility to reconnect with their experience and with "others/world".

摘要 i
ABSTRACT iii
目錄 v
圖目錄 vii
第一章 緒論 1
第二章 文獻探討 5
第一節 對DID的各種質疑與爭議 5
(一) 真實性之爭 5
(二) 命名準確性之爭 6
(三) 診斷合理性之爭 7
第二節 從診斷準則看DID—對比DSM-5與ICD-10之同異性 9
第三節 從創傷後模式看DID—探討解離現象 13
(一) 解離—沒被整合或相關聯的心理歷程或心理內容 14
(二) 解離—健康的調適性防衛機制 15
(三) 解離—在可知覺的經驗上特定的改變 17
第四節 現有之經驗文本—非學術性著作 20
第五節 小結 22
第三章 研究問題與方法 23
第一節 研究對象與受訪者保護 23
第二節 研究問題 24
第三節 研究方法 24
第四章 研究結果 29
第一節 三位受訪者置身結構 29
(一) 受訪者#1 29
(二) 受訪者#2 37
(三) 受訪者#3 45
第二節 普遍結構 55
第五章 討論與建議 69
第一節 研究結果摘述 69
第二節 回應—對DID經驗的諸多爭議 71
第三節 回應—診斷準則的同異性 72
第四節 回應—「創傷後模式」 73
第五節 研究展望—時間經驗的整合 75
第六節 研究限制 77
第六章 研究結論 79
參考文獻 81

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