臺灣博碩士論文加值系統

本篇創作論述以藝術本位研究法形成創作理念，研究者將安寧病房的藝術治療經驗轉化為作品，以展覽作為呈現。展覽中透過藝術創作與觀眾互動，將此議題轉化為社會關懷的可能。最後，研究者整理前述資料，並藉由 8 次「工作室三部曲之歷程性創作」，從文本與圖像探索此歷程，作為此篇創作論述之總結。
藝術創作陪伴他者與研究者走過面對生命議題的失落悲傷，研究者透過此創作歷程發現，失落悲傷的歷程與「工作室三部曲之歷程性創作」的反覆、破壞、重建等經驗相互疊合，因而透過創作得以再次經驗個體的內在歷程，創作之圖像可以幫助個體與其內在相互連結。此外，這份創作論述是在無數的生命流動裡緩慢堆砌而成的作品，這些人與人之間的注視與牽動、雙向的回應與看見，是此份創作研究中甚為重要的收穫。由此，研究者另架設社群網站，期待此議題能有更多的思考與討論。網站內容詳見：https://greeniehuang.wixsite.com/artherapy-exhibition

This thesis is to discuss the formation of creative concepts through art-based research,exploring the researcher's experiences of art therapy in the hospice care unit andtransforming it into works presented in an exhibition.Through interaction with the visitorsat the exhibition to see the possibilities of this issue being transformed into a matter of social care.Finally, the researcher organizes the aforementioned data and draws conclusions for this creative discourse through 8 sessions of " Process-oriented creations in studio processes " to explore this process through texts and images.
Creating art works accompanies the researcher and others through the feelings of frustration and depression in facing life topics.Through this creative process, the researcher discovers that during the " Process-oriented creations in studio processes" often the journey of being frustrated and depressed combines with repetition, destruction, and reconstruction experiences.Thus, individuals can experience their inner process again through creating art and can connect with their inner selves through the images theycreate.Additionally, this creative discourse is a work slowly accumulated within countless flows of life. The gazes and interactions between individuals, the mutual responses and acknowledgments, are significant achievements in this research.Therefore, the researcher has set up a community website, hoping for more interactions between viewers to reflect and discuss this issue.For further detailed contents, please refer to the website:
https://greeniehuang.wixsite.com/artherapy-exhibition

中文摘要 I
Abstract II
目次 III
圖次 VI
表次 VIII
第一章 緒論 1
第一節 創作背景 1
第二節 創作研究動機與目的 3
一、研究焦點之形成 3
二、小結 6
第三節 名詞釋義 7
一、回應性創作 7
二、工作室三部曲之歷程性創作 7
三、失落悲傷 8
四、安寧病房 8
五、末期病人 9
第二章 文獻探討 10
第一節 善終概念 10
一、回顧文獻對善終之定義 10
二、善終概念之統整 11
第二節 末期病人與家屬常見的心理議題 14
一、無助感與死亡焦慮 14
二、失落悲傷與哀悼 15
三、末期病人與藝術治療 19
第三節 藝術創作與心理助人工作者的自我照顧 21
一、心理助人工作者與壓力 21
二、壓力因應與自我照顧 22
三、藝術創作與自我照顧 24
第三章 創作研究方法 26
第一節 藝術本位研究法 27
一、名詞界定 27
二、藝術本位研究法中質化與量化光譜之移動 28
三、藝術本位研究具備的特質 28
四、藝術本位研究法小結 31
第二節 文獻探討法 32
第三節 創作研究流程 32
第四節 創作研究倫理 33
第五節 創作研究架構圖 34
第四章 作品呈現 35
第一節 展覽記錄 35
一、展覽資訊 35
二、紀錄 36
第二節 作品回顧 43
一、回應性創作 43
二、關於〈那些你來不及說的，我都看到了〉 49
三、小結 51
第三節 觀眾創作區 53
一、 創作區 53
二、 表單回饋 53
三、 許願卡 53
四、社群網站架設 61
第五章 結論與建議 61
第一節 以工作室三部曲之歷程性創作作為總結 62
一、創作一2023/10/30 62
二、創作二2023/11/8 65
三、創作三2023/11/14 67
四、創作四2023/11/20 69
五、創作五2023/11/27 72
六、創作六2023/12/05 75
七、創作七2023/12/15 79
八、創作八2023/12/23 81
第二節 從文本與圖像探索歷程中的個人內在狀態 84
一、從文本中探索歷程中的個人內在狀態 85
二、從圖像與媒材中探索歷程中的個人內在狀態 87
第三節 結論與建議 95
一、回顧 94
二、創作研究限制與收穫 95
三、創作研究建議 96
四、創作研究反思 98
參考文獻 99
附錄Ａ：網站展覽回顧 108
附錄B：線上許願卡 109
附錄C：觀眾創作與回饋 111

中文文獻：
Allen, P.（2013）。療癒，從創作開始-藝術治療的內在歷程。（江孟蓉譯）。張老師。（原著出版於1995）
Behar, R.（2010）。傷心人類學：易受傷的觀察者。（黃珮玲、黃恩霖譯）。群學。（原著出版於1997年）
Corey, G.（2016）。諮商與心理治療:理論與實務。（修慧蘭、余振民、王淳弘、江文賢譯；四版）。雙葉。（原著出版於2016年）
Kubler-Ross,E.＆Kessler, D.（2006）。當綠葉緩緩緩落下。（張美惠譯）。張老師。（原著出版於2005年）
Rogers,C.（2014）。成為一個人：一個治療這對心理治療的觀點。（宋文里譯）。左岸。（原著出版於1995年）
Shaun McNiff（2013）。藝術本位研究-從研究的觀點看創造性藝術治療。（吳明富譯）。五南。（原著出版於1998 年）
Teyber, E.＆Teyber, F.H.（2017）。人際歷程取向治療：整合模式。（吳麗娟、蔡秀玲、杜淑芬、方格正、鄧文章譯；二版）。雙葉。（原著出版於2016年）
Wolfelt, A.（2012）。見證幽谷之路：悲傷輔導助人者的心靈手冊。（章惠安譯）。心理。（原著出版於2006年）
Yalom（2021）。生命的禮物：給心理治療師的85則備忘錄。（易之新譯；二版）。心靈工坊。（原著出版於2002年）
王蘋（2014）。助人者的自我照顧與心理健康之探討－以自殺防治助人工作者為例。諮商與輔導，(348)，50-52。https://www.airitilibrary.com/Article/Detail?DocID=16846478-201412-201502020062-201502020062-50-52
全國法規資料庫，（2021，1月20日）。安寧緩和醫療條例。https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=L0020066
何文玲（2011）。藝術與設計實務研究相關概念之分析。藝術研究期刊，(7)，27-57。https://doi.org/10.29522/JAR.201112.0002
呂琪昌（2016）。從實務導向研究的角度探討視覺藝術類創作論文的撰寫。藝術教育研究，(31)，111-145。https://doi.org/10.6622/RAE.2016.31.04
李慶芳（2012年5月23日）。「量化」到「質化」的四個轉向。https://blog.xuite.net/reskm98/wretch/141807764
阮曉眉（2020）。安寧照顧的運作語意：自主善終。政治與社會哲學評論，(73)，1-55。https://doi.org/10.6523/SOCIETAS.202012_(73).001
李欣慈、陳慶餘、胡文郁（2012）。華人孝道與家庭主義文化脈絡下談長照機構住民執行預立醫療照護計畫與老人自主權。安寧療護雜誌，17(2)，187-199。https://doi.org/10.6537/TJHPC.2012.17(2).5
李淑霞、吳淑瓊（1998）。家庭照顧者負荷與憂鬱之影響因素。護理研究；6卷1期，57-68
吳明富、黃傳勇（2013）。藝術園丁：悲傷與失落藝術治療。張老師文化。
吳明富（2010）。走進希望之門-從藝術治療到藝術育療。張老師文化。
洪福建、鄭逸如、邱泰源、胡文郁、陳慶餘、吳英璋（1999）。癌末患者的心理社會問題、因應策與負向情緒。應用心理研究，(3)，79-104。https://www.airitilibrary.com/Article/Detail?DocID=15609251-199909-x-3-79-104-a
倪傳芬（2002）。運用藝術治療於安寧療護之行動探究。志為護理-慈濟護理雜誌，1(3)，40-47。https://doi.org/10.6974/TCNJ.200209.0040
馬瑞菊、蔡惠貞（2012）。善終之概念分析。馬偕護理雜誌，6(2)，7-13。https://doi.org/10.29415/JMKN.201207_6(2).0001
陳愉雅、張高賓（2012）。諮商心理師五大人格特質、壓力因應策略與專業耗竭之相關研究。家庭教育與諮商學刊，(13)，1-23。https://doi.org/10.6472%2fJFEC.201212.0002
許禮安、黃裕雯、高碧月、高以信、根秀欽、許煌汶（2018）。安寧緩和療護（二版）。華杏。
陳麗娟、何長珠（2008）。藝術治療活動深化癌末病患情緒內涵之研究。生死學研究，(8)，41-98。https://doi.org/10.29844/JLDS.200807.0002
黃惠美、黃曉峰、翁益強（2005）。協助病人善終專案。安寧療護雜誌，10(2)，146-159。 http://dx.doi.org/10.6537/TJHPC.2005.10(2).5
劉豐榮（2004）。視覺藝術創作研究方法之理論基礎探析：以質化研究觀點爲基礎。藝術教育研究，(8)，73-94。https://www.airitilibrary.com/Article/Detail?DocID=a0000115-200412-x-8-73-94-a
趙可式（1997）。臺灣癌症末期病患對善終意義的體認。護理雜誌，44(1)，48-55。https://doi.org/10.6224/JN.44.1.48
管意璇、陳學志、徐芝君（2011）。專業助人也需創造力？！創造力對助人工作者在壓力與專業枯竭關係的影響。創造學刊，2(2)，113-136。https://doi.org/10.30081%2fCESJ.201106.0005
蔡榮美、吳晶萍、黃初雪（2007）。失落之概念分析。馬偕護理雜誌，1(2)，16-23。https://doi.org/10.29415/JMKN.200707_1(2).0002
歐用生（1995）。質的研究。台北：師大書苑。
衛生福利部國民健康署（2021，8月25日）。安寧療護。https://www.hpa.gov.tw/Pages/List.aspx?nodeid=210
潘慧玲（2003）。社會科學研究典範的流變。教育研究資訊，11(1)，115-143

英文文獻：
Agich ,G.（2003）.Dependence and Autonomy in Old Age: An Ethical Framework for Long-term Care .Cambridge University Press.
Adams, S. A., & Riggs, S. A. (2008). An exploratory study of vicarious trauma among therapist trainees. Training and Education in Professional Psychology, 2(1), 26–34. https://doi.org/10.1037/1931-3918.2.1.26
Blomstrom, M., Burns, A., Larriviere, D., & Penberthy, J. K. (2022). Addressing fear of death and dying: traditional and innovative interventions. Mortality, 27(1), 18–37. https://doi.org/10.1080/13576275.2020.1810649
Biggs, I. (2009). Art as research: Creative practice and academic authority: A project-based examination of the politics of art-led research in a doctoral context. VDM Verlag Dr. Muller Aktiengesellschaft & Co
Bowlby J. (1961). Processes of mourning. The International journal of psycho-analysis, 42, 317–340.
Corr, C. A. (1993). Coping with dying: Lessons that we should and should not learn from the work of Elisabeth Kübler-Ross. Death Studies, 17(1), 69–83. https://doi.org/10.1080/07481189308252605
Councill, T. D., & Ramsey, K. (2019). Art Therapy as a Psychosocial Support in a Child’s Palliative Care. Art Therapy, 36(1), 40–45. https://doi.org/10.1080/07421656.2019.1564644
Cassou, M., & Cubley, S. (1996). Life, paint and passion: Reclaiming the magic of spontaneous expression. Tarcher/ Penguin.
Chilton, G., Lynskey, K., Ohnstad, E., & Manders, E. (2021). A Case of El Duende: Art-Based Supervision in Addiction Treatment. Art Therapy, 38(3), 137–145. https://doi.org/10.1080/07421656.2020.1771138
Ellis, A. How to deal with your most difficult client—You. J Rational-Emot Cognitive-Behav Ther 1, 3–8 (1983). https://doi.org/10.1007/BF02285751
Firth, P. (2005). Loss, change and bereavement in palliative care . England: Open University Press.
Freud, S. (1917). Mourning and Melancholia. The Standard Edition of the Complete Psychological Works of Sigmund Freud, Volume XIV (1914-1916): On the History of the Psycho-Analytic Movement, Papers on Metapsychology and Other Works, 237-258
Feen-Calligan, H. (2008). How Do We Care for People? Introducing a Special Issue on Art Therapy in Palliative Care. Art Therapy, 25(3), 106–107. https://doi.org/10.1080/07421656.2008.10129595
Fenton, J. F. (2008). “Finding one’s way home”: Reflections on Art Therapy in Palliative Care. Art Therapy, 25(3), 137–140. https://doi.org/10.1080/07421656.2008.10129598
Forgeard, M., Silverman, A., Buchholz, J., Beard, C., & Björgvinsson,T. (2021). Changes in General Self-Efficacy and Mindfulness are Associated with Short-Term Improvements in Mood during Art-Making in a Partial Hospital Program. The Arts in Psychotherapy. 74. https://doi.org/10.1016/j.aip.2021.101799
Golden-Biddle,K. & Locke,K. (1993). Appealing Work: An Investigation of How Ethnographic Works Convince, Organization Science, 4(4), 595- 616.
Gailliot, M. T., Schmeichel, B. J., & Baumeister, R. F. (2006). Self-regulatory processes defend against the threat of death: Effects of self-control depletion and trait self-control on thoughts and fears of dying. Journal of personality and social psychology, 91(1), 49–62. https://doi.org/10.1037/0022-3514.91.1.49
Ho A. (2008). Relational autonomy or undue pressure? Family's role in medical decision-making. Scandinavian journal of caring sciences, 22(1), 128–135. https://doi.org/10.1111/j.1471-6712.2007.00561.x
Jenkins, S. R. & Baird, S. (2002). Secondary traumatic stress and vicarious trauma: a validational study. Journal of traumatic stress, 15(5), 423–432. https://doi.org/10.1023/A:1020193526843
Kehl K. A. (2006). Moving toward peace: an analysis of the concept of a good death. The American journal of hospice & palliative care, 23(4), 277–286. https://doi.org/10.1177/1049909106290380
Kielo, J. B. (1991). Art Therapists’ Countertransference and Post-Session Therapy Imagery. Art Therapy, 8(2), 14–19. https://doi.org/10.1080/07421656.1991.10758923
Kubler-Ross, E. (1973) .On Death and Dying. Routledge. ISBN 0415040159
Kim, J. H. (2023). Art-based self-care during COVID-19. International Journal of Art Therapy, 1–10. https://doi.org/10.1080/17454832.2023.2226731
Mak, J. M., & Clinton, M. (1999). Promoting a good death: an agenda for outcomes research--a review of the literature. Nursing ethics, 6(2), 97–106. https://doi.org/10.1177/096973309900600202
Meier, E. A., Gallegos, J. V., Thomas, L. P., Depp, C. A., Irwin, S. A., & Jeste, D. V. (2016). Defining a Good Death (Successful Dying): Literature Review and a Call for Research and Public Dialogue. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 24(4), 261–271. https://doi.org/10.1016/j.jagp.2016.01.135
Maier, S. F., & Seligman, M. E. (1967). Failure to escape traumatic shock. Journal of experimental psychology, 74 1, 1-9 .
Maier, S. F., & Seligman, M. E. (1976). Learned helplessness: Theory and evidence. Journal of Experimental Psychology: General, 105(1), 3–46. https://doi.org/10.1037/0096-3445.105.1.3
Milberg, A.,Strang, P., Jakobsson, M. (2004). Next of kin's experience of powerlessness and helplessness in palliative home care. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 12(2), 120–128. https://doi.org/10.1007/s00520-003-0569-y
Moon, B. L. (1999). The Tears Make Me Paint: The Role of Responsive Artmaking in Adolescent Art Therapy. Art Therapy, 16(2), 78–82. https://doi.org/10.1080/07421656.1999.10129671
Milberg, A., Strang, P., Jakobsson, M. (2004). Next of kin's experience of powerlessness and helplessness in palliative home care. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 12(2), 120–128. https://doi.org/10.1007/s00520-003-0569-y
Murray, J. A. (2001). LOSS AS A UNIVERSAL CONCEPT: A REVIEW OF THE LITERATURE TO IDENTIFY COMMON ASPECTS OF LOSS IN DIVERSE SITUATIONS. Journal of Loss and Trauma, 6(3), 219–241. https://doi.org/10.1080/108114401753201679
Miller, A. (2012). Inspired by El Duende: One-Canvas Process Painting in Art Therapy Supervision. Art Therapy, 29(4), 166–173. https://doi.org/10.1080/07421656.2013.730024
Miller, A. (2022). El Duende One-Canvas Art Making and the Significance of an Interim Period. Art Therapy, 39(1), 24–33. https://doi.org/10.1080/07421656.2021.1935062
Nekolaichuk, C. (2018). Living in the Space Between: Integrating Art Therapy Techniques in Palliative Care (La vie dans l’entre-deux : intégration des techniques d’art-thérapie dans les soins palliatifs). Canadian Art Therapy Association Journal, 31(2), 84–93. https://doi.org/10.1080/08322473.2018.1522571
Norcross, J. C., & Guy, J. D. (2007). Leaving it at the office: A guide to psychotherapist self-care. New York: Guilford.
Nash, G. (2020). Response art in art therapy practice and research with a focus on reflect piece imagery. International Journal of Art Therapy, 25(1), 39–48. https://doi.org/10.1080/17454832.2019.1697307
Ortner, D. (2024). Creative arts as self-care: vicarious trauma, resilience and the trainee art therapist. International Journal of Art Therapy, 29(1), 45–56. https://doi.org/10.1080/17454832.2024.2317941
Payne, S. A., Langley-Evans, A., & Hillier, R. (1996). Perceptions of a 'good' death: a comparative study of the views of hospice staff and patients. Palliative medicine, 10(4), 307–312. https://doi.org/10.1177/026921639601000406
Rorty, R. (1982), The Consequencesof Pragmatism, University of Minnesota Press.
Seligman, M. E. P. (1972). Learned Helplessness. Annual Review of Medicine, 23, 407-412.https://doi.org/10.1146/annurev.me.23.020172.002203
Sand, L., Strang, P., & Milberg, A. (2008). Dying cancer patients' experiences of powerlessness and helplessness. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 16(7), 853–862. https://doi.org/10.1007/s00520-007-0359-z
Stroebe, M. S. (1992-1993). Coping with bereavement: A review of the grief work hypothesis. Omega: Journal of Death and Dying, 26(1), 19–42. https://doi.org/10.2190/TB6U-4QQC-HR3M-V9FT
Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: rationale and description. Death studies, 23(3), 197–224. https://doi.org/10.1080/074811899201046
Steinhauser, K. E., Clipp, E. C., McNeilly, M., Christakis, N. A., McIntyre, L. M., & Tulsky, J. A. (2000). In search of a good death: observations of patients, families, and providers. Annals of internal medicine, 132(10), 825–832. https://doi.org/10.7326/0003-4819-132-10-200005160-00011
Sullivan, G. (2006). Research Acts in Art Practice. Studies in Art Education. 48. 19-35. 10.2307/25475803.
Schauben, L. J., & Frazier, P. A. (1995). Vicarious trauma: The effects on female counselors of working with sexual violence survivors. Psychology of Women Quarterly, 19(1), 49–64. https://doi.org/10.1111/j.1471-6402.1995.tb00278.x
Tong, E., McGraw, S. A., Dobihal, E., Baggish, R., Cherlin, E., & Bradley, E. H. (2003). What is a good death? Minority and non-minority perspectives. Journal of palliative care, 19(3), 168–175.
Tonkin, L. (1996). Growing around grief—another way of looking at grief and recovery. Bereavement Care, 15(1), 10. https://doi.org/10.1080/02682629608657376
Thomas, A., & Chess, S. (1977). Temperament and development. Brunner/Mazel.