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躯体症状障碍心理治疗中具身观的理论与临床视角

A theoretical and clinical perspective of an embodied view in psychotherapy of somatic symptoms disorders.

作者信息

Moneta Maria Eugenia, Kaechele Horst

机构信息

Universidad de Chile, Santiago.

International Psychoanalytic University Berlin.

出版信息

Res Psychother. 2023 Aug 25;26(2):605. doi: 10.4081/ripppo.2023.605.

Abstract

In this paper, we offer some ideas for the treatment of somatoform patients and related pathologies based on the concept of embodiment. Embodiment refers to the interplay between body and mind in behavior. The word refers to giving a body to something, "incarnate". Spinoza wrote extensively about the topic in the 17th century. In the 20th century, picking up on Spinoza's work, Damasio presented extensive and important neuro-scientific evidence that feelings can be direct perceptions of internal body states, substantiating the growing understanding of emotions and feelings as a core component of the embodied experience. Here, we summarize the evidence for the intersection of emotion and cognition in the body, which impinges on the effectiveness of using the body and movement in psychotherapy and the management of somatic symptoms and related disorders. We present evidence indicating that movement would be a way to reach unconscious processes dealing with body-mind interaction and body awareness.

摘要

在本文中,我们基于具身化概念提出了一些针对躯体形式障碍患者及相关病症的治疗思路。具身化指的是行为中身体与心智之间的相互作用。这个词意味着赋予某物以形体,即“使实体化”。斯宾诺莎在17世纪就广泛论述过这一主题。在20世纪,达马西奥借鉴斯宾诺莎的著作,提出了大量重要的神经科学证据,表明情感可以是对身体内部状态的直接感知,证实了人们日益将情感和感觉理解为具身化体验的核心组成部分。在此,我们总结了情感与认知在身体中交汇的证据,这影响了在心理治疗中运用身体和运动以及管理躯体症状和相关障碍的有效性。我们提供的证据表明,运动可能是触及处理身心交互和身体意识的无意识过程的一种方式。

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