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題名 | Mindfulness Meditation Training Combined with Eye Movement Desensitization and Reprocessing in Psychotherapy of an Elderly Patient=合併內觀禪訓練與動眼減敏重整療法治療--憂鬱症之老人 |
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作者 | 孫讚福; 吳景寬; 邱念睦; | 書刊名 | 長庚醫學 |
卷期 | 27:6 2004.06[民93.06] |
頁次 | 頁464-469 |
分類號 | 415.9341 |
關鍵詞 | 動眼減敏重整療法; 憂鬱; 老人醫學; 內觀禪; 心靈創傷; Depression; Eye movement desensitization and reprocessing; Geriatrics; Meditation; Mindfulness; Trauma; |
語文 | 英文(English) |
中文摘要 | 我們報告一位因身體不適引發憂鬱症之老人,合併有恐懼被進行氣管切開術之心靈創傷。個案害怕精神樂物副作用,願意全力配合一切非藥物治療。故在兩週的住院期間,個案接受密集的內觀禪訓練,以及動眼減敏重整療法。動眼減敏重整療法有效除去個案對氣管切開術的恐懼內禪訓練改善個案的焦慮與憂鬱。這是第一次動眼減敬重整療法與內觀禪訓練併用的報告,我們發現二者有互相加成的效果。個案出院後,持續每天練習內觀禪,用以減緩身體的不適,甚至可以防止因身體不適帶來的焦慮與憂鬱。我們討論在某特定情況下,動眼咸敏重整療法與內觀禪訓練併用的成效與可行性,並提議將內觀禪訓練納入老人醫學中。 |
英文摘要 | We present our experiences with an elderly patient with depression that was attributed to a surge of physical ailments who also had trauma-dervied fear of having to undergo a tracheotomy. He refused pharmacotherapy and was offered intensive training in Mindfulness Mediatation (MM) plus Eye Movement Desensitization and Reprocessing (EMDR) therapy during the 2 weeks of hospitalization. This treatment combination had not been use dpreviously. We suggest that EMDR eliminated his fear of surgery, whereas MM relieved his depression and attendant anxiety. Hwoever, the two techniques appeared to work synergistically. Following his discharge, he continued to practice MM, which prevented the recurrence of emotional distress, and even helped to reduce its causative physical symptoms. We offer an explanation for the success of our combined treatments and discuss the potential usefulness in specific psychotherapeutic situations. We also propose a place for MM within general geriatric care, and point out the reluctance to consider the therapeutic value of meditation. |
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