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精神医学对心境稳定的追求:另一场徒劳无功的追寻,还是基于原则进行辅助的机会?

Psychiatry's pursuit of euthymia: another wild goose chase or an opportunity for principle-based facilitation?

机构信息

Department of Criminology & Criminal Justice, Faculty Administration Building, Wayne State University, Detroit, MI, USA.

Department of Psychiatry, Creighton University School of Medicine, Phoenix, AZ, USA.

出版信息

Int J Psychiatry Clin Pract. 2021 Nov;25(4):333-335. doi: 10.1080/13651501.2020.1837182. Epub 2020 Oct 30.

Abstract

The authors are encouraged that the field of psychiatry is moving towards including euthymia and its components (e.g., well-being, flourishing and resilience) as well as dysfunction (i.e., psychopathology and its symptoms) in its assessment and treatment. We are concerned, however, that to guide its pursuit of euthymia, psychiatry appears to be adopting the same 'outside-in' paradigm as positive psychology; that the positive must be 'put into' people via assisting them to adopt new positive beliefs and persistently practice psychotherapeutic techniques. We fear that if psychiatry continues to view the positive through this 'outside-in' lens, its pursuit of euthymia will bear small fruit. In this editorial, we posit that mental health and psychopathology can be viewed from the same basis because both are created in the same way; from the 'inside-out' via people's use of three psycho-spiritual Principles-Universal Mind, Consciousness and Thought. We posit that people can use these Principles in a way that either creates distressing symptoms or releases innate euthymia. We further posit that via awareness and sufficient insight-based understanding of how these Principles manifest within everyone, psychiatry can achieve a deeper understanding of the source of all psychological experience that will facilitate its pursuit of euthymia.

摘要

作者们感到鼓舞的是,精神病学领域正朝着将心境正常及其组成部分(如幸福感、繁荣和韧性)以及功能障碍(即精神病理学及其症状)纳入其评估和治疗的方向发展。然而,我们担心,为了指导对心境正常的追求,精神病学似乎正在采用与积极心理学相同的“从外到内”范式;即必须通过帮助人们接受新的积极信念和坚持实践心理治疗技术,将积极的东西“注入”人们的内心。我们担心,如果精神病学继续通过这种“从外到内”的视角看待积极心理学,那么它对心境正常的追求将收效甚微。在这篇社论中,我们假设心理健康和精神病理学可以从相同的基础来看待,因为它们都是以相同的方式产生的;即通过人们对三个心理-精神原则——宇宙意识、意识和思想的“从内到外”的使用。我们假设人们可以以一种制造痛苦症状或释放内在心境正常的方式使用这些原则。我们进一步假设,通过对这些原则在每个人体内的表现方式的意识和基于足够洞察力的理解,精神病学可以更深入地了解所有心理体验的来源,从而促进其对心境正常的追求。

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