本研究旨在藉由老年人之生命重大事件及其老化與生死態度探究生命意義。研究 方法採敘說研究法,以立意取樣方式訪談三位老年人,使用半結構訪談大綱,對研究 參與者進行三~四次生命故事訪談。透過錄音、逐字稿謄寫,及研究參與者檢核等過 程,形成故事文本。資料分析採用「整體—內容」敘說研究分析模式。
研究發現老年人生命意義從生命重大事件內涵以及對老化與生死態度體現,其中 老年人生命內涵建構之意義包括:(1)性格特質—正向樂觀性格特質有助於體現生命 意義;(2)工作生涯—從工作生涯直接或間接獲得不同面向的生命意義;(3)生活目 標—目標具有一致性,非刻意去追求目標而是自然產生意義;(4)家庭子女—家庭子 女並非是重要充分的生命意義來源;(5)與人連結—與重要他人產生連結,將意義建 立在自身之外的關係中;(6)幫助他人—藉由利他間接滿足自我實現或人際連結的生 命意義感;(7)挫折超越—遇到挫折後原有的人生轉化出不同的意義。老年人老化與 生死態度顯現之意義包括:(1)身心狀況—心理身體功能影響對生命意義的感受;(2) 生命回顧與統整—回顧生命發掘內心渴望與意義,年紀越大越邁向統整;(3)老化態 度—不同適應老化方式增加正向老化態度但不一定賦予生命意義;(4)死亡態度— 死亡代表意義的消逝但因思考死亡更加珍惜把握生命。
生命意義絕對不只是追求快樂,更深層的意義來自於自我實踐、自我超越、與人 連結,而不論何種身份背景人生經歷其實所體現的生命意義核心大同小異。對於老年 人來說,當將生命軸線拉長來看,許多事能以更知足感恩的胸襟看待,也更能活在當 下。

The purpose of this study was to explore how the elderly constructed their life meaning through their life events and the attitude toward life and death. Narrative research method was applied to collect life stories of 3 elderly participants. Three in-depth interviews, each were 3 to 4 times, were conducted for the participants to narrate their life stories. The narrated texts were analyzed by the holistic-content approach.
The results were explored through their life events, and there were seven core issues: (a) Personality traits- positive and optimistic personality traits helped to explore the meaning in life; (b) Career life- elderly people obtained different life meaning from career life directly or indirectly; (c) Life goals- life goals were consistent and life goals create meaning in life naturally; (d) Family- family and children were not an sufficient or the most important meaning in life; (e) Connection with people- elderly established meaning in relationships outside of themselves, and through the connections with important others; (f) Helping others- elderly were satisfied with the sense of self-realization or interpersonal connections through altruistic behaviors; (g) Frustration and transcendence- the original life transformed into different meanings after encountering setbacks.
With regard to the attitude toward life and death, four core issues were found in this study: (a) Physical and mental conditions- psychological and physical functions affected the meaning of life; (b) Life review- review of life inspired inner desires and meanings, and the older elderly, the more they were moving towards unity; (c) Aging attitudes- adapting to aging would increase positive aging attitudes, but didn’t bring meaning to life; (d) Death attitudes- death represented the passing of meaning but thinking about death made elderly cherish life more.

中文部份 內政部(2017):內政部統計通報我國老年人口數首次超過幼年人口數。取自內政部統計處:https://www.moi.gov.tw/chi/chi_site/stat/news_detail.aspx?sn=11735, 2017 年 3 月 11 日。
文榮光(2005):關係取向心理治療。臺灣精神醫學,19(2),100-109。
吳芝儀(2008):敘事研究:閱讀,分析與詮釋。嘉義:濤石文化。
呂思瑢(2013):華人文化下,生命意義感的雙重建構:獨立我與互依我對目的性與連結性意義感之預測效果。國防大學政治作戰學院研究所碩士論文。
李如婷(2003):個人捐贈行為及其影響因素之探討—以嘉義地區為例。國立中正大學社會福利學研究所碩士論文。
李婉伶(2008):護理之家老年人之生命意義。中國醫藥大學護理學研究所碩士論文。
林如萍(2000):老年父母與其最親密的成年子女之代間連帶。中華家政學刊,29,32-58。
邱天助(2002):老年符號與建構:老人研究的社會文化轉折。台北:墨文堂文化。
邱天助(2007):台灣老人集體生命史研究:老年生活紀事的敘事分析。東亞研究,8(2),45-84。
張素紅(1996):老人寂寞與自覺健康狀況、社會支持之相關研究。高雄醫學院護理學研究所碩士論文。
梅陳玉嬋、齊銥、徐玲(2006):老人學。臺北:五南。
許育光(2000)。敘說研究的初步探討—從故事性思考和互為主體的觀點出發。 輔導季刊,36(4),17-26。
許烺光(2000):家元:日本的真髓。台北:南天書局。
陳佳禧(2004):老人統整與絕望之研究—以苗栗地區老人為例。南華大學生死學研究所碩士論文。
黃子庭(2004):社區老人生命意義及其相關因素以雲林縣為例。臺灣公共衛生雜誌,23(2),159-167。
黃富順(1997):老人的社區經營與教育參與。臺北:師大書苑。
劉香美(2005):世界觀、生活目標與生命意義感之相互構築:一個以重複受災地區成年人的敘事研究。南華大學生死學研究所碩士論文。
蔡坤良(2004):小琉球漁村老人生命意義感、死亡態度與幸福感之研究。南華大學生死學研究所碩士論文。
蔡美玉(2002):高齡志工服務經驗之探究。國立中正大學成人及繼續教育研究所碩士論文。
賴明亮(2008):意義治療法簡介。安寧療護雜誌,7(2),153-164。
顏倩榕(2002):老人生死教育課程內容與教學之研究。南華大學生死學研究所

碩士論文。
王勇智、鄧明宇譯(2008):敘說分析。台北:五南。Riessman, C. K. (1993). Narrative analysis (Vol. 30). Newbury Park, CA: Sage.
周怜利譯(2000):Erikson 老年研究報告:人生八大階段。台北:張老師文化。
Erikson, E. H., Erikson, J. M., & Kivnick, H. Q. (1994). Vital involvement in old age. New York, NY: WW Norton & Company.
易之新譯(2003):存在心理治療(上)(下)。台北:心靈工坊。Yalom, I. D. 216
(1980). Existential psychotherapy (Vol. 1). New York, NY: Basic Books. 華意蓉譯(1987):老年心理學。台北:五洲出版社。井上勝也、長嶋紀一(1980):老人心理學。東京:建帛社。

英文部份
Alexander, D. W. (1999). Children changed by trauma: A healing guide, Adolescence, 34(136), 799.
Baumeister, R. F., & Vohs, K. D. (2002). The Pursuit of Meaningfulness in Life. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of Positive Psychology (pp. 608-618). Oxford, England: Oxford University Press.
Breed, R. L., & Emmons, R. A. (1996). Personal goals and bereavement: Coping with the loss of a loved one. Annual Convention of the Western Psychological Association, San Jose, California.
Bruner, J. (1985). Narrative and paradigmatic modes of thought. Learning and teaching the ways of knowing, 84(2), 97-115.
Butler, R. N., & Lewis, M.J. (1982). Aging and mental health (3rd ed.). St. Louis, MO: Mosby.
Cacace, M. F., & Williamson, E. (1996). Grieving the death of an adult child. J Gerontol Nurs, 22(2), 16-22.
Chang, E. C., & Sanna, L. J. (2001). Optimism, pessimism, and positive and negative affectivity in middle-aged adults: A test of a cognitive-affective model of psychological adjustment. Psychology and Aging, 16(3), 524.
Cohen, G. D. (2005). The mature mind: The positive power of the aging brain. New York, NY: Basic Books.
Corey, G. (2015). Theory and practice of counseling and psychotherapy. Ontario, Canada: Nelson Education.
Erikson, E. H. (1950). Growth and crises of the "healthy personality." In M. J. E. Senn
(Ed.), Symposium on the healthy personality (pp. 91-146). Oxford, England:
Josiah Macy, Jr. Foundation.
Erikson, E. H., Erikson, J. M., & Kivnick, H. Q. (1997). Vital involvement in old
age-the experience of old age in our time. New York, NY: Norton.
Frankl, V. E. (1967). Psychotherapy and existentialism. London, England: Penguin
Books.
Frankl, V. E. (1985). Man's search for meaning. New York, NY: Simon and Schuster. Frankl, V. E. (1986). The doctor and the soul: From psychotherapy to logotherapy.
New York, NY: Vintage.
Frankl, V. E. (2014). The will to meaning: Foundations and applications of logotherapy.
London, England: Penguin Books.
Frankl, V. E. (1966). Time and responsibility. Existential Psychiatry, 20(1), 361-366. Grahame, K. M. (2003). For the family: Asian immigrant women’s triple day. Journal
of Sociology and Social Welfare, 30, 65-90.
Havighurst, R. J. (1953). Human development and education. Oxford, England:
Longmans, Green.
Havighurst, R. J. (1963). Successful aging.Processes of Aging: Social and
Psychological Perspectives, 1, 299-320.
Heriot, C. S. (1991). A descriptive analysis of experiences of personal meaning of life among older adults. Unpublished doctoral dissertation, University of Utah, Salt Lake, Utah.
Huang, W. W.(1983). Attitude toward Death among Nurses, physician, elementary school teachers, and professors in Republic of China. Unpublished master dissertation, Columbia University, New York, New York.
Janice, G, Y. (1988). The motivation of volunteerism to the Chinese elderly. Fu Hsing Kang Academic Journal, 39, 91-142.
Khalil, E. L. (1990). Beyond self-interest and altruism: A reconstruction of Adam Smith's theory of human conduct. Economics & Philosophy, 6(2), 255-273.
Krause, N. (2007). Thought suppression and meaning in life: A longitudinal investigation. International Journal of Aging & Human Development, 64(1), 67-82.
Lieblich, A., Tuval-Mashiach, R., & Zilber, T. (1998). Narrative research: Reading, analysis, and interpretation (Vol. 47). New York, NY: Sage.
Moody, H. R. (1992). The Meaning of Life in Old Age. In: Jecker N.S. (Eds.), Aging and Ethics. Contemporary Issues in Biomedicine, Ethics, and Society (pp. 253-255). Totowa, NJ: Humana Press.
Moore, S. L. (1997). A phenomenological study of meaning in life in suicidal older adults. Archives of Psychiatric Nursing, 11(1), 29-36.
Morse, N. C., & Weiss, R. S. (1955). The function and meaning of work and the job. American Sociological Review, 20(2), 191-198.
O’Connor, K., & Chamberlain, K. (1996). Dimensions of life meaning: A qualitative
investigation at mid-life. British Journal of Psychology, 87(3), 461-477.
Patton, M. Q. (2005). Qualitative research. Hoboken, NJ: John Wiley & Sons, Ltd. Pinquart, M. (2002). Creating and maintaining purpose in life in old age: A
meta-analysis. Ageing International, 27(2), 90.
Polkinghorne, D. E. (1995). Narrative configuration in qualitative
analysis. International Journal of Qualitative Studies in Education, 8(1), 5-23. Pratt, M. G., & Ashforth, B. E. (2003). Fostering meaningfulness in working and at work. In K. S. Cameron, J. E. Dutton & R. E. Quinn (Eds.), Positive organizational scholarship (pp. 177-179). San Francisco, CA: Berrett-Koehler. Reitzes, D. C., & Mutran, E. J. (1994). Middle aged working men and women. Research on Aging, 16(4), 355.
Reker, G. T. (2002). Theoretical perspective, dimensions, and measurement of
existential meaning. In G. T. Peker, & K. Chamberlain (Eds.), Exploring existential meaning: Optimizing human development across the life span (1st ed., p. 39-55). Thousand Oaks, CA: Sage.
Roe, R. A., & Ester, P. (1999). Values and work: Empirical findings and theoretical perspective. Applied Psychology, 48(1), 1-21.
Rosso, B. D., Dekas, K. H., & Wrzesniewski, A. (2010). On the meaning of work: A theoretical integration and review. Research in Organizational Behavior, 30(2), 91-127.
Rowe, J. W., & Kahn, R. L. (1998). Successful aging: The MacArthur foundation study. New York, NY: Pantheon.
Seligman, M. E. (2002). Positive psychology, positive prevention, and positive
therapy. Handbook of positive psychology, 2, 3-12.
Steger, M. F. (2009). Meaning in life. In S. J. Lopez (Ed.), Oxford handbook of positive psychology (2nd ed., pp. 679-687). Oxford, England: Oxford University Press.
Steger, M. F., & Kashdan, T. B. (2008). Stability and specificity of meaning in life and life satisfaction over one year: Implications for outcome assessment. Journal of Happiness Studies, 8(2), 161-179.
Steger, M. F., Kawabata, Y., Shimai, S., & Otake, K. (2008). The meaningful life in Japan and the United States: Levels and correlates of meaning in life. Journal of Research in Personality, 42(3), 660-678.
Super, D. E., Crites, J. O., Hummel, R. C., Moser, H. P., Overstreet, P. L., & Warnath, C. F. (1957). Vocational development: a framework for research. Oxford, England: Bureau of Publications, Teachers Co.
Takkinen, S., & Ruoppila, I. (2001). Meaning in life in three samples of elderly persons with high cognitive functioning. The International Journal of Aging and Human Development, 53(1), 51-73.
Thoits, P. A., & Hewitt, L. N. (2001).Volunteer work and well-being. Journal of Health and Social Behavior, 42(2), 115-131.
Wong, P. T. (2011). What is existential positive psychology? International Journal of Existential Psychology and Psychotherapy, 3(1), 1-10.

Wong, W. H. (2008). Meaningfulness and identities. Ethical Theory and Moral Practice, 11(2), 123-148.
Yalom, I. D. (1980). Existential psychotherapy (Vol. 1). New York, NY: Basic Books.