Evolving Conceptions of Mindfulness in Clinical Settings
Evolving Conceptions of Mindfulness in Clinical Settings
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DOI：
10.1891/0889-8391.23.3.270
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发表时间：
2009-01-01
影响因子：
0.7
通讯作者：
Carmody, James
中科院分区：
文献类型：
--
作者：
Carmody, James
一些对正念的临床应用很重要的问题需要系统研究。这些问题包括：出于临床目的的最简洁的正念定义，如何以最易被患者接受的方式描述正念，以及正念与其他身心疗法在多大程度上具有共同机制。讨论包括简要回顾正念从传统环境到临床环境的转变，以及临床描述中常见的正念组成部分。提出了一个基于注意力运用能力的模型，并描述了注意力技能如何可能导致对内部联想过程的识别以及如何解释心理结果的机制。利用患者已经熟悉的概念，基于注意力的概念可能比更详尽的描述更容易被患者理解，并且在确定正念训练与其他身心疗法可能具有的共性方面具有更大的实用性。
A number of issues important to the clinical utility of mindfulness require systematic study. These include the most parsimonious definition of mindfulness for clinical purposes, how mindfulness is best described to be most approachable to patients, and the extent to which mindfulness shares common mechanisms with other mind-body programs. The discussion includes a brief review of the transition of mindfulness from traditional into clinical settings as well as the components commonly contained within clinical descriptions of mindfulness. A model based on facility in the use of attention is proposed, and a description of mechanisms by which attentional skill may lead to the recognition of internal associational processes and account for psychological outcomes is given. Using constructs already familiar to patients, an attention-based conception may also be more accessible to patients than more elaborate descriptions and have greater utility in identifying commonalities that mindfulness training may have with other mind-body programs.