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电化学能量、原始感觉与知晓感(FOK):基于正念的针对与恐惧症和焦虑症相关的内感受性体验的干预措施。

Electrochemical energy, primordial feelings and feelings of knowing (FOK): Mindfulness-based intervention for interoceptive experience related to phobic and anxiety disorders.

作者信息

Pollard-Wright Holly

机构信息

IEEE Piscataway, 424Avenida De Jose, Redondo Beach, CA 90277, United States.

出版信息

Med Hypotheses. 2020 Nov;144:109909. doi: 10.1016/j.mehy.2020.109909. Epub 2020 Jun 1.

Abstract

This article presents a hypothesis that primordial feelings (e.g., pleasant, unpleasant, or neutral) may be created by the cognizing and categorizing of brain electrochemical activity. The realization of action potentials generated by neurons that cause electrochemical signals to be released and cross synapses may create primordial feelings. A primordial feeling may precede image making and mark the first moment of subjectivity while thinking. It may produce a Feeling of Knowing (FOK) that when associated with physical sensations originating within the body (i.e., interoception) cause a broadly heightened awareness of thought and become a risk factor for certain aspects of mental afflictions. The strategy outlined in this article is to use mindfulness-based interventions (MBIs) and exposure activity to break up the automaticity of habitual reactions to primordial feelings as FOKs associated with interoception and do something different. Thus the individual does not move away from the unpleasant interoceptive experience but instead stays with it and learns to not push the not right experience away but instead just let it be. Through mindfulness-based interventions unpleasant interoception is used to focus one's reactivity to unpleasant primordial feelings and FOKs and break up the automaticity of being driven by them. Thereby, one decides to approach these internal sensations though exposure to the interoceptive not just right sense instead of engaging in neutralizing activity.

摘要

本文提出了一种假说,即原始感觉(如愉悦、不悦或中性)可能是由大脑电化学活动的认知和分类产生的。神经元产生的动作电位导致电化学信号释放并穿过突触,这一过程的实现可能会产生原始感觉。原始感觉可能先于图像形成,并标志着思考时主观性的第一时刻。它可能会产生一种知晓感(FOK),当这种知晓感与源自身体内部的物理感觉(即内感受)相关联时,会导致对思维的广泛增强的意识,并成为某些精神痛苦方面的一个风险因素。本文概述的策略是使用基于正念的干预措施(MBIs)和暴露活动,来打破与内感受相关的作为知晓感的对原始感觉的习惯性反应的自动性,并采取不同的行动。因此,个体不是远离不愉快的内感受体验,而是与之共处,并学会不把不正确的体验推开,而是顺其自然。通过基于正念的干预措施,不愉快的内感受被用来聚焦个体对不愉快的原始感觉和知晓感的反应性,并打破被它们驱使的自动性。从而,个体决定通过暴露于内感受的不正确感觉来接近这些内部感觉,而不是进行中和活动。

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