Williams J Mark G, Duggan Danielle S, Crane Catherine, Fennell Melanie J V
Department of Psychiatry, University of Oxford, UK.
J Clin Psychol. 2006 Feb;62(2):201-10. doi: 10.1002/jclp.20223.
Once suicidal thoughts have emerged as a feature of depression they are likely to be reactivated as part of a suicidal mode of mind whenever sad mood reappears. This article reviews the methods and the usefulness of mindfulness-based cognitive therapy (MBCT) as a treatment for the prevention of the reactivation of the suicidal mode. MBCT integrates mindfulness meditation practices and cognitive therapy techniques. It teaches participants to develop moment-by-moment awareness, approaching ongoing experience with an attitude of nonjudgment and acceptance. Participants are increasingly able to see their thoughts as mental events rather than facts (metacognitive awareness). A case example illustrates how mindfulness skills develop with MBCT and how they relate to the cognitive processes that fuel suicidal crises. An ongoing controlled trial will provide further evidence, but pilot work suggests that MBCT is a promising intervention for those who have experienced suicidal ideation in the past.
一旦自杀念头作为抑郁症的一个特征出现，每当悲伤情绪再次出现时，它们很可能会作为自杀性思维模式的一部分被重新激活。本文回顾了基于正念的认知疗法（MBCT）作为预防自杀性思维模式重新激活的治疗方法及其有效性。MBCT整合了正念冥想练习和认知疗法技术。它教导参与者培养逐刻觉察，以不评判和接纳的态度面对当下的体验。参与者越来越能够将自己的想法视为心理事件而非事实（元认知觉察）。一个案例说明了正念技能如何通过MBCT得到发展，以及它们如何与引发自杀危机的认知过程相关联。一项正在进行的对照试验将提供进一步的证据，但前期工作表明，MBCT对那些过去有过自杀念头的人来说是一种有前景的干预措施。
