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[食物摄入的内隐自我调节:对心理治疗的影响]

[Implicit Self-Regulation of Food-Intake: Consequences for Psychotherapy].

作者信息

Paslakis Georgios, de Zwaan Martina

机构信息

Toronto General Hospital, University Health Network, Department of Psychiatry, University of Toronto, Canada.

Psychosomatische Medizin und Psychotherapie, Medizinische Hochschule Hannover.

出版信息

Psychother Psychosom Med Psychol. 2019 Oct;69(11):453-461. doi: 10.1055/a-0845-9439. Epub 2019 Mar 13.

Abstract

Explicit processes of self-regulation require insight and control during implementation and are therefore often experienced as being strenuous, while implicit processes of steering behavior are automatic, rapid and effortless. However, self-regulation is not always either explicit or implicit; all variants ranging from those that are entirely automatic to those being entirely under control are present. As individuals are not aware of their underlying implicit modes of self-regulation, it is necessary to create an approach that is proximal to affective processing, by-passing the cognitive, verbal level. Promising approaches of this kind are such including embodied experiences or such shifting the body to a state, in which the apperception of implicit mechanisms is facilitated. Given that therapeutic work of self-regulation is in many cases carried out on an explicit level of processing, the need for novel, neurobiologically founded strategies intervening on the implicit (pre-verbal) level are called for. Correspondent paradigms, e. g. the approach-avoidance task (AAT) for the assessment of implicit processes are presented here with regard to food-intake regulation. This work is a narrative (qualitative) review aiming at illustrating the field of implicit bias research as well as the development of new implicit bias training paradigms to be used as add-on in future psychotherapeutic treatments. Therefore, a selection of relevant studies based on subjective criteria was made. Thus, this work is not a systematic review and does not claim to be an exhaustive description of studies of this kind.

摘要

明确的自我调节过程在实施过程中需要洞察力和控制力,因此常常让人感到费力,而引导行为的隐性过程是自动、快速且轻松的。然而,自我调节并非总是明确的或隐性的;从完全自动到完全可控的所有变体都存在。由于个体并未意识到其潜在的隐性自我调节模式,因此有必要创建一种接近情感加工的方法,绕过认知、语言层面。这类有前景的方法包括具身体验或使身体转变到一种便于感知隐性机制的状态。鉴于自我调节的治疗工作在很多情况下是在明确的加工层面上进行的,因此需要有基于神经生物学的新颖策略来干预隐性(前语言)层面。本文针对食物摄入调节介绍了相应的范式,例如用于评估隐性过程的趋近-回避任务(AAT)。这项工作是一篇叙述性(定性)综述,旨在阐明隐性偏见研究领域以及开发新的隐性偏见训练范式,以便在未来的心理治疗中作为补充使用。因此,基于主观标准选取了一些相关研究。所以,这项工作并非系统综述,也不声称对这类研究进行了详尽描述。

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