Bien Thomas H
Private Practice, Albuquerque, New Mexico 87110, USA.
J Clin Psychol. 2004 May;60(5):493-501. doi: 10.1002/jclp.20003.
Deep change in psychotherapy more typically comes slowly rather than suddenly, but this difference between therapeutic change and quantum change may be one of perspective rather than substance. Psychotherapy may be understood as a kind of mindfulness practice similar to working with koans in that the client presents a life dilemma incapable of rational solution. While quantum change cannot be engineered, the psychotherapist can create an environment conducive to such transformation by producing true presence and modeling calm, concerned, sustained attention to the dilemma that precipitated treatment. Psychotherapists who also maintain a sense of their work as a high art and a way of being, and who in consequence cultivate their own emotional and spiritual development, may be more likely to create such an environment.
心理治疗中的深刻改变通常是渐进的而非突然发生的,但治疗性改变与量子改变之间的这种差异可能更多是视角上的而非本质上的。心理治疗可以被理解为一种类似于参禅的正念练习,因为来访者会提出一个无法通过理性解决的生活困境。虽然量子改变无法被设计,但心理治疗师可以通过展现真实的存在,并示范对引发治疗的困境保持冷静、关切、持续的关注,从而创造一个有利于这种转变的环境。那些将自己的工作视为一门高雅艺术和一种存在方式,并因此培养自身情感和精神发展的心理治疗师,可能更有可能创造出这样的环境。