Showing posts with label stress reduction. Show all posts
Showing posts with label stress reduction. Show all posts

Thursday, January 23, 2014

Kelly McGonigal: How to Make Stress Your Friend


Kelly McGonigal is the author of The Willpower Instinct: How Self-Control Works, Why It Matters, and What You Can Do to Get More of It and is a popular TED speaker when she is not teaching at Stanford University.

Kelly McGonigal: How to make stress your friend

Filmed Jun 2013 • Posted Sep 2013 • TEDGlobal 2013


Stress. It makes your heart pound, your breathing quicken and your forehead sweat. But while stress has been made into a public health enemy, new research suggests that stress may only be bad for you if you believe that to be the case. Psychologist Kelly McGonigal urges us to see stress as a positive, and introduces us to an unsung mechanism for stress reduction: reaching out to others.

Stanford University psychologist Kelly McGonigal is a leader in the growing field of “science-help.” Through books, articles, courses and workshops, McGonigal works to help us understand and implement the latest scientific findings in psychology, neuroscience and medicine.

Straddling the worlds of research and practice, McGonigal holds positions in both the Stanford Graduate School of Business and the School of Medicine. Her most recent book, The Willpower Instinct, explores the latest research on motivation, temptation and procrastination, as well as what it takes to transform habits, persevere at challenges and make a successful change.

She is now researching a new book about the "upside of stress," which will look at both why stress is good for us, and what makes us good at stress. In her words: "The old understanding of stress as a unhelpful relic of our animal instincts is being replaced by the understanding that stress actually makes us socially smart -- it's what allows us to be fully human."

Tuesday, May 07, 2013

Meditation Produces Opposite Effect of ‘Fight or Flight’


A recent post at Psych Central, by Traci Pedersen, offers a brief summary of a study from PLoS ONE on how the relaxation response can reduce inflammation, insulin levels, and energy metabolism - but her summary looks specifically at how meditation, as one means of inducing the relaxation response, can reduce the stress response that leads the body into the "fight or flight" mode.

Here is the abstract to the original article (available in full at the link), followed by the Psych Central article.

Relaxation Response Induces Temporal Transcriptome Changes in Energy Metabolism, Insulin Secretion and Inflammatory Pathways


Abstract

The relaxation response (RR) is the counterpart of the stress response. Millennia-old practices evoking the RR include meditation, yoga and repetitive prayer. Although RR elicitation is an effective therapeutic intervention that counteracts the adverse clinical effects of stress in disorders including hypertension, anxiety, insomnia and aging, the underlying molecular mechanisms that explain these clinical benefits remain undetermined. To assess rapid time-dependent (temporal) genomic changes during one session of RR practice among healthy practitioners with years of RR practice and also in novices before and after 8 weeks of RR training, we measured the transcriptome in peripheral blood prior to, immediately after, and 15 minutes after listening to an RR-eliciting or a health education CD. Both short-term and long-term practitioners evoked significant temporal gene expression changes with greater significance in the latter as compared to novices. RR practice enhanced expression of genes associated with energy metabolism, mitochondrial function, insulin secretion and telomere maintenance, and reduced expression of genes linked to inflammatory response and stress-related pathways. Interactive network analyses of RR-affected pathways identified mitochondrial ATP synthase and insulin (INS) as top upregulated critical molecules (focus hubs) and NF-κB pathway genes as top downregulated focus hubs. Our results for the first time indicate that RR elicitation, particularly after long-term practice, may evoke its downstream health benefits by improving mitochondrial energy production and utilization and thus promoting mitochondrial resiliency through upregulation of ATPase and insulin function. Mitochondrial resiliency might also be promoted by RR-induced downregulation of NF-κB-associated upstream and downstream targets that mitigates stress.
Full Citation: 
Bhasin MK, Dusek JA, Chang B-H, Joseph MG, Denninger JW, et al. (2013) Relaxation Response Induces Temporal Transcriptome Changes in Energy Metabolism, Insulin Secretion and Inflammatory Pathways. PLoS ONE 8(5): e62817. doi:10.1371/journal.pone.0062817

Meditation Produces Opposite Effect of ‘Fight or Flight’

By TRACI PEDERSEN Associate News Editor
Reviewed by John M. Grohol, Psy.D. on May 4, 2013


A new study reveals that practitioners of meditation experience changes in gene expression that are the exact opposite of what occurs during the “flight or fight” stress response.

Specifically, genes associated with energy metabolism, mitochondrial function, insulin secretion, and telomere maintenance are turned on, while those involved in inflammation are turned off.

These effects are more significant and consistent for long-term practitioners.

People who practice simple meditation aren’t “just relaxing,” explained the study’s senior author, Dr. Herbert Benson. Instead, they’re experiencing “a specific genomic response that counteracts the harmful genomic effects of stress.”

It’s been shown that repeating a yoga pose, prayer, or mantra while disregarding other thoughts protects against anxiety and depression as well as physical conditions such as hypertension, cardiovascular disease, and types of cancer that are exacerbated by stress.

For the study, published in the open access journal PLoS One, researchers at the Benson-Henry Institute for Mind/Body Medicine at Massachusetts General Hospital and Beth Israel Deaconess Medical Center Subjects trained 26 adults with no previous meditation experience for eight weeks.

The participants practiced deep breathing, repeated mantras, and learned to ignore intrusive thoughts.

At first, they were given blood tests immediately before and 15 minutes after listening to a 20-minute health education CD. This was repeated after their training, except this time with a CD that guided them through meditation. Twenty-five other individuals, who had long-term experience in evoking the relaxation response, were tested as well.

All of the subjects’ blood samples revealed changes in gene expression following meditation. The changes were the exact opposite of what occurs during flight or fight. In the long-term practitioners, the effects were more pronounced and consistent.

Although the study only explored one way of reaching a relaxation response, people have been figuring this out for themselves for thousands of years, through yoga, prayer, and other forms of meditation.

This is the first time, however, that researchers have been able to show that these practices actually produce a change in gene expression.

The findings show that the effects of the relaxation response become stronger with practice, typically twice a day for 10 to 20 minutes. “Do it for years,” said Benson, “and then these effects are quite powerful in how they change your gene activity.”

Source: PLoS ONE

Saturday, November 17, 2012

Elisha Goldstein - One Minute to a Stress-Less Brain


Psychologist Elisha Goldstein offers a quick meditation practice to reduce stress and calm the mind - it's easy and can be done anywhere. Goldstein is the author of The Now Effect: How a Mindful Moment Can Change the Rest of Your Life and A Mindful Dialogue: A Path Toward Working with Stress, Pain and Difficult Emotions (Kindle only), and co-author of A Mindfulness-Based Stress Reduction Workbook.

One Minute to a Stress-Less Brain 

Psychologist; Author, 'The Now Effect'; Co-author, 'A Mindfulness-Based Stress Reduction Workbook' 

Over the course of the recent election many of us have been inundated with a barrage of data that may have added on to the stress we're already feeling in everyday life. Our brains are designed to handle an increasing amount of complex information, and as more information becomes available, our brains adapt. It may adopt a continuous partial attention, and we can't help but live in shallow noisy waters and lack a sense of awareness and depth of what is the most skillful response to daily stress.

The problem is, this is a recipe for an ongoing stress cycle.

Recent neuroscience and personal stories are indicating that we can not only reverse this stress cycle but may even be able to create a stronger and healthier brain. This is real and powerful. We can train our brains to automatically reconnect to what matters, break free from the limiting stories in our minds, incline our minds toward the good in life and even learn how to relate to our difficult feelings differently to realize an emotional freedom from the confines of our habitual thoughts and reactions.

This is what I call changing the way we think before we think, and this is The Now Effect.

I'm going to introduce to a short and simple one-minute practice that will start to train your brain to access that space of awareness where choice, possibility and opportunity lie.


This is what I call the "BE" practice.

Note: First, see if you can set any judgments aside of whether this practice will or will not "work" for you. Engage this just with the goal of being aware of your experience.

Breathe -- Take a few deep breaths and as you breathe in, know that you're breathing in, and as you breathe out know that you breathing out. The instructions are very simple. You can even say to yourself, "in" as you're breathing in and "out" as you're breathing out. This is meant to pop you out of auto-pilot and steady your mind.

Expand -- This is the process of expanding your attention throughout the body and just feeling the body as it is. You may feel warmth or coolness, achiness, itchiness, tension, tightness, heaviness, lightness or a whole host of sensations. Or perhaps you notice no sensation at all in other areas. When you're here also be aware of how emotions are being expressed in the body. Stress may be tension in the chest or shoulders, calm may be looseness in the back or face. Whatever you notice, just practice allowing to be as it is without needing "to do" anything about it.

That's it! It may sound too simple to be impactful, but again, set your judgments aside, treat this as an experiment and let your experience be your teacher.


Where can you practice?

When you're at work, it's easy for your mind to wander off onto various engaging websites or apps. When you notice this you can just "Breathe" and "Expand" attention to the body grounding to the present moment and in that new-found space of awareness turn to what really matters, such as the project you're trying to get done.


Maybe you're about to fire off an angry text to your partner in all caps after coming home to a sink of dishes; instead of taking that impulsive action this may be a good time to just "BE" and then make a conscious choice of what to do next.

Maybe you find your mind telling you stories about all the work you have to do and how you'll never get it done in time; use the "BE" practice.

Or maybe you're driving to work a few minutes late and someone pulls in front of you, slowing you down; "BE" and then respond from a more collected place.

Set the intention to practice being, breathing and expanding into the body in mini moments throughout the day. The way the brain changes is through intentional practice and repetition just like walking, talking, reading, and riding a bike and this is no different.

To help you remember you might consider posting signs in your environment that say "Just BE," knowing that means to engage in the "BE" practice. Or maybe put a note in your digital calendar to pop up a couple times in the day as a reminder.

The benefits are enormous -- it just takes intention and practice.

As always, please share your thoughts, stories and questions below. Your interaction creates a living wisdom that we can all benefit from.

Saturday, September 01, 2012

Coping With Stress: Cognitive-Behavioral Stress Reduction


Unlike the majority of the counseling world, I do not believe cognitive-behavioral therapy (CBT) is an efficacious stand-alone therapeutic modality. However, the individual techniques from CBT can be very useful in treating a variety of issues, including anxiety, depression, phobias, and other situations where mental scripts play a role.

Stress is one of those issues amenable to CBT interventions, as demonstrated in this video from the University of California San Francisco.

Coping With Stress: Cognitive-Behavioral Stress Reduction


Stress is ubiquitous and on the rise. How we learn to manage it can have profound effects on our health and well being. This series explains how our bodies experience stress and demonstrates effective strategies to help you thrive in a fast-paced world. On this edition, Jason Satterfield, Director of Behavioral Medicine at UCSF, explores adjustment to chronic medical and stress-induced illnesses, HIV, and stress-management. Series: "UCSF Osher Mini Medical School for the Public" [3/2008]

Sunday, July 29, 2012

Tricycle - The Mindful Manifesto: An Interview with Ed Halliwell


This interview with Ed Halliwell on the book he co-wrote with Dr. Jonty Heaversedge, The Mindful Manifesto: How Doing Less and Noticing More Can Help Us Thrive in a Stressed-Out World, was featured a week or two ago in the Daily Dharma, and the full interview/article remains available to non-subscribers (for the time being).

The Mind Manifesto web page has additional material and resources for those who are interested.

The Mindful Manifesto: An Interview with Ed Halliwell


Mindfulness isn't just for Buddhists anymore; you can find it in hospitals, schools, prisons, and in some of today’s largest corporations. It is being used to help people quell their cravings, find emotional balance, eat healthier, and even to fall asleep at night.

All of these things are well and good, of course, but there's a question worth considering: Is anything lost when we remove mindfulness meditation from a Buddhist context?

In this interview with writer and mindfulness teacher Ed Halliwell we explore the ins and outs of mindfulness. We discuss the definition and benefits of mindfulness practice, whether it's the same in Buddhist and secular contexts, and Halliwell's new book (along with co-author Dr. Jonty Heaversedge) The Mindful Manifesto.

What is mindfulness? The way we're using the word in The Mindful Manifesto, which is in line with what's taught in most secular mindfulness-based courses, it means paying attention to what's happening in our bodies, minds, and the environment in a manner that's open-hearted, aware of but not caught up in our habitual patterns of thoughts, emotions and behavior. It's knowing what's happening as  it's happening, and learning from that in a way that leads us to act from a place of greater skill, choice and compassion. Having said that, I think definitions can be a little tricky when it comes to mindfulness, as we're referring to a quality that can only be really understood as an experience rather than a concept.

As you note in the book, mindfulness practice has deep roots in the Buddhist tradition. However, it is being used increasingly in secular settings—schools, prisons, hospitals, etc. What are the benefits of mindfulness going mainstream? The most obvious benefit is that a lot of people who would probably not have been drawn to practice meditation are now doing so, and many of them seem to be finding it helpful. Most people who sign up to a mindfulness-based stress reduction or mindfulness-based cognitive therapy course would not have gone along to their local Buddhist center (if there is one), or if they have, they perhaps haven't felt this was the approach for them. Meditation practice presented as a way to well-being within a secular, psychological, mind-body-health perspective sometimes connects for people who might find learning in a Buddhist context too alien, too religious, or too institutionalized for them. I think it's wonderful that they are finding a route to practice that works for them.

I also think the scientific rigor which is being brought to studying mindfulness-based approaches is very helpful. We now have good evidence that mindfulness courses help people work with stress more effectively, develop attention skills, and maintain physical and mental well-being, as well as cultivating greater empathy and compassion. Scientifically-minded people who might previously have dismissed meditation as irrational, flaky or new-age are becoming convinced that it can be usefully taught and practiced as a way to help people and communities become happier and healthier. Science is a main mode of validation in our culture, and a result of all this research is that areas such as healthcare, education, and workplaces are now opening up to meditation as something worth exploring.

I think the science is good for understanding what's happening when we meditate, too. We are starting to know more about what's going on in the brain and body when we practice, and what the studies suggest seems to correlate with what meditators have reported for thousands of years, which perhaps helps build confidence in the value of meditation. Knowing what we're doing in this way may also help us cultivate precision in what and how we practice. In these ways, the scientific mode of inquiry is an excellent complement to the first person mode of inquiry that we engage in when we actually meditate.

Are there any possible cons? Yes, I think there’s the potential for mindfulness to become diluted and separated from other key aspects of a contemplative path—such as ethics, the understanding of impermanence or emptiness, loving-kindness or other aspects of wisdom traditionally cultivated as part of, say, a Buddhist training. As more and more people start to practice and teach mindfulness who perhaps don't have any background in Buddhism or another meditative tradition, there's a risk that we lose some of the depth and insight that has been cultivated and passed down through the generations, and this could become just another self-help movement, aimed at personal betterment, rather than a deep letting go of self, which is actually what really produces such a change in our experience of well-being.

As mindfulness is increasingly presented in a western framework—science, psychology, meeting healthcare targets, business goals and so on—if we're not careful we could begin to lose the radical essence of what's actually being taught, and turn it into a patching up of our egos, a watered down, even perverted version of what meditation training traditionally leads us towards. I think a certain amount of this is inevitable (indeed, don't most of us end up falling into this trap with our practice?), but as mindfulness moves into the mainstream, will there be enough people willing and able to notice that it's happening, and  draw attention to it?

Having said that, my sense is that most of the people who are pioneering this movement are deeply concerned to maintain the integrity of what's being offered, shepherding its direction without also falling into the trap of trying tightly to control it. It may sound like what's being offered is a one-fold path, but actually the other seven spokes of the wheel are implicit, if not explicit, in a good mindfulness course, and participants also start to discover and be drawn to them for themselves, as they connect with their own mindfulness, their own wisdom. People report becoming kinder, more ethical, more skillful in their words and behavior as they start to see things more clearly. I also think that the truth is ego-proof: as soon as we stop practicing the essence of the dharma, we won't be able to access its power, and all these remarkable effects people report from going on a mindfulness course will stop happening in the same way. So there's a kind of in-built protection. The challenge, and it's an interesting and exciting one, is to be able to find the skillful means to share the wonders and difficulties of mindfulness and a contemplative path with people in a way they can relate to, without watering it down or bastardizing it, accommodating it to our cultural neuroses.

You say that one reason that mindfulness has gone mainstream is because of science. We're finding out that there are measurable benefits to practicing. But let's say that tomorrow all the science was proven false—that scientists said "actually we don't know what mindfulness mediation does to practitioners." Unlikely as that is, if it happened, would you still practice?
Well, I started practicing meditation before I knew about any of the science, and I'm pretty sure I'd still be meditating if there was no science now, because my own experience has been so powerful. I can see, feel, taste and touch the benefits of practice on my mind, body, and relationships with others and the world. So, for me, the scientific evidence for meditation is a useful confirmation of that first-person experience—it suggests my mind isn't deceiving me. But if scientists said 'we don't know what's happening when you meditate' (which, incidentally, is still very largely the case in many aspects!), then yes, I'd still practice. Science is an observer at the material level, and it's a really important part of the story, but my own experience of meditation is much richer and deeper than just the quieting down of my amygdala, or some other scientifically observed process.

However, if there was lots of science which suggested meditation was generally harmful or ineffectual, then that would give me an interesting pause for reflection. I would be puzzled, because it would be so contrary to my experience, and I think I would be prompted to ask some questions about both the science and my experience, to see if it was possible to understand this discrepancy. So far, what is being observed scientifically with meditation seems very much in line what most people report when they practice.

For some people, the science can lead them into a practice when they might otherwise have been skeptical, say, of first person reports like mine. Even so, I still suspect that once people engage with meditation, it's the experience of something shifting, or unfolding in themselves that really convinces that this is worthwhile, rather than the promise of a smaller amygdala, or even reduced stress. Indeed, focus on a future goal like that can really get in the way of meditation practice...

What is the difference between mindfulness as it's used in secular mindfulness-based courses and as it's used in a Buddhist context?

Thursday, July 12, 2012

APA Monitor - Benefits of Mindfulness for Clients and Therapists


Mindfulness practices of various sorts have infiltrated psychotherapy en mass since Marsha Linehan's Dialectical Behavioral Therapy (DBT) began showing positive outcomes in borderline personality disorder and a whole collection of other diagnoses. Mostly, people simply add a mindfulness component to an existing therapeutic model (much as Linehan did with DBT, based quite literally in cognitive behavioral techniques).

Some mindfulness approaches to therapy are better than others, obviously. For me, mindfulness (not in CBT or DBT or any of the other versions, but simple Buddhist mindfulness) is essential to developing self-compassion, affect regulation, and the ability to self-distance when necessary.

For the July CEU course (CEU Corner), the American Psychological Association offered a look at the benefits of mindfulness practice for both the client and the therapist. In case you need a CEU, here is the info for that.

Welcome to ‘CE Corner'

"CE Corner" is a quarterly continuing education article offered by the APA Office of CE in Psychology. This feature will provide you with updates on critical developments in psychology, drawn from peer-reviewed literature and written by leading psychology experts. "CE Corner" appears in the February 2012, April, July/August and November issues of the Monitor.

To earn CE credit, after you read this article, purchase the online exam.

Upon successful completion of the test (a score of 75 percent or higher), you can print your CE certificate immediately. APA will immediately send you a "Documentation of CE" certificate. The test fee is $25 for members; $35 for nonmembers. The APA Office of CE in Psychology retains responsibility for the program. For more information, call (800) 374-2721, ext. 5991.

Mindfulness has enjoyed a tremendous surge in popularity in the past decade, both in the popular press and in the psychotherapy literature. The practice has moved from a largely obscure Buddhist concept founded about 2,600 years ago to a mainstream psychotherapy construct today.

Advocates of mindfulness would have us believe that virtually every client and therapist would benefit from being more mindful. Among its theorized benefits are self-control, objectivity, affect tolerance, enhanced flexibility, equanimity, improved concentration and mental clarity, emotional intelligence and the ability to relate to others and one's self with kindness, acceptance and compassion.

But is mindfulness as good as advertised? This article offers an overview of the research on mindfulness and discusses its implications for practice, research and training.

Empirically supported benefits of mindfulness

The term "mindfulness" has been used to refer to a psychological state of awareness, the practices that promote this awareness, a mode of processing information and a character trait. To be consistent with most of the research reviewed in this article, we define mindfulness as a moment-to-moment awareness of one's experience without judgment. In this sense, mindfulness is a state and not a trait. While it might be promoted by certain practices or activities, such as meditation, it is not equivalent to or synonymous with them.

Several disciplines and practices can cultivate mindfulness, such as yoga, tai chi and qigong, but most of the literature has focused on mindfulness that is developed through mindfulness meditation — those self-regulation practices that focus on training attention and awareness in order to bring mental processes under greater voluntary control and thereby foster general mental well-being and development and/or specific capacities such as calmness, clarity and concentration (Walsh & Shapiro, 2006).

Researchers theorize that mindfulness meditation promotes metacognitive awareness, decreases rumination via disengagement from perseverative cognitive activities and enhances attentional capacities through gains in working memory. These cognitive gains, in turn, contribute to effective emotion-regulation strategies.

More specifically, research on mindfulness has identified these benefits:

Reduced rumination. Several studies have shown that mindfulness reduces rumination. In one study, for example, Chambers et al. (2008) asked 20 novice meditators to participate in a 10-day intensive mindfulness meditation retreat. After the retreat, the meditation group had significantly higher self-reported mindfulness and a decreased negative affect compared with a control group. They also experienced fewer depressive symptoms and less rumination. In addition, the meditators had significantly better working memory capacity and were better able to sustain attention during a performance task compared with the control group.

Stress reduction. Many studies show that practicing mindfulness reduces stress. In 2010, Hoffman et al. conducted a meta-analysis of 39 studies that explored the use of mindfulness-based stress reduction and mindfulness-based cognitive therapy. The researchers concluded that mindfulness-based therapy may be useful in altering affective and cognitive processes that underlie multiple clinical issues.

Those findings are consistent with evidence that mindfulness meditation increases positive affect and decreases anxiety and negative affect. In one study, participants randomly assigned to an eight-week mindfulness-based stress reduction group were compared with controls on self-reported measures of depression, anxiety and psychopathology, and on neural reactivity as measured by fMRI after watching sad films (Farb et al., 2010). The researchers found that the participants who experienced mindfulness-based stress reduction had significantly less anxiety, depression and somatic distress compared with the control group. In addition, the fMRI data indicated that the mindfulness group had less neural reactivity when they were exposed to the films than the control group, and they displayed distinctly different neural responses while watching the films than they did before their mindfulness training. These findings suggest that mindfulness meditation shifts people's ability to use emotion regulation strategies in a way that enables them to experience emotion selectively, and that the emotions they experience may be processed differently in the brain (Farb et al., 2010; Williams, 2010).

Boosts to working memory. Improvements to working memory appear to be another benefit of mindfulness, research finds. A 2010 study by Jha et al., for example, documented the benefits of mindfulness meditation among a military group who participated in an eight-week mindfulness training, a nonmeditating military group and a group of nonmeditating civilians. Both military groups were in a highly stressful period before deployment. The researchers found that the nonmeditating military group had decreased working memory capacity over time, whereas working memory capacity among nonmeditating civilians was stable across time. Within the meditating military group, however, working memory capacity increased with meditation practice. In addition, meditation practice was directly related to self-reported positive affect and inversely related to self-reported negative affect.

Focus. Another study examined how mindfulness meditation affected participants' ability to focus attention and suppress distracting information. The researchers compared a group of experienced mindfulness meditators with a control group that had no meditation experience. They found that the meditation group had significantly better performance on all measures of attention and had higher self-reported mindfulness. Mindfulness meditation practice and self-reported mindfulness were correlated directly with cognitive flexibility and attentional functioning (Moore and Malinowski, 2009).

Less emotional reactivity. Research also supports the notion that mindfulness meditation decreases emotional reactivity. In a study of people who had anywhere from one month to 29 years of mindfulness meditation practice, researchers found that mindfulness meditation practice helped people disengage from emotionally upsetting pictures and enabled them to focus better on a cognitive task as compared with people who saw the pictures but did not meditate (Ortner et al., 2007).

More cognitive flexibility. Another line of research suggests that in addition to helping people become less reactive, mindfulness meditation may also give them greater cognitive flexibility. One study found that people who practice mindfulness meditation appear to develop the skill of self-observation, which neurologically disengages the automatic pathways that were created by prior learning and enables present-moment input to be integrated in a new way (Siegel, 2007a). Meditation also activates the brain region associated with more adaptive responses to stressful or negative situations (Cahn & Polich, 2006; Davidson et al., 2003). Activation of this region corresponds with faster recovery to baseline after being negatively provoked (Davidson, 2000; Davidson, Jackson, & Kalin, 2000).

Relationship satisfaction. Several studies find that a person's ability to be mindful can help predict relationship satisfaction — the ability to respond well to relationship stress and the skill in communicating one's emotions to a partner. Empirical evidence suggests that mindfulness protects against the emotionally stressful effects of relationship conflict (Barnes et al., 2007), is positively associated with the ability to express oneself in various social situations (Dekeyser el al., 2008) and predicts relationship satisfaction (Barnes et al., 2007; Wachs & Cordova, 2007).

Other benefits. Mindfulness has been shown to enhance self-insight, morality, intuition and fear modulation, all functions associated with the brain's middle prefrontal lobe area. Evidence also suggests that mindfulness meditation has numerous health benefits, including increased immune functioning (Davidson et al., 2003; see Grossman, Niemann, Schmidt, & Walach, 2004 for a review of physical health benefits), improvement to well-being (Carmody & Baer, 2008) and reduction in psychological distress (Coffey & Hartman, 2008; Ostafin et al., 2006). In addition, mindfulness meditation practice appears to increase information processing speed (Moore & Malinowski, 2009), as well as decrease task effort and having thoughts that are unrelated to the task at hand (Lutz et al., 2009).

The effects of meditation on therapists and therapist trainees

While many studies have been conducted on the benefits of applying mindfulness approaches to psychotherapy clients (for reviews, see Didonna, 2009 and Baer, 2006), research on the effects of mindfulness on psychotherapists is just beginning to emerge. Specifically, research has identified these benefits for psychotherapists who practice mindfulness meditation:

Empathy. Several studies suggest that mindfulness promotes empathy. One study, for example, looked at premedical and medical students who participated in an eight-week mindfulness-based stress reduction training. It found that the mindfulness group had significantly higher self-reported empathy than a control group (Shapiro, Schwartz, & Bonner, 1998). In 2006, a qualitative study of therapists who were experienced meditators found that they believed that mindfulness meditation helped develop empathy toward clients (Aiken, 2006). Along similar lines, Wang (2007) found that therapists who were experienced mindfulness meditators scored higher on measures of self-reported empathy than therapists who did not meditate.

Compassion. Mindfulness-based stress reduction training has also been found to enhance self-compassion among health-care professionals (Shapiro, Astin, Bishop, & Cordova, 2005) and therapist trainees (Shapiro, Brown, & Biegel, 2007). In 2009, Kingsbury investigated the role of self-compassion in relation to mindfulness. Two components of mindfulness — nonjudging and nonreacting — were strongly correlated with self-compassion, as were two dimensions of empathy — taking on others' perspectives (i.e., perspective taking) and reacting to others' affective experiences with discomfort. Self-compassion fully mediated the relationship between perspective taking and mindfulness.

Counseling skills. Empirical literature demonstrates that including mindfulness interventions in psychotherapy training may help therapists develop skills that make them more effective. In a four-year qualitative study, for example, counseling students who took a 15-week course that included mindfulness meditation reported that mindfulness practice enabled them to be more attentive to the therapy process, more comfortable with silence, and more attuned with themselves and clients (Newsome, Christopher, Dahlen, & Christopher, 2006; Schure, Christopher, & Christopher, 2008). Counselors in training who have participated in similar mindfulness-based interventions have reported significant increases in self-awareness, insights about their professional identity (Birnbaum, 2008) and overall wellness (Rybak & Russell-Chapin, 1998).

Decreased stress and anxiety. Research found that premedical and medical students reported less anxiety and depressive symptoms after participating in an eight-week mindfulness-based stress reduction training compared with a waiting list control group (Shapiro et al., 1998). The control group evidenced similar gains after exposure to mindfulness-based stress reduction training. Similarly, following such training, therapist trainees have reported decreased stress, rumination and negative affect (Shapiro et al., 2007). In addition, when compared with a control group, mindfulness-based stress reduction training has been shown to decrease total mood disturbance, including stress, anxiety and fatigue in medical students (Rosenzweig, Reibel, Greeson, Brainard, & Hojat, 2003).

Better quality of life. Using qualitative and quantitative measures, nursing students reported better quality of life and a significant decrease in negative psychological symptoms following exposure to mindfulness-based stress reduction training (Bruce, Young, Turner, Vander Wal, & Linden, 2002). Evidence from a study of counselor trainees exposed to interpersonal mindfulness training suggests that such interventions can foster emotional intelligence and social connectedness, and reduce stress and anxiety (Cohen & Miller, 2009).

Similarly, in a study of Chinese college students, those students who were randomly assigned to participate in a mindfulness meditation intervention had lower depression and anxiety, as well as less fatigue, anger and stress-related cortisol compared to a control group (Tang et al., 2007). These same students had greater attention, self-regulation and immunoreactivity. Another study assessed changes in symptoms of depression, anxiety and post-traumatic stress disorder among New Orleans mental health workers following an eight-week meditation intervention that began 10 weeks after Hurricane Katrina. Although changes in depression symptoms were not found, PTSD and anxiety symptoms significantly decreased after the intervention (Waelde et al., 2008). The findings suggest that meditation may serve a buffering role for mental health workers in the wake of a disaster.

Other benefits for therapists. To date, only one study has investigated the relationship between mindfulness and counseling self-efficacy. Greason and Cashwell (2009) found that counseling self-efficacy was significantly predicted by self-reported mindfulness among masters-level interns and doctoral counseling students. In that study, attention mediated the relationship between mindfulness and self-efficacy, suggesting that mindfulness may contribute to the development of beneficial attentional processes that aid psychotherapists in training (Greason & Cashwell, 2009). Other potential benefits of mindfulness include increased patience, intentionality, gratitude and body awareness (Rothaupt & Morgan, 2007).

Outcomes of clients whose therapists meditate

While research points to the conclusion that mindfulness meditation offers numerous benefits to therapists and trainees, do these benefits translate to psychotherapy treatment outcomes?

So far, only one study suggests it does. In a study conducted in Germany, randomly assigned counselor trainees who practiced Zen meditation for nine weeks reported higher self-awareness compared with nonmeditating counselor trainees (Grepmair et al., 2007). But more important, after nine weeks of treatment, clients of trainees who meditated displayed greater reductions in overall symptoms, faster rates of change, scored higher on measures of well-being and perceived their treatment to be more effective than clients of nonmeditating trainees.

However, the results of three other studies were not as encouraging. Stanley et al. (2006) studied the relationship between trait mindfulness among 23 doctoral-level clinical psychology trainees in relation to treatment outcomes of 144 adult clients at a community clinic that used manualized, empirically supported treatments. Contrary to expectation, therapist mindfulness was inversely correlated with client outcome.

This is consistent with other findings that suggest an inverse relationship exists between therapists' mindfulness and client outcomes (Bruce, 2006; Vinca & Hayes, 2007). Other research suggests that no relationship exists between therapist mindfulness and therapy outcome (Stratton, 2006).

What might be behind these results? It could be that "more mindful" people are likely to score lower on self-reports of mindfulness because they are more accurately able to describe their "mindlessness." Conversely, people who are less mindful may not realize it and therefore may be inclined to rate themselves higher on such measures.

Overall, while the psychological and physical health benefits of mindfulness meditation are strongly supported by research, the ways in which therapists' mindfulness meditation practice and therapists' mindfulness translate to measureable outcomes in psychotherapy remain unclear. Future research is needed to examine the relations between therapists' mindfulness, therapists' regular mindfulness meditation practice and common factors known to contribute to successful treatment outcomes.

Important next steps in research

Future research holds tremendous potential for learning more about the neurophysiological processes of meditation and the benefits of long-term practice on the brain. Research on neuroplasticity may help explain the relationships among length and quality of meditation practice, developmental stages of meditators and psychotherapy outcomes. More research is needed to better understand how the benefits of meditation practice accumulate over time.

In addition, psychologists and others need to explore other ways to increase mindfulness in addition to meditation. Given that current research does not indicate that therapists' self-reported mindfulness enhances client outcomes, better measures of mindfulness may need to be developed or different research designs that do not rely on self-report measures need to be used. Garland and Gaylord (2009) have proposed that the next generation of mindfulness research encompass four domains:

1. performance-based measures of mindfulness, as opposed to self-reports of mindfulness;
2. scientific evaluation of notions espoused by Buddhist traditions;
3. neuroimaging technology to verify self-report data; and
4. changes in gene expression as a result of mindfulness. Research along these lines is likely to enhance our understanding of mindfulness and its potential benefits to psychotherapy.

Research is also needed on effective and practical means of teaching therapists mindfulness practices. Future research could investigate ways mindfulness practices and mindfulness meditation could be integrated into trainees' practicum and clinical supervision. Since mindfulness-based stress reduction has been successfully used with therapist trainees (e.g., Shapiro et al., 2007), the technique may be a simple way for therapists to integrate mindfulness practices into trainees' practicum class or group supervision. Future research questions could include: Does therapists' practice of mindfulness meditation in clinical supervision with their supervisees affect the supervisory alliance or relational skills of supervisees? Does practicing formal mindfulness meditation as a group in practicum or internship aid in group cohesion, self-care, relational skills or measurable common factors that contribute to successful psychotherapy?

Given the limited research thus far on empathy, compassion, decreased stress and reactivity, more research is needed on how mindfulness meditation practice affects these constructs and measurable counseling skills in both trainees and therapists. For example, how does mindfulness meditation practice affect empathy and compassion for mid-career or late-career therapists who are experienced at mindfulness?

Shapiro and Carlson (2009) have suggested that mindfulness meditation can also serve psychologists as a means of self-care to prevent burnout. Future research is needed on not only how the practice of mindfulness meditation helps facilitate trainee development and psychotherapy processes, but also how it can help therapists prevent burnout and other detrimental outcomes of work-related stress.
In addition, despite abundant theoretical work on ways to conceptually merge Buddhist and Western psychology to psychotherapy (e.g., Epstein, 2007, 1995), there is a lack of literature on what it looks like in session when a therapist uses mindfulness and Buddhist-oriented approaches to treat specific clinical issues.

In conclusion, mindfulness has the potential to facilitate trainee and therapists' development, as well as affect change mechanisms known to contribute to successful psychotherapy. The field of psychology could benefit from future research examining cause and effect relationships in addition to mediational models in order to better understand the benefits of mindfulness and mindfulness meditation practice.

Purchase the exam online.

  • Daphne M. Davis, PhD, is a postdoctoral fellow at the Trauma Center at Justice Resource Institute in Brookline, Mass.
  • Jeffrey A. Hayes, PhD, is a professor of counseling psychology at the Pennsylvania State University department of educational psychology, counseling and special education.
mindfulness-table1

mindfulness-table2

Monday, May 07, 2012

TEDxStudioCityED - Susan Kaiser Greenland: The ABCs of Attention, Balance & Compassion


Good talk from Susan Kaiser Greenland at TEDxStudioCityED. At her blog, she notes, "If there's a next time I won't sing at the end.  I promise." And she gives credit for the slides "to the talented  Lindsay duPont."
Founder of the Inner Kids program, Susan Kaiser Greenland adapted adult meditation practices for kids, seeing a marked improvement in their capacity to focus, calm themselves, and manage stress. She is also the author of The Mindful Child.

Susan shares her insights on how children can learn practical skills to live more balanced, joyful lives. Her approach for teaching mindfulness to kids involves research-based techniques and playful activities.

Thursday, April 05, 2012

Sonnabend Lecture: Jon Kabat-Zinn - A More Mindful Society Might Depend on Us


The topic of this talk by Jon Kabat-Zinn (A More Mindful Society Might Depend on Us) is interesting in light of Congressman Tim Ryan's new book, A Mindful Nation: How a Simple Practice Can Help Us Reduce Stress, Improve Performance, and Recapture the American Spirit (more on this below).

A mindful nation, or a mindful society, however we want to phrase it, does depend on us - on you, me, and the neighbor down the street who may be an evangelical Christian. But having a religion does not prevent one from learning to be mindful, and with mindfulness comes greater compassion and empathy. Imagine . . . not that there are no countries, or religions, no heaven or no hell . . . rather, imagine a world of mindfulness and compassion.

Am I the change I want to see in the world? Are you?




Sonnabend Lecture (2011) by Jon Kabat-Zinn - A More Mindful Society Might Depend on Us: Embodying Our Beauty and Our Wholeness in Our Lives and in the World 

Uploaded by on Oct 17, 2011
 
Dr. Kabat-Zinn is founding director of the Stress Reduction Clinic at UMass Medical Center, which has served as the model for mindfulness-based clinical intervention programs at over 400 medical centers and clinics nationwide and abroad. He drew hundreds of people to Lesley University's Brattle Campus Monday, October 3, 2001, to deliver the Sonnabend Lecture, guiding the packed audience through an exploration of Mindfulness, followed by a meditation exercise. Dr. Kabat-Zinn's visit coincided with the launching of Lesley's new program in Mindfulness Studies.

The bi-annual Sonnabend Lecture invites a distinguished practitioner in the field of human services to work with Lesley's students and faculty, and enrich the academic community.

A week or so ago, Susan Krauss Whitbourne, Ph.D., wrote about Ryan's new book (of which she saw an advance copy) on her blog at Psychology Today.

A radical proposal to infuse psychology into government

 
Psychologists often dream of a better world in which our field's discoveries are applied to society's major problems. If Ohio Congressman Tim Ryan has his way, the dream will become reality. Not to overstate the case, but Ryan's proposal that everyone becomes more mindful could help the United States tackle and overcome some of our greatest challenges.
 In his book, A Mindful Nation, Ryan lays out a relatively straightforward plan in which by practicing mindfulness, we as individual citizens can improve our mental and physical health, reduce our dependence on foreign oil, reduce crime, improve our educational systems, and help our military enhance their performance.  A bold proposition? Yes. However, he builds the case starting with a simple first step—that the practice of mindfulness can help each of us can improve our internal awareness of our bodies. Once we've passed step one, we'll be more likely to take steps that will make us more effective and capable citizens, and that will create the momentum for a series of changes in how well we can perform, our physical health, our relations with others, and our interactions with the environment.

To learn the details of Ryan's plan, you need to read the clear and easy-to-follow arguments Ryan provides in the book. You'll also be able to learn about Ryan's visits to the psychology labs of notable researchers in the mindfulness field. Here, I'll summarize the gist of his proposal and share the highlights of my recent phone interview with the Congressman.

Let's look at the first step-the practice of mindfulness.  The term "mindfulness" precisely conveys its essence: "Mindfulness means being relaxed and aware of what's going on in our own mind. It means calmly paying attention to what we are doing, without being pulled into regrets about the past or fantasies of the future. It's our capacity to fully focus on what we're doing." Sounds easy, doesn't it! However, in our multitasking world, simply slowing down and paying attention to your inner experience rather than your many iGadgets, may seem impossible.  Proponents of mindfulness don't expect you to stop everything you're doing and focus on your inner thoughts all of the time, just for a few minutes at least once a day.  It's not much of a sacrifice considering the value you gain in improved perspective on the tasks facing you in your job, home, and community.

There's plenty of research to support the value of mindfulness.  From eating a healthier diet to getting more enjoyment out of your day, that inner focus can benefit you in a multitude of ways.
Mindfulness is becoming an integral component in cognitive psychotherapy for anxiety, mood, and addictive disorders. The key to mindfulness in psychotherapy is that individuals focus on their total experience, even if that experience includes negative thoughts. Rather than trying to fight the content of those thoughts, in mindfulness therapy, people learn to accept all their thoughts, even the negative ones. The key is to become aware of your inner state in a non-judgmental fashion. If you can accept your negative thoughts, so the theory goes, you will have less emotional distress.


Reducing stress is one of the major advantages of mindfulness in improving physical as well as mental health. I resonated strongly with Ryan's proposal that mindfulness practice could help us reduce our healthcare costs. By thinking about what's going on inside you, Ryan argues, you'll be more likely to seek medical care at the first signs of an illness rather than after it reaches crisis levels. You'll recognize your high blood pressure spikes, your racing heart, and even chest pains that can bode the first sign of a heart attack. What's more, you'll be more likely to take advantage of preventative strategies as well. Your inner focus will help keep you from putting as many unhealthy foods into your body and will motivate you to get out and exercise. By reducing your emotional distress, you'll also reduce the unhealthy levels of stress that can wreak havoc on the major organ systems of your body.  If we could all take these steps, we could reduce our dependence on those expensive and often harmful medications that themselves create more health problems.  This is an area where, clearly, the actions of each of us can improve the future of society as a whole.

Ryan also proposes a radical restructuring of education to bring mindfulness into the classroom.  Because mindfulness requires no great sophistication, children can readily learn its techniques. A mindfulness curriculum, Social and Emotional Learning (SEL) is already being implemented, promoted by the Collaborative for Academic, Social, and Emotional Learning in Chicago, among other organizations.  It goes without saying that helping children to focus their attention through mindfulness can improve their classroom performance, ability to learn and—as a side benefit—their relationships with their fellow students. You don't have to be a child to benefit from mindfulness training. Researchers have found that college students who are constantly on social media during lectures have lower grades than those who focus on their instructor (Junco & Cotten, 2012).  

Ryan's proposal that mindfulness can help our environment is also compelling.  Rising gas prices are causing us to pay more attention to our driving habits but if the past is any indication, as soon as gas prices dip again, or as we become habituated to more pain at the pump, it's likely that we'll go back to our gas guzzling ways. Mindfulness practice might help to battle that inclination by getting us to think, for example, about whether we need to take each and every trip we make to the store and how we can more efficiently get to work or school. That's one place to start, and building from there, we can also use mindfulness in a larger sense to become more conscientious about our approach to the environment in general.  Think twice, in other words, before you toss that plastic container into the trash instead of the recycling bin. Or better still, don't use throwaway plastic containers at all!

Applying mindfulness to enhancing the performance of the military, Ryan cites the success of Mindfulness-based Mind Fitness Training (MMFT, or M-Fit). Not only can this lower the stress associated with combat exposure, but by training our soldiers in mindfulness, they can perform more effectively in their roles on the battlefield, a "force multiplier." Mindfulness helps improve cognitive functioning, particularly working memory. When you're thinking about what you're doing, your physical performance will be that much more effective.

Ryan devotes a chapter specifically on the science of mindfulness.  Although throughout the book he describes the empirical basis for his proposals, this chapter provides useful additional support. He places considerable weight on a finding from neuroscience known as the "left shift," which is what happens in the brain when we engage mindful thinking.  The increased activation of the brain's left frontal regions is associated with more positive emotional states and could, theoretically, account for the reduced distress we experience when we practice mindfulness.

After having the opportunity to read a pre-release version of the book, I was thrilled to learn that Congressman Ryan was willing to speak to me about his work. I was particularly eager to ask him about his vision of mindfulness as a grass-roots movement. At the end of each chapter in the book, Ryan lays out strategies that individual citizens can implement to bring the mindfulness revolution to work for improving our country, community by community. Ryan feels strongly that it's important for mindfulness to take hold at this level, so that we start the long-term process that can eventually bring about the lasting change he envisions.  I asked him straight out, however, whether he thought that maybe it was time for the mindfulness movement to take hold of our gridlocked federal government. I agree that we as individuals need to take responsibility by adopting the mindful mindset. However, can't Congress jump start the process a little bit (or a lot)? What about mindfulness workshops or—even better—a bipartisan Mindfulness Caucus?  Perhaps if our nation's leaders could model the benefits of mindfulness, ordinary citizens would feel encouraged enough to take action at the local level.


Of course, as Ryan pointed out, "Congress is a reflection of the country; we're elected by the people. If the people are demanding a more mindful, thoughtful long-term approach to our problems they'll demand that our current representatives are more mindful and concerned about the long-term."

Yet, one could still argue (as I did) that with the big money lobbying groups influencing our publicly elected representatives, how can individuals hope to be heard as we make our plea for greater mindfulness?  I pushed pretty hard on this question, but Ryan once again had a well-thought out response. As he pointed out, each one of us can be a "lobbyist," but our voice is particularly likely to be heard when we band together. He cited several cases to support this argument, including a recent anti-collective bargaining referendum in Ohio that failed due to the joint voices of police, fire, teachers, nurses, and public employees.  If lobbyists with 5 or 10 K signatures from a district go to DC and say "My people want this," that can counterbalance the money and the influence of the big-money lobbyists.

It's pretty exciting to read such a well-reasoned argument about how psychology can become the basis of a new social movement. It's also pretty amazing to read a politician's book that uses terms such as "meta-analysis" and cites the Journal of Applied School Psychology.  And my frontal lobes shifted all the way to the left when, in our phone interview, he talked about the amygdala. 

Ryan is definitely onto something.  His goal in writing the book is to get mindfulness to be a topic of conversation: "Once you start seeing this as the solution to the problems you begin the implementation process." For all of our sakes, I hope this process starts soon!

Follow me on Twitter @swhitbo for daily updates on psychology, health, and aging. Feel free to join my Facebook group, "Fulfillment at Any Age," to discuss today's blog, or to ask further questions about this posting.  

Reference:
Junco, R. (2012). Too much face and not enough books: The relationship between multiple indices of Facebook use and academic performanceComputers in Human Behavior, 28(1), 187-198. doi:10.1016/j.chb.2011.08.026

Monday, March 26, 2012

Jon Kabat-Zinn – “The Healing Power of Mindfulness”


This is not a new video of Jon Kabat-Zinn, but it is one I had not seen before. The Tucker Foundation and Dartmouth Hitchcock Medical Center hosted Kabat-Zinn's talk on “The Healing Power of Mindfulness: Living as if Your Moments Really Mattered (and They Do)” on April 7, 2011, at the Spaulding Auditorium, Dartmouth College.




Friday, January 20, 2012

Be Here Now - How Is the Popular Mix of Meditation and Psychotherapy Changing the Way We See the World?

Today on NPR's Science Friday, Ira Flatow spoke with clinical psychologist Mark William about his new book, Mindfulness: An Eight-Week Plan for Finding Peace in a Frantic World (written with Danny Penman and Jon Kabat-Zinn).

Meanwhile, at the beginning of the month, Psychotherapy Networker published an article by Ronald Siegel on the explosion of interest in the influence of Buddhist teachings on psychotherapeutic practice.

First up the NPR piece, then the Ron Siegel article below.

January 20, 2012
 
In his book Mindfulness: An Eight-Week Plan for Finding Peace in a Frantic World, Oxford University clinical psychologist Mark Williams talks about the brain and body benefits of mindfulness meditation, a cognitive behavioral therapy that can be as effective as drugs at staving off recurring bouts of depression.
There was no transcript for the segment, so you'll have to listen to it. Meanwhile, here is the Ron Siegel article.

There's been an explosion of interest in the influence of Buddhist teachings on psychotherapeutic practice.
 
 
Twenty-five years ago, when our small group of Boston therapists began meeting to discuss how we might apply ancient Buddhist meditation practices in our work, we didn’t often mention it to our colleagues. Most of us had trained or were working in Harvard Medical School facilities, and the atmosphere there was heavily psychoanalytic. None of us wanted our supervisors or clinical teammates to think of us as having unresolved infantile longings to return to a state of oceanic oneness—Sigmund Freud’s view of the meditation enterprise.

At that time, Buddhist meditation was becoming more popular in America, and intensive meditative retreat centers were multiplying. The new centers often were staffed by Western teachers, many of whom had first encountered meditation in the Peace Corps and later trained in monastic settings in the East. Some of our group had studied in Asia; others had been trained by these newly minted Western teachers. Regardless of our backgrounds, what we shared was that we’d all experienced how radically meditation practices could transform the mind.

Therapists of the day typically viewed meditation as either a fading hippie pursuit or a useful means of relaxation, but of little additional value. Meditation teachers had their own biases toward psychotherapy, typically regarding it as a “lesser practice,” which might prepare someone for meditation but couldn’t really liberate the mind. So those of us who were involved in both domains, and viewed them as complementary, largely kept to ourselves.

During the subsequent decade, while the therapy and meditation communities continued to show little interest in each other, mindfulness meditation was making inroads into the medical community. This was largely through the efforts of Jon Kabat-Zinn, who, beginning in 1979, had adapted ancient Buddhist and yogic practices to create Mindfulness-Based Stress Reduction (MBSR) at the University of Massachusetts Medical Center in Worcester. This standardized, 8-week course couched meditation practices in Western, scientific terms. Their working definition of mindfulness—“the awareness that emerges through paying attention on purpose, and nonjudgmentally, to the unfolding of experience moment to moment”—made the concept readily accessible.

In its early years, MBSR was used primarily to augment the treatment of stress-related medical disorders, and was of particular interest to clinicians working in behavioral medicine. It wasn’t considered a form of psychotherapy, and MBSR teachers weren’t necessarily psychotherapists. In Boston and other psychoanalytically oriented cities, therapists were finding other developments more compelling. The zeitgeist was shifting toward biological psychiatry and short-term treatment. Cognitive-Behavioral Therapy (CBT) began to gain traction, along with a variety of systemic and humanistic approaches. Meditation practices received little attention.

Mindfulness Meets Psychotherapy
The first use of mindfulness in psychotherapy to capture widespread attention among clinicians was Marsha Linehan’s Dialectical Behavior Therapy (DBT), introduced in the early 1990s to treat suicidal individuals with complex disorders for which little else seemed to work. The central dialectic in DBT is the tension between acceptance and change. In searching for a means of helping therapists and their clients to experience what she called “radical acceptance”—fully embracing helplessness, terror, losses, and other painful facts of life—Linehan drew on a number of mindfulness practices from Zen traditions and Christian teachings. Because she empirically demonstrated that DBT could help challenging and volatile patients, the method rapidly became popular. Interest in it grew throughout the 1990s, but even though mindfulness skills were a core part of its approach, mindfulness practices still didn’t gain much acceptance within the wider therapy community.

The next big development came from Zindel Segal, Mark Williams, and John Teasdale, cognitive psychologists in the tradition of Aaron Beck, who were working on treatments for depression in the 1990s. They came across mindfulness practice through Jon Kabat-Zinn and MBSR, and were struck by its power. This led them to formulate a treatment, eventually called Mindfulness-Based Cognitive Therapy (MBCT), which combined elements of an 8-week MBSR course with cognitive therapy interventions designed to help patients gain perspective on their thinking and not identify with their depressive thoughts. The first results of their work, published in 2000, were dramatic: for patients who’d suffered three or more major depressive episodes, attending an MBCT group cut their relapse rate by 50 percent over the next year. Since not many interventions in our field cut anything in half, this caught the attention of the CBT community and piqued interest in mindfulness practices.

Around the same time, Steven Hayes and his colleagues had been developing behavior therapies based on a radical philosophical orientation that they called “relational frame theory.” They didn’t initially describe their work as mindfulness-oriented, but as the word began to be used in behavioral-research circles, they started to adopt it. Their treatment is called Acceptance and Commitment Therapy (ACT), which they describe as a psychological intervention that uses acceptance and mindfulness strategies, together with commitment and behavior change strategies, to increase psychological flexibility. ACT doesn’t teach many formal meditation practices, but uses imagery, metaphor, and brief exercises to cultivate awareness of the present, loosen identification with thought, and increase openness to the experience of moment-to-moment change. Beyond these more traditional mindfulness practices, ACT encourages clients to identify and pursue activities that give life meaning.
Read the whole article.

Sunday, November 20, 2011

TEDxColumbus - Maryanna Klatt PhD - Mindfulness Matters




TEDxColumbus - Maryanna Klatt PhD - Mindfulness Matters

The impact of chronic stress on our health, productivity, and overall wellbeing can be catastrophic. But how do you reduce it without adding one more thing to your life? Maryanna will reveal from her significant research initiatives that learning stress reduction techniques within the very ecosystem where we spend our days may be the most viable solution.