When Death Precedes Birth: The Embodied Experiences of Women with a History of Miscarriage or Stillbirth—A Phenomenological Study Using Artistic Inquiry
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引用次数: 6
Abstract
Miscarriage and stillbirth are more prevalent than socially perceived and have often been discussed in nursing and medicine literature as solely a medical event to be managed, not a death to be mourned. Social silence, ambiguity surrounding the nature of what was lost, and a painful experience of having no right to mourn are common experiences faced by women with a history of miscarriage or stillbirth. While more recent psychiatry and counseling research has uncovered the extent of grief, trauma, and psychosocial impact following miscarriage and stillbirth, very few studies have sought to understand the bodily experience of living with this history. This phenomenological research study sought to understand and describe the embodied experiences of women who have had a miscarriage or stillbirth. A sample of three participants individually engaged in a movement elicitation procedure followed by a semi-structured verbal interview. Artistic inquiry methods (Hervey in Artistic inquiry in dance/movement therapy: Creative alternatives for research, Charles C Thomas, Springfield, IL, 2000) were integrated throughout the data analysis procedure (Moustakas in Phenomenological research methods, Sage Publications, Inc, Thousand Oaks, CA, 1994) to enhance the understanding of each woman’s current, lived-body experience. As a result, five universal themes emerged: Momentum of new life; Stuck in emptiness; Where is my body and where am I?; We go together; and Love does not forget. These themes are supported by the extant literature and the author suggests that the results from this study may be used to inform the integration and practice of dance/movement therapy interventions in miscarriage and stillbirth bereavement counseling and future dance/movement therapy research studies.
流产和死产比社会上认为的更普遍,在护理和医学文献中经常被讨论为只是一个需要管理的医疗事件,而不是一个需要哀悼的死亡。社会沉默、对所失去的东西的性质的模糊性,以及无权哀悼的痛苦经历,是有流产或死产史的女性面临的常见经历。虽然最近的精神病学和咨询研究揭示了流产和死产后的悲伤、创伤和心理社会影响的程度,但很少有研究试图了解有这种历史的人的身体体验。这项现象学研究试图理解和描述流产或死产妇女的具体经历。以三名参与者为样本,分别进行动作启发程序,然后进行半结构化的口头访谈。艺术探究方法(Hervey在《舞蹈/运动疗法中的艺术探究:研究的创造性替代品》中,Charles C Thomas,伊利诺伊州斯普林菲尔德,2000年)被整合到整个数据分析过程中(Moustakas在《现象学研究方法》中,Sage Publications,Inc,Thousand Oaks,CA,1994年),以增强对每个女性当前活体体验的理解。结果,出现了五个普遍主题:新生命的动力;陷于空虚;我的身体在哪里,我在哪里?;我们一起去;爱不会忘记。这些主题得到了现有文献的支持,作者认为这项研究的结果可用于为流产和死产丧亲咨询中舞蹈/运动治疗干预的整合和实践以及未来的舞蹈/运动疗法研究提供信息。
期刊介绍:
American Journal of Dance Therapy informs the international mental health community on the latest findings in dance/movement therapy theory, research, and clinical practice by presenting original contributions, case material, reviews, and studies by leading practitioners and educators in the field. The journal, reflecting the dramatic expansion of the profession over the last half-century, publishes timely articles on working with new populations, changing goals, innovative techniques, and new methods of training. Current professional issues, outcome research, and assessment tools are also examined and evaluated. This biannual forum encourages dance/movement therapists and allied mental health professionals to test their theoretical premises and share their ideas. It is a valuable resource for administrators, psychiatrists, psychologists, social workers, and creative arts therapists in the disciplines of music, art, and drama.