初探正念取向心理治療歷程之整合架構

An Initial Exploration of an Integrated Framework of Mindfulness-Oriented Psychotherapeutic Processes

研究目的：正念（mindfulness）起源於佛教，它被視為一種修心的方法及存在方式。當代已發展出許多正念取向心理治療及心理健康理論，但卻少有文獻探討正念取向心理治療歷程的整合架構。有鑑於此，本文試圖在既有的理論及實作基礎上提出一個概略的藍圖。研究方法：本文首先概述正念的意涵及正念取向心理治療的內容，繼而以正念治療共通的正念意義、世界觀、治療觀及實踐為基礎，擷取四種主要正念治療取向（MBSR、MBCT、DBT、ACT）相通及互補的內容，參照一般性治療歷程模式，統整出一個正念取向心理治療歷程的整合架構。研究結果：此架構從三個維度、十個構念描繪正念取向心理治療歷程，並以正念治療的共通理念貫穿之。研究結論：此整合架構的特色在於突顯正念的治療之道―解脫心及圓滿行，體現在治療上即是結合接納與改變兩種治療策略。

Mindfulness is rooted in Buddhism. It is a way of disciplining one’s mind and existence. Various psychotherapies and mental health theories based on mindfulness have been developed. However, no studies have tried to provide an integrated framework of a mindfulness- oriented psychotherapeutic processes. This article starts from the meaning, worldview, therapy-view, and practice of mindfulness. It then incorporates the key contents of the 4 main mindfulness-oriented psychotherapies (MBSR, MBCT, DBT, and ACT). The goal is to inform the general psychotherapeutic process model to propose an integrated framework of mindfulness-oriented psychotherapeutic processes. This integrated framework highlights the therapeutic way of mindfulness (the liberated mind and good deed), which is embodied in the combination of the 2 therapeutic strategies of acceptance and change.