为什么正念对每个人都不起作用:在精神病学背景下的反思性主题研究中,网络生活的紧张局势
Mehdi Akbari1, Mohammad Seydavi1
1Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran.
Clinical psychology & psychotherapy
|December 5, 2025
概括
许多人没有从基于正念的干预措施 (MBI) 中受益. 这项研究探讨了为什么,发现认知刚性,情绪回避和关系不信任是有效正念治疗的关键障碍.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 正念研究研究 正念研究
背景情况:
- 基于正念的干预措施 (MBI) 被广泛使用,但并不普遍有效.
- 了解非响应对于为更好的包容性和精度量身定制MBI方法至关重要.
研究的目的:
- 系统地调查那些对标准MBI没有充分反应的个体的主观和流程相关障碍.
- 在多样化的临床样本中识别导致不响应的模式和主题.
主要方法:
- 对194名患有精神疾病的参与者的数据进行了反射主题分析 (RTA).
- 参与者被分为四种不响应亚型:症状不响应,早期复发,功能不响应和治疗中断.
主要成果:
- 五个相互关联的主题出现了:认知硬性/努力控制,情绪回避/恐惧暴露,元意识疲劳,情境异化/关系不信任以及身份威胁/自我批判性抵抗.
- 这些主题是动态地交织在一起的,认知过度控制与情绪回避,疲劳,社会疏远和身份脆弱性有关.
- 非响应与心理安全和自我凝聚力的适应性策略有关,受关系,社会文化和动机因素的影响.
结论:
- 提高MBI设计需要解决身份,关系安全,元认知负载和文化知情促进问题.
- 根据个人的需求和背景调整干预措施可以改善参与,并尽量减少对非响应者的伤害.
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