{"id":37418,"date":"2024-04-15T20:44:00","date_gmt":"2024-04-15T12:44:00","guid":{"rendered":"https:\/\/damakey.com\/?p=37418"},"modified":"2024-06-20T20:45:52","modified_gmt":"2024-06-20T12:45:52","slug":"the-grieving-brain","status":"publish","type":"post","link":"https:\/\/damakey.com\/?p=37418","title":{"rendered":"The Grieving Brain"},"content":{"rendered":"\n
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\"\"<\/figure>\n<\/figure>\n\n\n\n

\u70ba\u4ec0\u9ebc\u81f3\u89aa\u597d\u53cb\u53bb\u4e16\u7684\u6642\u5019\uff0c\u6211\u5011\u6703\u5f88\u50b7\u5fc3\uff0c\u800c\u4e14\u5f80\u5f80\u6301\u7e8c\u5f88\u9577\u7684\u6642\u9593\uff0c\u5fc3\u60c5\u7e3d\u662f\u53cd\u8986\u4e0d\u5b9a\u5462\uff1f<\/p>\n\n\n\n

\u6211\u5011\u6703\u611f\u5230\uff0c\u53bb\u4e16\u7684\u4eba\u518d\u4e5f\u4e0d\u5728\u4e86\uff0c\u4f46\u662f\u56de\u60f3\u8d77\u7684\u5ff5\u982d\uff0c\u537b\u53c8\u7d93\u5e38\u5728\u4e0d\u7d93\u610f\u7684\u6642\u5019\u7a81\u7136\u51fa\u73fe\uff0c\u90a3\u53c8\u662f\u70ba\u4ec0\u9ebc\u5462\uff1f<\/p>\n\n\n\n

\u81f3\u89aa\u597d\u53cb\u7684\u53bb\u4e16\uff0c\u6211\u5011\u4e5f\u53ef\u80fd\u6703\u611f\u5230\u81ea\u5df1\u7684\u5167\u5fc3(\u7684\u4e00\u90e8\u5206)\u4e5f\u8ddf\u8457\u6b7b\u53bb\u4e86\uff0c\u4ee4\u4eba\u50b7\u5fc3\u6b32\u7d55\uff0c\u90a3\u53c8\u662f\u70ba\u4ec0\u9ebc\u5462\uff1f<\/p>\n\n\n\n

\u201cThe Grieving Brain\u201d \u9019\u672c\u66f8\u7684\u4f5c\u8005\uff0cMary-Frances O\u2019Connor\uff0c\u662f\u4e00\u4f4d\u8166\u795e\u7d93\u5fc3\u7406\u5b78\u5bb6\uff0c\u5f9e\u5979\u5f9e\u8166\u795e\u7d93\u79d1\u5b78\u7684\u89d2\u5ea6\uff0c\u7d66\u4e86\u4e00\u500b\u7b54\u6848\uff1a<\/p>\n\n\n\n

\u81f3\u89aa\u597d\u53cb\u53bb\u4e16\uff0c\u50b7\u5fc3\u7684\u6b77\u7a0b\uff0c\u662f\u5927\u8166\u9069\u61c9\u90a3\u7a2e\u5931\u53bb\u7684\u4e00\u7a2e\u5b78\u7fd2\u7684\u904e\u7a0b\u3002<\/p>\n\n\n\n

\u8166\u795e\u7d93\u5fc3\u7406\u5b78\u5bb6\u7684\u5be6\u9a57\uff0c\u662f\u8b93\u88ab\u7814\u7a76\u7684\u4eba\uff0c\u770b\u7167\u7247\u548c\u6587\u5b57\uff0c\u7136\u5f8c\u5728\u90a3\u500b\u77ac\u9593\u505a\u5927\u8166\u7d50\u69cb\u7684\u78c1\u5171\u632f\u5f71\u50cf(Functional magnetic resonance imaging, fMRI)\u3002<\/p>\n\n\n\n

\u300c\u901d\u8005\u7684\u907a\u7167\u300d\u6216\u300c\u964c\u751f\u4eba\u7684\u7167\u7247\u300dX\u300c\u60b2\u50b7\u7684\u5b57\u773c\u300d\u6216\u300c\u4e2d\u6027\u7684\u5b57\u773c\u300d\uff0c\u5c31\u5171\u67094\u7a2e\u7d44\u5408\u3002<\/p>\n\n\n\n

\u88ab\u7814\u7a76\u7684\u4eba\uff0c\u770b\u4e86\u90194\u7a2e\u7d44\u5408\uff0c\u5728\u300c\u901d\u8005\u7684\u907a\u7167\u300dX \u300c\u60b2\u50b7\u7684\u5b57\u773c\u300d\u9019\u500b\u7d44\u5408\u4e2d\uff0cfMRI\u5728\u5927\u8166\u7279\u5b9a\u7684\u90e8\u4f4d\u6703\u6bd4\u8f03\u300c\u660e\u4eae\u300d\uff0c\u800c\u90a3\u5c31\u662f\u60b2\u50b7\u5448\u73fe\u5728\u5927\u8166\u5668\u8cea\u6027\u4e0a\u7684\u8b49\u64da\u4e86\u3002<\/p>\n\n\n\n

\u300c\u901d\u8005\u7684\u907a\u7167\u300dX\u300c\u60b2\u50b7\u7684\u5b57\u773c\u300d\uff0c\u6fc0\u767c\u4e86\u5927\u8166\u4e2d\u7279\u5b9a\u90e8\u4f4d\u4e2d\u7684\u67d0\u4e9b\u795e\u7d93\u7684\u9023\u7d50\uff0c\u795e\u7d93\u5728\u6fc0\u767c\u4e4b\u5f8c\u8981\u900f\u904e\u8840\u6db2\u88dc\u5145\u990a\u4efd\uff0c\u800cfMRI\u5c31\u662f\u6355\u6349\u5230\u4e86\u90a3\u4e9b\u77ac\u9593\u589e\u5f37\u7684\u8840\u6d41\u3002<\/p>\n\n\n\n

\u96d6\u7136\u81f3\u89aa\u6216\u597d\u53cb\u5df2\u7d93\u53bb\u4e16\uff0c\u4f46\u662f\u4ed6\u5011\u5728\u6211\u5011\u7684\u8166\u888b\u4e2d\u76f8\u95dc\u7684\u9023\u7d50\u537b\u9084\u662f\u5728\u7684\uff0c\u5728\u60f3\u8d77\u4f86\u7684\u6642\u5019\uff0c\u6216\u770b\u5230\u907a\u7167\u6216\u907a\u7269\u7684\u6642\u5019\u300c\u89f8\u666f\u50b7\u60c5\u300d\uff0c\u9019\u662f\u5f15\u8d77\u60b2\u50b7\u7684\u539f\u56e0\u3002<\/p>\n\n\n\n

Mary-Frances O\u2019Connor\u8209\u622a\u80a2\u7684\u75c5\u60a3\u70ba\u4f8b\u4f86\u8aaa\u660e\u3002\u660e\u660e\u90a3\u622a\u65b7\u7684\u80a2\u9ad4\u5df2\u7d93\u4e0d\u5b58\u5728\u4e86\uff0c\u4f46\u662f\u70ba\u4ec0\u9ebc\u9084\u6703\u611f\u5230\u5b83\u597d\u50cf\u9084\u5728\uff0c\u9084\u6703\u611f\u5230\u7662\u6216\u75bc\u75db\u5462\uff1f\u4e5f\u5c31\u662f\u6240\u8b02\u7684\u300c\u5e7b\u80a2\u300d\u3002\u90a3\u662f\u56e0\u70ba\u5c0d\u5927\u8166\u800c\u8a00\uff0c\u80a2\u9ad4\u76f8\u95dc\u7684\u795e\u7d93\u9023\u7d50\u90fd\u9084\u662f\u5728\u7684\uff0c\u300c\u5e7b\u80a2\u300d\u5728\u795e\u7d93\u9023\u7d50\u7684\u5c64\u9762\u662f\u5be6\u5be6\u5728\u5728\u7684\u5b58\u5728\u3002<\/p>\n\n\n\n

\u6211\u5011\u8aaa\u901d\u53bb\u7684\u81f3\u89aa\u597d\u53cb\uff0c\u90fd\u9084\u4e00\u76f4\u6d3b\u5728\u6211\u5011\u7684\u5fc3\ud855\ude83\uff0c\u5c0d\u8166\u795e\u7d93\u5fc3\u7406\u5b78\u5bb6\u800c\u8a00\uff0c\u90a3\u4e26\u4e0d\u662f\u4e00\u7a2e\u6bd4\u55bb\uff0c\u800c\u662f\u4e00\u7a2e\u5f9efMRI\u53ef\u4ee5\u770b\u5230\u7684\u771f\u5be6\u4e86\u3002<\/p>\n\n\n\n

\u57281969\u5e74\uff0cElisabeth K\u00fcbler-Ross \u5728\u201cOn Death and Dying\u201d \u9019\u672c\u66f8\u4e2d\uff0c\u7d9c\u5408\u5979\u591a\u65b9\u8a2a\u8ac7\u7684\u7d50\u679c\uff0c\u63d0\u51fa\u4e86\u90a3\u500b\u8457\u540d\u7684\u7406\u8ad6\uff0c\u300c\u60b2\u50b7\u4e94\u968e\u6bb5\u300d\uff1a\u5426\u8a8d\/\u9694\u96e2(Denial & Isolation)\u3001<\/p>\n\n\n\n

\u61a4\u6012(Anger)\u3001\u8a0e\u50f9\u9084\u50f9(Bargaining)\u3001\u6cae\u55aa(Depression)\u3001\u63a5\u53d7(Acceptance)\u3002<\/p>\n\n\n\n

\u300c\u60b2\u50b7\u4e94\u968e\u6bb5\u300d\u9019\u500b\u7406\u8ad6\u7684\u554f\u984c\u662f\uff0c\u4e26\u4e0d\u662f\u6bcf\u4e00\u500b\u4eba\u90fd\u6703\u7d93\u6b77\u9019\u6240\u6709\u7684\u968e\u6bb5\uff0c\u9019\u6703\u8b93\u6709\u4e0d\u540c\u7d93\u6b77\u7684\u4eba\u8a8d\u70ba\u81ea\u5df1\u4e0d\u6b63\u5e38\uff0c\u800c\u5bb3\u6015\u300c\u8d70\u4e0d\u51fa\u300d\u60b2\u50b7\u3002<\/p>\n\n\n\n

\u5f8c\u4f86\u7684\u5b78\u8005\uff0c\u900f\u904e\u5be6\u8b49\u7684\u65b9\u6cd5\uff0c\u63d0\u51fa\u4e86\u60b2\u50b7\u7684\u201dDual Process Model\u201d\u9019\u500b\u7406\u8ad6 \uff0c\u57fa\u672c\u4e0a\u662f\u8aaa\uff0c\u60b2\u50b7\u7684\u4eba\u7684\u5fc3\u60c5\uff0c\u6703\u5728Loss-oriented(\u5931\u53bb\u7684\u6cae\u55aa) \u548c Restoration-oriented(\u5fa9\u539f\u7684\u65b0\u751f)\u4e4b\u9593\u5f80\u5fa9\u64fa\u76ea\u3002<\/p>\n\n\n\n

\u9019\u5c31\u66f4\u8cbc\u8fd1\u4e00\u822c\u4eba\u7684\u611f\u53d7\u4e86\u3002<\/p>\n\n\n\n

\u5bc6\u897f\u6839\u5927\u5b78\u6709\u4e00\u500b\u5f88\u6709\u540d\u7684\u5be6\u9a57\uff0c\u4ed6\u5011\u9577\u671f\u8ffd\u8e64\u4e861500\u5c0d\u719f\u9f61\u592b\u5a66\u7684\u5fc3\u7406\u72c0\u614b\uff0c\u5f9e\u4ed6\u5011\u96d9\u96d9\u5065\u5728\u7684\u6642\u5019\u958b\u59cb\u505a\u7b2c\u4e00\u6b21\u7684\u8a2a\u8ac7\uff0c\u7136\u5f8c\u5728\u67d0\u4e00\u65b9\u53bb\u4e16\u5f8c\u76846\u500b\u6708\u300118\u500b\u6708\u300148\u500b\u6708\uff0c\u5206\u5225\u53c8\u5c0d\u5b58\u6d3b\u7684\u53e6\u4e00\u534a\u9032\u884c\u8a2a\u8ac7\u3002<\/p>\n\n\n\n

\u7d50\u679c\u767c\u73fe\uff1a<\/p>\n\n\n\n

    \n
  1. 66.3%\u7684\u4eba\uff0c\u4e0d\u7ba1\u5728\u53e6\u5916\u4e00\u534a\u53bb\u4e16\u524d\u6216\u4e4b\u5f8c\uff0c\u90fd\u5c55\u73fe\u751f\u547d\u7684\u6d3b\u529b\uff0c\u4e26\u4e0d\u6182\u9b31\u3002<\/li>\n<\/ol>\n\n\n\n
      \n
    1. 9.1%\u7684\u4eba\uff0c\u5728\u53e6\u5916\u4e00\u534a\u53bb\u4e16\u524d\u5145\u6eff\u6d3b\u529b\uff0c\u5728\u53e6\u5916\u4e00\u534a\u53bb\u4e16\u5f8c6\u500b\u6708\u300118\u500b\u6708\u986f\u5f97\u76f8\u7576\u6182\u9b31\uff0c\u4f46\u572848\u6708\u4e4b\u5f8c\u4e0d\u53ea\u6062\u5fa9\u6d3b\u529b\u800c\u4e14\u4f3c\u4e4e\u904e\u5f97\u66f4\u597d\u3002<\/li>\n<\/ol>\n\n\n\n
        \n
      1. 10.1%\u7684\u4eba\uff0c\u5728\u53e6\u5916\u4e00\u534a\u53bb\u4e16\u524d\u662f\u6182\u9b31\u7684\uff0c\u4f46\u5728\u53e6\u5916\u4e00\u534a\u53bb\u4e16\u4e4b\u5f8c\u8fc5\u901f\u6539\u5584\u800c\u5145\u6eff\u6d3b\u529b\u3002<\/li>\n<\/ol>\n\n\n\n
          \n
        1. 9.1%\u7684\u4eba\uff0c\u5728\u53e6\u5916\u4e00\u534a\u53bb\u4e16\u524d\u662f\u6182\u9b31\u7684\uff0c\u4f46\u5728\u53e6\u5916\u4e00\u534a\u53bb\u4e16\u4e4b\u5f8c\u6182\u9b31\u7684\u72c0\u6cc1\u66f4\u56b4\u91cd\u3002<\/li>\n<\/ol>\n\n\n\n

          \u9019\u500b\u7814\u7a76\u544a\u8a34\u6211\u5011\u7684\u662f\uff0c\u6709\u9ad8\u9054\u4e03\u6210\u719f\u9f61\u55aa\u5076\u7684\u4eba\uff0c\u662f\u53ef\u4ee5\u900f\u904e\u81ea\u6211\u8abf\u9069\u800c\u904e\u5f97\u5f88\u597d\u7684\u3002\u800c\u90a3\u4e9b\u751f\u524d\u5c31\u5df2\u7d93\u6182\u9b31\u7684\u4eba\uff0c\u5176\u4e2d\u5927\u7d04\u6709\u4e00\u5927\u534a\uff0c\u5047\u4ee5\u6642\u65e5(48\u500b\u6708\u6216\u66f4\u77ed)\u53ef\u4ee5\u6062\u5fa9\u6d3b\u529b(10.1%)\u3002\u6bd4\u8f03\u9700\u8981\u7a4d\u6975\u4ecb\u5165\u5354\u52a9\u7684\uff0c\u5247\u53ea\u6709\u90a3\u5269\u4e0b9.1%\u7684\u4eba\u4e86\u3002<\/p>\n\n\n\n

          \u5982\u679c\u60b2\u50b7\u662f\u5927\u8166\u5b78\u7fd2\u9069\u61c9\u5931\u53bb\u4e00\u534a\u7684\u885d\u64ca\uff0c\u9019\u4efd\u8cc7\u6599\u544a\u8a34\u6211\u5011\u7684\u662f\uff0c\u6211\u5011\u7684\u5927\u8166\u5176\u5be6\u662f\u5f88\u6709\u5f48\u6027\u7684\u3002\u800c\u6211\u5011\u8981\u7279\u5225\u7559\u610f\u7684\u662f\uff0c\u90a3\u4e9b\u672c\u4f86\u5c31\u6709\u6182\u9b31\u50be\u5411\u7684\u4eba\u3002<\/p>\n\n\n\n

          \u719f\u9f61\u55aa\u5076\u8005\u7761\u7720\u54c1\u8cea\u6703\u53ef\u80fd\u53d7\u5230\u6bd4\u8f03\u5927\u7684\u5f71\u97ff\uff0c\u662f\u53ef\u4ee5\u7406\u89e3\u7684\uff0c\u56e0\u70ba\u5e74\u7d00\u5927\u7684\u4eba\u672c\u4f86\u7761\u7720\u54c1\u8cea\u5c31\u4e0d\u597d\u3002\u7136\u800c\uff0c\u91ab\u751f\u537b\u50be\u5411\u65bc\u7d66\u5b58\u6d3b\u7684\u53e6\u5916\u4e00\u534a\u958b\u7acb\u5b89\u7720\u85e5\uff0cMary-Frances O\u2019Connor\u5c0d\u6b64\u9817\u4e0d\u4ee5\u70ba\u7136\u3002\u5979\u8a8d\u70ba\u898f\u5f8b\u7684\u751f\u6d3b\uff0c\u9000\u9ed1\u6fc0\u7d20\u5c31\u80fd\u8abf\u6574\u6642\u5dee\uff0c\u6539\u5584\u7761\u7720\u54c1\u8cea\u3002\u65e2\u7136\u55aa\u5076\u4e4b\u5f8c\u5927\u90e8\u5206\u7684\u4eba\u90fd\u53ef\u4ee5\u904e\u5f97\u6b63\u5e38\u800c\u4e0d\u6182\u9b31\uff0c\u90a3\u9ebc\u5f88\u591a\u958b\u7d66\u4ed6\u5011\u7684\u5b89\u7720\u8655\u65b9\uff0c\u5c31\u662f\u591a\u9918\u7684\u4e86\u3002<\/p>\n\n\n\n

          Mary-Frances O\u2019Connor\u8a8d\u70ba\uff0c\u65e2\u7136\u60b2\u50b7\u662f\u5927\u8166\u5b78\u7fd2\u9069\u61c9\u7684\u904e\uff0c\u90a3\u9ebc\u60b2\u50b7\u4e4b\u5fc5\u8981\u5c31\u4e0d\u8a00\u53ef\u55bb\u4e86\u3002\u6062\u5fa9\u662f\u53ef\u4ee5\u9810\u671f\uff0c\u800c\u4e14\u662f\u53ef\u4ee5\u900f\u904e\u52aa\u529b\u53bb\u9010\u6f38\u505a\u5230\uff1a<\/p>\n\n\n\n

          Restoring a meaningful life is half of the dual process model of coping with bereavement. To restore a meaningful life, we have to be able to imagine that life. The inability to generate possible future events is at the heart of hopelessness. We have to be able to imagine the future sufficiently enough at least to make plans, even if only for next weekend. I hear often from widowed older adults that evenings and weekends are the worst times for them, when they feel the loneliest, because everyone else has things to do and people to do them with.<\/p>\n\n\n\n

          If grieving is a kind of learning, that means we can learn on Saturday and Sunday how good our planning for the weekend was. We can assess whether we actually enjoyed our plans and found them meaningful, whether they enabled a productive week after.<\/p>\n\n\n\n

          \u6709\u8a08\u5283\u5730\u53bb\u505a\u5f88\u591a\u7684\u4e8b\uff0c\u7136\u5f8c\u4e0d\u65b7\u8abf\u6574\u3002\u5728\u505a\u9019\u4e9b\u4e8b\u60c5\u7684\u6642\u5019\uff0c\u6211\u5011\u5c31\u662f\u5728\u935b\u7df4\u6211\u5011\u7684\u8166\u3002<\/p>\n\n\n\n

          \u60b2\u50b7\u7684\u8166\u548c\u4e0d\u60b2\u50b7\u7684\u8166\u662f\u540c\u4e00\u500b\u8166\uff0c\u900f\u904e\u548c\u5468\u570d\u9084\u6d3b\u8457\u7684\u4eba\u7684\u4e92\u52d5\uff0c\u6211\u5011\u6703\u52a0\u5f37\u8166\u795e\u7d93\u4e2d\u76f8\u95dc\u7684\u9023\u7d50\u3002<\/p>\n\n\n\n

          \u6211\u5011\u4e5f\u53ef\u80fd\u5efa\u7acb\u65b0\u7684\u95dc\u4fc2\uff0c\u4e5f\u5c31\u662f\u5728\u8166\u795e\u7d93\u4e2d\u5efa\u7acb\u65b0\u7684\u9023\u7d50\u3002<\/p>\n\n\n\n

          \u672c\u4f86\u5728\u8166\u795e\u7d93\u4e2d\u548c\u901d\u4e16\u7684\u4eba\u9084\u76f8\u95dc\u7684\u9023\u7d50\uff0c\u9084\u662f\u6703\u5728\u7684\uff0c\u9019\u4e5f\u662f\u70ba\u4ec0\u9ebc\u6709\u4e9b\u72c0\u6cc1\u60f3\u8d77\u9084\u662f\u5f88\u60b2\u50b7\u3002\u7576\u7136\u6642\u9593\u4e45\u4e86\uff0c\u90a3\u4e9b\u9023\u7d50\u53ef\u80fd\u8b8a\u5f97\u6bd4\u8f03\u9b06\u6563\uff0c\u90a3\u9ebc\u6211\u5011\u4e5f\u4e0d\u7528\u89ba\u5f97\u6127\u759a\uff0c\u56e0\u70ba\u90a3\u662f\u5927\u8166\u5b78\u7fd2\u9069\u61c9\u7684\u7d50\u679c\u3002<\/p>\n\n\n\n

          \u7d50\u8ad6\uff1a\u6d3b\u5728\u7576\u4e0b\uff0c\u52aa\u529b\u5f9e\u5617\u8a66\u932f\u8aa4\u7684\u904e\u7a0b\u4e2d\uff0c\u8b93\u6211\u5011\u8a8d\u771f\u5730\u60b2\u50b7\uff0c\u597d\u597d\u935b\u7df4\u6211\u5011\u7684\u5927\u8166\uff0c\u6d3b\u51fa\u81ea\u5df1\u751f\u547d\u7684\u610f\u7fa9\u3002<\/p>\n\n\n\n

          *\uff1aMary-Frances O\u2019Connor\uff0c\u201cThe Grieving Brain,\u201d 2022, O\u2019Connor Productions,Inc.<\/p>\n\n\n\n

          2024\/4\/15 The Grieving Brain Damakey<\/p>\n","protected":false},"excerpt":{"rendered":"

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