Mindfulness-based interventions in context: Past, present, and future
Mindfulness-based interventions in context: Past, present, and future
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DOI：
10.1093/clipsy/bpg016
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发表时间：
2003-06-01
影响因子：
5.8
通讯作者：
Kabat-Zinn, J
中科院分区：
文献类型：
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作者：
Kabat-Zinn, J
Baer的综述（2003;本期）表明，基于正念的干预措施在临床上是有效的，但现在需要更好的设计研究来证实这一领域，并为未来的发展奠定坚实的基础。她的评论，加上其他证据，表明将正念纳入医学和心理学临床干预的兴趣正在增长。因此，重要的是，进入这一领域的专业人士要了解与提供基于正念的干预相关的一些独特因素，以及不认识这一广泛陌生的景观特征的潜在概念和实践陷阱。这篇评论强调并语境化了（1）正念到底是什么，（2）它来自哪里，（3）它是如何被引入医学和医疗保健的，（4）在研究来自其他文化的冥想练习以及在新环境中应用它们时的跨文化敏感性和理解问题，（5）为什么教正念的人练习自己很重要，（6）来自医学、医疗保健和社会正念中心的3项最近研究的结果没有被贝尔审查，但提出了一些关于临床适用性的关键问题，研究设计和作用机制，以及（7）目前正念及其临床应用的专业培训和发展机会。
Baer's review (2003; this issue) suggests that mindfulness-based interventions are clinically efficacious, but that better designed studies are now needed to substantiate the field and place it on a firm foundation for future growth. Her review, coupled with other lines of evidence, suggests that interest in incorporating mindfulness into clinical interventions in medicine - and psychology is growing. It is thus important that professionals coming to this field understand some of the unique factors associated with the delivery of mindfulness-based interventions and the potential conceptual and practical pitfalls of not recognizing the features of this broadly unfamiliar landscape. This commentary highlights and contextualizes (1) what exactly mindfulness is, (2) where it came from, (3) how it came to be introduced into medicine and health care, (4) issues of cross-cultural sensitivity and understanding in the study of meditative practices stemming from other cultures and in applications of them in novel settings, (5) why it is important for people who are teaching mindfulness to practice themselves, (6) results from 3 recent studies from the Center for Mindfulness in Medicine, Health Care, and Society not reviewed by Baer but which raise a number of key questions about clinical applicability, study design, and mechanism of action, and (7) current opportunities for professional training and development in mindfulness and its clinical applications.