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“你在这里”:在当前医学世界地图上定位“灵性”。

'You are here': locating 'spirituality' on the map of the current medical world.

作者信息

Ramakrishnan Parameshwaran

机构信息

aAdibhat Foundation for Spiritual-Medicine Program, Greater Kailash-I, New Delhi, India bCenter for Study of World Religion, Harvard Divinity School, Harvard University, Cambridge MA, USA.

出版信息

Curr Opin Psychiatry. 2015 Sep;28(5):393-401. doi: 10.1097/YCO.0000000000000180.

Abstract

PURPOSE OF REVIEW

Clinical works at the intersection of 'spirituality, religion, theology and medicine' are studied to identify various aspects of what constitutes spirituality, what contributes to spiritual health and how to provide spiritual-healers for our current health-care system.

RECENT FINDINGS

Spiritual care in the current medical world can be classed grossly into two departments: complementary and alternative medicine, considered as proxy variable for spirituality, and physician-initiated clinical Chaplaincy, informed by theology. The large body of research on 'self' as a therapeutic tool, though, falls into subtle categories: phenomenological studies, empathy, embodied care, and mindfulness-based therapies. Development in the field of 'spiritual medicine' has focused on spirituality-related curricula.

SUMMARY

As mindfulness-based meditation programs help build deep listening skills needed to stay aware of the 'self', Clinical Pastoral Education trains the chaplain to transcend the 'self' to provide embodied care. Clinical chaplaincy is the destination for health-care professionals as well as theological/religious scholars who have patients' spiritual health as their primary focus. Medical education curricula that train students in chaplain's model of transpersonal-mindfulness/empathy founded on neuro-physiological principles would help them gain skills in embodied care. Such education would seamlessly integrate evidence-based clinical practice and spiritual-theological concepts.

摘要

综述目的

对“灵性、宗教、神学与医学”交叉领域的临床工作进行研究,以确定构成灵性的各个方面、对精神健康有贡献的因素以及如何为当前医疗保健系统提供灵性疗愈者。

最新发现

当前医学领域的灵性关怀大致可分为两个类别:作为灵性替代变量的补充与替代医学,以及受神学影响的医生发起的临床牧师关怀。然而,关于将“自我”作为治疗工具的大量研究可细分为以下几类:现象学研究、同理心、具身关怀和基于正念的疗法。“灵性医学”领域的发展主要集中在与灵性相关的课程上。

总结

基于正念的冥想课程有助于培养保持对“自我”觉察所需的深度倾听技巧,而临床神职教育则训练牧师超越“自我”以提供具身关怀。临床牧师关怀是医疗保健专业人员以及以患者精神健康为主要关注点的神学/宗教学者的目标。基于神经生理学原理,对学生进行牧师的超个人正念/同理心模式培训的医学教育课程,将帮助他们获得具身关怀的技能。这样的教育将无缝整合循证临床实践和精神 - 神学概念。

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