黃世琤教授 Professor Shih-Tseng Tina Huang

The purpose of this study was to understand the dynamics of gender power in the marital life of depressive outpatients. Based on Social Construction Theory, this study adopted a qualitative in-depth interview research method with eight couples. The results were as follows:

Prior to marriage, the outpatients held the leading role in the relationship.
After marriage, female outpatients had difficulties in maintaining their role in the relationship, while male outpatients maintained or even elevated their status.
Female outpatients attempted to shift their husband's attention on them and family issues in order to acquire support and freedom to their career endeavors. Their spouse developed different ways to respond to their needs, such as pacifying, arguing, competing, and supporting. Male outpatients were very much devoted to their careers and usually obtained their spouse's support and assistance.
Before the onset of depression, most female outpatients were going through marital power conflicts, and felt unable to effect changes on their husband’s behaviour; the male outpatients faced pressure and frustration from work, while at the same time suffering from power conflicts within the family.
After the onset, all male and most female outpatients obtained their spouse's support and cooperation, and gradually the symptoms of depression subsided.

Keywords
depressive outpatient、marital power、social construction theory.

Reference
王慧玲、連雅慧譯(2002)。家族治療概論。台北:洪葉。Nichols, M. P., & Schwartz, R. C. (1998). Family therapy: Concepts and methods.
朱蘭慧(2002)。男性性別角色刻板印象形成與鬆動之研究。國立台灣師範大學家政教育研究所碩士論文，未出版，台北。
吳芝儀(2000)。建構論及其在教育研究上的應用。載於中正大學教育學研究所 (主編)，質的研究方法(183-220 頁)。高雄:麗文。
巫珍宜、郭麗安(2007)。憂鬱症患者的婚姻權力關係:以傳統家務分工為例。本土心理學研究，28，199-256。
林本炫、何明修(2004)。質性研究方法及其超越。嘉義:南華教社所。
林松齡(2000)。臺灣社會的婚姻與家庭-社會學的實證研究。台北:五南。
林雅容(2005)。經濟變動中女性養家者的夫妻權力:以東石漁村為例。臺大社工學刊，11，1-44。
胡幼慧(1990)。性別、社會角色與憂鬱症狀。婦女與兩性學刊，2，1-18。
洪雅真(2000)。夫妻性別角色、權力與衝突之研究。國立嘉義大學家庭教育研究所碩士論文，未出版，嘉義。
唐先梅(1999)。從家務工作的本質談雙薪家庭夫妻家事分工。應用心理研究，4，131-173。
陳怡青(1995)。酒癮患者的婚姻關係及其酗酒行為之研究。私立東吳大學社會工作學系碩士論文，未出版，台北。
許潔雯(2003)。夫妻權力分析:以夫妻衝突處理模式與家庭決策模式為例。國立台北大學社會學系碩士論文，未出版，台北。
張娟芬(1999)。「人盯人」式的父權。載於顧燕翎、鄭至慧(主編)，女性主義經典(48-55 頁)。台北:女書。
張菊芬(1996)。夫妻社會經濟資源與家庭決策。私立東海大學社會學系碩士論文，未出版，台中。
張志堯(2003)。雙薪家庭中階級與夫妻權力關係之探討。應用心理研究，17，187-221。
黃光國(2001):社會科學的理路。台北:心理出版社。
黃淑清(1998)。以方法論的觀點來看深度訪談研究法。輔導季刊，34(1)，39-45。
黃淑清、連盈如、蘇鈺婷、王淳弘、張獻文、彭瑞祥譯(2004)。不適配的夫妻:婚姻治療的新方向。台北:心理。Papp, P. (2000). Couples on the fault line.
彭瑞芬(2004)。性別、性別角色、經理人特質:台灣的分析及與美國的比較。私立義守大學管理研究所碩士論文，未出版，高雄。
董秀珠(2002)。當丈夫不再為經濟的靠山時:論夫妻間的權力與運作過程。國立臺灣大學社會學研究所碩士論文，未出版，台北。
蔡文輝(1998)。婚姻與家庭—家庭社會學。台北:五南。
鄧惠文(2004)。憂鬱症論述的性別政治:台灣近年平面媒體憂鬱症報導之內容分析。臺北醫學大學醫學研究所碩士論文，未出版，台北。
劉惠琴(1999)。女性主義觀點看夫妻衝突與影響歷程。婦女與兩性學刊，10，41-77。
羅昭瑛、李錦虹、詹佳真(2003)。女性憂鬱症患者性別角色之內在經驗。中華心理衛生學刊，16(1)，51-69。
Bagarozzi, D. A. (1990). Marital power discrepancies and symptom development in spouses: An empirical investigation. The American Journal of Family Therapy, 18(1), 51-64.
Biglan, A., Hops, H., Sherman, L., Friedman, L. S., Arthur, J., & Osteen, V. (1985). Problem-solving interactions of depressed women and their husbands. Behavior Therapy, 16, 431-451.
Byrne, M., & Carr, A. (2000). Depression and power in marriage. The Association for Family Therapy, 22, 408-427.
Byrne, M., Carr, A., & Clark, M. (2004). Power in relationships of women with depression. Journal of Family Therapy, 26, 407-429.
Culp, L. N., & Beach, S. R. H. (1998). Marriage and depressive symptoms. Psychology of Women Quarterly, 22, 647-663.
Dehle, C., & Weiss, R. L. (1998). Sex differences in prospective associations between marital quality and depressed mood. Journal of Marriage & Family, 60(4), 1002-1012.
Fincham, F. D., Beach, S. R. H., Harold, G. T., & Osborne, L. N. (1997). Martial satisfaction and depression: Different causal relationships for men and women? Psychological Society, 8(5), 351-357.
Haley, J. (1963). Strategies of psychotherapy. New York: Grune & Stratton.
Halloran, E. C. (1998). The role of marital power in depression and marital distress. American Journal of Family Therapy, 26(1), 3-15.
Jack, D. C. (1991). Silencing the self: Women and depression. Cambridge, MA: Harvard University Press.
Jacob, T., & Leonard, K. (1992). Sequential analysis of marital interactions involving alcoholic, depressed, and nondistressed men. Journal of Abnormal Psychology, 101(4), 647-656.
Knudson-Martin, C. (1995). Constructing gender in marriage: Implications for counseling. Family Journal, 3(3), 188-199.
Komter, A. (1989). Hidden power in marriage. Gender & Society, 3(2), 187-216.
Kung, W. W. (2000). The intertwined relationship between depression and marital distress: Elements of marital therapy conducive to effective treatment outcome. Journal of Marital and Family Therapy, 26(1), 51-63.
McDonald, G. W. (1980). Family power: The assessment of a decade of theory and research, 1970-1970. Journal of Marriage and the Family, 42(2), 841-854.
Mirowsky, J. (1985). Depression and marital power: An equity model. American Journal of Sociology, 91(3), 557-592.
Price, J. S. (1991). Change or homeostasis? A systems theory approach to depression. British Journal of Medical Psychology, 64, 331-344.
Pyke, K. D. (1996). Class-based masculinities: The interdependence of gender, class, and interpersonal power. Gender and Society, 10(5), 527-549.
Rampage, C. (1994). Power, gender, and marital intimacy. Journal of Family Therapy, 16, 125-137.
Risman, B., & Johnson-Sumerford, F. (1998). Doing it fairly: A study of postgender marriages. Journal of Marriage & Family, 60(1), 23-51.
Rodman, H. (1967). Marital power in France, Greece, Yugoslavia, and the United States: A cross-national discussion. Journal of Marriage and the Family, 29, 320-324.
Rodman, H. (1972). Marital power and the theory of resources in cultural context. Journal of Contemporary Family Studies, 31, 50-69.
Tichenor, V. (1999). Status and income as gendered resources: The case of marital power. Journal of Marriage & Family, 61(3), 638-651.
Tichenor, V. (2005). Maintaining men’s dominance: Negotiating identity and power when she earns more. Sex Roles, 53, 191-205.