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[意愿接受与承诺疗法的理论构建与操作]

[Establishment of the theory and operation of willing acceptance and commitment therapy].

作者信息

Deng Yunlong, Zhou Honggui

机构信息

Psychosomatic Health Institute, Third Xiangya Hospital, Central South University, Changsha 410013, China

Psychosomatic Health Institute, Third Xiangya Hospital, Central South University, Changsha 410013, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2018 Nov 28;43(11):1257-1262. doi: 10.11817/j.issn.1672-7347.2018.11.015.

Abstract

Mindfulness-based psychotherapy, known as the third-wave cognitive behavior therapy, showed a multi-cultural integration trend. As part of it, willing acceptance and commitment therapy not only took root in the discoveries in the fields of evolutionary psychology and cognitive psychology, but also absorbed the concepts of psychotherapy from Chinese traditional culture. As a result, it regards truth and harmony as the essence of health, proposes a triangle model (health/pain-willing acceptance-striving) to elucidate the mechanism of psychopathology and psychotherapy in theory. Operationally, it contains four principles of psychotherapy, which are as follow: "knowing yourself and others, reaction but adequately, reality as well as harmony, willing acceptance and striving". Furthermore, it proposes eight therapeutic procedures including "understand yourself, recognize suffering, check coping style, keep openness and acceptance, mindfulness and flexibility, live in the moment, clarify the value, and commit action". With these principles and procedures, willing acceptance and commitment therapy aims to fade the neural trace of patients' painful memories, improve their psychological flexibility and rebuild their lifestyles consistent with their values.

摘要

基于正念的心理治疗,即所谓的第三代认知行为疗法,呈现出多元文化融合的趋势。其中,接纳与承诺疗法不仅扎根于进化心理学和认知心理学领域的发现,还吸收了中国传统文化中的心理治疗理念。因此,它将真理与和谐视为健康的本质,在理论上提出了一个三角模型(健康/痛苦 - 接纳意愿 - 努力)来阐释精神病理学和心理治疗的机制。在操作层面,它包含四项心理治疗原则,如下:“知己知彼、适度反应、面对现实与和谐、接纳意愿与努力”。此外,它还提出了八项治疗程序,包括“了解自己、认识痛苦、检查应对方式、保持开放与接纳、正念与灵活性、活在当下、明确价值观、付诸行动”。通过这些原则和程序,接纳与承诺疗法旨在消除患者痛苦记忆的神经痕迹,提高他们的心理灵活性,并重建与他们价值观相符的生活方式。

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