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以患者为中心的正念:一种对临床实践具有文化和精神敏感性的方法。

Person-Centered Mindfulness: A Culturally and Spiritually Sensitive Approach to Clinical Practice.

作者信息

Koenig Harold G

机构信息

Departments of Psychiatry and Medicine, Duke University Health System, Durham, NC, 27705, USA.

Division of Psychiatry, Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

J Relig Health. 2023 Jun;62(3):1884-1896. doi: 10.1007/s10943-023-01768-w. Epub 2023 Feb 23.

Abstract

Mindfulness meditation is rapidly being integrated into many different forms of counseling and psychotherapy, and there is a growing evidence base for its effectiveness. It is important to understand the spiritual roots of mindfulness, and to apply it in a patient-centered manner, sensitive to the patient's own faith tradition rather than taking a one-size-fits-all approach, assuming that mindfulness-based practice is a purely secular approach. The philosophical underpinning of mindfulness lies squarely in the Buddhist faith tradition. Indeed, mindfulness is the 7th step on the Eightfold Path, which is the heart of Buddhist teachings. Many practitioners, however, may not realize that there are Western meditative techniques that are very similar to mindfulness and that have deep roots within Christian, Jewish, and Muslim faith traditions. Patient-centered mindfulness involves the use of mindfulness and other meditation methods that are based on the patient's own faith tradition, rather than applying Eastern forms of mindfulness claiming these are a secular approach appropriate for everyone regardless of religious beliefs, even if those beliefs are not consistent with the Buddhist religious or philosophical approach. In this article, I briefly examine the evidence for the clinical effectiveness of mindfulness meditation, and then go into greater depth on Hindu, Buddhist, Christian, Jewish, and Muslim forms of mindfulness or similar meditative practices, providing resources that will better equip clinicians and researchers to provide patient-centered culturally-sensitive care.

摘要

正念冥想正迅速融入许多不同形式的咨询和心理治疗中,且其有效性的证据基础也在不断扩大。理解正念的精神根源,并以患者为中心的方式应用它很重要,要对患者自身的信仰传统保持敏感,而不是采取一刀切的方法,假定基于正念的练习是一种纯粹世俗的方法。正念的哲学基础 squarely 在于佛教信仰传统。事实上,正念是八正道的第七步,而八正道是佛教教义的核心。然而,许多从业者可能没有意识到,有一些西方冥想技巧与正念非常相似,且在基督教、犹太教和穆斯林信仰传统中有深厚的根基。以患者为中心的正念涉及使用基于患者自身信仰传统的正念和其他冥想方法,而不是应用声称适用于所有人(无论宗教信仰如何)的东方正念形式,即使这些信仰与佛教宗教或哲学方法不一致。在本文中,我简要考察了正念冥想临床有效性的证据,然后更深入地探讨印度教、佛教、基督教、犹太教和穆斯林形式的正念或类似的冥想练习,提供资源,以便更好地让临床医生和研究人员提供以患者为中心的、具有文化敏感性的护理。

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