Singh Nirbhay N, Lancioni Giulio E, Winton Alan S W, Adkins Angela D, Wahler Robert G, Sabaawi Mohamed, Singh Judy
ONE Research Institute, Midlothian, VA 23112, USA.
Behav Modif. 2007 May;31(3):313-28. doi: 10.1177/0145445506293585.
Verbal and physical aggression are risk factors for community placement of individuals with serious and persistent mental illness. Depending on the motivations involved, treatment typically consists of psychotropic medications and psychosocial interventions, including contingency management procedures and anger management training. Effects of a mindfulness procedure, Meditation on the Soles of the Feet , were tested as a cognitive behavioral intervention for verbal and physical aggression in 3 individuals who had frequently been readmitted to an inpatient psychiatric hospital owing to their anger management problems. In a multiple baseline across subjects design, they were taught a simple meditation technique, requiring them to shift their attention and awareness from the anger-producing situation to the soles of their feet, a neutral point on their body. Their verbal and physical aggression decreased with mindfulness training; no physical aggression and very low rates of verbal aggression occurred during 4 years of follow-up in the community.
言语和身体攻击行为是严重且持续性精神疾病患者被安置到社区的风险因素。根据所涉及的动机，治疗通常包括精神药物治疗和心理社会干预，包括应急管理程序和愤怒管理训练。对一种正念程序——脚底冥想进行了效果测试，将其作为针对3名因愤怒管理问题而频繁再次入住精神病专科医院的患者的言语和身体攻击行为的认知行为干预措施。在一项跨受试者的多基线设计中，他们被教授了一种简单的冥想技巧，要求他们将注意力和意识从产生愤怒的情境转移到脚底，这是他们身体上的一个中立点。通过正念训练，他们的言语和身体攻击行为减少了；在社区随访的4年中，未发生身体攻击行为，言语攻击行为的发生率也很低。
