韩 啸
济南市精神卫生中心临床心理科
摘要(Abstract):
近年来,正念作为一种跨文化、跨学科的心理疗法,在临床心理学、健康心理学及教育等领域逐渐崭露头角,成为心理健康调节的重要方式。全能时刻正念操作技术的提出,旨在将正念训练嵌入日常生活情境,强调在动态与静态情境中,对身心状态进行持续的、非评判的觉察,并在此觉察基础上促进身心系统的非强迫性自我调节。本文在界定全能时刻正念概念内涵基础上,梳理了其理论渊源,阐述“顺其自然调整”的核心调节机制。在此基础上,本文系统介绍该技术的操作框架,包括以觉察提升为核心的准备阶段,以及强调体态、呼吸、情绪与认知协同调节的实践应用,为心理学干预模式的本土化与生活化提供理论依据和可操作性的技术路径。
关键词(KeyWords):
正念;调整;觉察;心理
参考文献(References):
[1]L E G ,A S G ,A C B , et al.Mindfulness training mod ifies cognitive, affective, and physiological mechanisms implicat ed in alcohol dependence: results of a randomized controlled pilot tri al.[J].Journal of psychoactive drugs,2010,42(2):177-92.
[2]Kabat-Zinn J .An outpatient program in behavioral medici ne for chronic pain patients based on the practice of mindfulness me ditation: theoretical considerations and preliminary results.[J].Gen Hosp Psychiatry, 1982, 4(1):33-47.
[3]Kabat-Zinn J , Lipworth L , Burney R .The Clinical Us e of Mindfulness Meditation for the Self-Regulation of Chronic Pain [J].Journal of Behavioral Medicine, 1985, 8(2):163-190.
[4]Kabat-Zinn J , Massion A O , Kristeller J K ,et al.Eff ectiveness of a meditation-based stress reduction program in the tre atment of anxiety disorders.[J].Am J Psychiatry, 1992, 149(7): 936-943.
[5]Kabat-Zinn,J, Edu A U ,et al.Influence of a mindful ness meditation-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing ph ototherapy (UVB) and photochemotherapy (PUVA).[J].Psyc hosomatic Medicine, 1998.
[6]KRISTELLER J L, BAER R A, QUILLIAN-WOLEVE R R. Mindfulness-based approaches to eating disorders[M].BAER R. Mindfulness and acceptance-based interventions: Conceptualizat ion, application, and empirical support. San Diego: Elsevier, 20 06: 75-91.
[7]Shapiro L S ,Bootzin R R ,Figueredo J A , et al.The e fficacy of mindfulness-based stress reduction in the treatment of sle ep disturbance in women with breast cancer[J].Journal of Psychoso matic Research,2003,54(1):85-91.
[8]M A T ,Jacalyn M ,Yvonne C , et al.Mindfulness med itation, anxiety reduction, and heart disease: a pilot study.[J].F amily & community health,2003,26(1):25-33. [9]D J T ,V Z S ,M J W , et al.Prevention of relapse/recu rrence in major depression by mindfulness-based cognitive therapy. [J].Journal of consulting and clinical psychology,2000,68(4): 615-23.
[10]Purser, R. E., & Milillo, J. Mindfulness revisited: A Buddhist-based conceptualization[J]. Journal of Management Inqu iry, 2015,24(1), 3−24.
[11]Kabat-Zinn,J.Some reflections on the origins of MBSR, skillful means, and the trouble with maps[J]. Contemporary Bud dhism,2011,12(1), 281−306.
[12]Zhang, D., Lee, E. K., Mak, E. C., Ho, C. Y., & Wong, S. Y. Mindfulness-based interventions: An overall revie w[J]. British Medical Bulletin,2021,138(1), 41−57.
[13]Kang C, Whittingham K. Mindfulness: A Dialogue betw een Buddhism and Clinical Psychology[J].Mindfulness,2010,1 (3):161-173.
[14]段文杰.正念研究的分歧:概念与测量[J].心理科学进展,2014,22(10):1616-1627. [15]觉音论师.清净道论[M].叶均,译.果儒,修订.台湾:一行禅院,2011:452.
[16]菩提长老编《阿毗达摩概要精解》,寻法比丘译[M]. 新加坡帕奥禅修中心印行,2011. [17]李建伟,王立娜,王英.佛教与心理治疗的融合——佛教的禅修方法在心理治疗中的运用[J].医学与哲学(A),201 5,36(11):31-34.
[18]Kabat- Zinn,J.Mindfulnessbased Intervention in Contex t:Past,Present,and Future[J].Clinical PsychologyScience and Pr actice,2003(2).
[19]Perez-De-Albeniz, A., & Holmes, J. Meditation: co ncepts, effects and uses in therapy[J]. International Journal of Ps ychotherapy, 2000,5(1), 49-58.
[20]Baer, R. A., Smith, G. T., & Allen, K. B. Assess ment of mindfulness by self-report the Kentucky inventory of mindf ulness skills[J]. Assessment,2004, 11(3), 191-206.
[21]Carmody, J., Baer, R. A., LB Lykins, E., & Ol endzki, N. An empirical study of the mechanisms of mindfulness in a mindfulness‐based stress reduction program [J]. J Clin Psychol, 2009,65(6), 613-626.
[22]Bishop, S. R. Mindfulness: A Proposed Operational Defi nition[J].Clinical psychology: science and practice,2004,11(3), 230-241.
[23]Shapiro, S. L., Oman, D., Thoresen, C. E., Pla nte, T. G., & Flinders, T.Cultivating mindfulness: Effects on we ll-being[J].J Clin Psychol, 2008,64(7), 840-862.
[24]Shapiro, S. L., Carlson, L. E., Astin, J. A., & F reedman, B. Mechanisms of mindfulness[J]. J Clin Psychol, 20 06,62(3), 373-386.
[25]Van Gordon, W., Shonin, E., Griffiths, M. D., & Singh, N. N. There is only one mindfulness: Why science and Bu ddhism need to work together[J]. Mindfulness,2015, 6(1), 49-56.
[26]Grossman,P.,& Van Dam,N. T. Mindfulness,by any other name…: trials and tribulations ofsatiin western psychology and science[J]. Contemporary Buddhism,2011,12(1), 219-239.
[27]方立天.中国佛教伦理的社会意义[J].伦理学研究,2004 (01):30-33.
[28]务凯.东方正念的心理治疗机制与神经基础[J].心理科学进展,2026,34(02):331-347. [29]Wongpakaran,N.,Pooriwarangkakul,P.,Suwannachot, N.,Mirnics,Z.,Kövi,Z.,& Wongpakaran,T. Moderating role of observing the five precepts of buddhism on neuroticism , perceived stress, and depressive symptoms[J]. PLoS One,2022, 17(11), e0277351. [30][德]康德:《道德形而上学原理》,苗力田译[M]. 上海:上海人民出版社,2002.