Assaz Daniel A, Tyndall Ian, Oshiro Claudia K B, Roche Bryan
University of São Paulo.
University of Chichester.
Behav Ther. 2023 Nov;54(6):1020-1035. doi: 10.1016/j.beth.2022.06.003. Epub 2022 Jun 23.
Cognitive defusion is among the main components of Acceptance and Commitment Therapy (ACT), a contextual behavioral approach to psychotherapy. Defusion serves as a middle-level term, and, as such, may be useful for applying and disseminating behavior science, despite its lower precision. However, some authors argue that for middle-level terms in psychotherapy to be useful to clinicians, they need to be clearly linked to basic behavioral concepts, with higher precision; and that this is not currently the case with defusion. Our objective is to increase the pragmatic utility of the concept of "cognitive defusion" by providing a more nuanced, multifaceted and process-based definition of the term. In order to do this, we surveyed the ACT literature regarding defusion and critically examined it through the lens of conceptual analysis. This culminated in a revised and updated conceptualization of defusion in terms of its relationship to basic behavioral concepts, in which defusion is an outcome that may be achieved through different processes.
认知解离是接纳与承诺疗法（ACT）的主要组成部分之一，ACT是一种用于心理治疗的情境行为疗法。解离是一个中级术语，因此，尽管其精确性较低，但可能有助于行为科学的应用与传播。然而，一些作者认为，心理治疗中的中级术语要对临床医生有用，就需要更精确地与基本行为概念明确联系起来；而目前解离并非如此。我们的目标是通过提供一个更细致入微、多方面且基于过程的“认知解离”定义，来提高该概念的实用价值。为了实现这一目标，我们查阅了ACT文献中有关解离的内容，并通过概念分析的视角对其进行了批判性审视。这最终形成了一个关于解离与基本行为概念关系的修订和更新后的概念化表述，其中解离是一个可通过不同过程实现的结果。
