受儒家文化影響的台灣社會中，成人子女對於照顧父母的責任承擔，都以一種應然的態度來應對。但是「應然」不表示沒有挫折與挑戰。重要的是，在面對照顧父母隨之而來的生活變動時，能夠學習改變，瞭解自己調整的必要。學習面對照顧責任所帶來生活改變的必然，學習運用當下時空環境條件，做出最適卻不一定是最好的因應。
本研究透過深度訪談四位成人子女照顧者的經驗，探討他們面對照顧父母時的責任壓力與自我發展衝突時，其心理調適與問題解決方式，並以「後形式思維」的理論架構，利用自我轉化感知連結的觀點，分析受訪成人子女在照顧過程中，自身與家庭及社會關係的改變，以及自身對未來的生命感受。
研究結果有以下四點發現：
一、學習看待現實生活有些條件的限制，瞭解到每件事都有其不同的因果關係背景，轉換角度看待承擔照顧責任帶來的結果與改變，有時為了解決照顧問題的學習，卻成了另一種生活樣貌的轉捩點。
二、生命旅程悲欣交集，必須改變認知觀點，瞭解得失相互依存的人生真實。照顧父母看似辛苦，卻也是與父母一同學習以包容、寬廣的觀點來面對老後生活課題的學習機會。
三、在人生每個不同階段性任務完成之際，都是改變的契機。瞭解成人生活中最重要的就是不要害怕改變。運用後形式思維運作突破原有的傳統思維與框架，轉化自我，自在看待自己即將到來的老年歲月。
四、藉由生命經驗的精煉與反思，後形式思維是成人學習重要的一環。後形式思維的運作應該可以被學習的，而且應該被視為成人學習重要的一環，以因應高齡社會所可能帶來的挑戰。
基於上述研究發現，本研究主張成人子女可以利用學習應用「後形式思考」架構，改變認知模式，調適面對的衝突與挑戰，緩解其照顧父母的負向情緒，進而將其正面的照顧體驗「轉化」成為日後願意繼續照顧中高齡家人的動力，使本身的身心達到平衡的狀況，與被照護者、其他家人、及社會他者的關係能有更好的發展。

In Taiwan, taking care of parents seems to be an obligation for adult children out of the filial piety. Obligations sometimes bring frustrations and challenges. What matters is how to adapt and to adjust. Taking care of parents might ripple their life, but they can always learn to cope with it in optimal ways, even not the best ways.
This study explores the caring pressure and self-development conflicts confronting those adult children care givers while they assume the role of family care givers. Through the in-depth interviews with four adult children care givers, this study presents their adaptation, adjustment and problem-solving experience. And the “post-formal thought” is used here as the theoretical framework to analyze the felt-connections of these adult children family care givers. From the viewpoint of “self-transform,” this study unfold the way these interviewees “transform” their connections with themselves, with others, and with the transcendence.
And there are four points found in this study:
1. Learn to accept the limits in real life. Everything in life has its causality. Only when they perceive their caring responsibility in another point of view can they change these limits into turning points.
2. Change the cognition and adopt the interdependence of highs and lows in life. The labor in caring parents brings opportunities to find out the true meaning of life with parents in a broader mind.
3. Every time when a developmental task is fulfilled, a possibility for changes emerges. Being unafraid of changes is essential to adults. Break the traditional fetters with post-formal thoughts and self-transform. Meet the challenges along with the arrival of old ages at ease.
4. These life experience and reflections make us understand the importance of Post-formal thoughts in adult learning.
Based on the above findings, this study suggests that adult children should learn to use the Post-formal thoughts change their cognition model to cope with the challenges and conflicts along with the caring responsibility and eliminate the negative emotions. Furtherly, they can “transform” these positive caring experience into the driving force for them to assume the roles of parent caregiver. And thus the balance and development can be achieved.

中文部分

丁雪茵、鄭伯壎、任金剛 (1996)。質性研究中研究者的角色與主觀性。本土心理學研究，6期，
354-376。
中華民國家庭照顧者關懷總會 (1996)。下載自：http://www.familycare.org.tw/index.php/howto.
中華民國家庭照顧者關懷總會 (2017)。下載自：http://www.familycare.org.tw/news/10936.
內政部(2018)。內政部統計處。下載自：
https://www.moi.gov.tw/files/site_node_file/7582/week10706.pdf.
今周刊 (2017)。13萬人照顧爸媽離職 親力親為迷思釀悲劇。今周刊，1058期。
下載自 http://www.businesstoday.com.tw/article-content-80392-162953.
王行 (2014)。由男性家庭照顧者生命脈絡反思性別認同影響研究計劃。臺北市政府社會局 103 年
度性別議題研究補助案研究報告。台北：中華民國家庭照顧者關懷總會。
王增勇 (2011)。家庭照顧者做為一種改革長期照顧的社會運動。台灣社會研究。第八十五期。
台北市。
王文科 (2000)。質的研究問題與趨勢。載於國立中正大學教育研究所主編，質的研究方法，1-21。
高雄：麗文。
行政院衛福部 (2013)。長期照護保險規劃。社會保險司網頁。下載自
http://www.mohw.gov.tw/cht/DOSI/DM1.aspx?f_list_no=213&fod_list_no=8 73.
行政院衛福部 (2013)。中華民國102年老人狀況調查報告。衛生福利部編。台北市。下載自
http://dep.mohw.gov.tw/DOS/lp-1767-113.html.
行政院衛生署 (2012)。長照人力現況與規劃專題報告。社會保險司網頁。下載自
http://www.mohw.gov.tw/.
行政院國家發展委員會 (2014)。中華民國人口推估。下載自
http://www.ndc.gov.tw/Content_List.aspx?n=84223C65B6F94D72.
伊佳奇 (2014)。趁你還記得：醫生無法教的失智症非藥物療法及有效照護方案，侍親12年心得筆
記，兼顧生活品質與孝道！台北：時報出版。
阮新邦編 (1993)。批判詮釋論與社會研究。台北：八方文化企業公司。38-39。
余蒨如 (2006)。是我的福氣。國語日報家庭版。下載自
http://www.mdnkids.com.tw/family_edition/detail.asp?sn=120.
余漢儀 (1998)。社會研究的倫理。載於嚴祥鸞編，危險與秘密‐研究倫理，1-29。台北市：三民。
呂寶靜 (2005)。支持家庭照顧者的長期照顧政策之構思。國家政策季刊，4(4) ，26-40 。

呂寶靜 (1999)。性別與家庭照顧－一個女性主義的觀點。於王雅各主編，性屬關係(上)：性別與社會建構，101-134。台北：女書文化。
何瓊芳 (2000)。探討失能老人家庭照顧者的照顧正向經驗。長庚大學護理學研究所碩士論文(未出
版)。
李德芬、林美珍 (2012)。中年女性照顧者照顧家中失能老人之正向生命經驗。生命教育研究，4(1)，55-82。
李佩怡 (2003)。助人者與癌症末期病人關係歷程之質性研究。臺灣師範大學教育與心理輔導學系博士論文(未出版)。
林秀姿、蔡佩蓉、劉嘉韻、鄧桂芬 (2017)。致照顧者。聯合報。下載自
https://udn.com/upf/newmedia/2017_data/caregiver/index.html
林宏聰、呂素麗 (2015)。老父中風兒住院 警官自縊身亡。中國時報電子報。下載自
http://www.chinatimes.com/
林宜樟 (2012)。長期照護壓力大 失業男勒死久病母。自由時報。下載自
http://www.ltn.com.tw/
林如萍 (2000)。老年父母與其最親密的成年子女的之代間連結。中華家政學刊，29。32-58。
林松齡 (1993)。老人社會支持來源與老人社會需求：兼論四個社會支持模式。社會安全問題之探
討，王國羽主編。嘉義：國立中正大學社會福利研究所。
林莉菁、鄭麗珍 (2001)。離婚單親父親因應親職與工作角色的探討。社會政策與社會工作學刊，
5(2)。113-174。
林峰輝 (1998)。台灣南部地區長期照護之成本分析。(未出版碩士論文) 國防醫學院公共衛生研究
所。
屈蓮、白璐、鄧光銳、王修平 (1996)。 大台北地區主要照顧者之工作負荷量及對居家照顧服務之需求程度的調查。中華衛誌，15(4)，289-302。
吳怡文譯 (2016)。下流老人：即使月薪5萬，我們仍將又老又窮又孤獨。(原作者：藤田孝典) 。
台北：如果出版社。(原著出版年：2015) 。
吳就君譯 (1994)。新家庭如何塑造人。(原作者：Satir, V.)。台北：張老師。(原著出版年：1988)。
吳若權 (2013)。因為我們都內疚。照顧我們所愛的人，康健雜誌線上影展。下載自
http://topic.commonhealth.com.tw/loved/movie_02.aspx.
吳宇娟 (2004)。少年家庭照顧者之生命故事。國立臺灣政治大學社會學研究所碩士論文(未出版)。
吳翠珍 (1991)。成人階段的思考特質—批判性思考的發展與應用。邁向二十一世紀成人隔空教育學
術研討會會議論文，201-235。臺北：國立空中大學。
吳書昀 (2011)。兒童少年家庭照顧者之照顧經驗初探。社會政策與社會工作學刊，15卷2期，
79 –140。
吳錦勳、謝春滿 (2007)。「高齡台灣」的全新挑戰／在地安養 無憂向晚。今周刊，第507期。
吳彰裕 (2003)。「孝」在儒家思想㆗的作用。第七屆儒佛會通暨文化哲學學術研討會論文集。485-494。台北：華梵大學。
利翠珊 (2000)。親子情感、家庭角色與個人界域-已婚女性代間情感糾結的經驗與內涵。中華心理衛生學刊，13（4），77-107。
沈開喜譯 (2015)。單身社會。(原作者Klinenberg, E.)。上海：文藝出版社。(原著出版年﹕2012)。
杜維明 (1997)。儒家思想：以創造轉化為自我認同。台北：東大。
邱珍琬 (2008)。一位成年男性照護老年父親的心路歷程 —一個個案研究。臺北市立教育大學學報，第39 卷第二期 ，79-108。台北：臺北市立教育大學。
邱啟潤 (2002)。高雄市居家照護個案的主要照顧者綜合性需求。長青研究發展通訊，16， 1-5。
邱啟潤、金繼春 (2006)。一位家庭照顧者在愛的勞務中之自處–面對它、接受它、處理它、放下
它。護理雜誌，53(4)，49-57。
邱啟潤、許淑敏、吳瓊滿 (2002)。主要照顧者負荷、壓力與因應之國內研究文獻回顧。醫護科技學
刊，4(4)，273-290。
邱文彬 (2000)。後形式思考與創造力的關係。淡江人文社會學刊，6，239-262。
邱文彬 (2004)。大學生心理社會跨範疇的發展性關係。國立台北師範學院學報，17(2), 109-130。
台北：國立台北師範學院。
邱文彬 (2007)。典範信念量表的發展與效度考驗：後皮亞傑學派取向。教育學刊，29 期，73-101。
高雄：國立高雄師範大學教育學系。
邱文彬、林美珍 (2000)。後形式思考信念的發展：相對性思考與辯証性思考，教育與心理研究，23
期(下冊)。
星雲大師 (1997)。佛教叢書4-弟子。高雄：佛光文化。
胡幼慧主編 (2008)。質性研究：理論、方法及本土女性研究實例。台北：巨流圖書公司。
胡幼慧、周雅容 (1996)。代際的交換與意涵：台灣老年婦女的家務變遷研究。臺灣社會學刊，(20)，1-48。
胡幼慧、王孝先、郭淑珍 (1995)。家人照顧失能老人的困境：一項量化與質化的整合研究。公共衛
生，22(2)，99-113。
徐俊冕譯 (1997)。成人心理學—發展與老化。(原作者Cavanaugh, J.C.) 台北：五南。 (原著出版年：1993)。
洪蘭 (2015)。專家觀點：活到老學到老 大腦地圖越用越大。聯合報願景工程。下載自http://vision.udn.com/vision/story/.
洪蘭 (2009)。順理成章：希望給生命力量。台北：遠流出版社。
洪湘婷 (1998)。期待與現實之間—成年子女照顧老年父母的角色探討。台灣大學社會學研究所碩士
論文(未出版)。
洪漢鼎 (2008)。當代哲學詮釋學導論。台北：五南圖書出版股份有限公司。
許澤民譯 (2004)。個人知識 : 邁向後批判哲學。(原作者Michael Polanyi)。台北市:商周出版，
家庭傳媒城邦分公司發行。(原著出版年：2012) 。
高民凱 (2011)。生涯發展歷程中真實自我的發現與實踐（未出版博士論文）。台灣師範大學教育心
理與輔導學系：台北市。
郭為藩 (1996)。自我心理學。台北：師苑。
畢恆達 (2008)。詮釋學與質性研究，質性研究理論、方法與本土女性研究實例。台北：巨流。
秦燕 (1997)。住院老年病患主要照顧者的壓力與需求研究。中華醫務社會工作學刊，(5), 1-27。
康哲偉 (2015)。當爸媽過了65歲：你一定要知道的醫療、長照、財務、法律知識。台北：先覺出版社。
陸洛 (2003)。人我關係的界定：折衷自我的現身。本土心理學研究，20，139-207。台北。
萬文隆 (2004)。深度訪談在質性研究中的應用。生活科技教育月刊， 三十七卷， 第四期，17-23。
台北。
黃天如 (2016)。「為顧病母辭職，職場女強人悶宅十年」。中國時報電子報。下載自﹕
http://www.chinatimes.com/newspapers/20160321000321-260114。
黃宗堅，李佳儒，張勻銘 (2010)。本土心理學研究，33，59-106。台北。
黃富順 (1992)。成人心理。台北：國立空中大學。
黃富順（主編）(2002)。成人學習。台北市：五南。
黃秀梨 (2010)。家庭照顧者功能與角色。中華民國護理師護士公會全國聯合會「護理人員長期照護
專業課程訓練營(北區)」講稿。未出版。
黃慧真譯 (1995)。成人發展。(原作者 Papalia, D. E. & Olds, S. W.) 。台北: 桂冠圖書。(原著出版年：1992) 。
曾立芳譯 (2011)。自我轉化及哲學支持。(原作者：Nakaoka, N.)。哲學與文化，38(7), 22-32。
DOI：10.7065/MRPC.201107.0021
葉光輝 (1997)：台灣民眾之孝道觀念的變遷情形。見張笠雲等編：九零年代的台灣社會：社會變遷
基本調查研究系列二 (下)，171-214。台北：中央研究院社會學研究所籌備處。
楊嘉玲、孫惠玲 (2003)。照顧者概念分析。馬偕學報，3, 15-27。
楊寧茵 (2016)。Age UK 幫每個高齡長輩自立，不要等到問題變大才處理。線上康健雜誌。下載自
https://m.commonhealth.com.tw/article/article.action?nid=73178.
溫秀珠 (1996)。家庭中婦女照顧角色形成因素與照顧過程之探討—以失能老人之照顧為例。台灣大
學社會學研究所碩士論文(未出版)。
潘淑滿 (2003)。質性研究：理論與應用。pp.71-77。
趙善如 (2002)。照顧本質的辯證。第九版。高醫通訊，第十五期。高雄市老人研究發展中心。
下載自http://socbu.kcg.gov.tw/kcg_senior/index.php?prog=6&area_type=AR06.
趙善如、黃松林、陳宇嘉、萬育維 (2012)。社會工作方案設計與管理（二版）。高雄市
賴寧寧 (2014)。隱性照護：220萬人離職風暴。商業週刊，第1405期。台北市。
曹惟純、葉光輝 (2015)。外包孝道的可能功能──以孝道雙元模型解讀臺灣家庭高齡照顧型態的當代演化。跨文化學術研討會。中研院民族學研究所60週年所慶「跨‧文化」研討會會議論文。
張春興 (1996)。教育心理學：三化取向。臺北市：東華。
張春興(主編) (1992)。張氏心理學辭典。臺北市：東華。
張春興 (1991)。現代心理學。臺北市：東華。
張苙雲、呂玉瑕、王昌甫（編）(1994)。九零年代的台灣社會：社會變遷基本調查研究系列二
﹙下﹚。臺北：中央研究院社會科學研究所。
張玄竺譯 (2015)。母女不易碎：寫給天下媽媽vs.女兒的不傷心關係學(原作者：Tannen, D.)。台北:
大寫出版社。(原著出版年：2006)
張純元(編) (1991)。中國老年人口研究。北京：北京大學出版社。
馬惠芬 (2003)。男性眼光中父職參與、父職自我效能與親子關係滿意度之自我評估研究‐新竹科學園
區周邊幼兒園所調查資料之分析。輔仁大學生活應用科學系研究所碩士論文(未出版)。新北
市：輔仁大學生活應用科學系。
陳令嫻譯 (2016)。面對父母老去的勇氣。(原作者：岸見一郎) 。台北：天下文化。(原著出版年：2015)。
陳榮華 (2011)。高達美詮釋學：真理與方法導讀。台北：三民。
陳正芬 (2013)。我國長期照顧體系欠缺的一角：照顧者支持服務。社區發展季刊，141期，
203- 213。
陳正芬、吳淑瓊 (2006)。家庭照顧者對長期照護服務使用意願之探討。人口學刊，32期，83-121。
台北：國立台灣大學人口與性別研究中心。
陳向明 (2002)。社會科學質的研究。台北：五南。
陳柏琪、張靜貞、陳肇男 (2015)。台灣老年長期照護需求之推計‐‐‐GEMTEE 模型之應用。人口學
刊，51期，43 - 93
陳奎如 (2000)。男性家庭照顧者之研究。國立政治大學社會學系研究所碩士論文。台北：國立政治
大學社會學研究所。
陳雅馨 (2006)。王文華和父親的「陪伴」之旅。張老師月刊，348期。台北。
梁華玲 (2014)。高齡化社會照護需求，社會企業或可解套。工商時報，下載自﹕http://www.chinatimes.com/newspapers/20141022000078-260202.
傅偉勳 (1993)：死亡的尊嚴與生命的尊嚴。台北：正中書局。
聖嚴法師 (2001)。六波羅蜜講記。台北：法鼓文化。
劉嘉韻、鄧桂芬 (2016)。失智照護「像面對無止期的喪禮」。聯合報電子報報導。下載自：
http://udn.com/news/story/10601/2118834。

劉瓊美 (2006)。三明治世代家庭照顧壓力與因應策略之相關研究(未出版碩士論文)。國立嘉義大學
家庭教育研究所。嘉義縣：國立嘉義大學家庭教育研究所。
劉香蘭 (2015)。揭開臺灣照顧的多重面紗—個人生命經驗與社會政策的對話。國立臺灣大學社會工作學系博士學位論文(未出版)。台北。
樂國安等(譯) (2007)。成人發展與老化。(原作者：K.W. Shaie & S. L. Willis) 台北市：五南。(原著出
版年：2002)。
藍佩嘉 (2009)。照護工作：文化觀點的考察。社會科學論叢，3(2), 3-27。
謝美娥 (2000a)。成年子女照顧者照顧失能父母之影響與因應經驗。臺大社會工作學刊 (3)。
DOI: 10.6171/ntuswr2000.0301。
謝美娥 (2000b)。成年子女照顧者：經驗之初探。政治大學社會學報，30，43-80。
譚光鼎 (2006)。E. Durkheim結構功能論大師與教育社會學的先驅。引自譚光鼎、王麗雲主編，教育
社會學：人物與思想。台北：高等教育。

英文部分

Aday, R. H., & Kano, Z. M. (1997). Attitude toward caring for aging parents: A comparison of Laotian and
U.S. students. Educational Gerontology, 23(2), 151-167.
Amster, L. E. & Krauss, H. H. (1974). The relationship between life crises and mental deterioration in old age. International Journal of Aging and Human Development, 5, 51-55.
Antonucci, T., Okorodudu, C. and Akiyama, H. (2002). Well-Being among Older Adults on Different Continents, Journal of Social Issues, 58(4), 617-626.
Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. San
Francisco: Jossey-Bass.
Arbuckle, T. Y., Gold, D., Andres, D., Schwartzman, A., and Chaikelson, J. (1992). The role of
Psychosocial context, age and intelligence in memory performance of older men. Psychol Aging,
7(1), 25-36.
Archbold, P.G., Stewart, B.J., Greenlick, M.R., & Harvath, T. (1990). Mutuality and preparedness as predictors of caregiver role strain. Research in Nursing & Health, 13, 375-384.
Arlin, P. K. (1984). Adolescent and adult thought. In M. L. Commons, F. A. Richards, & C. Armon (Eds.), Beyond formal operations: Late adolescent and adult cognitive development, 258-271. New York: Praeger.
Ashmore, R. D., Deaux, K., & McLaughlin-Volpe (2004). An organizing framework for collective identity: articulation and significance of multidimensionality. Psychol Bull. 2004 Jan;130(1):80-114.
Baker, H. (1979). Chinese family and kinship. New York: Columbia University Press.
Baltes, P. B., Mayer, K. U., Helchen, H., & Steinhagen-Thiessen, E. (1993). The Berlin Aging Study (Base): Overview and design. Ageing and Society, 13, 483-515.
Basseches, M. (1984). Dialectical thinking and adult development. Norwood, NJ: Ablex.
Bengtson, V. L., Culter, E. N., Mangen, J., D., & Marshall, W. V. (1985). Generations, cohorts, and relations between age groups. In R. H. Binstock & E. Shanas (Eds.), Handbook of Aging and the Social Science (2nd Edition), pp.304-338. NY: Van Nostrand Reinhold.
Bertrand, R. M. , Saczynski, J. S., Mexxacappa, C., Hulse, M., Ensrud, K., and Fredman, L., (2012).
Caregiving and Cognitive Function in Older Women: Evidence for the Healthy Caregiver Hypothesis
J Aging Health. 2012 Feb; 24(1), 48–66. Published online 2011 Sep 20.
DOI: 10.1177/0898264311421367
Blieszner, R., and Hamm., R. (1992). Filial responsibility: Attitudes, motivations and behaviors. In J. W.
Dwyer and R. T. Coward (Eds.), Gender, families, and elder care, 105-119. Newbury Park, CA:
Sage.
Bogdan, R.C., & Biklen, S.K. (1982). Qualitative Research for Education: An introduction to theory and methods (Third Edition). Boston: Allyn and Bacon.
Bond, J., Peace, S.M., Dittmann-Kohli, F., and Westerhof, G. (2007). Ageing in Society. (3rd ed.) London: Sage.
Brook, A. T., Garcia, J., & Fleming, M. (2008). The effects of multiple identities on psychological well-being. Personality and Social Psychology Bulletin, 34, 1588–1600.
Bronowski, J. (1974). The ascent of man. Boston: Little, Brown.
Buehler, C. (1967). Human Life as a central subject of humanistic psychology. In J. Bugental (ed.) Challenges in humanistic psychology, pp. 83-91. New York: McGraw-Hill.
Bybee, J. A., Luthar, S., Zigler, E., & Merisca, R. (1997). The fantasy, ideal, and ought selves: Content,
relationships to mental health, and functions. Social Cognition, 15, 37-53.
Cantor, M. H. (1979). Neighbors and friends: An overlooked resource in the informal support system.
Research on Aging, 1, 434-463.
Cavanaugh, J.C.(1993). Adult Development and Aging. 2nd. California: Brooks/Cole Publishing Company.
Ceci, S. J. (1993). Contextual trends in intellectual development. Development Review, 13, 403-445.
Chin, V. H. (2003). The Process of Self-Transformation. 1-16. New Zealand: Theosophical Publishing House.
Cohen, C.A., Colantonio, A. and Vernich, L. (2002). Positive Aspects of Caregiving: Rounding Out the Care-Giver Experience. International Journal of Geriatric Psychiatry, 17, 184-188. http://dx.doi.org/10.1002/gps.561
Cohen, C.A., Gold, D.P., Shulman, K.I., Wortley, J.T., McDonald, G. and Wargon, M.(1993). Factors determining the decision to institutionalize dementing, individuals: A prospective study. The Gerontologist , 33: 714-720.
Coverman, S. (1989). Role overload, role conflict, and stress: Addressing consequences of multiple role demands. Social Forces, 67, 965–982.
Crimmins, E. M., Hayward, M. D., Hagedorn, A., Saito Y., and Brouard N.(2009). Change in disability-free life expectancy for Americans 70 years old and older. Demography. 46(3), 627-646.
Daly, M. & Lewis, J. (2000). The concept of social care and analysis of contemporary welfare states. British Journal of Sociology, 21(2), 281-298.
Davis, N. J. (2008). Blessed is She-Elder Care: Women’s Stories of Choice, Challenge and Commitment. Bellingham, WA: House of Harmony Press.
Deeg, D. J. H., Knipscheer, C. P. M., & van Tilburg. (Eds.) (1993). Autonomy and well being in the aging population: Concepts and design of the Longitudinal Aging Study Amsterdam. Bunnik, Netherlands: Netherlands Institute of Gerontology.

Dixon, T. M., & Baumeister, R. F. (1991). Escaping the self: The moderating effect of self-
complexity. Personality and Social Psychology Bulletin, 17, 363–368.
Dittman-Kohli, F., & Baltes, P. B. (1986). Towards a neo-functionalist conception of adult intellectual development: Wisdom as a prototypical case of intellectual growth. In C. Alexander & E. Langer (Eds.), Beyond formal operations: Alternative endpoints to human development. New York: Oxford University Press.
Dobson, J. E. & Dobson, R. L. (1985). The sandwich generation: Dealing with aging parents. Journal of Counseling and Development, 63, 572-574.
Downie, M., Koestner, R., ElGeledi, S., & Cree, K. (2004). The impact of cultural internalization and integration on well-being among tricultural individuals. Personality and Social Psychology Bulletin, 30, 305–314.
Durkheim, E. (1984). The Division of labor in society. London: Macmillan. Pp.329-330.
Dutton, J. E., Roberts, L. M., & Bednar, J. S. (2010). Prosocial practices, positive identity, and flourishing at work. In S. I. Donaldson, M. Csikszentmihalyi, & J. Nakamura (Eds.), Applied positive psychology: Improving everyday life, schools, work, health, and society. New York: Routledge.
Erikson, E. H. (1963). Childhood and Society. New York: Norton.
Erikson, E.H. (1982). The Life Cycle Completed: A Review. New York: W.W. Norton & Company.
Family Caregiver Alliance (2009). National Policy Statement. downloaded from https://caregiver.org/caregiving.
Frank, J. B. (2008). Evidence for grief as the major barrier faced by Alzheimer caregivers: A qualitative analysis. American Journal of Alzheimer’s Disease and other Dementias, 22(6), 516-627.
Freud, S. (1933). New introductory lectures on psychoanalysis. London: Hogarth Press and Institute of Psycho-Analysis.
Forbes, D. A. (2001). Enhancing mastery and sense of coherence: Important determinants of health in older adults. Geriatric Nursing, 22(1), 29–32.
Ganong, L. H., & Coleman, M. (1998). Attitudes regarding filial responsibilities to help elderly divorced parents and stepparents. Journal of Aging Studies, 12(3), 271-290.
Gecas, V. (1982). The self-concept. Annual Review of Sociology, 8, 1–33.
Ganong, L., & Coleman, M. (1998). Attitudes regarding filial responsibilities to help elderly divorced parents and stepparents. Journal of Aging Studies, 12, 271-290.
Gilhooly, M. L. M. (1986). Ethical and legal issues in therapy with the elderly. In Hanley I. and Gilhooly, M. (Eds.) Psychological Therapies with the elderly. London: Croom Helm.
Graham, H. (1983). Caring: A Labor of Love. In J. Finch and D. Groves (Eds), A Labour of Love:
Women, Work and Caring. London: Routledge and Keegan Paul.
Graham, H. (1991). The Concept of Caring in Feminist Research: The Case of domestic service. Sociology, 25, I: 61-78.
Grande, G. and Keady, J. (2011). Needs, access and support for older carers. In: Merryn Gott and
Christine Ingleton ,(Eds). Living with Ageing and Dying: Palliative and End of Life Care for Older People, 1st ed, 158-169. Oxford: Oxford University Press.
Greenwell, L., & Bengtson, V. L. (1997). Geographic distance and contact between middle-aged children
and their parents: The effects of social class over 20 years. Journal of Gerontology: Social Sciences,
52B, S13 - S26.
Hagestad, G. O. (1996). On-time, off-time, out of time? Reflections on continuity and discontinuity from
an illness process. Adulthood and aging: Research on continuities and discontinuities. 204-222.
Hansen, L. J. (2016). Male Family Caregivers: Growing in Number and in Needs. AgingCare.com. Downloaded on July 7 from https://www.agingcare.com/Articles/Men-as-Primary-Caregivers-for-Elderly-Parents-131310.htm.
Harris, PB. (1998). Listening to caregiving sons: misunderstood realities. Gerontologist, 38(3), 342-352.
Health Policy Institute. (2005). 2005 Health Report. Downloaded from http://www.hpi.sk/cdata/Documents/annualreport2005_en.pdf.
The Hong Kong Council of Social Service (1994). Role of the Family in Community Care. Hong Kong: The Hong Kong Council of Social Service.
Holroyd, E. (2001). Hong Kong Chinese daughters’ intergenerational caregiving obligations: A cultural model approach. Social Science and Medicine, Vol.53.
Hsu, F. L. K. (許烺光)(1985). The self in cross-cultural perspective. In A. J. Marsella, G. DeVos, & F. L.
K. Hsu (許烺光) (Eds.), Culture and self: Asian and Western perspectives. London, UK: Tavistock.
Hultsch, D. F., Hertzog, C., Dixon, R. A. & Swall, B. J. (1998). Memory Change in the Aged. New York, NY: Cambridge University Press.
Inhelder B. and Piaget J. (1958). The Growth of Logical Thinking: from Childhood to Adolescence.
France: Basic Books.
Jarvis, P. (2010). Adult Education and Learning-Theory and Practice, 4th edition. New York, NY: Routledge.
Karelaia, N., & Guillén, L. (2014). Me, a woman and a leader: Positive social identity and identity conflict. Organizational Behavior and Human Decision Processes, 125(2), 204–219.
DOI: 10.1016/j.obhdp.2014.08.002.
Kegan, R. (1982). The evolving self: Problem and processes in human development. Cambridge, MA: Harvard University Press.

Knowles, M. S. (1975). Self-Directed Learning: A guide for Leaders and Teachers. New York, NY: Cambridge. Association Press.
Koplowitz, H. (1984). A projection beyond Piaget’s formal operation stage: A generalsystem stage and a unitary stage. In M. L. Commons, F. A. Richards, & C. Armon (Eds.), Beyond Formal Operations: Late Adolescent and Adult Cognitive Development. New York: Praeger.
Kramer, D. A. (1989). A developmental framework for understanding conflict resolution process. In J. D. Sinnott (Ed.), Everyday Problem Solving in Adulthood, 133-152. New York: Praeger.
Kramer, D. A., & Woodruff, D. S. (1986). Relativistic and dialectical thought in three adult age-groups.
Human Development, 29, 280-290.
Kwok, H. K. (2006). The Son Also Acts as Major Caregiver to Elderly Parents: A Study of the Sandwich Generation in Hong Kong. Current Sociology. Vol.54(2): pp.252-272. London: Sage.
Labouvie-Vief, G. (1984). Logic and self-regulation from youth to maturity: A model. In M. L. Commons, F. A. Richards, & C. Armon (Eds.), Beyond Formal Operations: Late Adolescent and Adult Cognitive Development, 18-179. New York: Praeger.
Land, H. (1991). The confused boundaries of community care. In G. Gabe, M. Calman, & M. Bury (Eds.), The Sociology of the Health Service (pp,203-221). London: Routledge.
Leira, A. (1994). Concept of caring: Loving, thinking and doing. Social Service Review, 68(8):185-201.
Le Navence, C.L. & Vonhof T. (1996). One day at a time: how families manage the experience of dementia, 5-7. Westport, Connecticut: Auburn House.
Levinson, D. J., Darrow, C., Kline, E., Levinson, M., & Mckee, B. (1978). The Seasons of a Man’s Life. New York, NY: Knopf.
Liu, W.T.(1998). Elder Care Policies in China: the Social Value Foundation is in the Family. Singapore: Singapore University Press.
Liu, J. H., Ng, S. H., Weatherall, A., & Loong, C. (2000). Filial piety, acculturation, and intergenerational communication among New Zealand Chinese. Basic & Applied Social Psychology, 22(3), 213-223.
Liu, W.T. & Kendig, H. (2000). Critical Issues of Caregiving: East West Dialogue. In Liu, W. T. et. al. (Eds.), Who Should Care For the Elderly: An East West Value Divide, Singapore: Singapore University Press.
Madrid International Plan of Action on Aging (2002). Aging and Life Course. World Health Organization: Programs. Retrieved from http://www.who.int/ageing/events/mipaa/en/#.
Markus, H. R. and Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98(2), 224-253.
Markus, H., & Wurf, E. (1987). The dynamic self-concept: A social psychological perspective. Annual Review of Psychology, Vol.38, 299-337. DOI: 10.1146/annurev.ps.38.020187.001503

Maslow, A. H. (1973). Theory Z. In The Farther Reaches of Human Nature. Maurice Bassett, 280-296.
McAuley, W. J., & Arling G. (1984). Use of in-home care by very old people. Journal of Health and Social Behavior. Vol.25.
McCullough L.B., Wilson N.L., Teasdale T.A., Kolpakchi A.L., and Skelly J.R.(1993). Mapping personal, familial and professional values in long-term care decisions, The Gerontologist, 33: 324-332.
Mcleod, B. W. (1994). Caregiving : the Spiritual Journey of Love, Loss, and Renewal. New York : J. Wiley & Sons.
Metha, K. (2000). Caring for the elderly in Singapore. In W. T. Liu et al. (Eds.) Who Should Care for Elderly: An East-West Value Divide. Singapore: Singapore University Press.
Mezirow, J. (2000). Learning to think like an adult: Core concepts of transformation theory. In J. Mezirow & Associates, Learning as transformation: Critical perspectives on a theory in progress, 3-33. San Francisco, SF: Jossey-Bass.
Merriam, S. B. (2009). Qualitative research: a guide to design and implementation (3rd Edition). San Francisco, CA : Jossey-Bass. On-line edition by Wiley on March, 2014. Available at
http://0-site.ebrary.com.opac.lib.ntnu.edu.tw/lib/ntnulib/detail.action?docID=10856838.
Merriam, S. B. A. (2002). Qualitative research in practice: Examples for discussion and analysis, 1st
San Francisco, CA: Jossey-Bass.
Merriam, S. & Mallins, L. (1981). Havighurst’s adult development tasks: A study of their importance relative to income, age, and sex. Adult Education, 31(3)., 123-141.
Merriam Webster (n.d.). Retrieved from http://www.merriam-webster.com/dictionary/care.
Meyer, B. J. F., & Rice, G. E. (1989). Prose processing in adulthood: the text, the reader, and the task.
In L. W. Poon, D. C. Rubin, & B. A. Wilson (Eds.) Everyday cognition in adulthood and later life, 157-194. New York: Cambridge University Press.
Mockler, D., Riordan, J., & Murphy, M. (1998). Psychosocial factors associated with the use/non-use of mental health services by primary carers of individuals with dementia. International Journal of Geriatric Psychiatry, 13, 310–314.
Morris, R. G., Morris, L. W., and Britton, P. G. (1988). Factors affecting the emotional wellbeing of the caregiving on dementia sufferers. British Journal of Psychiatry, 153: 147-156.
Mortimer, J. T., Finch, M. D., & Kumka, D. (1982). Persistence and change in development: The multidimensional self-concept. In P. B. Baltes & O. G. Brim, Jr. (Eds.), Life Span Development and Behavior, Vol. 4, 263-313. New York, NY: Academic Press.
Moscovitch, M., & Winocur, G. (1992). The neuropsychology of memory and aging. In F. I. M. Craik & T. A. Salthouse (Eds.), The Handbook of Aging and Cognition, 315-372. Hillsdale, NJ: Erlbaum.

Myers, J. E. (1989). Adult children and aging parents. American Association for Counseling and Development.
National Academy on Aging. (1997). Record, Volume 23, No. 3. Downloaded from https://www.google.com.tw/search?q=NATIONAL+ACADEMY+ON+AGING+1997
National Advisory Council on Adult Education (1980). Terms, Definitions, Organizations and Councils Associated with Adult Learning. Washington D. C.: National Advisory Council on Adult Education.
National Research Council (US) (2011). Preparing for the Challenges of Population Aging in Asia, National Research Council, Washington, DC.
Newman, J. P. (1997). Conceptual models of the nervous system: Implications for anti- social behavior. In D. M. Stoff, J. Breiling, & J. D. Maser (Eds.), Handbook of Anti- social Behavior, 324–335. New York, NY: Wiley.
NICE (2004). Guidance on Cancer Services: Improving Supportive and Palliative Care for Adults with Cancer: The Manual. National Institute for Health and Care Excellence, London.
Niedenthal, P. M., Setterlund, M. B., & Wherry, M. B. (1992). Possible self-complexity and
affective reactions to goal-relevant evaluation. Journal of Personality and Social Psychology, 63, 5–16.
Noonan, A. L., Tenstedt, S. L., & Rebelsky, F. G. (1996). Making the best of it: Themes of meaning among
informal caregivers to the elderly. Journal of Aging Study. 10(4). Pp. 313-327.
Oxford Dictionaries (n.d.). Retrieved from http://www.oxforddictionaries.com/definition/learner/care.
Ott, C. H. Sanders, S., & Kelber, S. T. (2007). Grief and personal growth experience of spouses and adult-child caregivers of individuals with Alzheimer’s disease and related dementias. Gerontologist, 47(6), 798-809.
Palmer, R. E. (1969). Hermeneutics. Northwestern University Press.
Pals, J. L. (2006). Narrative identity processing of difficult life experiences: Pathways of personality development and positive self-transformation in adulthood. Journal of Personality 74:4, August.
Blackwell Publishing, Inc.
Parker, G. (1988). Caring for non-elderly disabled spouses, International Journal of Rehabilitation Research, 11,3:300-301.
Patton, M. Q. (1987). How to use qualitative methods in evaluation. Newbury Park, CA: Sage.
Payne, S. (2011). An elusive goal? Gender equity and gender equality in health policy. Congress of the German Society for Social Medicine and Prevention and the German Society for Medical Sociology, Bremen.
Pearlin, L.I., Mullan, J.T., Semple, S.J., and Staff, M.M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 39: 583-594.

Perry, W. G., Jr. (1970). Forms of Intellectual and Ethical Development in the College Years: A Scheme. New York: Holt, Rinehart, and Winston.
Peshkin, A. (1985). Virtuous subjectivity: In the participant-observer's l's. In D.Berg & K. Smith (eds.), Exploring Clinical Methods for Social Research ,pp. 267-282. Beverly Hills, CA: Sage.
Piaget, J. (1929). The Child’s Conception of the World. London: Routledge & K. Paul.
Piaget, J. (1970). Piaget’s theory. In P. H. Mussen (Ed.) Carmichael’s Manual of Child Psychology, 3rd ed. Vol.1, 703-732. New York: Wiley.
Piaget, J. (1971). Biology and knowledge: An essay on the relations between the organic regulations and cognitive process. Chicago: University of Chicago Press.
Pillemer, K. and Suitor, J. J. (1998). Baby boom families: Relations with aging parents. Generations, 22, 65-69.
Pinquart M., & Sörensen S. (2011). Spouses, adult children, and children-in-law as caregivers of older : a meta-analytic comparison. Psychol Aging. 26(1):1-14. DOI: 10.1037/a0021863.
Pradhan D. & Aruna C. (2014). Role of Family in the Context of Care-giving to Rural Elderly: An Experience from Odisha. Indian Journal of Gerontology. Vol. 28, No.1, pp.126-138.
Ridley, C., and Avery, A. (1979). Social network influence on the dyadic relationship. In R. Burgess, & T. Huston, (Eds.). Social exchange in developing relationships, 223-246. New York: Academic Press.
Roberts, L. M., & Dutton, J. E. (2009). Exploring positive identities and organizations: Building a theoretical and research foundation. New York: Routledge.
Rossi, A. S. & Rossi, H. P. (1990). Of Human Bonding. NY: Aldine de Gruyter.
Rummery K. & Fine, M. (2012). Care: A Critical Review of Theory, Policy and Practice. Social Policy & Administration. Vol.46, No. 3, June 2012, pp. 321-343.
Rybash J. M., Roodin, P. A., & Hoyer, W. J. (1986). Adult morality: A Neo-Piagetian perspective on cognition and affect. Genetic Epistemologist, 14, 24-29.
Sälljö, R. (1979). Learning in the Learner's Perspective: 1: some commonplace misconceptions. Reports from the Institute of Education, University of Gothenburg, 76.
Salthouse, T. A. (1985). Speed of behavior and its implication for cognition. In E. Birren & K. W. Schaie (Eds.), Handbook of the Psychology of Aging(2nd edition), 400-426. New York, NY: Uan Nostrand Reinhold.
Santrock, J. W. (2013). Life-span Development. New York, NY: McGraw-Hill.
Schaie, K. W. (2004). Development influences on adult intelligence: The Seattle Longitudinal Study. New York: Oxford University Press.
Schaie, K. W. & Willis, S. L. (2002). Adult Development and Aging. Upper Saddle River, NJ: Prentice Hall.

Schaie, K. W. (1990). The optimization of cognition functioning in old age: predictions based on cohort-sequential and longitudinal data. In Baltes, P. B. Baltes, M. M. (Eds.) Successful Aging: Perspectives from the Behavioral Sciences, 94-117. Cambridge: Cambridge University Press.
Schleiermacher, F. D. E. (1985). General Hermeneutics. Grammatical and Technical Interpretation. In K. Mueller-Vollmer (Ed.). The Hermeneutics Reader: Texts of the German Tradition from the Enlightenment to the Present, pp.72-97. New York: Basil Blackwell.
Schooler, C. (1987). Psychological effects of complex environments during the life span: A review and theory. Intelligence, 8, 259-281.
Seltzer, M. M., & Li, L. W. (1996). The transitions of caregiving: Subjective and objective definitions. The Gerontologist, 36, pp. 614-626.
Settles, I. H. (2004). When multiple identities interfere: The role of identity centrality. Personality and Social Psychology Bulletin, 30, 487–500.
Shanas, E. (1979). Social myth as hypothesis: the case of the family relations of old people. The Gerontologist, Vol.19.
Sheehan, N. W., and Donorfio, L. M. (1999). Efforts to create meaning in the relationship between aging mothers and their caregiving daughters: A qualitative study of caregiving. Journal of Aging Studies, 13(2), 161-176.
Sinnott, J. D. (1984). Postformal reasoning: The relativistic stage. In M. L. Commons, F. A. Richards, & C. Armon (Eds.), Beyond formal operations: Late adolescent and adult cognitive development, pp. 298-325. New York: Praeger.
Sinnott, J. D. (1994). The Future of Adult Lifespan Learning: Learning Institutions Face Change. In J.D. Sinnott (ed.), Interdisciplinary Handbook of Adult Lifespan Learning, 449-446. Westport, CT: Greenwood Press.
Sinnott, J. D. (1998). The development of logic in adulthood: postformal thought and its application. In J. Demick (Ed.), Plenum series on adult development. New York: Plenum.
Sinnott, J. D. (2006). Cognitive development as the dance of adaptive transformation, Neo-Piagetian perspective on adult cognitive development. In Smith, M. C. & DeFrates-Densch, N. (Eds.) Handbook of Research on Adult Learning and Development. New York, NY: Routledge.
Sinnott, J. D. (2014). Adult Development: Cognitive Aspects of Thriving Close Relationships. New York: Oxford. DOI: 10.1093/acprof: oso/9780199892815.001.0001
Stajduhar, K., Funk, L., Toyce, C., Grande, G., Aouns, S., & Todd, C.(2010). Part 1: Home-based family caregiving at the end of life: a comprehensive review of publishing quantitative research (1998-2008).
Palliat Med, 24(6):573-93. DOI: 10.1177/0269216310371412. Epub 2010 Jun 18.

Stein, C. H. (2009). ‘‘I owe it to them’’: Understanding felt obligation towards parents in adulthood. In K.
Shifren (Ed.), How caregiving affects development: Psychological implications for child, adolescent
and adult caregivers. Washington DC: American Psychological Association.
Sternberg, R. J. (2004). Human and artificial intelligence. In R.J. Sternberg ,4th (ed.), Cognitive
Psychology, 484-530. Belmont, CA: Thomson-Wadsworth.
Stone, R., G.L. Cafferata, and J. Sangl. (1987). Caregivers of the Frail Elderly: A National Profile. The Gerontologist, 27, 616-626.
Tang, M. (2011). Can Cultural Values Help Explain the Positive Aspects of Caregiving Among Chinese American Caregivers? Journal of Gerontological Social Work, 2011 Aug-Sep; 54:6, 551-69.
DOI: 10.1080/01634372.2011.567323.
Tarantine, R. (2014). The Sandwich Generation: Who is caring for you? Huff Post: Post 50. Download from http://www.huffingtonpost.com/ruth-tarantine-dnp-rn/baby-boomers-caregiversb5733782.html.
Thomae, H. (1980). Personality and adjustment to aging. In J. E. Birren & R. B. Slogane (Eds.), Handbook of Mental Health and Aging, 285-301. Englewood Cliffs, NJ: Prentice-Hall.
Twigg, J. and Atkin, K. (1994). Carers Perceived: Policy and Practice in Informal Care, 11-15. PA: Open University Press.
Umberson, D. (1992). Relationships between adult children and their parents: Psychological consequences
for both generations. Journal of Marriage and the Family, 54, 664-674.
Walker, A. J., Acock, A. C., Bowman, S. R., & Li, F. (1996). Amount of care given and caregiving
satisfaction: A latent growth curve analysis. The Journals of Gerontology, Series B, Psychological Sciences and Social Sciences, 51(3), 130-142.
Wang, Y. T. (2009). Health-related quality of life factors among frail elders in the US. : A Revised Health Capital Perspective. p.9. VDM Verlag Dr. Müller: Saarbrücken, Germany.
Wærness, K.E. (2006). Socialt arbete - engrundbok, Ann Meeuweisse m.fl.(red)Andra utgåven, Natur och Kultur. Socialvetenskaplig tidskrift. 4: 365-366.
Watt, L., Dix, D., Gulati, S., Sung, L., Haassen, R. J., Shaw, N. T., Klassen, A. F. (2013). Family-centered care: a qualitative study of Chinese and South Asian immigrant parents’ experiences of care in paediatric oncology. Child: Care, Health, and Development, 39(2), 185-193.
DOI: 10.1111/j.1365-2214.2011.01342. x. Epub 2011 Nov 9.
Watt, M. H., Perera, B., Truls Østbye, Ranabahu, B., Rajapakse, H., and Maselko, J. (2014). Care-giving expectations and challenges in Sri Lanka. Ageing & Society, 34, 838~858. Cambridge University Press.

Whitbourne, S. K. (1989). Psychological treatment of the aging individual. Journal of Integrative and Eclectic Psychotherapy, 8, 161-173.
Wicclair, M. R. (1990). Caring for frail elderly parents: Past parental sacrifices and the obligations of adult children. Social Theory & Practice, 16(2), 163-189.
Willson, A. E., Shuey, K. M., and Elder, G. H. Jr. (2003). Ambivalence in the relationship of adult children to aging parents and in-laws. Journal of Marriage and Family, 65(4), 1055-1072.
DOI: 10.1111/j.1741-3737.2003.01055.x.
Wolfson, C., Handfield-Jones, R., Glass, K.C., McClaran, J. and Keyserlingk, E. (1993). Adult Children’s Perception of their Responsibility to Provide Care for Dependent Elderly Parents. The Gerontologist, 33, 308-314.
World Economic Forum (2012). “World population ageing: peril or promise”, paper presented at World Economic Forum, available at: www3.weforum.org/docs/WEF_GAC_ IGlobalPopulationAgeing_Report_2012.pdf.