陳樹強. / 論文(哲學博士)--香港中文大學, 2001. / 參考文獻 (p. 224-244) / 中英文摘要. / Available also through the Internet via Dissertations & theses @ Chinese University of Hong Kong. / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Chen Shuqiang. / Lun wen (Zhe xue bo shi)--Xianggang Zhong wen da xue, 2001. / Can kao wen xian (p. 224-244) / Zhong Ying wen zhai yao.

Graduation date: 1997

In this study I proposed and tested a causal model between disruptions in childhood attachment, dimensions of adult attachment, and caregiving in later life. The research was intended to fill a void in both the attachment and the gerontological caregiving literatures. Like the construct of attachment, John Bowlby conceptualized caregiving as an expression of a specific underlying behavioral control system. He and subsequent attachment theorists proposed caregiving quality to be the most critical determinant of both attachment and subsequent personality and emotional development. Gerontologists have studied caregiving from an exchange, equity, and symbolic interactionist perspectives but in general, theory has been underutilized and underdeveloped. This study provides an alternative theoretical perspective. With it’s multidisciplinary origins, attachment theory provides a framework for integrating research on seemingly disparate topics. An interdisciplinary linkage is begun by placing caregiving within the perspective of the lifespan development of prosocial behavior. The sample (N=3,848) consisted of respondents aged 50 to 95 years, from the National Survey of Families and Households (NSFH), a national multistage probability sample. A series of regressions were used to test the explanatory model. Model variables included respondents’ psychosocial characteristics: sex, age, number of childhood separations from mother, current symbolic and physical proximity to mother, adult relationship with mother, emotional support, marital relationship, physical and mental disability, and income. In order to assess propensity for caregiving, the criterion variable was operationalized as number of care recipients per respondent. The variables that accounted for a statistically significant amount of variation in caregiving were maternal proximity, and respondent's age, in that order. Contrary to the predictions, sex, emotional support, marital status, income, and disability level, were not related to caregiving. These findings suggest people may be motivated to provide care not simply by structural factors but by developmental needs with some underlying and unknown physiological component. These results warrant further study of how the dimensions of proximity to multiple attachment figures, and developmental age affect caregiving and attachment behaviors. / Ph. D.

Many mid-life daughters are primary caregivers to their elderly mothers. However, in most research studies daughters have been grouped with other caregivers; thus, the daughters' experiences have not been specifically identified. Without this information nurses will be unable to adequately assist mid-life caregiving daughters to attain their optimal levels of health. The phenomenological research method was the methodology used to elicit the experiences of the mid-life daughters. The phenomenological method was congruent with the feminist perspective -- the conceptual framework -- which guided the study. The feminist perspective elucidated the importance of eliciting not only the visible caregiving experiences of the mid-life daughters, but also their internal experiences -- their feelings -- and the meanings they gave to their experiences. The researcher recruited subjects for the study through a daughters-of-aging-parents program which was held at the Women's Resource Centre in Vancouver, British Columbia. In order to collect the data, the researcher interviewed the subjects. Congruent with the phenomenological method, data collection and data analysis ran concurrently throughout the study. The conclusions that the researcher drew from the findings of this study include the following: at the start of a caregiving daughter-mother relationship, a daughter is very responsive to the needs of her mother; when a daughter realizes that she is self-sacrificing herself in order to care for her mother, she becomes less responsive to her mother's needs and focuses, instead, on caring for herself; a daughter who is able to identify her own needs and then act on them Is able to care for her mother and herself in a manner that meets both their needs; a daughter experiences a number of emotions while providing care for her mother; a daughter uses the logical process of working towards healthy differentiation in order to counterbalance her emotional reactivity, and a daughter who successfully counterbalances her emotions with logic discovers her basic self and becomes an entity distinct from, yet interdependent with, her mother. / Applied Science, Faculty of / Nursing, School of / Graduate