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佛教心理学以及心理疗法与大脑之评介(3)

未来几年有可能还会看到如下研究的增加:在特定的心理学与精神病学条件下,对使用具体佛教技巧(如冥想)的可能禁忌。众所周知,心理疗法的特定形式在特定情况下特别有效(如认知行为疗法对恐惧症;Rowa & Antony,2005),但是在其他情况下,几乎没有良好效果,甚至还会导致症状的恶化(如某些精神分析方法对精神分裂症;Mosher & Keith,1980)。类似地,某些佛教技巧(如冥想)对某个特定情况可能被证明效果良好(如焦虑症;Kabat-Zinn等,1992),但很可能在其他情况下却又是应当禁忌的(如,对承受不起侵入性创伤记忆的个体)。对这些治疗方法中的可能禁忌,目前几乎没有系统的证明能建立起清晰的指引;希望在未来几年,对这些技巧能有更多的系统研究,这将有助于更详细地阐明它们的适用症及禁忌症。

除了结合了佛教教义与西方治疗传统的治疗方法的发展,即使是更为明确地来源于佛教传统的各种各样的治疗形式,对此,人们也有着大量的兴趣,此点尤其体现在日本(Tsuchiya & Takei,2004)。这些治疗方法中包括内观疗法(Naikan therapy),其本质上包含了一种结构化的自我反省程序(Murase & Johnson,1974),除此之外,还有森田疗法或新森田疗法——以接受某些负面性的现实和对世界正向性的参与为基础(Kitanishi & Mori,1995;Reynolds,1980)。Brazier (2003)对当代森田疗法进行了深入讨论,并将其严格地定位于当代佛教心理学与精神疗法的范畴中。Das (1997)同样利用传统佛教教义,为佛教修习提供了一种有效的“自助”指引,为将佛教思想原理融入当代日常生活,概括了一种实用框架;Kornfield (1993)也使用了类似的方法。

最后,还有一种持续增长的兴趣,即将佛教作为一种“哲学”疗法,用来探索存在主义的课题(如探索对虚无的防御;Emmanuel,2001)和研究有关“自我”与“无我”的课题(Michalon,2001),这些课题中,有很多一直成为诸多传统佛教教义的关键关注点。在它们的当代“化身”中,这些研究代表了日益发展壮大的佛教的影响,它早已与西方存在主义的疗法发生了融合(Yalom,1980);同时,基于对佛教心理学不断增长的西方兴趣,在接下来的数年中,这种影响可能还会进一步扩展。作为这些以及其他一些发展的结果,现在,很多心理疗法的训练方案,都含有依据佛教教义与修持所制定的课程,而且,在某些中心,可以获取具体的佛教心理疗法资格证书[4]

然而,尚有一种强烈且紧迫的需要,即为了在心理治疗实践中使用特定的佛教技巧,而发展和扩大其实证基础。尤其是特定情况下的特定方法,需要区分出适用症与禁忌症,从而确保治疗范式中的疗法在适宜环境下被使用。希望通过训练和研究项目的发展,不仅能阐明这些技巧在心理疗法背景下的实效性,还能为明确它们在相关领域的作用提供帮助,这些领域包括社会保障的提供(Brandon,1976)和生物伦理学原则的演变,这些原则反映了日益全球化社会的价值观和关注点(Ratanakul,1988)。

致谢

感谢三位匿审者的评论与建议。非常感激Peter Harvey教授在这篇文章的早期版本中所给予的反馈意见。

【注释】:

[1].赫尔曼•黑塞(2003年)的著名小说《悉达多》中提供了更多的文献记录,该小说大体上是基于佛陀的早期生活。凯伦•阿姆斯特朗(2002年)所著的《佛陀》,提供了另一种有益的概览,而《非信仰的佛教》(Buddhism Without Beliefs),(Batchelor, 1998)也以简洁明了的方式对佛教的很多教义做了概括。

[2].尽管也有数量可观的梵语文献,但许多原始佛教的经典都以巴利语写就。这篇文章并没有严格秉承某种特定的语言或特定佛教派别的术语,为了使表述做到最大程度的清楚明确,我尽量使用了最平常、最易理解的术语。

[3].这期杂志可以从协会网站免费下载:www.aabt.org/publication/cbp/c%26bp9.1.html。

[4].例如,在与英国密德萨斯大学(www.karuna-institute.co.uk)合作的卡鲁那(Karuna)研究所,可以获取佛教心理疗法文学硕士学位。

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