This section is to give an overview of different models, different therapeutic orientations and techniques
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Post by Dr.Dot »

Mindfulness, is part of the third wave of behavioural therapies. Mindfulness is the core component of Mindfulness based Stress Reduction Programmes, and Mindfulness Based Cognitive Thearpy. There are 2 further therapies that use mindfulness, as a component of the therapy, namley Acceptance and Commitment Therapy, and Dialiectal Behaviour Therapy.

Mindfulness itself, comes from Buddhist teaching. Formal, and non formal medatative practice enables us to obseve thoughts as thoughts, that may not be true (a NAT in CBT terms), as well as allowing us to be grounded in moment by moment experince.

Mindfulness-Based Stress Reduction Is a group programme, that practices meditationduring sessions, as well as at home. There is a psychoeducation component, on the stress reaction in the body. The forefather of this was Jon Kabit-Zinn, his seminal text Full Catastrophe Living is an excellent jumping off point for anyone interested.

Mindfulness-Based Cognitive Therapy (MBCT) it is argued works similarly to CBT in that behavioural change as well as changes in emotion and thought are brought about through awareness of a thoughts and behaviours, CBT focuses on challenging them for change. Whereas MBCT focuses on an individual becoming aware of thoughts and emotions and accepting them for just that without judgment. The mechanism of change is thought to be similar, but the way that the awareness of thoughts/emotions/behaviour as very different in MBCT, and the experince is more client led, perhaps leading to more ownership, and therefore engagement. Key text here would be, Mindfulness-based Cognitive Therapy for Depression: A New Approach to Preventing Relapse

MBCT has been found to be effective in chronic depression following 3 or more episodes of depression, when CBT seems to ahve lost its' potency, which is a very interesting finding with refernce to Layards report. NICE quite like it too!

Key paper: Teasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. 2000 Aug;68(4):615-23] (abstract only sorry!).

Acceptance and Commitment Thearpy, is an individual therapy that can be used with Children and Adults alike, there is some room for creativity, espcially in relation to the mindfulness practice you use. Useful website here. Key text:Get Out of Your Mind and into Your Life: The New Acceptance and Commitment Therapy

Dialectical Behaviour Therapy is a group and individual therapy, with 4 core components: Mindfulness, Interpersonal effectiveness, Distress tolerance, and Emotion regulation. Fantastic article here. Key text for this approach: Cognitive Behavioural Treatment of Borderline Personality Disorder.

Baer, Ruth A. (2003) Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125-143.

Another great general website with downloadable papers here.

There is some evidence now emerging for the neuroscience of meditation. There are some promising studies of new meditators and their subsequent effect on the brain, but here is a starter for 10, in well practised tibetan monks:

Brefczynski-Lewis J. A., Lutz, A., Schaefer, H. S., Levinson, D. B., & Davidson, R. J. (2007). Neural correlates of attentional expertise in long-term meditation practitioners. Proceedings of the National Academy of Sciences, 104(27), 11483-11488.

Hopefully this will be out soon: Davidson, R. J., & Lutz, A. (in press; Jan 2008). Buddha’s Brain: Neuroplasticity and Meditation. IEEE Signal Processing Magazine. will be too. Downloadable from the site above.

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Last edited by Dr.Dot on Mon Jun 25, 2007 4:31 pm, edited 1 time in total.
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