생물정신의학에서 자비: 신경생물학적 기초와 임상적 함의
Compassion in Biological Psychiatry: Neurobiological Foundations and Clinical Implications
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Compassion has been increasingly recognized as a therapeutic factor in psychological interventions, but its role in biological psychiatry remains less explored. This review examines the neurobiological mechanisms and clinical relevance of compassion within a biological psychiatric framework. Compassion involves neural systems associated with positive affect and prosocial motivation, including the medial prefrontal cortex, nucleus accumbens, and oxytocin-related pathways. It is also linked to increased vagal activity and heart rate variability, indicating enhanced parasympathetic regulation. Compassion-focused therapy and mindful self-compassion have shown benefits in emotion regulation and reductions in self-criticism and post-traumatic stress symptoms. These effects suggest that compassion-based interventions may complement biological treatments, particularly during recovery. Individual differences in response to compassion, including fear or resistance, highlight the need for personalized approaches. Integrating compassion into biological psychiatry may help address emotional and relational aspects of mental illness that are not fully covered by standard treatments. This review outlines current evidence and suggests directions for incorporating compassion-based practices into psychiatric care.
Abstract
Compassion has been increasingly recognized as a therapeutic factor in psychological interventions, but its role in biological psychiatry remains less explored. This review examines the neurobiological mechanisms and clinical relevance of compassion within a biological psychiatric framework. Compassion involves neural systems associated with positive affect and prosocial motivation, including the medial prefrontal cortex, nucleus accumbens, and oxytocin-related pathways. It is also linked to increased vagal activity and heart rate variability, indicating enhanced parasympathetic regulation. Compassion-focused therapy and mindful self-compassion have shown benefits in emotion regulation and reductions in self-criticism and post-traumatic stress symptoms. These effects suggest that compassion-based interventions may complement biological treatments, particularly during recovery. Individual differences in response to compassion, including fear or resistance, highlight the need for personalized approaches. Integrating compassion into biological psychiatry may help address emotional and relational aspects of mental illness that are not fully covered by standard treatments. This review outlines current evidence and suggests directions for incorporating compassion-based practices into psychiatric care.