Lewis Bradley
Gallatin School of Individualized Study, New York University, 1 Washington Place #609, New York, NY, 10003, USA.
J Med Humanit. 2016 Dec;37(4):401-417. doi: 10.1007/s10912-016-9387-3.
Mindfulness based interventions (MBIs) are rapidly emerging in health care settings for their role in reducing stress and improving physical and mental health. In such settings, the religious roots and affiliations of MBIs are downplayed, and the possibilities for developing spiritual, even mystical, states of consciousness are minimized. This article helps rebalance this trend by using the tools of medical humanities and narrative medicine to explore MBI as a bridge between medical and spiritual approaches to health related suffering. My narrative medicine method draws insights from the arts and humanities that are rarely used in standard clinical research but are increasingly common among medical humanities and narrative medicine scholars. The specific path I take will be to work through historical, linguistic, and philosophic dimensions of mindfulness and mysticism as relevant to illness, suffering, death, and dying. I close with two case examples in which mindfulness is used as an intentionally spiritual practice for health concerns.
基于正念的干预措施(MBIs)因其在减轻压力以及改善身心健康方面的作用,正在医疗环境中迅速兴起。在这些环境中,MBIs的宗教根源和联系被淡化,而发展精神甚至神秘意识状态的可能性也被最小化。本文通过运用医学人文学科和叙事医学的工具,将MBI作为医学与精神层面处理健康相关痛苦方法之间的桥梁来探索,有助于重新平衡这一趋势。我的叙事医学方法借鉴了艺术和人文学科的见解,这些见解在标准临床研究中很少使用,但在医学人文学科和叙事医学学者中越来越普遍。我采取的具体路径将是梳理正念和神秘主义与疾病、痛苦、死亡和临终相关的历史、语言和哲学层面。我以两个案例作为结尾,其中正念被用作针对健康问题的有意精神修行。