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成瘾行为和自杀行为背景下的自我宽恕与自我谴责

Self-Forgiveness and Self-Condemnation in the Context of Addictive Behavior and Suicidal Behavior.

作者信息

Webb Jon R, Boye Comfort M

机构信息

Department of Community, Family, and Addiction Sciences; Texas Tech University, Lubbock, TX, USA.

出版信息

Subst Abuse Rehabil. 2024 Mar 20;15:21-30. doi: 10.2147/SAR.S396964. eCollection 2024.

DOI:10.2147/SAR.S396964
PMID:38524663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10961012/
Abstract

Addictive behavior and suicidal behavior are serious individual- and public-level health concerns. For those struggling with either or both, self-condemnation is a common experience, especially with respect to shame, guilt, and self-stigma. Self-forgiveness, a construct common to both religiousness/spirituality and positive psychology, may be an effective tool in addressing the self-condemnation inherent to those struggling with addictive behavior and suicidal behavior. In this review paper, we discuss (1) the nature and definition of forgiveness, (2) theoretical modeling developed regarding the general association of forgiveness with health, (3) theoretical modeling developed regarding the specific association of forgiveness with better outcomes related to addictive and/or suicidal behavior, (4) the relevance of shame, guilt, and self-stigma to the development and maintenance of addictive and suicidal behavior, and (5) the role of self-forgiveness in addressing self-condemnation, especially shame, guilt, and self-stigma. Little work explicitly focused on the association of self-forgiveness with shame, guilt, and/or self-stigma has been done. However, empirical evidence is accumulating in support of other associations proposed in the Forgiveness-Addiction-Recovery Association (FARA) Model described herein. As such, it is likely that similar support will be found when the focus is deliberately turned to shame, guilt, and self-stigma.

摘要

成瘾行为和自杀行为是严重的个人及公共健康问题。对于那些正在与其中之一或两者作斗争的人来说,自我谴责是一种常见的体验,尤其是在羞耻、内疚和自我污名方面。自我宽恕是宗教/灵性和积极心理学中都存在的一个概念,可能是解决那些与成瘾行为和自杀行为作斗争的人所固有的自我谴责的有效工具。在这篇综述论文中,我们讨论了:(1)宽恕的本质和定义;(2)关于宽恕与健康的一般关联所建立的理论模型;(3)关于宽恕与成瘾和/或自杀行为相关的更好结果的具体关联所建立的理论模型;(4)羞耻、内疚和自我污名与成瘾和自杀行为的发展及维持的相关性;以及(5)自我宽恕在解决自我谴责,尤其是羞耻、内疚和自我污名方面的作用。很少有研究明确关注自我宽恕与羞耻、内疚和/或自我污名的关联。然而,支持本文所述的宽恕 - 成瘾 - 康复关联(FARA)模型中提出的其他关联的实证证据正在积累。因此,当有意将重点转向羞耻、内疚和自我污名时,可能会找到类似的支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c231/10961012/69aa8e13894b/SAR-15-21-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c231/10961012/69aa8e13894b/SAR-15-21-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c231/10961012/69aa8e13894b/SAR-15-21-g0001.jpg

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本文引用的文献

1
Suicidal thinking as affect regulation.将自杀想法视为一种情绪调节方式。
J Psychopathol Clin Sci. 2023 May;132(4):385-395. doi: 10.1037/abn0000828. Epub 2023 Apr 6.
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The shame spiral of addiction: Negative self-conscious emotion and substance use.成瘾的羞耻螺旋:消极的自我意识情绪与物质使用。
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Addiction is driven by excessive goal-directed drug choice under negative affect: translational critique of habit and compulsion theory.成瘾是由消极情绪下过度的目标导向药物选择驱动的:对习惯和强迫理论的翻译批评。
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Are major repeater patients addicted to suicidal behavior?重度复读患者是否沉迷于自杀行为?
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