Mindfulness-integrated CBT : principles and practice / Bruno A. Cayoun.

Format:

Book

Author/Creator:

Cayoun, Bruno A.

Language:

English

Subjects (All):

Mindfulness-based cognitive therapy.

Meditation--Therapeutic use.

Meditation.

Cognitive Behavioral Therapy.

Awareness.

Medical Subjects:

Cognitive Behavioral Therapy.

Awareness.

Meditation.

Physical Description:

xvi, 301 pages : illustrations ; 25 cm

Place of Publication:

Chichester, West Sussex, U.K. ; Malden, MA : Wiley-Blackwell, 2011.

Summary:

The incorporation of mindfulness training with traditional CBT techniques is proving an invaluable therapeutic approach for many psychological disorders and other general wellness issues. 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 CBT techniques. Bruno Cayoun, the principal developer of Mindfulness-integrated CBT, shares insights and knowledge garnered from eight years of implementation and modifications to his innovative therapeutic approach by offering a carefully structured guide to implementing an effective MiCBT program. He also reveals how the features may be flexibly interchanged with individual or group delivery according to client conditions and progress.

Bridging philosophies and sciences of the East and West with sophistication, clarity, and precision, Mindfulness-integrated CBT: Principles and Practice offers enriching guidance to enhance the lives of clients across a wide range of psychological difficulties. Book jacket.

Contents:

Part I Theoretical Foundation 9

1 Operationalization of Mindfulness 11

Definition of MiCBT 11

Case Illustration with Generalized Anxiety Disorder 12

Western Understanding of Eastern Conceptualization 14

Changes in Western Clinical Psychology 18

Summary of Main Points 20

2 The Co-emergence Model of Reinforcement: A Rationale for Mindfulness Integration 21

Integrating Essential Components of Behavior Change 22

Role and Phenomenology of the Four Functional Components 23

Widening the Scope of Learning Theory 29

A Dynamic Systems Explanation of Intrusive Thoughts 31

Maintaining Mental Illness 35

Recreating Balance in the System 38

Summary of Main Points 39

Part II Internalizing Skills 43

3 Suitability and Rationale for MiCBT: Practical Guidelines for Therapists 45

A Transdiagnostic Assessment 45

Contraindications 46

Assessing Motivation to Change: A Proposed Script 47

Developing and Delivering an Appropriate Rationale 48

An Experiential Rationale for Mindfulness with Breathing 55

Modeling Acceptance and Equanimity in the 1st Interview 58

Summary of Main Points 58

4 Stage 1 of MiCBT - Part I: How to Generalize Metacognitive and Interoceptive Exposure 61

Set Up 61

Relaxation as a Preparatory Measure 63

Practice Overview: Description and Operationalization 64

Summary of Main Points 78

5 Clinical Relevance 81

Confounding Factors 81

Relaxation and Equanimity 88

Summary of Main Points 91

6 Stage 1 of MiCBT - Part II: Explaining Difficulties and Facilitating Shifts 93

Lost in Thoughts 93

Dealing with Pain 94

Other Typical Difficulties 96

Promoting Adherence 98

Completion of Stage 1 99

Summary of Main Points 100

Part III Externalizing Skills 101

7 Stage 2 of MiCBT: Mindful Exposure and Cognitive Reappraisal 103

Aim of Stage 2 103

Basic Notion of Graded Exposure in Behavior Therapy 103

Exposure in Imagination 104

Overcoming Imagery Limitations 105

"Bi-polar Exposure" 105

Basic Notion of Cognitive Restructuring in Cognitive Therapy 107

Some Limitations 107

The Concept of Irrationality 111

Cognitive Reappraisal as a Consequence of Mindfulness 112

Re-evaluating the Self-Concept 117

Summary of Main Points 118

8 Stage 3 of MiCBT: Interpersonal Mindfulness 119

Social Identity Theory 119

Stage 3 and the Theory of Social Identity 120

Using Stages 1 and 2 to Understand Others 121

Summary of Main Points 125

9 Stage 4 of MiCBT: Relapse Prevention with Grounded Empathy 127

Empathy as Part of the MiCBT Model 128

Consequences of Mindfulness 129

Empathy as a Function of "Egolessness" 134

Self-Esteem 136

Two Bases for Self-Acceptance 137

Training in Stage 4 138

Reappraising Relapse 140

Summary of Main Points 142

Part IV The Benefits 143

10 MiCBT with DSM-V Axis 1 and Axis 2 Disorders 145

Developmental versus Situational Causes of Psychopathology 145

Early Cue Detection versus Experiential Avoidance 147

Case Example 1 Social Phobia 150

Case Example 2 PTSD 151

Case Example 3 PTSD and Dysthymic Disorder 152

Case Example 4 PTSD and Major Depressive Episode 153

Case Example 5 PTSD and Gambling Addiction 155

Case Example 6 Chronic Pain 156

Case Example 7 Chronic Pain, Chronic Depression, OCD and Panic Disorder with Agoraphobia 157

Case Example 8 General Anxiety Disorder, Connective Tissue Disorder and Osteoarthritis 159

Case Example 9 Chronic Depression, General Anxiety, Binge Eating and Diabetes 161

Case Example 10 Borderline Personality Disorder 164

The Issue of Personality 166

Summary of Main Points 167

11 Evaluation of Mindfulness Training 169

Measuring Efficacy of Mindfulness-based Treatments 171

Data Collection: A Non Diagnosis-Specific Analysis of MiCBT 174

Effects of MiCBT on Health Behavior of People with Type 2 Diabetes 178

Mindfulness and Western Therapies 180

Summary of Main Points 181

Part V Teaching and Training 183

12 Weekly Implementation Protocol 185

Expected Skills Acquired with the Program 185

Contact Hours for the 8- to 12-Week MiCBT Program 186

Structure of Facilitator Handouts 187

Summary of the 4-Stage Model 189

Concluding Comment 201

Follow-up Sessions 202

Outline for the MiCBT Follow-up Groups 202

Summary of Main Points 203

13 Professional Training 205

The Importance of Therapist Variables 205

Effects of Mindfulness on Therapy Outcomes 206

The Importance of Professional Training 206

Case Example 1 Needle Phobia 207

Case Example 2 Pain, Gambling Addiction and Anxiety 208

Case Example 3 Pain 210

Case Example 4 Distressing Situation 210

Case Example 5 ADHD 211

Recommendations for Clinicians 212

Summary of Main Points 212

14 Frequently Asked Questions 213

Common Questions about Mindfulness Meditation 213

Compatibility with Pharmacotherapy 224

Unexplained Experiences with the Practice 225

Adherence to Therapy 226

Trauma 227

Passion 228

Pain 230

MiCBT for Children 231

Conducting Groups 235

Contraindications 236

Summary of Main Points 238.

Notes:

Includes bibliographical references and index.

ISBN:

0470974958

9780470974964

0470974966

9780470974957

9781119993179

1119993172

9781119993162

1119993164

OCLC:

689000987

Publisher Number:

99949621333