佛教禪修與身心醫學 正念修行的療癒力量
佛教禪修與身心醫學 正念修行的療癒力量
佛教禪修與身心醫學 正念修行的療癒力量
9-49
(MBSR)(MBCT)
1.1. (MBSR)
1.1.1.
1.1.2.
1.1.3.
1.1.4.
1.2. (MBCT)
1.2.1.
1.2.2.
1.2.3.
2.1.
2.1.1.
2.1.2.
2.2.
2.2.1.
2.2.2.
3.1.
3.1.1.
3.1.2.
3.1.3. vs.
3.2.
2.2.1.
2.2.2.
(Mind/Body Medicine)
(Behavioral Medicine) (Complementary and Additional
Therapy)
5
6
(healing power)
1950
Canter et al. (2004)Parati et al.(2004)
http://www.mum.edu http://www.tm.org
2
Gillani et al. (2001)
3
(cattro satipahn)
(Mindfulness
Meditation)
(concentration meditation)
4
Loizzo (2000)
5
( Medline, PsychInfo)
6
(2004)
7
Bear (2003) pp. 127-128 MBSR MBCT
(MBSR)
(MBCT)
1.1. (MBSR)
1.1.1.
1979 (University of
Massachusetts Medical Center) (stress reduction clinic) Jon
Kabat-zinn (stress reduction and relaxation
program SR-RP)
()
9
1995 (Center for Mindfulness in Medicine, Health Care,
and Society CFM)2005 4
(Integrating Mindfulness-Based Interventions into Medicine,
Dialectical Behavior TherapyAcceptance and Commitment Therapy Relapse
Prevention
8
CFM (www.umassmed.edu/cfm)(brochure)
9
(1).(2).
(3). 5-10 (4).(5).
(6). MBSR ( CFM
) Kabat-Zinn
Kabat-Zinn (2003) pp. 149-151
2004 240
10
1.1.2.
( 30 )
2.5 3
45
() 7 8
(mindfulness)
1.
(Non-judging)2.
(Patience)3.
(Beginners Mind)4.(Trust)
5.(Non-striving)()
(non-doing)6.(Acceptance)
7.(Letting go)
11
(1).(sitting meditation)
12
13
(2).(body scan)
()14
(3).(mindful yoga)MBSR
10
CFM www.umassmed.edu/cfm
Kabat-Zinn (1990) pp. 31-46
12
Ibid., pp. 47-58Kabat-Zinn (ibid., pp. 52, 64, 141)
(mindfulness of breathing)
13
Ibid., pp. 59-74
14
Ibid., pp. 75-93
11
15
MBSR
(walking meditation) 16
(mindfulness in daily life)17
18
1, 2
3, 4
5, 6
(1).(45 )(2).(15 )
(1).
( 45 )(2).
(15-20)(3). 3
4
(1).
( 45 )(2).
45
45
1.1.3.
Kabat-Zinn
(mindfulness)19Kabat-Zinn (insight meditation)
20
(mindful eating)
15
16
17
18
19
20
1.1.4.
1982 Kabat-Zinn (chronic
pain) 2002 12 64
2526
27
(chronic pain)
()
(cancer)(AIDS)
(fibromyalgia)
(multiple sclerosis)
(anxiety)(panic)(obsessive compulsive)(binge eating disorder)
28
21
Mahasi (1991)
Confalonieri (2003) pp. 205-216
23
Kabat-Zinn (1990) pp. xxi, 434-36(2003) p.154 Cage (2005)
pp.19-48Numrich (1998)
24
Fronsdal (1998)
25
Grossman et al. (2004)
26
Krasner (2004)
27
Grossman et al. (2004)Bear (2003)Proulx (2003)Bishop (2002)
() Bishop (2002)
28
Kabat-Zinn (2002)Grossman et al. (2004)Bear (2003)Proulx (2003)Bishop (2002)
22
(psoriasis)Kabat-Zinn
(UVB)(PUVA)
29 2003
Davidson R.J. Kabat-Zinn
(antibody)30
1.2. (MBCT)
1.2.1.
1992 John D. TeasdaleJ. Mark G. Williams
Zindel V. Segal
(MBSR)(Cognitive-Behavior Therapy) 1995
2002 31
(depression)32
(suicidal
behavior)(low self-esteem)33
1.2.2.
29
Kabat-Zinn (1998)
Davidson R.J., Kabat-Zinn J., et al., (2003)
31
Segal et al. (2002) pp. 3-7, 40-63
32
(WHO), 2020
12 30
2
45
(CBT)
34
1.2.3.
John D. Teasdale 2000
145
23%77%
60 (
)
66%
37%
( 12 )
35
S. Helen Ma John D. Teasdale 2004
2000 75
78%
36%
(RCT)
(probably efficacious)
36
34
35
36
37
2.1.
2.1.1.
1974 (Mahasi Sayadaw)
(vipassan meditation)38
(1976)39
1984 (Aggacitta
Bhikkhu)(Dhamma Therapy)
(
) 18 78
1945 1976 40
45
()
2.1.2.
37
(2005)
Mahasi Sayadaw, (2000)
39
1974
ibid., p.92
40
U Jatila Sayadaw (1998)2004 11
38
10
41
()()
()()()
()
()
()
()()()
(
)
()
()
()()
()
42
43
2.2.
2.2.1
1961
41
42
43
11
44
45
Wiston King 1962
(
)46
47
2.2.2.
48
(
(nibbnadhtu))
(impurities)(poisons)
(upheaval)
49
44
45
12
3.1.
3.1.1
50
36 7
51
(cattro
satipahna)(
)
5 235
52
47 29 (Sirivaha)
50
()
(1983)
51
(VRI) Chaha Sagyana CD-Rom version
3(CSCD) PTS CSCD
S IV 210: Sato, bhikkhave, bhikkhu sampajno kla gameyya. Aya vo amhka
anussan(T2 268b-269a)
52
A III 263: gilnake upasakamitv sati uppdeti- arahaggata yasmanto sati upahpethti
13
53
54
55 54
(sakkyanirodha=)
55 3 (Dighvu)
()
55 22 88
(Assaji)
(=)(samdhi nappailabhmi)
()
56
57
58
97
(Dhanajni)(
)
59
60
53
S V 176-177( S 47:29)
S V 142(S 47: 2); S V 180-181(S 47: 35); D II 94-95 (D 16)
55
S V 345: Tasmtiha tva, dghvu, imesu catsu sotpattiyagesu patihya cha vijjbhgiye dhamme
uttari bhveyysi. Idha tva, Dghvu, sabbasakhresu aniccnupass viharhi, anicce dukkhasa,
dukkhe anattasa pahnasa virgasa nirodhasati. Evahi te, Dgvu, sikkhitabbanti
56
S III 125: Ye te, assaji, samaabrhma samdhisrak samdhisma tesa ta samdhi
appailabhata eva hoti- no cassu maya parihymti
57
Spk II 289: Mayha pana ssane na eta sra, vipassanmaggaphalni sra
58
(T2 267b)
59
M II 195-196: Ki pana tva sriputta Dhanajni brhmaa sati uttarikaraye hne brahmaloke
patihpetv uhysan pakkantoti?
60
(Spk III 294 , Spk-p II 197)(catusaccavimutta)
54
14
3.1.2.
(D 22/ M 10)
61(dukkha)
(kyikadukkha)
(M 119)
(kyagatsati)
62
1
38
(sato)(sampajno)(adhivseti)
(avihaamno)63 52 10
(Anuruddha)(bhagilno)
64
47 30 (Mnadinna)
65
61
ekyano maggo
(T2 410b)
62
M III 97: Khamo hoti stassa uhassa jighacchya pipsya
asa-makasa-vttapa-sarsapa-samphassna duruttna durgatna vacanapathna, uppannna
srrikna vedanna dukkhna tibbna kharna kaukna astna amanpna paharna
adhivsakajtiko hoti(T1 557b)
63
S I 27-29: Bhus suda bhagavato vedan vattanti srrik vedan dukh tibb khar kauk ast
amanp; t suda bhagav sato sampajno adhivseti avihaamno(T2 355a)
64
S V 302: Catsu kho me, vuso, satipahnesu suppatihitacittassa viharato uppann srrik dukkh
vedan citta na pariydya tihanti(T2 140c)
65
S V 178 (= S 47: 30): na me, bhante, khamanya na ypanya. Bh me dukkh vedan
abhikkamanti, no paikkamanti; abhikkamosna payati, no paikkamoti. Evarpya cha, bhante,
15
66
67
68
()
3.1.3. vs.
5 29
(cakama, walking
meditation)(1).(2).(3).(4).
(5).69
70
(paisallna) 28
(yu vaheti)(bala deti)
71
(M 149)
(jna passa yathbhta)
(dnavnupassno)
(kyik darath)(cetasik darath)(kyik santp)
(cetasik santp)(kyik parih)(cetasik parih)
dukkhya vedanya phuho samno kye kynupass viharmi tpi sampajno satim, vineyya loke
abhijjhdomanassa
66
T2 271a(T2 140c)
67
A III 143-144
68
M III 136-137 (M 125); S III 1-5 (S 22:1); S IV 206-207 (S 36:4); S IV 207-210 (S36:6) ; A II 117 (A
4:114) ; A II 153 (A 4: 165); A III 163 (A 5: 140); A IV 389 (A 6: 58); M I 10 (M 2)
S 22: 87S 35: 87
69
A III 30: Addhnakkhamo hoti, padhnakkhamo hoti, appbdho hoti, asita pta khyita syita
samm parima gacchati, cakamdhigato samdhi cirahitiko hoti
70
(T2 879a)
71
Mil 139
16
(pahyanti)(Kyasukha)(cetosukha)72
(balavavipassan)73
55 26 (Anthapiika)
(samanupassato)
(vedna)(hnaso
vedan paippassambheyy)
10 60 (Girimnando)
74
(1).(aniccasa)(2).(anatta-s)(3).
(asubha-s)(4).(dnava-s)(5).(pahna-s)(6).(virga-s)(7).
(nirodha-s) (8). (sabbaloke anabhirata-s) (9).
(sabbasakhresu anicc-s) (10).(npnassati)
3.2.
3.2.1.
()
72
M III 288-289
Ps IV 247: Ayaca maggavuthnassa paccayabht balavavipassan
74
A V 108: Sace kho tva, nanda, girimnandassa bhikkhuno dasa sa bhseyysi, hna kho
paneta vijjati ya girimnandassa bhikkhuno dasa sa sutv so bdho hnaso paippassambheyya
73
17
75
52 9
76
(indriyni)
(mukhavaa)
28
1
77(M 151)
(suatvihra)
78
1 10
79
(mlakammahna)
80
(balavacittekaggat)
75
T2 33a
T2 86b
T2 266c
T2 267a
T 2 311a
76
S V 301: Vippasannni kho te, vuso anuruddha, indriyni, parisuddho mukhavao pariyodto.
Katamenyasm anuruddho vihrena etarahi bahula viharatti? Catsu khvha, vuso,
satipahnesu suppatihitacitto etarahi bahula viharmi
77
S IV 294 M I 296
78
M III 294Ps IV 249: suatavihrenti suataphalasampattivihrena
79
S I 5: Arae viharantna, santna brahmacrina; ekabhatta bhujamnna, kena vano
pasdatti. Atta nnusocanti, nappajappanti ngata; paccuppannena ypenti, tena vao pasdati.
Angatappajappya, attassnusocan; etena bl sussanti, naova harito lutoti
80
Spk I 27: Tesaca eva nisinnna balavacittekaggat uppajjati. Tato visabhgasantati vpasammati,
sabhgasantati okkamati, citta pasdati. Citte pasanne lohita pasdati, cittasamuhnni updrpni
parisuddhni honti, va pamutta- tlaphalassa viya mukhassa vao hoti
18
3.2.2.
81(kamma)
(citta)
(utu)(oja)
( Janakbhivasa)
82
(kusalacitta)
83
(bhvankusalacitta)
84
81
229-258
Janakbhivasa (1999) pp. 262-265
83
84
Sayadaw U Pandita (1995) p. 201
82
19
85
(upapkakamma)
(upaghtakakamma)86
85
(S IV 230-231; A V 110)(1).(pitta)(2).(semha)
(3).(vta)(4).(sanniptika)(5).(utu)(6).(visamparihra)(7).
(opakkamika)(8).(kammavipka)
86
194-196
20
87
8889
87
20
21
(1983)
(2005)
(2000)
(2005)
27 221-268
(2004)
(http://www.hfu.edu.tw/~cl/paper2.htm)
BBC NEWS, (2003) Buddhists really are happier, Wednesday, 21 May, 2003.
(Available: http://news.bbc.co.uk/1/hi/health/3047291.stm)
Bear, R., (2003) Mindfulness training as a clinical intervention: A conceptual and
empirical review, Clinical Psychology: Science and Practice, 10(2): 125-143.
Bishop, S.R., (2002) What do we really know about mindfulness-based stress
reduction?, Psychosomatic Medicine, 64: 71-84.
Cage, W., (2005) Heartwood: The first generation of Theravada Buddhism in America.
Chicago: The University of Chicago Press.
Canter PH, Ernst E., (2004) Insufficient evidence to conclude whether or not
transcendental meditation lowers blood pressure: results of a systematic review of
randomized clinical trails, Journal of Hypertension. 22(11) 2049-2054.
Carlson L.E., Speca M., Patel K.D., Goodey A.E., (2003) Mindfulness-Based Stress
Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune
Parameters in Breast and Prostate Cancer Outpatients, Psychosomatic Medicine.
65: 571-581.
Confalonieri, Pierluigi. (Ed.), (2003) The Clock of Vipassana has Struck. Igatpuri: VRI.
Davidson, R.J. (2002) Toward a Biology of Positive Affect and Compassion, in
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