正念和体现在集体创伤治疗中的作用

Julien Tempone-Wiltshire
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摘要

体现和正念干预为生活在创伤中的人提供了一系列益处,但在小组工作实践中如何将它们结合起来却缺乏明确性。本文提供了一个在创伤小组环境中整合体现和正念干预的框架。虽然这些干预措施可用于初级创伤处理和开放过程团体心理治疗,但本文为将这些工具更普遍地融入结构化形式的资源小组提供了特别指导。文章还关注了阶段性、分阶段地将这些干预措施整合到以创伤为导向的专门小组工作中的价值和特点。本文详细介绍了正念和具身干预如何帮助参与者培养抵御经验回避的能力,并将注意力重新导向当下,从而提高身体和情感方面的自我意识。这有助于减少反应模式,从而支持症状稳定、提高反思和思维能力,以及培养创伤处理小组工作所需的自我和共同调节能力。这些干预措施还对促进者的健康、小组的形成和凝聚力,以及至关重要的规范化过程(包括隐性和显性)具有支持性影响。此外,还关注了安全方面的考虑,包括正念练习对某些创伤表现的禁忌,以及在组建创伤导向小组时必要的筛选要求和排除标准。
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The Role of Mindfulness and Embodiment in Group-Based Trauma Treatment
Embodiment and mindfulness interventions provide a range of benefits for individuals living with trauma yet a lack of clarity surrounds their integration in group work practice. This article provides a framework for the integration of embodiment and mindfulness interventions in group settings for trauma. While such interventions can be utilised in primary trauma processing and open process group psychotherapy, this article provides particular guidance for the more general integration of these tools in structured format resourcing groups. Attention is given to the value and features of a phasic, staged integration of these interventions for specialised trauma-oriented group work. This article details how mindfulness and embodiment interventions support participants to cultivate the capacity to counter experiential avoidance and reorient attention towards the present moment, consequently increasing bodily and affective self-awareness. This serves to reduce patterns of reactivity, thereby supporting symptom stabilisation, improved reflective and mentalising ability, and cultivation of the self- and co-regulatory capacities necessary for trauma-processing group work. These interventions also possess supportive implications for the facilitator’s wellbeing, the formation and cohesiveness of the group, and, crucially, the norming process, both implicit and explicit. Attention is given also to safety considerations, including contraindications of mindfulness practices with certain trauma presentations, and the necessary screening requirements and exclusion criteria in the formation of a trauma-oriented group.
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