成瘾新观点:自我为核心的体验回避模型
New Insight of Addiction: Experiential Avoidance Theory Centered on the Self-Concept
DOI: 10.12677/ASS.2016.54077, PDF, HTML, XML,  被引量 下载: 2,417  浏览: 7,758 
作者: 全 欢:西南大学心理学部,重庆
关键词: 毒品成瘾正念疗法体验回避自我概念模型建构Addiction Mindfulness Experiential Avoidance Self-Concept Model Construction
摘要: 本文提出了一种成瘾的新模型,即以自我为核心的体验回避模型。我们从心理和社会两个视角来看待成瘾问题,并将两者有机融合在模型当中。从心理视角看,成瘾是体验回避的一种策略;从社会视角来看,成瘾是个体与社会的互动方式。在此模型的基础上,提出了对成瘾发生发展全过程的理解,推论成瘾包括两阶段,并且成瘾过程中存在着恶性循环,而体验接纳是打破恶性循环并促进成瘾治疗的关键方式。该模型的建立能够为理解成瘾机制提供新视角,为治疗成瘾提供新启示。
Abstract: This paper develops a new model of addiction, which is called the experiential avoidance theory centered on the self-concept. We view addiction from two different aspects, namely psychological view and social view, and we combine these two views in our model. From psychological view, addiction is a strategy for experiential avoidance; from the social view, addiction is a way that individuals interact with the society. Based on this model, the development process of addiction is described by dividing it into two stages, which are primary stage and secondary stage. And also, we highlight that there exists a vicious cycle in the process of addiction and that acceptance is the key way to break the vicious cycle and promote addiction treatment. The new model we present in this paper can provide a new insight for the understanding of the mechanism of addiction and also shed light on the addiction treatment.
文章引用:全欢. 成瘾新观点:自我为核心的体验回避模型[J]. 社会科学前沿, 2016, 5(4): 552-561. http://dx.doi.org/10.12677/ASS.2016.54077

参考文献

[1] Kabat-Zinn, J. (2003) Mindfulness-Based Interventions in Context: Past, Present, and Future. Clinical Psychology: Science and Practice, 10, 144-156.
http://dx.doi.org/10.1093/clipsy.bpg016
[2] Witkiewitz, K., Marlatt, G.A. and Walker, D. (2005) Mindfulness-Based Relapse Prevention for Alcohol and Substance Use Disorders. Journal of Cognitive Psychotherapy, 19, 211-228.
http://dx.doi.org/10.1891/jcop.2005.19.3.211
[3] Vallejo, Z. and Amaro, H. (2009) Adaptation of Mindfulness-Based Stress Reduction Program for Addiction Relapse Prevention. The Humanistic Psychologist, 37, 192-206.
http://dx.doi.org/10.1080/08873260902892287
[4] Bowen, S., Witkiewitz, K., Clifasefi, S.L., Grow, J., Chawla, N., Hsu, S.H., et al. (2014) Relative Efficacy of Mindfulness-Based Relapse Prevention, Standard Relapse Prevention, and Treatment as Usual for Substance Use Disorders: A Randomized Clinical Trial. JAMA Psychiatry, 71, 547-556.
http://dx.doi.org/10.1001/jamapsychiatry.2013.4546
[5] Bayles, C. (2014) Using Mindfulness in a Harm Reduction Approach to Substance Abuse Treatment: A Literature Review. International Journal of Behavioral Consultation and Therapy, 9, 22-25.
http://dx.doi.org/10.1037/h0100995
[6] Chiesa, A. and Serretti, A. (2014) Are Mindfulness-Based Interventions Effective for Substance Use Disorders? A Systematic Review of the Evidence. Substance Use & Misuse, 49, 492-512.
http://dx.doi.org/10.3109/10826084.2013.770027
[7] Witkiewitz, K., Bowen, S., Douglas, H. and Hsu, S.H. (2013) Mindfulness-Based Relapse Prevention for Substance Craving. Addictive Behaviors, 38, 1563-1571.
http://dx.doi.org/10.1016/j.addbeh.2012.04.001
[8] Schuman-Olivier, Z., Hoeppner, B.B., Evins, A.E. and Brewer, J.A. (2014) Finding the Right Match: Mindfulness Training May Potentiate the Therapeutic Effect of Nonjudgment of Inner Experience on Smoking Cessation. Substance Use & Misuse, 49, 586-594.
http://dx.doi.org/10.3109/10826084.2014.850254
[9] 杨玲, 马丽, 赵鑫, 张更生. 毒品成瘾者情绪加工及应对方式的特点: 基于负性情绪的视角[J]. 心理科学, 2015(2): 37.
[10] Baker, T.B., Piper, M.E., McCarthy, D.E., Majeskie, M.R. and Fiore, M.C. (2004) Addiction Motivation Reformulated: an Affective Processing Model of Negative Reinforcement. Psychological Review, 111, 33-51.
http://dx.doi.org/10.1037/0033-295x.111.1.33
[11] Gifford, E.V., Kohlenberg, B.S., Hayes, S.C., Antonuccio, D.O., Piasecki, M.M., Rasmussen-Hall, M.L., et al. (2004) Acceptance-Based Treatment for Smoking Cessation. Behavior Therapy, 35, 689-705.
http://dx.doi.org/10.1016/S0005-7894(04)80015-7
[12] Witkiewitz, K. and Bowen, S. (2010) Depression, Craving, and Substance Use Following a Randomized Trial of Mindfulness-Based Relapse Prevention. Journal of Consulting and Clinical Psychology, 78, 362-374.
http://dx.doi.org/10.1037/a0019172
[13] Hayes, S.C., Wilson, K.G., Gifford, E.V., Follette, V.M. and Strosahl, K. (1996) Experiential Avoidance and Behavioral Disorders: A Functional Dimensional Approach to Diagnosis and Treatment. Journal of Consulting and Clinical Psychology, 64, 1152-1168.
http://dx.doi.org/10.1037/0022-006x.64.6.1152
[14] 罗杰斯. 当事人中心治疗: 实践, 运用和理论[M]. 李孟潮, 李迎潮, 译. 北京: 中国人民大学出版社, 2013.
[15] Kashdan, T.B., Barrios, V., Forsyth, J.P. and Steger, M.F. (2006) Experiential Avoidance as a Generalized Psychological Vulnerability: Comparisons with Coping and Emotion Regulation Strategies. Behaviour Research and Therapy, 44, 1301-1320.
http://dx.doi.org/10.1016/j.brat.2005.10.003
[16] Sloan, D.M. (2004) Emotion Regulation in Action: Emotional Reactivity in Experiential Avoidance. Behaviour Research and Therapy, 42, 1257-1270.
http://dx.doi.org/10.1016/j.brat.2003.08.006
[17] Vale, P.H. (2010) Addiction- and Rational Choice Theory. International Journal of Consumer Studies, 34, 38-45.
http://dx.doi.org/10.1111/j.1470-6431.2009.00826.x
[18] Forsyth, J.P., Parker, J.D. and Finlay, C.G. (2003) Anxiety Sensitivity, Controllability, and Experiential Avoidance and Their Relation to Drug of Choice and Addiction Severity in a Residential Sample of Substance-Abusing Veterans. Addictive Behaviors, 28, 851-870.
http://dx.doi.org/10.1016/S0306-4603(02)00216-2
[19] Prochaska, J.O., Crimi, P., Lapsanski, D., Martel, L. and Reid, P. (1982) Self-Change Processes, Self-Efficacy and Self-Concept in Relapse and Maintenance of Cessation of Smoking. Psychological Reports, 51, 983-990.
http://dx.doi.org/10.2466/pr0.1982.51.3.983
[20] 曹家琪, 连智, 刘志民. 为什么青少年容易染上药物滥用[J]. 中国药物依赖性杂志, 2006, 14(5): 400.
[21] Bandura, A. (1986) Social Foundations of Thought and Action: A Social Cognitive Theory. Prentice-Hall, Inc., Upper Saddle River.
[22] Markus, H.R. and Kitayama, S. (1991) Culture and the Self: Implications for Cognition, Emotion, and Motivation. Psychological Review, 98, 224-253.
http://dx.doi.org/10.1037/0033-295X.98.2.224
[23] Markus, H. and Wurf, E. (1987) The Dynamic Self-Concept: A Social Psychological Perspective. Annual Review of Psychology, 38, 299-337.
http://dx.doi.org/10.1146/annurev.ps.38.020187.001503
[24] Goetz, T., Cronjaeger, H., Frenzel, A.C., Lüdtke, O. and Hall, N.C. (2010) Academic Self-Concept and Emotion Relations: Domain Specificity and Age Effects. Contemporary Educational Psychology, 35, 44-58.
http://dx.doi.org/10.1016/j.cedpsych.2009.10.001
[25] Higgins, E.T. (1987) Self-Discrepancy: A Theory Relating Self and Affect. Psychological Review, 94, 319-340.
http://dx.doi.org/10.1037/0033-295X.94.3.319
[26] Khanna, S. and Greeson, J.M. (2013) A Narrative Review of Yoga and Mindfulness as Complementary Therapies for Addiction. Complementary Therapies in Medicine, 21, 244-252.
http://dx.doi.org/10.1016/j.ctim.2013.01.008
[27] Bowen, S. and Chawla, N. (2011) Mindfulness-Based Relapse Prevention for Addictive Behaviors: A Clinician’s Guide. Guilford Press, New York.
[28] Brown, K.W. and Ryan, R.M. (2003) The Benefits of Being Present: Mindfulness and Its Role in Psychological Well-Being. Journal of Personality and Social Psychology, 84, 822-848.
http://dx.doi.org/10.1037/0022-3514.84.4.822
[29] Ostafin, B.D. and Marlatt, G.A. (2008) Surfing the Urge: Experiential Acceptance Moderates the Relation between Automatic Alcohol Motivation and Hazardous Drinking. Journal of Social and Clinical Psychology, 27, 404-418.
http://dx.doi.org/10.1521/jscp.2008.27.4.404
[30] Carrico, A.W., Gifford, E.V. and Moos, R.H. (2007) Spirituality/Religiosity Promotes Acceptance-Based Responding and 12-Step Involvement. Drug and Alcohol Dependence, 89, 66-73.
http://dx.doi.org/10.1016/j.drugalcdep.2006.12.004
[31] Rollnick, S. and Miller, W.R. (1995) What Is Motivational Interviewing? Behavioural and Cognitive Psychotherapy, 23, 325-334.
http://dx.doi.org/10.1017/S135246580001643X
[32] Rogers, C. (2012) On Becoming a Person: A Therapist’s View of Psychotherapy. Houghton Mifflin Harcourt, Boston.
[33] Hirschman, E.C. (1992) The Consciousness of Addiction: Toward a General Theory of Compulsive Consumption. Journal of Consumer Research, 19, 155-179.
http://dx.doi.org/10.1086/209294
[34] 朱海燕, 沈模卫, 张锋. 药物成瘾理论的新进展[J]. 应用心理学, 2007, 12(3): 264-271.