症狀作為存在：探索青年女性思覺失調症患者心理現象

Symptom as Mode of Existence: Exploring a Young Schizophrenic Woman’s Psychological Experience

背景與目的：本文探討青年女性思覺失調症患者的心理經驗及其照顧關係之現象。方法：以一位24歲女大學生，發病住院多次參與者的訪談文本為主，母親照顧者資料為輔，以現象學心理學法進行資料分析。結果：參與者的妄想性話語，顯露四重現象意義：（1）匱乏作為一種身體感；（2）自我與他者間正常──反常──偏常──超常的轉化；（3）家庭／醫院是兩個處境世界；（4）時間暗影的直面殘酷。結論：本研究認為變異不等於異常，病患無以名之的半物追尋狀似空無，反而提供一種獨特性組構作用，是病患得以存活的方式。病者世界如果有一個真實，是超越實證觀點的存在模態。 Background and Purpose: While schizophrenic in the positivism classification of themodern medical system have been overpathologized and their existence of suffering hasbeen ignored, this article adopted phenomenology approaches to explore thepsychological experience of young female with schizophrenia and the caringrelationship. Methods: This research by the method of phenomenological psychologyinterviewed a 24-year-old female college student who had been diagnosed asschizophrenic, narrative transcribed and analyzed. We also collect her mother ascaregiver’ data compared with the patient. Results: The paranoid discourse of theparticipants revealed four important thematic phenomena. (1) Lack of being signals thesense of body. (2) The blur boundary of normal and abnormal between the self and other.(3) Family-hospital situated in two different worlds. (4) Face the shadow in life cruelty.Conclusion: The outcomes implicated that anomal is not equal to abnormal, to escapefrom the monitoring, classification, and rectification of psychopathology diagnosticsystem, helping schizophrenics be furthermore concerned and cared in the clinicalhealing field. The paranoiac experience provides a unique structure, which is the wayfor the patient to live. If there is a truth in the sick world, there is a mode beyond theempirical viewpoint.