Hvordan kan oppmerksomt nærvær hjelpe ved rusproblemer?

Ingrid Dundas, Kari Ravnanger, Jon Vøllestad, Per-Einar Binder
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Abstract

Mindfulness-based interventions are feasible for individuals with substance-use disorders, and their effects are at least comparable to other interventions. To use these interventions wisely clinicians need to know why they are using mindfulness and how to integrate mindfulness with other approaches. The authors suggest that mindfulness-training provides experiential practice in functional attention and emotion regulation. Both skills are helpful in managing reactivity and impulsivity, in making better decisions, and in increasing self-care and enhancing mentalizing abilities. The authors provide examples of how to use mindfulness when facing triggers and cravings. Although defined as paying purposeful, non-judgemental attention to present experience, mindfulness is compatible with therapeutic use of distraction and visualization. The authors recommend mindfulness as part of the therapeutic «tool kit» in the treatment of substance-use disorders. Keywords: distraction, mindfulness, substance-dependence, treatment
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以正念为基础的干预措施对有药物使用障碍的个体是可行的,其效果至少与其他干预措施相当。为了明智地使用这些干预措施,临床医生需要知道他们为什么要使用正念,以及如何将正念与其他方法结合起来。作者认为,正念训练提供了功能性注意和情绪调节的经验练习。这两种技能都有助于控制反应性和冲动性,有助于做出更好的决定,有助于提高自我照顾能力和心智能力。作者提供了如何在面对触发和渴望时使用正念的例子。虽然正念被定义为对当前体验给予有目的的、非评判性的关注,但它与治疗性地使用分心和可视化是相容的。作者建议将正念作为治疗药物使用障碍的治疗“工具箱”的一部分。关键词:分心,正念,物质依赖,治疗
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