| Summary: | 碩士 === 國立臺北護理健康大學 === 生死教育與輔導研究所 === 102 === The purpose of this research is mainly concentrate on caring patients with Type Ⅰ Diabetics. We hope to understand the sorrowful metaphoric process when they face the disease which can’t be recovered. Concluding the metaphor to support adjusting the factors of the process, and moreover, it could be a strong support for the parents who have Type Ⅰ Diabetics as their teenage children. In addition, it could also be a reference to the professional workers when they doing medical counseling service.
The primary discussion of this research is including knowing the metaphors of Type Ⅰ Diabetics when they suffer from the illness and their self-adjustment. We through narrative visits to sum up and analysis the records by 3 different levels: patients to the disease, patients to the interpersonal relationships and patients to the environment. The results of the research are as following:
A. The Sorrowful Reactions and Self-Adjusting Process of Type 1 Diabetics
In the sorrowful reactions of Type 1 Diabetics are frequently accompanied with losing self-image and sense of trust etc. In the real life, they have to face the disabilities which brought by the disease and also the effects from the environment, the society, the complication and even their mental level. In the whole self-adjusting process, people should retain the abilities of self-control, self-acceptance, self – esteem, discovering diseases, self-motivation in addition to pursuing the further life goal. But those abilities are deeply impacted by individual trait, the environment, socioeconomic and the culture.
B. The Metaphorical Progress of Type 1 Diabetics from Sorrowful Period to Adjusting Period
From this result, we divided it into 2 different stages to discuss. The Sorrowful Period: Usually the fear from the disease is similar to the description of the disease. They both have characteristic of destructiveness, freedom restricted, fear and making people be caught completely unprepared. The metaphor of the disease from the patient which can be described more circumstantial, the more chances the patient can accept the therapy. The Adjusting Period: There are 3 steps, destroy, attempt and readjust self-positioning. Among them positive transformation could be helpful on adjusting depression. Meanwhile, it’s a flexible, indirect process.
We discussed in depth and made specific recommendations in the light of the above-mentioned results. Furthermore, it could also provide reference resources to the medical related staff, psychological counseling workers and future researchers.
Keywords:Type 1 Diabetes, sorrowful reaction, self-adjusting, metaphor
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