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精神治疗过程中信念与期望的重要性。

The significance of belief and expectancy within the spiritual healing encounter.

作者信息

Wirth D P

机构信息

Healing Sciences Research International, Orinda, CA 94563, USA.

出版信息

Soc Sci Med. 1995 Jul;41(2):249-60. doi: 10.1016/0277-9536(94)00312-h.

Abstract

Historically, traditional cultures recognized the importance of belief and expectancy within the healing encounter and created complex rituals and ceremonies designed to elicit or foster the expectancy and participation of both the healer and patient, as well as the community as a whole. This holistic approach to health care was a fundamental component in the spiritual healing rituals of virtually all traditional native cultures. The focus of the current study was to assess the impact of healer and patient expectations on mental and physical health parameters following a spiritual healing session. A pre-post methodological design which incorporated extensive psychophysiological health outcome measures along with independent medical diagnoses was utilized. The study was conducted in a northern California suburb of Marin County utilizing an American-born spiritual healer trained in the Philippines. The results indicated that there was a statistically significant difference between the pre-treatment and post-treatment scores for all fourteen dependent variables examined. The data also demonstrated a significant difference between the high versus low expectancy subjects for both patient and healer groups, as well as a significant relationship between high expectancy in patients and healer and the effectiveness of the spiritual healing encounter. The results of the study therefore suggest that high healer and patient expectancy may be important elements which can serve as both predictors as well as facilitators of the healing process. The degree of bonding or communication between the healer and patient was postulated as an important factor in this regard. Due to the fact that a majority of the conditions reported (75%) were organic disorders that would not commonly disappear within the 3 week time frame of the study, the significant results obtained suggest that spiritual healing in combination with traditional allopathic medicine may have the potential to be an effective treatment protocol for severe or long-term disorders. An important contributing feature of this study was that an independent means of assessing the patients' self-reports, i.e. an allopathic medical examination, was included in the experiment. There was a significant correlation between the patient's expectation level and their assessment of improvement, as well as a significant relationship between the patient's assessment of their condition and the objective evaluations provided by independent medical examinations.

摘要

从历史上看,传统文化认识到在治疗过程中信念和期望的重要性,并创造了复杂的仪式和典礼,旨在激发或促进治疗师、患者以及整个社区的期望和参与。这种整体的医疗保健方法是几乎所有传统本土文化精神治疗仪式的基本组成部分。本研究的重点是评估精神治疗疗程后治疗师和患者的期望对心理和身体健康参数的影响。采用了前后测方法设计,该设计纳入了广泛的心理生理健康结果测量以及独立的医学诊断。该研究在加利福尼亚州北部马林县的一个郊区进行,使用的是一位在美国出生、在菲律宾接受培训的精神治疗师。结果表明,在所检查的所有14个因变量的治疗前和治疗后分数之间存在统计学上的显著差异。数据还显示,患者和治疗师组中高期望与低期望受试者之间存在显著差异,以及患者和治疗师的高期望与精神治疗效果之间存在显著关系。因此,研究结果表明,治疗师和患者的高期望可能是治疗过程的重要预测因素和促进因素。治疗师与患者之间的联系或沟通程度被假定为这方面的一个重要因素。由于报告的大多数病症(75%)是器质性疾病,通常不会在研究的3周时间内消失,因此所获得的显著结果表明,精神治疗与传统的对抗疗法相结合可能有潜力成为治疗严重或长期疾病的有效治疗方案。本研究的一个重要贡献特征是,实验中纳入了一种评估患者自我报告的独立方法,即对抗疗法医学检查。患者的期望水平与他们对改善情况的评估之间存在显著相关性,以及患者对自身状况的评估与独立医学检查提供的客观评估之间存在显著关系。

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