具身心理治疗:原理与技术

具身心理治疗是以身体心理治疗、舞动治疗为代表的,理论上契合具身认知观点、实践中注重身体作用的一种当代心理治疗取向。它将“身体”与“躯体”区分开来,赋予身体解剖学的、感觉运动的、认知的与嵌入环境等不同层面的意义。当前,已有不少研究证实身体有助于改善治疗关系,促进来访者认知、情绪的改变,并发展出一系列注重身体内外感知、姿势或运动的非言语治疗技术。具身心理治疗重构了身体在治疗过程中的概念与角色,发展了新的技术,是传统心理治疗的有益补充; 但也存在实证证据不足、理论框架尚未完全整合、容易过分强调身体作用等问题。今后需自觉整合其他治疗流派、开发独特的核心技术,推进循证的具身心理治疗的发展。     

The Root of Dance Therapy: A Consideration of Movement,Dancing, and Verbalization vis-à-vis Dance/Movement Therapy

How and when does dance become therapy? And why is there a need for such intervention? The author, one of the great choreographer Balanchine's prima ballerinas and a professional choreographer in her own right as well, ranges far in seeking societal as well as individual causes for the creation of a new psychotherapy. She uses her passionate adherence to dance per se as a vantage point from which to view humanity's trials and tribulations. She also opens a door into the realm of professional, performing dancers who wanted to give their dancing to the world. Her ironic wit takes note of the nondancers who want to be dance therapists. She also draws a loving portrait of one of the originators of dance therapy in the United States, Marian Chace, who became her friend and mentor.     

Intra-active signatures in Capoeira: More-than-human pathways towards activism

This paper is informed by interdisciplinary research, practice and activism (Allegranti and Silas 2014; 2016, 2017) combining dance movement psychotherapy, cognitive neuroscience and the Afro-Brazilian art of Capoeira. Framed by feminist new materialism and posthumanism (Manning 2013; Harraway 2012; Barad 2007), and as an antidote to our global crisis, this writing foregrounds conceptual and political discourses that work towards counterhegemonic understandings of bodies, affect, brain activity and relating. Here, we present case studies arising from our ‘Capoeira Lab’ a hybrid laboratory, dance studio and psychotherapeutic space that demonstrates more-than-humanism in action, and what happens when insights from psychotherapy, neuroscience and capoeira are read through one another. To paraphrase Barad (2007), we propose Intra-active Signatures: a distributed and dynamic process between bodies, technology and environments – typified by the capoeira exchange. This more-than-human focus dislocates the centrality of the human and the cognitive bias instead, yielding ecologically renewable and neurodiverse ways human-environment relating and enacting ethical change. Ripples of movement in relating evolve micro acts of activism.     

Striptease Spectators: Live and Imaginary

In the United States, adult entertainment striptease (also called exotic dance, nude dancing, and topless dancing) has both live and imaginary spectators. The real audience consists of those who actually enter a club (cabaret, theater), such as patrons and club personnel. However, there are people who only imagine what exotic dance is. I will comment on real and imaginary exotic dance spectators, the values they have, the actions they take that impact exotic dance, and the implications of these actions. A mosaic of contested meanings of exotic dance affects its existence or modification as well as American civil liberties. There are some feminist and uninformed imaginary spectators. Most active is an absent, imaginary audience of a segment of the politically active Christian Right that adheres to its interpretation of Scripture. Imaginary spectators are usually blind and deaf to the actual language of a dance form. Some believe exotic dance to be sinful and/or to cause crime, property depreciation, and disease, contrary to scientific evidence. These spectators’ actions in many places have destroyed the contemporary genre of exotic dance, hurt the industry economically, and caused the loss of jobs. Actual spectators, patrons who expect to see the same full nudity and sexy dance movements that are seen in “high” (“elite”) forms of art such as ballet, opera, modern dance, and theater, believe in free expression and unfettered enterprise and join the defense of exotic dance.     

Der ausreichend gute Therapeut

Psychotherapists show a great variation in their ability to achieve positive outcomes in therapy. Specifically, they vary in terms of their ability to identify and repair ruptures in the therapeutic alliance. Alliance ruptures are a frequent phenomenon but often go undetected; however, repairing alliance ruptures represents a great opportunity to improve the psychotherapy process and therapy outcome. Empirical research suggests that patient feedback should be included in the psychotherapy process to be able to detect alliance ruptures better. From a psychodynamic point of view, a “sufficiently good” therapist is a therapist who can acknowledge the countertransference-based limitations in evaluating the therapeutic alliance with patients and the need to use feedback in order to detect and repair inevitable alliance ruptures. The consequences for research, practice and psychotherapy training are considered.     

Dance becomes therapeutic in the mid to late 20th century

The convergence of dance art and therapeutic culture engendered the development of dance-movement therapy in the mid to late 20th century internationally. This article traces the sociopolitical, institutional, and aesthetic influences that coalesced in this process by contrasting histories of dance-movement therapy in Hungary and in the United States. The professionalization dance-movement therapy, through which it established its own theory, practice, and training institutions, occurred first in the United States in the late 1940s. Modern dancers in the United States began to conceptualize their activity as therapeutic, and the dancer as a (secular) healer, a therapist. The influx of therapeutic concepts into the field of dance is viewed as an example of therapeutic discourse permeating various areas of life in the 20th century. The Hungarian case provides a contrasting history of therapeutic culture, one that deviates from the predominant view of the phenomenon as a product of the global spread of Western modernization and the growth of free-market capitalism. Hungarian movement and dance therapy indeed developed independently from its American predecessor. Its history is intimately tied to the sociopolitical context of state-socialist period, particularly to the institutionalization of psychotherapy in public hospitals, and to the adaptation of Western group psychotherapies within the informal setting of the “second public sphere.” The legacy of Michael Balint and the British object-relations school provided its theoretical framework. Its methodology was rooted in postmodern dance. The methodological differences between American dance-movement therapy and the Hungarian method reflects the shift in dance aesthetics that occurred internationally between 1940 and 1980s.     

悟践疗法与中国心理治疗本土化

中国心理学家在心理治疗本土化方面进行了许多尝试,其中开本土化之先河的是悟践疗法。从悟践疗法的发展可以了解在不同社会历史背景下中国心理治疗本土化的早期特征。悟践疗法的人性主义理论是中国心理治疗本土化的理论产物,强调人性是由生物性、心理性和社会性三方面融合的全方位、全息的整体。悟践疗法的认知与行为的有机结合是中国心理治疗本土化的实践特色。理论和实践证明:悟践疗法具有承前启后、与时俱进的历史和现实意义。     

Metrical congruency and kinematic familiarity facilitate temporal binding between musical and dance rhythms

Although music and dance are often experienced simultaneously, it is unclear what modulates their perceptual integration. This study investigated how two factors related to music–dance correspondences influenced audiovisual binding of their rhythms: the metrical match between the music and dance, and the kinematic familiarity of the dance movement. Participants watched a point-light figure dancing synchronously to a triple-meter rhythm that they heard in parallel, whereby the dance communicated a triple (congruent) or a duple (incongruent) visual meter. The movement was either the participant’s own or that of another participant. Participants attended to both streams while detecting a temporal perturbation in the auditory beat. The results showed lower sensitivity to the auditory deviant when the visual dance was metrically congruent to the auditory rhythm and when the movement was the participant’s own. This indicated stronger audiovisual binding and a more coherent bimodal rhythm in these conditions, thus making a slight auditory deviant less noticeable. Moreover, binding in the metrically incongruent condition involving self-generated visual stimuli was correlated with self-recognition of the movement, suggesting that action simulation mediates the perceived coherence between one’s own movement and a mismatching auditory rhythm. Overall, the mechanisms of rhythm perception and action simulation could inform the perceived compatibility between music and dance, thus modulating the temporal integration of these audiovisual stimuli.     

Cross Cutting Issues in the Practice of Psychotherapy in Nigeria

The need to bridge the gap between western based psychotherapeutic intervention and African psychotherapeutic interventions is the main objective of this paper. In order to do this, cross cutting issues in psychotherapy in Nigeria were reviewed. This review covered socio cultural, economic conditions and other contemporary issues such as child maltreatment, HIV/AIDS, chronic illness, terrorism and the impact of western civilization on Nigerian culture and how it has produced a heterogeneous Nigerian society described as westernized, traditional and transitional types of Nigerians. Also salient peculiarities that must be taken into consideration in bridging the gap between western and African based psychotherapy were identified. Some of these salient peculiarities were adumbrated and they include frequent somatic complaints of psychological origin, beliefs in spirits including ancestral spirits, independent spirits and the supreme spirit God to whom duties are owed to keep the moral order. Given this situation the authors expressed uncertainty in the use of western diagnostic illness categories. Also an attempt was made to describe traditional methods of treatment such as the popular prayer houses and traditional healers. From lessons learnt based on these cross cutting issues the authors reported the development of Harmony Restoration Therapy and Meseron treatment frameworks as attempts at indigenizing western psychotherapeutic methods. From these they proposed the way forward as a cultural blend through using culture based psychotherapeutic framework. This they suggest can be applied in other societies.     

The public's perception of psychotherapy and counseling: Differential views on the effectiveness of psychologists,psychiatrists, and other providers

This study examined the public's perceptions relative to the effectiveness of psychotherapy and counseling, expectations of treatment efficacy for different psychotherapy and counseling providers (i.e., clinical psychologists, counseling psychologists, counselors, general medical practitioners, marital and family therapists, psychiatrists, self-help groups, and social workers), professional characteristics, and factors that may influence treatment utilization in an adult population. The sample viewed psychotherapy or counseling as moderately effective and perceived psychotherapy/counseling to be effective for 26 to 50 percent of all cases. The perceived amount of time necessary for noticeable improvement in psychotherapy or counseling was approximately four months, and the expected necessary length of treatment was approximately eight months. Participants stated they were moderately willing to seek psychotherapy or counseling if they were to experience a mental problem, and reported discernible differences among the eight psychotherapy/counseling providers in terms of treatment efficacy. Differences were also found in the relative perception of providers' personal/professional qualities and characteristics.     

Persuasion criteria in research and practice: Gathering more meaningful psychotherapy data

Psychotherapy research should ultimately benefit the psychotherapy client. Unfortunately, traditional psychotherapy research continues to have little influence on practicing clinicians and, therefore, does not benefit psychotherapy clients. As behavior analysts begin to show interest in this area of research, they may be in a position to improve its quality. We argue that traditional psychotherapy researchers have become prematurely wedded to a methodology that does not address the concerns of clinical audiences. Furthermore, we make a case for defining and evaluating psychotherapy data in terms of its capacity to influence both researchers and clinicians. We also suggest several alternative methods for gathering psychotherapy data based on the case formulation approach. We argue that this approach may be one of the most promising methods for gathering useful psychotherapy data.     

The application of psychodynamic ideas to professional dance training

Concern about the welfare of professional dance students is growing as it becomes clearer that the training is not producing emotionally healthy and mature young people. Psychodynamic ideas and concepts offer a means of analysing the problems of the training and indicating where change needs to be implemented. This paper looks first at the areas of adolescent development towards separation, autonomy, the creation of peer relationships and the development of sexual identity and awareness, and shows how traditional dance training fails to facilitate their growth. The paper then discusses envy and competition and argues that they need to be addressed within dance training if they are not to be so destructive. The paper then suggests that group theory could enable the better use of the dance class. Finally, the idea of the body storyline is used to show that dance training has the capacity to have a creative and remedial effect on students, if training institutions provide a sufficiently facilitating environment.     

精神科住院患者团体心理治疗准备性会谈与治疗后访谈初探

精神科住院患者团体心理治疗较门诊患者团体心理治疗存在临床情境的特殊性,本研究探索将准备性会谈与治疗后访谈纳入治疗计划,治疗前向患者普及住院治疗、心理治疗的知识,澄清团体心理治疗的形式、目标、内容,了解患者对团体心理治疗的疑问、期望,允许患者做出是否参加治疗的决定,并在治疗后的访谈中强化疗效因子。     

Body language and metaphors revealed through applications of Movement Psychotherapy in a hospice: A clinical case of refractory pruritis

Movement psychotherapy (MP), and dance/movement therapy (DMT), are body-orientated psychotherapy approaches that use movement for the integration of emotional, cognitive, physical, social and spiritual aspects of self (European Association Dance Movement Therapy, 2010). It is distinctively a combination of moving and sensing the body with verbal self-reflection (Bloom, 2006). Several papers have presented DMT as a treatment in general medical care and cancer care, but there is still a paucity of evidence-based studies. The authors describe a clinical case illustrative of many of the situations in which facing death was particularly tormenting. The emotional pressure can produce a barrier of communication with the risk of rupturing the therapeutic relationship. The movement therapist’s function is to clarify the elements of body language and this has important implications for clinical practice because the end-of-life decisions are difficult, like palliative sedation therapy (PST). Even if procedural guidelines for PST help physicians and care teams through the decision-making process and make them more comfortable when responding to physical suffering, physicians more frequently report an emotional pressure when their patients experience psychological symptoms, with the risk that PST could become a potential “counterphobic defence to treat”.     

An evaluation of auditory feedback for students of dance: Effects of giving and receiving feedback

The purpose of this study was to evaluate auditory feedback for dance students on a competition team in which one peer provided auditory feedback to another peer for a selected dance movement. Some peers switched roles during the study, and increases in their performances were evaluated both as the receiver and deliverer of auditory feedback. All participants demonstrated increases in their respective target behaviors when they received auditory feedback. Several participants also displayed increases in their movements when they provided auditory feedback to their peer partner, although these increases were not as substantial as those who received feedback.     

心理治疗中共同要素理论的历史发展

从共同要素的角度,分理论模式化与研究实证化两条线索,追溯了心理治疗中共同要素理论的思想渊源,并自Saul Rosenzweig开始,综述了Carl Rogers、Jerome Frank、Marvin Goldfried、Michael Lambert、Bruce Wampold等学者的观点,探讨了共同要素理论的历史演进、内涵结构、理论模式及当代研究进展。认为它在不久的未来,将与特殊技术说逐步走向整合,加深对心理治疗过程与改变机制的认识,共同提升心理治疗的效果。     

Mirror,mirror on the wall,who is the fairest dancer of them all? A naturalistic lens model study on the judgment of dance performance

Success as a dancer is closely associated with positive dance judgments by perceivers. Although dancers’ physical appearance (attractiveness, style) might affect dance judgments beyond dance-specific attributes (technique, expression), they have largely been unconsidered in previous studies. To contribute to a comprehensive explanation of real-life dance judgments, we applied the lens model, an approach explicitly developed to explain the emergence of social judgments by multiple attributes. Therefore, video-records of 70 solo performances were (1) rated regarding dancers’ physical appearance, technique, and expression and (2) judged by 33 perceivers. Results of cross-classified mixed-effects models revealed that attributes of all domains were significantly related to dance judgements. Considered simultaneously, however, only dance-specific attributes contributed to the prediction of dance judgments. Additional moderation analyses underscored the importance of perceivers’ expertise in judging dance. We discuss the lens model as suitable framework for a naturalistic approach to the study of aesthetic experiences and sports performances.     

工匠传统在心理治疗(咨询)中的复兴

作者站在科学史的高度,分析了学者传统对心理咨询的方向性误导。从精神分析、行为主义,以至人本主义,心理治疗显示朝向整体论的倾向。但此种倾向被作为科学时代范式的学者传统所阻碍。心理治疗仍专注于根本原因,而忽视效果;专注于学派提供的片面视野,而忽视解决问题的完整过程;重于知而轻于行。伊根博士的模式提供了真正整体论的．能将各种视野,方法有效组织起来的心理咨询路线图,它能将知行整合、创造心理咨询最大成效。推动了心理咨询方法论根本转变。     

试析后现代心理学影响下的心理治疗与咨询

后现代心理学强调心理现象的建构特性和心理学知识的文化相对性。后现代背景下的心理治疗和咨询接受社会建构主义的认识论主张,认为病理心理是语言的社会建构,并没有客观的意义。所有的治疗和咨询理论都是一种“建构”或“叙事”,而不是所谓的“真理”。承认这一点,将有助于在后现代多元化的基础上,实现各种治疗和咨询理论的整合。     

The causality principle of psychotherapy and supportive methods in group psychotherapy--reflections on the principles of method combinations

A causality principle of psychotherapy is offered, starting from a technologically orientated concept of psychotherapy as a process. Working from target, commencement, principles, and means, psychotherapeutic methods may be characterised. From these, rules governing the therapist's mode of conduct are arrived at. The causality principle provides a theoretic and practical basis for the integration of ancillary methods into various therapeutic concepts, and for therapeutic teamwork.