Interoceptive Awareness Skills for Emotion Regulation: Theory and Approach of Mindful Awareness in Body-Oriented Therapy (MABT).

Interoceptive Awareness Skills for Emotion Regulation: Theory and Approach of Mindful Awareness in Body-Oriented Therapy (MABT).
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DOI:
10.3389/fpsyg.2018.00798
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发表时间:
2018
影响因子:
3.8
通讯作者:
Hooven C
Hooven C
中科院分区:
心理学3区
文献类型:
--
作者:
Price CJ;Hooven C

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情绪调节涉及与自我的连贯关系,特别是身体,心灵和感受之间的有效沟通。有效的情绪调节包括准确地检测和评估与压力事件的生理反应相关的线索的能力,伴随着适当的调节策略,调节和影响情绪反应。有令人信服的证据表明,对感官信息的意识或内感受性意识的不良或中断与情绪调节的困难之间存在联系。本文提出了一个框架,心理学和神经生物学研究的基础上,了解如何内感受性意识促进调节和自我的综合意识,从而有助于健康和福祉。描述了一种被称为身体导向疗法(MABT)中的正念意识的身心治疗方法,该方法被独特地设计用于教授内感受意识的基本技能。MABT开发了识别,访问和评估内部身体信号的独特内感受意识能力,这些信号在生理模型中被识别为情绪调节的内感受的关键组成部分。解释模型是,这些关键的内感受能力的发展提高了感官(身体和情感)意识,减少了痛苦,并改善了调节。在正念或心理治疗方法中,教授和学习内感受意识的策略并不发达,对于那些由于压力,慢性疼痛或创伤而难以关注内感受意识的人来说尤其重要。为了解决这个问题,MABT提供了一个个性化的协议,通过心理教育和躯体方法的结合明确解决与内感受性处理的困难,脚手架内感受性意识。临床小插曲包括提供这种方法的范例,并强调治疗过程的关键组成部分。研究结果也被纳入,以突出可接受性,安全性,健康结果,和潜在的机制MABT的方法。
Emotion regulation involves a coherent relationship with the self, specifically effective communication between body, mind, and feelings. Effective emotion regulation involves the ability to accurately detect and evaluate cues related to physiological reactions to stressful events, accompanied by appropriate regulation strategies that temper and influence the emotional response. There is compelling evidence demonstrating links between poor or disrupted awareness of sensory information, or interoceptive awareness, and difficulties with emotion regulation. This paper presents a framework, based on psychological and neurobiological research, for understanding how interoceptive awareness facilitates regulation and an integrated sense of self, and thus contributes to health and well-being. A mind-body therapeutic approach called mindful awareness in body-oriented therapy (MABT), uniquely designed to teach fundamental skills of interoceptive awareness, is described. MABT develops the distinct interoceptive awareness capacities of identifying, accessing, and appraising internal bodily signals that are identified in physiological models as the critical components of interoception for emotion regulation. The explanatory model is that the development of these key interoceptive capacities improves sensory (physical and emotional) awareness, reduces distress, and improves regulation. Strategies for teaching and learning interoceptive awareness are not well-developed in mindfulness or psychotherapeutic approaches, particularly important for people who may have difficulty attending to interoceptive awareness due to stress, chronic pain or trauma. To address this issue, MABT provides an individualized protocol for scaffolding interoceptive awareness through a combination of psychoeducation and somatic approaches explicitly addressing difficulties with interoceptive processing. Clinical vignettes are included to provide exemplars of this approach and to highlight key components of the therapeutic process. Results from research are also included to highlight the acceptability, safety, health outcomes, and possible mechanisms underlying the MABT approach.
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