正念認知治療於性治療中的介入措施與應用

The Intervention and Application of Mindfulness-Based Cognitive Therapy in Sexual Therapy

10.30208/CGPS.202409_1(3).0001

陳威宇(Weiyu Chen)；陳雅婷(Ya-Ting Chen)

正念認知治療 ； 性治療 ； 性功能障礙 ； Mindfulness-Based Cognitive Therapy ； Sexual Therapy ； Sexual Dysfunction

諮商輔導與心理學研究

1卷3期（2024 / 09 / 10）

1 - 18

繁體中文;英文

在臺灣，正念認知治療雖然已經盛行多年，但是鮮少人重視其性治療方面的成效，考量到臺灣人性生活滿意度普遍較低，生活壓力導致性功能障礙容易產生，而性生活又作為夫妻關係的重要調劑，似可效仿國外學者，將正念認知治療導入性治療當中，尤其重視性功能障礙的改善。經回顧國外文獻，本文將正念認知治療介入措施的課程架構歸納為「每次2-2.5小時不等的定期課程」、「主題式知識教學」以及「課堂練習與家庭練習」，並應同時兼顧「要求遵循課程指示在家練習」和「帶領學員規劃未來的正念生活模式」之二大特色，並可在不違背上述準則的條件下，視個案情況調整課程和正念練習內容。同時發現，正念認知治療目前主要應用於改善女性性功能障礙，具有提升女性性生活滿意度，以及降低性痛苦、性喚起障礙之效果，唯獨相對缺乏改善男性性功能障礙，以及其他生理性性功能障礙的實證證據。且正念認知治療與感覺聚焦技術在核心概念上有相通之處，得以相輔相成。因此，未來國內學者可嘗試將感覺聚焦技術融入正念認知治療當中，並將課程應用於各式各樣的族群和不同的性功能障礙的改善上。

In Taiwan, although Mindfulness-Based Cognitive Therapy (MBCT) has been prevalent for many years, its effectiveness in sexual therapy has received little attention. Considering the generally low sexual satisfaction among Taiwanese people and the tendency for sexual dysfunction due to life stress, along with the role of sexual life as an essential adjustment in marital relationships, it may be worthwhile to follow the example of foreign scholars in integrating MBCT into sexual therapy, especially focusing on improving sexual dysfunction. After reviewing foreign literature, this article summarizes the structure of MBCT interventions into "regular sessions of 2-2.5 hours each," "thematic knowledge instruction," and "in-class and homework practice." Additionally, it is important to "require adherence to course instructions for home practice" and "guide participants in planning a future mindfulness lifestyle." These features should be maintained, while the course content and mindfulness exercises may be adjusted based on individual cases. It is also observed that MBCT is currently mainly applied to improve female sexual dysfunction, showing effects in enhancing female sexual satisfaction and reducing sexual distress and arousal disorders. However, there is relatively little empirical evidence for improving male sexual dysfunction and other physiological sexual dysfunctions. Since MBCT and Sensate Focus share core concepts, they can complement each other. Thus, future domestic researchers might consider integrating Sensate Focus into MBCT and applying the courses to various groups and different types of sexual dysfunction.

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