title: To have or to be: ways of caregiving identified during recovery from the earthquake disaster in Taiwan.
abstract: The aim of this article is to report the results of therapy sessions conducted with survivors of an earthquake that struck Luku Township in Nantou County, central Taiwan, in September 1999. The sessions explored survivors' feelings, interactions, and interpretations of the crisis, as well as their roles in post-earthquake relief efforts. The participants were teachers and administrators from four primary schools. The results indicated three distinct forms of caring, namely: encumbered caring, connected caring, and reflected caring. The findings were used to construct a framework for caregiver self-monitoring. They also suggest that therapy groups provide an inner space that self-regulates the frustrations arising from this type of experience, for both caregivers and survivors. The intrasubjective and intersubjective dialogues within the groups are essentially reflective practices for improving services and generating new knowledge about medical ethics.
authors.affiliation: Faculty of Nursing, National Yang-Ming University, No. 155, Li-Nong St Sec. 2, Pai Tou, Taipei, Taiwan 112. hhchiang@ym.edu.tw
authors.forename: H-H
authors.initials: HH
authors.lastname: Chiang
authors.forename: Z-Y
authors.initials: ZY
authors.lastname: Lu
authors.forename: S E
authors.initials: SE
authors.lastname: Wear
mesh_terms: D017028:Caregivers / Q000523:psychology*; D004189:Disaster Planning; D004190:Disasters; D006801:Humans; D007407:Interviews as Topic; D011613:Psychotherapy; D011634:Public Health; D017741:Survivors / Q000523:psychology*; D013624:Taiwan
references.citation: Br J Psychiatry. 2000 Jun;176:589-93
references.pmid: 10974967
references.citation: BMJ. 2000 Oct 28;321(7268):1032-3
references.pmid: 11053152
references.citation: J Med Ethics. 2001 Feb;27(1):44-50
references.pmid: 11233378
references.citation: J Adv Nurs. 2001 Sep;35(6):926-32
references.pmid: 11555041
references.citation: Qual Health Res. 2002 Feb;12(2):262-78
references.pmid: 11837375
references.citation: J Med Ethics. 1999 Aug;25(4):315-21
references.pmid: 10461594
references.citation: Perspect Psychiatr Care. 1990;26(1):32-6
references.pmid: 2381758
references.citation: West J Nurs Res. 1994 Jun;16(3):268-87
references.pmid: 8036803
references.citation: Am J Psychiatry. 1997 Mar;154(3):415-7
references.pmid: 9054792
references.citation: Soc Work Health Care. 1998;27(1):33-50
references.pmid: 9579015
references.citation: J Adv Nurs. 1999 May;29(5):1163-9
references.pmid: 10320500
references.citation: Nurs Sci Q. 2002 Jan;15(1):61-5
references.pmid: 11873475