Cano Annmarie, Corley Angelia M, Clark Shannon M, Martinez Sarah C
Wayne State, University.
Cogn Behav Pract. 2018 Feb;25(1):119-134. doi: 10.1016/j.cbpra.2017.02.003. Epub 2017 Mar 21.
Chronic pain impacts individuals with pain as well as their loved ones. Yet, there has been little attention to the social context in individual psychological treatment approaches to chronic pain management. With this need in mind, we developed a couple-based treatment, "Mindful Living and Relating," aimed at alleviating pain and suffering by promoting couples' psychological and relational flexibility skills. Currently, there is no integrative treatment that fully harnesses the power of the couple, treating both the individual with chronic pain and the spouse as two individuals who are in need of developing greater psychological and relational flexibility to improve their own and their partners' health. Mindfulness, acceptance, and values-based action exercises were used to promote psychological flexibility. The intervention also targets relational flexibility, which we define as the ability to interact with one's partner, fully attending to the present moment, and responding empathically in a way that serves one's own and one's partner's values. To this end, the intervention also included exercises aimed at applying psychological flexibility skills to social interactions as well as emotional disclosure and empathic responding exercises to enhance relational flexibility. The case presented demonstrates that healthy coping with pain and stress may be most successful and sustainable when one is involved in a supportive relationship with someone who also practices psychological flexibility skills and when both partners use relational flexibility skills during their interactions.
慢性疼痛不仅会影响疼痛患者本人，还会波及他们所爱的人。然而，在针对慢性疼痛管理的个体心理治疗方法中，社会背景却很少受到关注。考虑到这一需求，我们开发了一种基于夫妻的治疗方法——“正念生活与相处”，旨在通过提升夫妻的心理和关系灵活性技能来减轻疼痛和痛苦。目前，尚无一种综合治疗方法能充分发挥夫妻的力量，将慢性疼痛患者及其配偶视为两个都需要培养更强的心理和关系灵活性以改善自身及伴侣健康的个体来进行治疗。正念、接纳和基于价值观的行动练习被用于促进心理灵活性。该干预措施还针对关系灵活性，我们将其定义为与伴侣互动、充分关注当下时刻并以符合自身及伴侣价值观的方式做出共情回应的能力。为此，该干预措施还包括旨在将心理灵活性技能应用于社交互动的练习，以及增强关系灵活性的情感表露和共情回应练习。所呈现的案例表明，当一个人与同样具备心理灵活性技能的人建立支持性的关系，且双方在互动中都运用关系灵活性技能时，健康应对疼痛和压力可能最为成功且可持续。
