男同志感染者的親密關係－－以情感層面為主的探討

The Intimate Relationship of Gay Men with HIV/AIDS-Focus on the Emotional Aspect

本研究旨在了解18位感染愛滋病毒的男同志，其親密關係如何受到疾病的影響，以及他們如何面對這樣的影響。研究採用深入訪談法進行資料之收集，將訪談內容錄音，轉錄成文字稿，並以持續比較分析法進行分析整理。結果發現男同志感染者的親密關係可以從三個部分加以了解，亦即感染者認為的親密關係、社會道德與自我的侷限、在放棄與擁有親密之間擺盪。本研究結果可作為臨床上理解感染者親密關係的基礎，並可提供心理治療以幫助感染者及其伴侶適應疾病對親密關係的衝擊，以及增加醫療工作者自我的準備度，以自在的面對感染者親密關係的議題。

The purpose of this study was to explore the impact of HIV infection on the intimate relationships of 18 gays and their reactions to the impact. Following an informed consent procedure, in-depth interviews were conducted, taperecorded and transcribed verbatim to maintain data integrity and to reduce perceptual bias. Interview data were analyzed with constant comparative method. Three themes emerged from the data including participants' perception of intimate relationships, the dilemma of social morality and self-limitation after HIV infection and the swings between renouncing and embracing their intimate relationships. The results of this study served as the basis for clinicians to further understand the intimate relationships of gay men with HIV/AIDS. Well-prepared clinicians could facilitate their adaptation toward the impact of the HIV illness on their intimate relationships with psychotherapy.