近十年來國人憂鬱、自殺的問題日益嚴重。醫療體制內的精神醫學在人力、設備與資源的投注下，仍未有效抑制自殺率以及情緒問題的發生率，反應出心靈困境並非單純以精神醫療的模式得以解決。本研究試圖從現代醫療的模式作為分析的起點，提出其在發展過程中可能的盲點，目的是為了闡述另一種跨領域的可能性，亦即回歸人們所依存的『地方』與『生活世界』，嘗試提出當人們處於「心理困境」時所對應的「地理空間圖示」，並以個案實存的空間圖示來理解情緒困境的生活脈絡肇因與其療遇的新可能性。本研究以診斷確定之憂鬱症個案為深度訪談對象，採取半結構式的『生活路徑圖』作為理解個案生命脈絡的策略，瞭解憂鬱症個案的情緒意涵與地方生活空間之關係。在統整訪談結果與加以分析之後，本研究認為『心理』的狀態意味著一種『地理』的存在，而且以「生活路徑圖」的介入模式可以有效改善個案的憂鬱情緒與人生困境。並且，此新介入模式可以刺激傳統醫病關係的再思考。 The melancholy syndrome in Taiwan has been increased seriously in the last decade. The means and concepts of medical treatment have failed to reduce the suicide-rate and depression effectively. It means the mental predicament can not be solely solved by psychiatry. This research is trying to address diversification concepts of depression and emphasize the importance of “place” and “life-world”. This research uses the “Life-route Map” to understand the life context of each patient who has diagnosed depression by psychiatry. The result of this research finds out a certain relationship clearly exists between mental predicament and life-routes of such patients. According to the understanding of “mental/geography” concept, we can figure out the cause of depression under their life contexts. Besides, it is possible to expand a new method of “healing encountering” to depressive individuals. After analyzing the data, this research proposes a possible new paradigm for mental treatment, namely the state of mind reflects a geographic existence of people; moreover, the new “Life-route Map” treatment strategy is useful for healing the depressive individuals. And finally, the “mental/geography” concept can also adjust the traditional rigid character of the doctor-patient relationship.
