Feinstein David
Independent Practice, Ashland, OR, United States.
Front Psychol. 2022 Apr 25;13:856209. doi: 10.3389/fpsyg.2022.856209. eCollection 2022.
Energy psychology, as most widely practiced, integrates the manual stimulation of acupuncture points with imaginal exposure, cognitive restructuring, and other evidence-based psychotherapeutic procedures. Efficacy for energy psychology protocols has been established in more than 120 clinical trials, with meta-analyses showing strong effect sizes for PTSD, anxiety, and depression. The approach has been applied in the wake of natural and human-made disasters in more than 30 countries. Four tiers of energy psychology interventions following the establishment of safety, trust, and rapport are described, including (1) immediate relief/stabilization, (2) reducing limbic arousal to trauma-based triggers, (3) overcoming complex psychological difficulties, and (4) promoting optimal functioning. The first tier is most pertinent in psychological first aid immediately following a disaster, with the subsequent tiers progressively being introduced over time with complex stress reactions and chronic disorders. Advantages of adding the stimulation of acupuncture points to a conventional exposure approach are identified, and challenges around cultural sensitivities and unintended effects are discussed. After establishing a framework for introducing energy psychology in disaster relief efforts, reports from a sampling of settings are presented, based on interviews with this paper's author. These include accounts of relief work with survivors of mass shootings, genocide, ethnic warfare, earthquakes, hurricanes, tornadoes, floods, wildfires, and the COVID-19 pandemic. Hundreds of other reports from the field show a pattern of strong outcomes following the use of energy psychology in the days or weeks after a disaster and in the subsequent treatment of trauma-based psychological problems. Many of these accounts corroborate one another in terms of rapid relief and long-term benefits. Finally, examples of more efficient delivery methods utilizing large groups, lay counselors, digital technology, and cultivating community resilience are presented.
能量心理学在实践中应用最为广泛，它将穴位的手法刺激与想象暴露、认知重构及其他循证心理治疗程序相结合。超过120项临床试验已证实能量心理学方案的有效性，荟萃分析表明其对创伤后应激障碍、焦虑和抑郁具有显著效果。该方法已在30多个国家的自然和人为灾害后得到应用。文中描述了在建立安全、信任和融洽关系之后的四个层次的能量心理学干预措施，包括：（1）即时缓解/稳定；（2）减少基于创伤的触发因素引起的边缘系统唤醒；（3）克服复杂的心理困难；（4）促进最佳功能。第一层在灾难后的心理急救中最为相关，随后的层次会随着复杂的应激反应和慢性疾病随着时间的推移逐步引入。文中指出了在传统暴露方法中加入穴位刺激的优点，并讨论了文化敏感性和意外影响方面的挑战。在建立了在救灾工作中引入能量心理学的框架后，基于对本文作者的访谈，呈现了一些不同场景的报告。这些报告包括与大规模枪击、种族灭绝、种族战争、地震、飓风、龙卷风、洪水、野火和新冠疫情幸存者的救援工作记录。该领域的数百份其他报告显示，在灾难发生后的几天或几周内以及随后对基于创伤的心理问题的治疗中，使用能量心理学后会出现显著的效果。这些记录中有许多在快速缓解和长期益处方面相互印证。最后，文中还介绍了利用大群体、非专业咨询师、数字技术和培养社区复原力等更高效的实施方法的实例。
