表达性写作应用于社会灾难时期心理救援的理论探讨
疫情等社会灾难时期, 创伤经历者急剧增加, 加之交通阻断, 传统的心理救援很难及时应对大范围的灾民心理危机; 而表达性写作便于心理学工作者大规模实施, 且可通过电话、网络等远程通讯工具进行指导, 治疗PTSD等心理创伤, 改善生理、心理健康。社会灾难时期表达性写作的机制复杂, 涉及暴露脱敏、意义重建、自我抽离—自我调节、工作记忆优化和认知神经机制正常化; 其疗效受到作者特质、干预时间和写作形式等潜在因素的影响。相应地, 未来应结合本土社会文化因素, 重视在线干预研究, 探索表达性写作相关的认知神经机制, 综合不同的生理、心理健康指标评估表达性写作的疗效。
In the 1980s, an effort was made to improve college students' physical and mental health after traumatic experiences. The process of traumatic exposure via expressive writing was explored and developed by Pennebaker. This paradigm has the following advantages:1. Maximum privacy protection2. Stronger self-control by the writer as they control the depth and extent of the disclosure3. Group guidance through telephone, internet, etc., resulting in reduced costs and intervention by therapists4. Greater convenience for the therapist to track and study the therapeutic mechanism by examining the contents and characteristics of the written pieceMany empirical studies have shown that expressive writing contributes to the improvement of physical and mental health, enhancing the individual's well-being. In China, there is a long history of writing therapy. The rapid economic development and social progress in China over the last few decades have provided an excellent opportunity for in-depth empirical research on writing therapy in China. Social disasters, such as epidemics, bring a rapidly increasing number of trauma survivors. Coupled with traffic interruption, it can be challenging for traditional psychological rescue to quickly respond to a wide range of victims of psychological crises. Expressive writing (EW) can be quickly adopted by psychological workers on a large scale via phones, networks and other telecommunication tools, aiming to treat psychological traumas, such as posttraumatic stress disorder (PTSD), thereby improving physical and psychological health. Research conducted following various disasters has reported mixed results. Expressive writing has been shown to positively benefit posttraumatic stress disorder (PTSD) and posttraumatic growth, but its effects on physical health and depressive symptoms are unclear. These effects are highly relevant to the complex mechanics of expressive writing in social disasters, involving exposure desensitization, meaning reconstruction, self-extraction-self-regulation, working memory optimization and normalization of cognitive neural mechanisms. Besides, some factors can potentially affect its curative effects, such as participants' personality traits, time of intervention, and manners of writing. There are deficiencies in research on expressive writing following disasters. These include: (1) few studies of online writing, (2) insufficient exploration of cognitive neural mechanisms, and (3)discrepancy in effects on different physical and psychological health aspects. Therefore, more attention should be paid to local social and cultural factors, and more online intervention studies should be conducted. In addition, the cognitive and neural mechanisms related to expressive writing should be investigated, and its curative effect should be assessed by employing different physical and psychological indicators.
胡超、邱小燕、葛艳莹
神经病学、精神病学预防医学医药卫生理论
表达性写作写作治疗情绪表达心理健康中国文化
胡超,邱小燕,葛艳莹.表达性写作应用于社会灾难时期心理救援的理论探讨[EB/OL].(2023-03-28)[2025-08-16].https://chinaxiv.org/abs/202303.09910.点此复制
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