創傷與暴力知情的概念
4R 知情原則
Realizing(理解創傷的普遍性與影響)
Recognizing(辨識創傷對個案、家庭與系統的影響與反應)
Responding(在實務中運用創傷知識,營造安全、同理的環境,回應需求)
Resisting(避免再創傷,降低服務過程中自我產生替代性創傷的風險)
Claude AI製圖,參考資料來自於兒福聯盟。https://trauma-informedcare.children.org.tw/trauma_healing/take_care
圖由Copilot產生
本研究探討思覺失調症患者中高與低程度社會認知缺損的族群,並分析其與特定症狀領域(如負性症狀與思考障礙)的關聯性。結果顯示,高社會認知缺損與嚴重負性症狀及認知障礙密切相關,突顯出社會認知在思覺失調症症狀異質性中的關鍵角色,並支持針對不同社會認知程度患者進行不同介入的臨床意涵。
Huang, Y. L., Chen, T. T., Wang, W. S., Kuo, C. Y., Yang, Y. K., & Tseng, H. H. (2025). Low Versus High Level of Social Cognition Impairments and Their Associations with Specific Symptom Domains in Schizophrenia. The Journal of Neuropsychiatry and Clinical Neurosciences, appineuropsych20240020. Advance online publication. https://doi.org/10.1176/appi.neuropsych.20240020 [SCI] (IF = 2.9) https://doi.org/10.6129/CJP.202506_67(2).0002
Julia Garon-Bissonnette, Karine Dubois-Comtois, Diane St-Laurent & Nicolas Berthelot (2023) A deeper look at the association between childhood maltreatment and reflective functioning, Attachment & Human Development, 25:3-4, 368-389, DOI: 10.1080/14616734.2023.2207558
這項研究深入探討了童年時期遭受虐待與日後反思功能(reflective functioning,RF)之間的關聯,反思功能是指理解自己和他人想法及感受的能力。儘管先前研究結果不一,本研究發現童年虐待與整體反思功能之間的關聯在控制教育程度後並不顯著。然而,這項研究更細緻地區分了反思功能較弱的兩種模式:逃避或疏遠內心世界的傾向(disavowal-distancing)以及扭曲或矛盾的內心世界反思(distorted-inconsistent)。研究結果強烈顯示,童年虐待顯著預測了日後表現出扭曲或矛盾的內心世界反思模式,而非單純地迴避思考內心狀態。這代表童年虐待可能會導致反思功能出現特定類型的受損,而若不區分這些不同的非心智化模式,可能就會掩蓋童年虐待與反思功能之間的真實關聯。
#童年逆境會讓心智狀態會變得更扭曲或矛盾
圖由Chatgpt產生
人與狗的互動可以增加愛的催產素
https://pubmed.ncbi.nlm.nih.gov/28983270/
圖由Chatgpt產生
Dogs acquired unique cognitive abilities during domestication, which is thought to have contributed to the formation of the human-dog bond. In European breeds, but not in wolves, a dog's gazing behavior plays an important role in affiliative interactions with humans and stimulates oxytocin secretion in both humans and dogs, which suggests that this interspecies oxytocin and gaze-mediated bonding was also acquired during domestication. In this study, we investigated whether Japanese breeds, which are classified as ancient breeds and are relatively close to wolves genetically, establish a bond with their owners through gazing behavior. The subject dogs were treated with either oxytocin or saline before the starting of the behavioral testing. We also evaluated physiological changes in the owners during mutual gazing by analyzing their heart rate variability (HRV) and subsequent urinary oxytocin levels in both dogs and their owners. We found that oxytocin treatment enhanced the gazing behavior of Japanese dogs and increased their owners' urinary oxytocin levels, as was seen with European breeds; however, the measured durations of skin contact and proximity to their owners were relatively low. In the owners' HRV readings, inter-beat (R-R) intervals (RRI), the standard deviation of normal to normal inter-beat (R-R) intervals (SDNN), and the root mean square of successive heartbeat interval differences (RMSSD) were lower when the dogs were treated with oxytocin compared with saline. Furthermore, the owners of female dogs showed lower SDNN than the owners of male dogs. These results suggest that the owners of female Japanese dogs exhibit more tension during interactions, and apart from gazing behavior, the dogs may show sex differences in their interactions with humans as well. They also suggest that Japanese dogs use eye-gazing as an attachment behavior toward humans similar to European breeds; however, there is a disparity between the dog sexes when it comes to the owners' oxytocin secretion. Japanese dogs also showed different attachment behaviors from both European breeds and wolves, and they likely use additional strategies to substitute gaze when forming the human-dog bond.
image made by CHATGPT
研究回顧了酒精使用障礙(AUD)患者的情緒處理與社交認知缺陷,如無法辨識自己與他人的情緒、同理能力下降等,並探討這些問題對治療的影響。
上述缺損可能影響戒酒動機與治療效果,阻礙情緒調節、社交互動及造成患者自身社交困難。
研究強調在AUD 的評估與康復中應納入情緒與社交能力的訓練。
研究比較探討臨床高風險(CHR)個體的童年逆境經歷(ACEs)與臉部情緒辨識(FAR)能力之關聯,並與健康對照組(HC)做比較。
結果顯示,
1)情緒虐待與FAR表現下降相關,而霸凌經歷則與某些情緒辨識表現提升相關。😢
2)辨識快樂為憤怒的錯誤與精神病轉變風險有小幅增加的關聯。😦
image made by CHATGPT
中山醫心理系臨床心理學組 鄭安儀
image made by COPILOT
研究發現,擁有較高正念特質的人,在面對壓力情境(如模擬面試)時,皮質醇分泌較少,且焦慮與負面情緒降低。這種效果與壓力緩衝假說一致,說明正念可減少HPA軸活化,緩解壓力相關的神經內分泌和情緒反應。
此研究探索短暫正念訓練對注意力和認知功能的影響,發現接受正念訓練者的P300波幅顯著提高、反應耗時縮短,表示他們的注意力集中和認知處理能力有所增強,這為正念訓練能改善大腦對資訊的處理效率提供了神經科學證據。
https://link.springer.com/article/10.1007/s12671-022-01938-z
研究以兼職大學生為參與者,發現每天用app練習至少十分鐘正念,持續八周後可以降低知覺壓力、提升自我調節與認知再評估能力。因此民眾也可以透過手機的正念相關應用程式進行定期的訓練,有助於改善心理健康和因應能力。
Objective: Social cognition is defined as the ability to construct mental representations about oneself, others, and one’s relationships with others to guide social behaviors, including referring to mental states (cognitive factor) and understanding emotional states (affective factor). Difficulties in social cognition may be a symptom of schizophrenia. The authors examined different associations between two factors of social cognition and specific schizophrenia symptoms, as well as a potential path from low-level affective perceptual social cognition to high-level social cognition, which may be associated with schizophrenia symptoms.
Methods: The authors compared IQ, executive function, and social cognition scores of 41 patients with schizophrenia with those of a community-based group of 30 healthy individuals by using the Diagnostic Analysis of Nonverbal Accuracy 2–Taiwan version, the Movie for the Assessment of Social Cognition–Taiwan version, and the Chinese version of the theory of mind task.
Results: In analyses controlled for IQ and executive function scores, patients with schizophrenia performed more poorly than individuals in the healthy comparison group on all social cognition tasks. Disorganized symptoms were associated with lower accuracy of recognizing happy and angry faces, a lower verbal theory of mind score, and altered low- and high-level social cognition scores. A potential causal link was identified between low-level affective perceptual social cognition and high-level social cognition, resulting in disorganized symptoms.
Conclusions: These results indicate distinct roles of two factors of social cognition in schizophrenia symptomatology and provide a new direction for alleviating symptoms of this disorder by enhancing social cognition.
image made by COPILOT
image made by COPILOT
Adverse childhood experiences (ACEs) increased posttraumatic stress symptoms (PTSS) after exposure to later trauma, but some Chinese cultural factors such as filial piety can be perceived as a protector buffering the negative results of ACEs on early adulthood adaptation, in Chinese society. Thus, the study used a longitudinal design to investigate whether dual filial piety - reciprocal filial piety (RFP: affection/gratitude) and authoritarian filial piety (AFP: role obligation/hierarchy) - are protective factors against PTSS and facilitate posttraumatic growth (PTG) following trauma among Taiwanese young adults. Research with 246 participants aged 18-25 years old who reported experiencing at least one type of traumas, reported their history of ACEs, RFP, AFP, PTSS, and PTG at Time 1. One (Time 2) and 7 (Time 3) months later, 98 and 60 of the original respondents completed follow-up assessments. Results showed that ACEs significantly associated with higher PTSS, and both RFP and AFP significantly related to lower PTSS and higher PTG at Time 1 and Time2. Furthermore, RFP mediated the relationship between ACEs and PTSS such that individuals with higher RFP reported lower PTSS across time. These findings suggest that filial piety may serve as a protective factor against PTSS and facilitate PTG among traumatized Taiwanese individuals with a history of ACEs. The study implies that future research should explore the mechanisms underlying these relationships and consider how cultural factors may influence the role of filial piety in posttraumatic adjustment.
圖片來自:https://zh-tw.photo-ac.com/
Huang, Y. L., Chen, T. T., Dziobek I., & Tseng, H. H. (2023). Mentalizing in a movie for the assessment of social cognition (MASC): the validation in a Taiwanese sample. BMC Psychology, 11, 287. https://doi.org/10.1186/s40359-023-01321-0
The present study evaluated the psychometrics properties of a sensitive video-based test used in the evaluation of mentalizing skills, that is, the Movie for the Assessment of Social Cognition-Taiwanese version (MASC-TW).
Methods
We recruited two independent samples of nonclinical participants (N = 167) and adult patients with schizophrenia (N = 41). The MASC-TW and two other social cognition measures, namely the Chinese version of Theory of Mind task (ToM) and the Taiwanese version of the Diagnostic Analysis of Nonverbal Accuracy-2 (DANAV-TW-2), and an executive function measure of the Wisconsin Card Sorting Test (WCST), were administered to both groups.
Results
The MASC proved to be a reliable measure of mentalizing capacity, high Cronbach’s α value of 0.87. The intraclass correlation coefficient for the MASC-TW total correct scores was 0.85 across three waves of data collection. Across the entire sample, the scores on the MASC-TW were significantly correlated with verbal and nonverbal scores for the ToM task and recognition of facial and prosodic emotion on the DANAV-TW-2. Both executive function and emotion recognition emerged as noteworthy predictors of mentalizing, indicating that these two variables might play crucial roles in the development of mentalizing capacities. Finally, a receiver operating characteristic analysis revealed that in patients with schizophrenia, the MASC was the most accurate discriminator of diagnostic groups, highlighting the validity of the MASC.
Conclusions
Overall, the MASC-TW is an ecologically valid and useful tool for assessing mentalizing abilities in a Taiwanese population.
Huang, Y. L., & Chen, S. H. (2022). The Interplay of Attachment and Attention Processing of Emotional Faces: The Influence of Exposure Time. 中華心理學刊, 64(2), 137-150. https://doi.org/10.6129/CJP.202206_64(2).0001
個體的依戀特性影響其偵測威脅刺激後之反應差異,依理論推論,焦慮依戀個體會表現出警覺反應,而逃避 依戀個體則會表現出逃避反應,但上述形態在過去實徵研究並未得到一致結果,推想可能是因為刺激呈現時間的差 異所導致的。因此,本研究欲探討依戀特性對於情緒臉孔之注意力處理歷程的影響,是否會隨著情緒臉孔呈現時間 的變化而有不同。本研究共招募 290 名的研究參與者,所有研究參與者依序完成評估依戀特性的自陳式量表,以及 測量注意力偏誤的電腦化作業,其中,在注意力作業中,情緒臉孔呈現時間分別為 200 與 2,000 毫秒,並計算敏感 於時間歷程變化的注意力偏誤分數。結果發現,逃避依戀與呈現 2,000 毫秒快樂臉孔的注意力逃避分數有正相關的 傾向,而焦慮依戀則與注意力偏誤分數無相關。此研究結果顯示,逃避依戀個體在注意力的後期處理歷程對快樂臉 孔出現逃避反應,呈現防衛策略的傾向。
Yu-Lien Huang, Huai-Hsuan Tseng, & Sue-Huei Chen
1. Introduction
Mindfulness-based interventions (MBIs) have been utilized to reduce negative mood and stress and increase neurocognition (e.g. attention, memory, and cognitive flexibility) and well-being in clinical and nonclinical samples. Recently social cognitive function like empathy has been shown to improve after MBIs in a healthy population. Social cognitive function is defined as the ability to construct mental representations about oneself, others, and one’s relationships with others and to use those representations flexibly to guide social behaviours, including social perception (e.g., emotion recognition) and social understanding (e.g. theory of mind and mentalizing). Previous research found that meditators reported higher empathy, higher emotional recognition, and higher theory of mind. The present study thus aimed to investigate the effectiveness of MBIs on the improvement of social cognitive functions in Taiwanese college students.
2. Method
The present study recruited 29 mindfulness participants (23 female) and 26 control participants (19 female). A complete assessment including dispositional mindfulness, executive function, and social cognitive functions measured using emotion recognition accuracy, theory of mind, and mentalizing was performed before MBI (Time 1), and dispositional mindfulness, emotion recognition, and mentalizing were repeated after a 4-week MBI (Time 2).
3. Results
Before MBI (Time 1), there is no group difference in age, gender, dispositional mindfulness, executive function, theory of mind, and prosodic emotion recognition, but the mindfulness group had lower facial emotion recognition and lower mentalizing. After a 4-week MBI (Time 2), the analysis of the generalized estimating equation found that there were significant interactions of group and time on facial emotion recognition and mentalizing. After a 4-week MBI, the mentalizing correct scores were significantly improved in the mindfulness group, and the improvements of sad and fearful facial emotion recognition accuracy in the mindfulness group were greater than in the control group.
4. Discussion
Our study demonstrates an endeavor to employ mindfulness-based intervention to promote social cognitive function in college students. The results also suggest that, via influencing nonverbal emotion recognition and mentalizing, mindfulness practice can be a promising way for college students’ mental health advancement.