Öz Aşkınlık Kuramı Bağlamında “The Doctor” Filminin Analizi

Öz

Amaç: Pamela Reed tarafından geliştirilen Öz Aşkınlık Kuramı, bireylerin yaşamı tehdit eden sağlık sorunlarıyla karşılaştıklarında benlik sınırlarını aşarak iyi oluşlarını artırabileceğini öne sürer. 1991 yapımı The Doctor filmi, kanser teşhisiyle dönüşüm geçiren bir cerrahın hikayesini anlatarak bu kuramı keşfetmek için bir anlatı sunar. Bu çalışma, The Doctor filmini Öz Aşkınlık Kuramı çerçevesinde analiz etmeyi ve kuramın temel kavramları olan incinebilirlik, öz aşkınlık ve iyi oluşu incelemeyi amaçlamaktadır. Yöntem: Nitel betimsel analiz yöntemi kullanıldı. Film iki kez izlendi: ilk izlemede genel notlar alındı, ikinci izlemede ise kuramın kavramlarıyla ilişkili sahneler belirlendi. Sekiz sahne seçildi ve incinebilirlik, öz aşkınlık ve iyi oluş temaları altında kategorize edildi. Veriler, neden-sonuç ilişkileri kurularak analiz edildi ve kuram bağlamında yorumlandı. Bulgular: Analiz, kanser teşhisi gibi yaşamı tehdit eden krizlerin incinebilirliği tetiklediğini ve bu durumun öz aşkınlık sürecini başlattığını ortaya koydu. Ana karakterin ölüm farkındalığının artması, kişisel ve profesyonel sınırlarının genişlemesi ve empati ile ilişkilerdeki iyileşme yoluyla iyi oluşunun arttığı sahneler belirlendi. Sonuç: The Doctor filmi, Öz Aşkınlık Kuramı’nın kavramlarını etkili bir şekilde somutlaştırarak, sağlıkla ilgili krizlerin kişisel gelişimi ve iyi oluşu nasıl teşvik edebileceğini göstermektedir. Bu analiz, filmlerin hemşirelik teorilerini anlamada eğitici bir araç olarak kullanılmasını destekler.

Anahtar Kelimeler

• Öz Aşkınlık Kuramı
• The Doctor filmi
• psikoonkoloji
• ruh sağlığı

Analysis of the Film “The Doctor” in the Context of Self Transcendence Theory

Öz

Objective: The Self-Transcendence Theory, developed by Pamela Reed, posits that individuals can enhance their well-being by transcending self-boundaries when facing life-threatening health challenges. The film The Doctor (1991) portrays a surgeon’s transformation through a cancer diagnosis, offering a narrative to explore this theory. This study aims to analyze the film The Doctor within the framework of the Self-Transcendence Theory, focusing on its core concepts: vulnerability, self-transcendence, and well-being. Method: A qualitative descriptive analysis was conducted. The film was viewed twice—first for general notes and second to identify scenes related to the theory’s concepts. Eight scenes were selected and categorized under the themes of vulnerability, self-transcendence, and well-being. Data were analyzed by establishing cause-effect relationships and interpreted in the context of the theory. Results: The analysis revealed that life-threatening crises, such as a cancer diagnosis, trigger vulnerability, prompting self-transcendence. Key scenes depicted the protagonist’s growing awareness of mortality, expansion of personal and professional boundaries, and improved well-being through enhanced empathy and relationships. Conclusion: The film The Doctor effectively illustrates the Self-Transcendence Theory’s concepts, demonstrating how health-related crises can foster personal growth and well-being. This analysis supports the use of film as an educational tool to deepen understanding of nursing theories.

Anahtar Kelimeler

• Self-transcendence theory
• The Doctor film
• psychoncology
• mental health

Kaynakça

1. Abdalrahim MS, Issa SS, Albusoul R (2023) Spiritual well-being among patients newly diagnosed with cancer in Jordan: thematic analysis. Support Care Cancer, 31:620.
2. Abdullah MI, Huang D, Sarfraz M, Ivascu L, Riaz A (2021) Effects of internal service quality on nurses’ job satisfaction, commitment and performance: mediating role of employee well‐being. Nurs Open, 8:607-619.
3. Abebe N, Bailey E, Radu R (2023) Film as a pedagogical tool for climate change and mental health nursing education. Int J Ment Health Nurs, 32:1503-1508.
4. Abu Khait A, Sabo K, Shellman J (2020) Analysis and evaluation of Reed's theory of self-transcendence. Res Theory Nurs Pract, 34:170-187.
5. Alligood MR (2017) Nursing Theorists and Their Work, 9th ed. New York, Elsevier Health Sciences.
6. Altun F, Ay Kaatsız MA (2024) “Bir sonraki dalganın sonunda ne olacağını bilemezsiniz…”: Dalgalara Karşı filminin Öz Aşkınlık Kuramı çerçevesinde analizi. Etkili Hemşirelik Dergisi, 17:243-255.
7. Aoki S, Fujita S (2021) Self-transcendence of Japanese female breast cancer patients with hereditary breast and ovarian cancer syndrome. Asia Pac J Oncol Nurs, 8:670-678.
8. Arkan B, Bostanlı A (2024) Teaching psychiatric nursing with films during the COVID‐19 pandemic: a qualitative study. J Psychiatr Ment Health Nurs, 31:1073-1082.

9. Arslan G, Kabasakal Z, Taş B (2024) Childhood psychological maltreatment, mindful awareness, self-transcendence, and mental well-being in emerging adults. Emerg Adulthood, 12:18-28.
10. Conti A, Clari M, Carignano F, Saccà P, Garrino L (2019) Teaching resilience and vulnerability to nursing students using films: a qualitative study. Prof Inferm, 72:135-142.
11. Coşkun DG (2020) Tıp fakültesi öğrencisi gözüyle “The Doctor” filminin etik analizi. Türkiye Biyoetik Dergisi, 7:211-213.
12. Cui X, Shan T, Qiao L (2022) Effect of Self-Transcendence Theory combined with comprehensive nursing intervention under tumor nutrition education on symptom improvement, nutritional status, and positive psychology of elderly patients with gastric cancer. Contrast Media Mol Imaging, 2022:6084732.
13. Desai SV, Jabeen SS, Abdul WK, Rao SA (2018) Teaching cross-cultural management: A flipped classroom approach using films. The International Journal of Management Education, 16:405-431.
14. Er S, Şahin‐Bayındır G, Kayış A, Buzlu S (2022) The effect of psychosocial distress and self‐transcendence on resilience in patients with cancer. Perspect Psychiatr Care, 58:2631-2638.
15. Eraydın C, Sönmez M, Erdoğan Z (2023) Status of Self-Transcendence and quality of life in patients receiving hemodialysis treatment. Balıkesir Sağlık Bilimleri Dergisi, 12:445-452.
16. Fennell PA, Dorr N, George SS (2021) Elements of suffering in myalgic encephalomyelitis/chronic fatigue syndrome: the experience of loss, grief, stigma, and trauma in the severely and verry severely affected. Healthcare (Basel), 9:553.
17. Guba EG, Lincoln YS (1994) Competing paradigms in qualitative research. In Handbook of Qualitative Research, 2nd ed. (Eds NK Denzin, Y Lincoln):105-117. Thousand Oaks, CA, Sage.
18. Haugan G, Innstrand ST (2012) The effect of Self-Transcendence on depression in cognitively intact nursing home patients. Int Sch Res Notices, 2012:301325.
19. He C, Liu S, Ding X, Zhang Y, Hu J, Yu F et al. (2025) Exploring the relationship between illness perception, self-transcendence, and demoralization in patients with lung cancer: A latent profile and mediation analysis. Asia Pac J Oncol Nurs, 12:100638.
20. He C, Yang T, He Y, Guo S, Lin Y, Wu C et al. (2022) Relationship between family functioning and self-transcendence in patients with breast cancer: a network analysis. Front Public Health, 10:1028860.
21. Hwang H-L, Wang H-H, Lin H-S (2013) Effectiveness of supervised ıntergenerational service learning in long-term care facilities on the attitudes, self-transcendence, and caring behaviors among nursing students: a quasiexperimental study. Educ Gerontol, 39:655-668.
22. Hyangjin P, Haeryun C (2021) Effects of nursing education using films on perception of nursing, satisfaction with major, and professional nursing values. J Nurs Res, 29:e150.
23. IMDB (1991) The Doctor. https://www.imdb.com/title/tt0101746/ (Accessed 27.07.2025).
24. Kim SS, Hayward RD, Reed PG (2014) Self-transcendence, spiritual perspective, and sense of purpose in family caregiving relationships: a mediated model of depression symptoms in Korean older adults. Aging Ment Health, 18:905-913.
25. Kublay Y, Hallaç S (2022) Pamela G. Reed’in öz aşkınlık kuramı analiz, değerlendirmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 15:402-412.
26. Kubler-Ross E, Kessler D (2005) On Grief and Grieving: Finding The Meaning of Grief Through The Five Stages of Loss. New York, Simon and Schuster.
27. Meleis AI (2011) Theoretical Nursing: Development and Progress. Philadelphia, Lippincott Williams & Wilkins.
28. Mert-Karadas M, Yucel-Ozcirpan C (2023) The impact of an educational program based on the reproductive health of LGBT individuals developed for nursing students to improve the knowledge, skills and attitudes of students: a quasi-experimental study. Nurse Educ Pract, 70:103668.
29. Michael N, Symons X, Mendz GL, Kissane D (2022) Vulnerability and resilience: phenomenological analysis of cancer patients value directives. J Pain Symptom Manage, 64:438-448.
30. Pena-Gayo A, González-Chordá VM, Cervera-Gasch Á, Mena-Tudela D (2018) Cross-cultural adaptation and validation of Pamela Reed’s Self-Transcendence Scale for the Spanish context. Rev Lat Am Enfermagem, 26:e3058.
31. Reed PG (1991) Toward a nursing theory of selftranscendence: deductive reformulation using developmental theories. ANS Adv Nurs Sci, 13:64-77.
32. Reed PG (2014) Theory of self-transcendence. In Middle Range Theory for Nursing, 3rd ed. (Eds MJ Smith, P Liehr):109-139. New York, Springer.
33. Reed PG (2021) Self-transcendence: moving from spiritual disequilibrium to well-being across the cancer trajectory. Semin Oncol Nurs, 37:151212.
34. Reed PG, Haugan G (2021) Self-transcendence: A salutogenic process for well-being. In Health Promotion in Health Care–Vital Theories and Research. (Eds G Haugan, M Eriksson):103-115. Cham, Springer.
35. Reischer HN, Roth LJ, Villarreal JA, McAdams DP (2021) Self‐transcendence and life stories of humanistic growth among late‐midlife adults. J Pers, 89:305-324.
36. Runquist JJ, Reed PG (2007) Self-transcendence and well-being in homeless adults. J Holist Nurs, 25:5-13.
37. Sim J, Machin L, Bartlam B (2014) Identifying vulnerability in grief: psychometric properties of the Adult Attitude to Grief Scale. Qual Life Res, 23:1211-1220.
38. Smith MC (2019) Nursing Theories and Nursing Practice. Philadelphia, FA Davis.
39. Sode R, Chenji K (2024) The mediating role of workplace spirituality: exploring the relationship between, self-transcendence, spiritual transcendence, and innovative work behavior. Acta Psychol, 245:104228.
40. Şenses M (2019) Sinema, hastalık: iktidar, hasta rolü, hastalık süreci açısından The Doctor, Wit filmlerinin analizi. Uluslararası Sosyal Araştırmalar Dergisi, 12:702-707.
41. Wang G, Xiao J, Chen Z, Huang C, Deng Y, Tang S (2023) Good death from cancer–the patient view: systematic review of qualitative studies. BMJ Support Palliat Care, 14:e269-e280.
42. Widodo S, Suryosukmono G (2021) Spiritual leadership, workplace spirituality and their effects on meaningful work: self-transcendence as mediator role. Management Science Letters, 11:2115-2126.
43. Williams BJ (2012) Self-transcendence in stem cell transplantation recipients: a phenomenologic inquiry. Oncol Nurs Forum, 39:E41-E48.
44. Worth P, Smith MD (2021) Clearing the pathways to self-transcendence. Front Psychol, 12:648381.
45. Yesildag AY, Bostan S (2023) Movie analysis as an active learning method: a study with health management student. The International Journal of Management Education, 21:100759.
46. Yıldırım A, Şimşek H (2021) Sosyal Bilimlerde Nitel Araştırma Yöntemleri. Ankara, Seçkin Yayıncılık.