Mindfulness-integrated CBT Principles and Practice

by Cayoun, Bruno A.

• ISBN13: 9780470974964
• ISBN10: 0470974966
• Edition: 1st
• Format: Hardcover
• Copyright: 2011-05-02
• Publisher: Wiley-Blackwell
• More Book Details
• Purchase Benefits

Summary

Mindfulness-integrated CBT: Principles and Practice represents the first set of general principles and practical guidelines for the integration of mindfulness meditation with well-documented and newly developed CBT techniques to address a broad range of psychological dysfunctions. The first book to provide a strong rationale and general guidelines for the implementation of mindfulness meditation integrated with CBT for a wide range of psychological difficulties Incorporates ancient Buddhist concepts of how the mind works, while remaining firmly grounded in well-documented cognitive and behavioural principles Provides new insights into established understanding of conditioning principles Includes a comprehensive list of frequently asked questions, week-by-week instructions for professionals to facilitate application of the therapy, along with case examples and the inspiring stories of former clients

Author Biography

Bruno A. Cayoun, DPsych, is Director of the MiCBT Institute and Research Associate at the School of Psychology, University of Tasmania, and a Clinical Psychologist in private practice in Hobart, Australia. He is the principal developer of Mindfulness-integrated CBT and has been teaching this approach as a crisis intervention and relapse prevention method to mental health professionals internationally for the past eight years.

Table of Contents

About the Author	p. xi
Acknowledgments	p. xiii
Preface	p. xv
Abbreviations	p. xvii
Introduction	p. 1
Three Bases of Learning	p. 4
About this Book	p. 6
Theoretical Foundation	p. 9
Operationalization of Mindfulness	p. 11
Definition of MiCBT	p. 11
Case Illustration with Generalized Anxiety Disorder	p. 12
Western Understanding of Eastern Conceptualization	p. 14
Changes in Western Clinical Psychology	p. 18
Summary of Main Points	p. 20
The Co-emergence Model of Reinforcement: A Rationale for Mindfulness Integration	p. 21
Integrating Essential Components of Behavior Change	p. 22
Role and Phenomenology of the Four Functional Components	p. 23
Widening the Scope of Learning Theory	p. 29
A Dynamic Systems Explanation of Intrusive Thoughts	p. 31
Maintaining Mental Illness	p. 35
Recreating Balance in the System	p. 38
Summary of Main Points	p. 39
Internalizing Skills	p. 43
Suitability and Rationale for MiCBT: Practical Guidelines for Therapists	p. 45
A Transdiagnostic Assessment	p. 45
Contraindications	p. 46
Assessing Motivation to Change: A Proposed Script	p. 47
Developing and Delivering an Appropriate Rationale	p. 48
An Experiential Rationale for Mindfulness with Breathing	p. 55
Modeling Acceptance and Equanimity in the 1st Interview	p. 58
Summary of Main Points	p. 58
Stage 1 of MiCBT - Part I: How to Generalize Metacognitive and Interoceptive Exposure	p. 61
Set Up	p. 61
Relaxation as a Preparatory Measure	p. 63
Practice Overview: Description and Operationalization	p. 64
Summary of Main Points	p. 78
Clinical Relevance	p. 81
Confounding Factors	p. 81
Relaxation and Equanimity	p. 88
Summary of Main Points	p. 91
Stage 1 of MiCBT - Part II: Explaining Difficulties and Facilitating Shifts	p. 93
Lost in Thoughts	p. 93
Dealing with Pain	p. 94
Other Typical Difficulties	p. 96
Promoting Adherence	p. 98
Completion of Stage 1	p. 99
Summary of Main Points	p. 100
Externalizing Skills	p. 101
Stage 2 of MiCBT: Mindful Exposure and Cognitive Reappraisal	p. 103
Aim of Stage 2	p. 103
Basic Notion of Graded Exposure in Behavior Therapy	p. 103
Exposure in Imagination	p. 104
Overcoming Imagery Limitations	p. 105
"Bi-polar Exposure"	p. 105
Basic Notion of Cognitive Restructuring in Cognitive Therapy	p. 107
Some Limitations	p. 107
The Concept of Irrationality	p. 111
Cognitive Reappraisal as a Consequence of Mindfulness	p. 112
Re-evaluating the Self-Concept	p. 117
Summary of Main Points	p. 118
Stage 3 of MiCBT: Interpersonal Mindfulness	p. 119
Social Identity Theory	p. 119
Stage 3 and the Theory of Social Identity	p. 120
Using Stages 1 and 2 to Understand Others	p. 121
Summary of Main Points	p. 125
Stage 4 of MiCBT: Relapse Prevention with Grounded Empathy	p. 127
Empathy as Part of the MiCBT Model	p. 128
Consequences of Mindfulness	p. 129
Empathy as a Function of "Egolessness"	p. 134
Self-Esteem	p. 136
Two Bases for Self-Acceptance	p. 137
Training in Stage 4	p. 138
Reappraising Relapse	p. 140
Summary of Main Points	p. 142
The Benefits	p. 143
MiCBT with DSM-V Axis 1 and Axis 2 Disorders	p. 145
Developmental versus Situational Causes of Psychopathology	p. 145
Early Cue Detection versus Experiential Avoidance	p. 147
Social Phobia	p. 150
PTSD	p. 151
PTSD and Dysthymic Disorder	p. 152
PTSD and Major Depressive Episode	p. 153
PTSD and Gambling Addiction	p. 155
Chronic Pain	p. 156
Chronic Pain, Chronic Depression, OCD and Panic Disorder with Agoraphobia	p. 157
General Anxiety Disorder, Connective Tissue Disorder and Osteoarthritis	p. 159
Chronic Depression, General Anxiety, Binge Eating and Diabetes	p. 161
Borderline Personality Disorder	p. 164
The Issue of Personality	p. 166
Summary of Main Points	p. 167
Evaluation of Mindfulness Training	p. 169
Measuring Efficacy of Mindfulness-based Treatments	p. 171
Data Collection: A Non Diagnosis-Specific Analysis of MiCBT	p. 174
Effects of MiCBT on Health Behavior of People with Type 2 Diabetes	p. 178
Mindfulness and Western Therapies	p. 180
Summary of Main Points	p. 181
Teaching and Training	p. 183
Weekly Implementation Protocol	p. 185
Expected Skills Acquired with the Program	p. 185
Contact Hours for the 8- to 12-Week MiCBT Program	p. 186
Structure of Facilitator Handouts	p. 187
Summary of the 4-Stage Model	p. 189
Concluding Comment	p. 201
Follow-up Sessions	p. 202
Outline for the MiCBT Follow-up Groups	p. 202
Summary of Main Points	p. 203
Professional Training	p. 205
The Importance of Therapist Variables	p. 205
Effects of Mindfulness on Therapy Outcomes	p. 206
The Importance of Professional Training	p. 206
Needle Phobia	p. 207
Pain, Gambling Addiction and Anxiety	p. 208
Pain	p. 210
Distressing Situation	p. 210
ADHD	p. 211
Recommendations for Clinicians	p. 212
Summary of Main Points	p. 212
Frequently Asked Questions	p. 213
Common Questions about Mindfulness Meditation	p. 213
Compatibility with Pharmacotherapy	p. 224
Unexplained Experiences with the Practice	p. 225
Adherence to Therapy	p. 226
Trauma	p. 227
Passion	p. 228
Pain	p. 230
MiCBT for Children	p. 231
Conducting Groups	p. 235
Contraindications	p. 236
Summary of Main Points	p. 238
References	p. 241
Glossary	p. 255
List of Appendices	p. 261
Scripts	p. 263
Assessment Tools	p. 271
Client Forms	p. 279
Index	p. 295
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