生命回顾疗法介入晚期癌症患者死亡恐惧的实践探索

聚焦晚期癌症患者死亡恐惧,分析比较生命回顾疗法的实际应用。基于临床服务案例,医务社工发现晚期癌症患者的死亡恐惧主要受躯体症状、疾病归因、家庭支持和心性支持四方面影响。医务社工通过运用生命回顾疗法对晚期癌症患者进行干预,依托建立早期良好专业关系、正视死亡恐惧、回顾重要生命事件、强化/修复重要关系、增强自我认同五大策略,赋予患者生命新的价值和希望,实现生命意义的整合,有效缓解个体死亡恐惧,改善末期生命质量。

     

死亡意识的恐惧管理和悲伤管理

基于悲伤情绪的功能及效应,提出死亡意识的“悲伤管理假设”。实验1采用电生理、微表情、主观报告等方法探索死亡意识伴随的情绪变化;实验2和实验3对比死亡意识的“悲伤管理”和“恐惧管理”,并探索情绪的中介作用。结果发现：死亡意识诱发悲伤和恐惧(尤其是悲伤),且死亡反思诱发更多的悲伤;恐惧在死亡意识与外在人生目标间起中介作用;悲伤(而非恐惧)背景音乐下,死亡意识使个体更重视内在人生目标。上述结果为死亡意识的“悲伤管理”提供了实证依据,表明在悲伤的情绪中加工死亡意识可能促进个体的内在成长,这对疫情等社会灾难时期的心理救援具有启示意义。     

恐惧管理理论的争议及其对死亡心理研究的启示

死亡心理是人类面临死亡及相关事件时所产生的认知、情感和行为意向的复杂心理状态。目前, 研究死亡心理较为全面和科学的理论是恐惧管理理论(Terror Management Theory, 简称TMT)。但该理论存在以下争议: (1)在死亡的基本认知方面, 恐惧管理理论呈现出不一致的研究结果, 如死亡是否与不确定性无关, 死亡是否导致恐惧情绪, 寻求个体生存是否为人类的核心议题; (2)在社会文化层面, 恐惧管理理论提出者的文化背景对待死亡的普遍态度是呈否认的, 但是跨文化的研究显示其他文化背景对待死亡的态度却呈现出接纳或蔑视; (3)在恐惧管理理论的研究结果方面, 呈现出较多的矛盾性, 表明研究中有重要的调节因子未被涉及。基于此, 死亡心理可能的研究方向拟从认知、行为和社会三个层面进行梳理。未来死亡心理研究需秉承科学与文化并重的原则, 并结合死亡心理的内容与过程, 关注群体面对死亡时的心理规律, 开展死亡心理影响下的身心健康干预研究。     

恐惧管理中死亡焦虑不同防御机制之间的关系

根据恐惧管理理论, 个体主要通过世界观、自尊和亲密关系三种防御机制来应对必死性意识引发的死亡焦虑。主流观点认为三种防御机制在防御死亡焦虑时的地位是平等的, 符合“流动补偿机制”。本文讨论了流动补偿机制的局限性, 提出三种防御机制之间关系的新观点: 优先级假设, 认为三种防御机制地位并非平等, 而是存在优先级: 亲密关系优先于世界观和自尊, 世界观优先于自尊。在梳理了支持证据后, 本文尝试从发展性视角对优先级假设提出可能的解释, 认为这种优先级来源于防御机制的发展顺序和衍生关系。     

直面死亡的恐惧——对中国传统丧葬礼俗心理层面的分析

死亡往往给人们带来心理的恐惧，与死亡相伴随的就是丧葬。传统的丧葬礼俗是社会文化的一个重要组成部分，具备特殊的社会功能。文章通过对中国传统丧葬礼俗心理层面的考察，揭示其如何从注意的转移、利用情绪的感染性和情境性、精神依托以及满足人们归属感的需要这四个方面来帮助人们克服死亡所带来的恐惧，以实现其自身的社会功能。     

交流恐惧至中国大学生面众恐惧研究发展轨迹

美国学者McCroskey最早使用交流恐惧这一概念并编制了交流恐惧自陈量表等调研工具,此后有研究者对交流恐惧进行本土化研究。国外学者对交流恐惧产生的原因作了多方面的分析探讨和干预研究;中国学者对交流恐惧的研究主要以大学生为研究对象,在2007年发展了面众恐惧研究,编制了《中国大学生面众恐惧调查量表》并提出了相应矫治对策,给大学生乃至中小学生的心理素质与心理健康教育提供了一条密切联系实际的培养训练途径。     

死亡的意义

在英国有一个叫布朗的牧师，一生不知曾听到过多少人临终忏悔，许多人在生命鲜活的时候，常常郁积于胸、心烦意乱；感叹春风不度、天不遂愿；抱怨生不逢时、志不得展；直到生命将到了终点，才恍然大悟。本来应该将自己心灵的种子撒向广阔的原野，去拥抱阳光，痛饮雨露，享受繁花盛开的浪漫.[第一段]     

论死亡的认知与接纳

综述分析国内外死亡心理的研究及死亡教育的探索,探讨个体对死亡的认知与反应以及对应的预防及干预措施。死亡心理理论探索对死亡呈现出积极或消极的认识,其恐惧管理理论与创生理论以死亡意识的不同阶段研究所得结论立场不一,可纵向研究死亡心理认知阶段达成理论整合。死亡教育途径包含课程融入、艺术引导、家庭分享、文化传承等,但针对成年群体的死亡教育资源相对较少。认识并接纳死亡,为生者带来更贴切的情绪感受与生活体验,死亡心理理论的完善与死亡教育资源的普及两者缺一不可。

     

儒学形而上系统的最初建构--《五行》所展示的儒学形而上体系

郭简<五行>篇具有重要的研究价值,本文主要对其对儒学形而上体系之建构作出理解和诠释,着重通过对<五行>篇的内在结构的分析,阐明<五行>所建立的儒学形而上体系的内部结构,说明和论证此体系正是儒学的"一以贯之"的内在结构和形而上体系,<五行>的思想是思孟之间一个不可或缺的重要的过渡环节,它继承孔子以来儒学的内在精神,使儒学的形而上体系得以明晰,并为孟子进一步继承和发展,从而推动了儒学的进一步发展.通过<五行>"形于内"和"不形于内"的分析,对天人合一也作出新的理解.     

The Fear of Death

Taking a somewhat indirect route that includes some autobiographical reflection, I address three questions. One is what it might mean to say, with Socrates, that philosophy is "studying for death". The second is why Christians should fear death at all, if the good of Heaven is really what they believe is beyond it. The third is the question what difference it makes to your philosophical view of death if you are a believer.     

Fear of Death in Hypochondriasis: Bodily Threat and Its Treatment Implications

This article aims to explore the perception of body in hypochondriasis and implications that it has for fear of death and for treatment of hypochondriasis. It is suggested that a sense of threat posed by the body in hypochondriasis is intimately related to the fear of body, expectations of bodily failure, fear of disease and pathological fear of death. Clinical aspects and potential antecedents of these phenomena are discussed in the article. It is emphasized that fear of the body and fear of death should be adequately addressed in the course of treatment, regardless of the nature of the primary treatment approach. Relevant treatment strategies are outlined, with treatment goals including an adoption of the non-threatening perception of one’s body, modification of attitudes and beliefs related to health, illness and death which heighten fear of death, and substantial alleviation or elimination of the pathological fear of death.     

The Deductive-Nomological Account of Metaphysical Explanation

The paper explores a deductive-nomological account of metaphysical explanation: some truths metaphysically explain, or ground, another truth just in case the laws of metaphysics determine the latter truth on the basis of the former. I develop and motivate a specific conception of metaphysical laws, on which they are general rules that regulate the existence and features of derivative entities. I propose an analysis of the notion of ‘determination via the laws’, based on a restricted form of logical entailment. I argue that the DN-account of ground can be defended against the well-known objections to the DN-approach to scientific explanation. The goal of the paper is to show that the DN-account of metaphysical explanation is a well-motivated and defensible theory.     

Hegel: Death of God and Recognition of the Self

Abstract

This paper covers the theme of the death of God considered from a Hegelian standpoint. For Aristotle, the image of God as ‘thought thinking itself’ was an image of the knowledge aspired to in philosophy. With the notion of God becoming man and his insistence on the icon of the Cross, Hegel challenged the Aristotelian goal of philosophy as immutable knowledge of an ‘ultimate’ reality. Hegel viewed the crisis of normativity (the death of the Cartesian divine guarantor) as strictly linked to the conception of the self. It is Nietzsche who is best known for alluding to the full significance of this image for modern life, but Hegel’s thought on the complex relations of philosophy and religion in the modern world can be regarded as an attempt to think through this same historical phenomenon. In this paper, I focus on the philosophical relevance of Hegel’s notion of the death of God. I argue that unpacking the significance of the ‘truths’ presented symbolically in modern Christianity is crucial in understanding the requirements that an idealistic philosophy must meet.     

Fear of breakdown and the unlived life

Winnicott's Fear of breakdown is an unfinished work that requires that the reader be not only a reader, but also a writer of this work which often gestures toward meaning as opposed to presenting fully developed ideas. The author's understanding of the often confusing, sometimes opaque, argument of Winnicott's paper is as follows. In infancy there occurs a breakdown in the mother–infant tie that forces the infant to take on, by himself, emotional events that he is unable to manage. He short‐circuits his experience of primitive agony by generating defense organizations that are psychotic in nature, i.e. they substitute self‐created inner reality for external reality, thus foreclosing his actually experiencing critical life events. By not experiencing the breakdown of the mother–infant tie when it occurred in infancy, the individual creates a psychological state in which he lives in fear of a breakdown that has already happened, but which he did not experience. The author extends Winnicott's thinking by suggesting that the driving force of the patient's need to find the source of his fear is his feeling that parts of himself are missing and that he must find them if he is to become whole. What remains of his life feels to him like a life that is mostly an unlived life.     

Recalcitrant Fears of Death

According to what I will refer to as judgmentalist approaches to the fear of death (JFD), the fear of death conforms to the structure implied by judgmentalist theories of emotion. JFD holds that fears of death are constituted in part by evaluative judgments or beliefs about one’s own death. Although many philosophers endorse JFD (explicitly or implicitly), there is good reason to believe that it may be problematic. For, there is a troubling (and, for the purposes of this discussion, rather interesting) objection to judgmentalist theories of emotion; if judgmentalism is false, then so too is JFD. In brief, the worry with judgmentalist theories is this: it is sometimes the case that one has an emotion, but holds a belief (or beliefs) that is in tension with the emotion. For example, I sometimes fear flying despite the fact that I believe flying is not dangerous. Emotions of this sort are often referred to as recalcitrant emotions, and they are widely thought to pose a serious challenge to judgmentalist theories. In this paper, I consider an objection to JFD based on the existence of recalcitrant bouts of the fear of death. I include in this discussion an Epicurean-inspired solution to the problem of emotional recalcitrance. Although I argue this solution may be ultimately unsuccessful, I believe it is still worth considering. For, in most discussions of the problem of emotional recalcitrance, philosophers abandon judgmentalism in favour of some other theory of emotion. The Epicurean-inspired solution I discuss in this paper, however, may allow one to retain one’s commitment to judgmentalism.     

The Role of Fear in Our Love of God: A Lutheran Perspective

Abstract : Lutheran Christians in particular have been taught in the Catechism to “fear and love God.” This article questions the assumption that in a contemporary context, fear and love can helpfully co‐exist, examining the different ways in which “fear of God” is a challenging concept for twenty‐first‐century Christians to understand. The article concludes with suggestions for how “fear of God” might be re‐interpreted and re‐articulated in a constructive way, leading to a more meaningful Christian life in the world today.     

儿童生命认知和生命体验的发展特点

本研究在生命教育的社会背景下,以2、4、6、8、11年级的中小学生为研究对象,使用造句和补充句子的方式考察儿童对生命和死亡的认知及体验。结果表明:1)儿童对生命和死亡的认知发展是随着年级的升高从模糊不清、具体形象到认知生命本质直至表达态度、感悟哲理的一个渐次深入的过程;2)儿童对生命过程的体验总体上是积极的,且随着年级的升高体验的内涵越来越丰富;3)儿童对死亡的心理体验以恐惧和悲伤为主;但随着年级的升高,儿童对死亡体验哲理性和迷茫的逐渐增多。