J Grad Med Educ. 2020 Jun;12(3):335-339. doi: 10.4300/JGME-D-19-00570.1.
Evidence suggests that forgiving one's self, others, and events improves relationships and self-esteem; reduces anxiety, depression, and stress; lowers blood pressure; improves cardiovascular health; and boosts immune function.
We determined the efficacy of a workshop to facilitate forgiveness in medical education professionals.
A 1-hour self-forgiveness workshop conducted by 4 facilitators was presented at a medical education conference in 2018. The workshop included a didactic presentation on forgiveness and Internal Family Systems, small group discussion on self-forgiveness concepts, a 15-minute guided imagery audio meditation on self-forgiveness, and postintervention small group discussion. The 18-item Heartland Forgiveness Scale (HFS), which measures forgiveness for self, others, and situations, was completed preintervention and postintervention (score range, 18-126).
There were 91 participants, including graduate medical education managers and directors (61%), deans/clerkship directors (19%), and academic faculty/others (20%). Participants were from the South (20%), West (17%), Midwest (31%), and Northeast (32%) US regions. Baseline HFS scores showed that 53% were forgiving, 47% were neutral, and no participants had unforgiving tendencies. Total HFS score significantly increased (90.31 pre versus 95.7 post, = .013), with significant increases in forgiveness of self (53% pre versus 73% post; = .012; odds ratio = 2.47) and forgiveness of others (49% pre versus 69% post; = .020; odds ratio = 2.3). Preintervention group discussion topics focused on guilt, shame, and barriers to forgiving, while postintervention discussions centered on challenges and benefits.
A brief guided meditation intervention with focused discussions was feasible and improved the immediate tendency to forgive.
有证据表明，自我原谅、原谅他人和原谅事件可以改善人际关系和自尊；减轻焦虑、抑郁和压力；降低血压；改善心血管健康；并增强免疫功能。
我们旨在确定在医学教育专业人员中促进宽恕的研讨会的效果。
2018 年，在一次医学教育会议上，由 4 位主持人进行了 1 小时的自我宽恕研讨会。该研讨会包括宽恕和内部家庭系统的讲解、关于自我宽恕概念的小组讨论、15 分钟的自我宽恕引导意象音频冥想以及干预后的小组讨论。采用 18 项 Heartland 宽恕量表（HFS）对自我、他人和情况的宽恕程度进行评估，在干预前和干预后进行评估（得分范围为 18-126）。
共有 91 名参与者，包括研究生医学教育管理人员和主任（61%）、院长/实习主任（19%）和学术教师/其他人员（20%）。参与者来自美国南部（20%）、西部（17%）、中西部（31%）和东北部（32%）。基线 HFS 评分显示，53%的人表示宽容，47%的人表示中立，没有参与者表现出不宽容的倾向。HFS 总分显著增加（干预前 90.31 分，干预后 95.7 分，=0.013），自我宽恕（53%干预前 vs 73%干预后，=0.012；优势比=2.47）和对他人的宽恕（49%干预前 vs 69%干预后，=0.020；优势比=2.3）显著增加。干预前小组讨论的主题集中在内疚、羞耻和宽恕的障碍上，而干预后的讨论则集中在挑战和好处上。
一个简短的引导冥想干预与重点讨论是可行的，并提高了立即宽恕的倾向。
