處境與時態──慢性病患者身體意象

Spatiality and Temporality: Body Image of Chronic Illness Patients

本文提出「身體我」與「我身體」概念，首先透過造口與瘻管的意象為例，顯示慢性病的身體意象，是兼具時態與處境雙重意義。慢性病身體意象與患者的自我認同是互為影響的關係。自我認同又涉及「同一認同」與「我性認同」。這樣的身體意象，不是器官化身體的認識，而是揭示時間、處境、身體、自我和他者的互動與協調的多樣性關係，這是理解個體及其生活世界的重要面向。最後，本文以人文臨床心理學的反思，經由「我們感」的倫理關係實踐，是通往豐富理解慢性病患者身體意象的一個面向。

This paper proposed the concepts of “body me” and “I body”. Furthermore, the images of colostomy and fistula are used as examples to show that the body image of chronic illness has both temporal and situational meanings and shares a reciprocal relationship with self-identity (i.e., idem identity and ipse identity). Rather than providing an organic explanation, body image is an interactive relationship among time, situation, body, self, and others, which are all important aspects necessary to understand the individual and the world in which she/he lives. Finally, reflecting on humanistic clinical psychology, the ethical relationship practice of “we-ness” is proposed to shed illustrative light on the body image of chronic illness patients from a new perspective.