更清晰地定义和理解不执着

IF 3.1 2区 心理学 Q2 PSYCHIATRY Mindfulness Pub Date : 2024-06-04 DOI:10.1007/s12671-024-02378-7
Lindsay Tremblay, William Van Gordon, James Elander
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引用次数: 0

摘要

不依恋是包括正念干预在内的几种心理治疗方法的关键积极要素。然而,在学术文献中,"不执着 "主要被定义为一种否定的概念,即人不应该执着于物、人或经历。由于目前还没有循证课程或明确的指导原则,这种方法可能会使人们对不依附产生混淆,从而对不依附产生抵触情绪。本文的目的是提出一个肯定的、基于行动的 "不依恋 "定义,以提高人们对 "不依恋 "的理解和实施。本文的另一个目的是提供在现有治疗模式中培养不依恋的练习实例,并以创伤后应激反应(PTS)为重点领域,讨论在临床环境中使用不依恋的潜在价值和意义。以创伤后应激障碍的症状为例,对目前应用非依恋概念的四种心理治疗方法(包括接纳与承诺疗法、辩证行为疗法、慈悲为怀疗法和正念)进行了批判性评估,以了解它们培养非依恋的方式。基于现有的体现不依恋原则的治疗和沉思实践,作为一个肯定的定义,我们建议不依恋包括有意识地接受、放手、深度存在、向普遍相互联系的自我模式开放,以及在知觉上与刺激和反应保持距离。对 "不依恋 "的肯定性理解,加上有针对性的培养方法,可以促进在应用环境中更清晰地实现 "不依恋 "的预测和干预结果价值。
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Toward Greater Clarity in Defining and Understanding Nonattachment

Nonattachment is a key positive element of several psychotherapeutic approaches, including mindfulness-based interventions. However, it has been defined in the academic literature largely as a construct of negation, whereby one should not become attached to objects, people, or experiences. This approach may foster resistance to nonattachment in general through confusion associated with what it means along with uncertainty in how to practise it as there are currently no evidence-based courses or clear guidelines. Furthermore, there is currently no empirical exploration of interventions that are specifically nonattachment-based in terms of their value in applied settings.

The purpose of this paper is to propose an affirmative, action-based definition of nonattachment in order to improve understanding and implementation. A further objective is to provide examples of exercises within existing therapeutic modalities through which nonattachment may already be cultivated and to use the example of post-traumatic stress (PTS) as a focus area to discuss the potential value and implications of using nonattachment in a clinical context. Four psychotherapeutic approaches currently applying nonattachment-based concepts including Acceptance and Commitment Therapy, Dialectical Behavioural Therapy, Compassion-Focussed Therapy, and Mindfulness are critically assessed for ways in which they cultivate nonattachment, using symptoms of PTS as an example.

Based on existing therapeutic and contemplative practices that embody nonattachment principles, as an affirmative definition we propose that nonattachment involves the intentional practices of acceptance, letting go, deep presence, opening to a universally interconnected self-schema, and perceptual distancing from stimuli and response. An affirmative understanding of what nonattachment is, along with a targeted approach to its cultivation, may facilitate a clearer pathway toward the predictive and intervention outcome value of nonattachment in applied settings.

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来源期刊
Mindfulness
Mindfulness Multiple-
CiteScore
6.10
自引率
19.40%
发文量
224
期刊介绍: Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression
期刊最新文献
Exploring the Facilitating Environment for Mindfulness Meditation: Establishing a Framework through Analysis of Means and Exploratory Factor Analysis A Systematic Review on the State of the Art of Culturally Adapted Mindfulness-Based Interventions for First Nations Peoples: Cultural Adaptation, Effectiveness, and Feasibility Mindfulness Training Has Long-Term Therapeutic Benefits in Women With Irritable Bowel Syndrome Brain–Heart Interactions in Novice Meditation Practitioners During Breath Focus and an Arithmetic Task Temporal Dynamics and Long-Term Effects of a Mindfulness-Based Intervention for Young Adults With Adverse Childhood Experiences
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