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ISBN : 9780470974957
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- 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
- Paperback: 320 pages
- Publisher: Wiley-Blackwell; 1 edition (April 25, 2011)
- Language: English
- ISBN-10: 0470974958
- ISBN-13: 978-0470974957
- Product Dimensions: 0.7 x 6.5 x 9.4 inches
- Shipping Weight: 1.2 pounds (View shipping rates and policies)
Mindfulness-integrated CBT: Principles and Practice
Acknowledgments.
Preface.
Abbreviations.
Introduction.
Three Bases of Learning.
About this Book.
Part I Theoretical Foundation.
1 Operationalization of Mindfulness.
Defi nition of MiCBT.
Case Illustration with Generalized Anxiety Disorder.
Western Understanding of Eastern Conceptualization.
Changes in Western Clinical Psychology.
Summary of Main Points.
2 The Co-emergence Model of Reinforcement: A Rationale for Mindfulness Integration.
Integrating Essential Components of Behavior Change.
Role and Phenomenology of the Four Functional Components.
Widening the Scope of Learning Theory.
A Dynamic Systems Explanation of Intrusive Thoughts.
Maintaining Mental Illness.
Recreating Balance in the System.
Summary of Main Points.
Part II Internalizing Skills.
3 Suitability and Rationale for MiCBT: Practical Guidelines for Therapists.
A Transdiagnostic Assessment.
Contraindications.
Assessing Motivation to Change: A Proposed Script.
Developing and Delivering an Appropriate Rationale.
An Experiential Rationale for Mindfulness with Breathing.
Modeling Acceptance and Equanimity in the 1st Interview.
Summary of Main Points.
4 Stage 1 of MiCBT – Part I: How to Generalize Metacognitive and Interoceptive Exposure.
Set Up.
Relaxation as a Preparatory Measure.
Practice Overview: Description and Operationalization.
Summary of Main Points.
5 Clinical Relevance.
Confounding Factors.
Relaxation and Equanimity.
Summary of Main Points.
6 Stage 1 of MiCBT – Part II: Explaining Difficulties and Facilitating Shifts.
Lost in Thoughts.
Dealing with Pain.
Other Typical Diffi culties.
Promoting Adherence.
Completion of Stage 1.
Summary of Main Points.
Part III Externalizing Skills.
7 Stage 2 of MiCBT: Mindful Exposure and Cognitive Reappraisal.
Aim of Stage 2.
Basic Notion of Graded Exposure in Behavior Therapy.
Exposure in Imagination.
Overcoming Imagery Limitations.
"Bi-polar Exposure."
Basic Notion of Cognitive Restructuring in Cognitive Therapy.
Some Limitations.
The Concept of Irrationality.
Cognitive Reappraisal as a Consequence of Mindfulness.
Re-evaluating the Self-Concept.
Summary of Main Points.
8 Stage 3 of MiCBT: Interpersonal Mindfulness.
Social Identity Theory.
Stage 3 and the Theory of Social Identity.
Using Stages 1 and 2 to Understand Others.
Summary of Main Points.
9 Stage 4 of MiCBT: Relapse Prevention with Grounded Empathy.
Empathy as Part of the MiCBT Model.
Consequences of Mindfulness.
Empathy as a Function of "Egolessness."
Self-Esteem.
Two Bases for Self-Acceptance.
Training in Stage 4.
Reappraising Relapse.
Summary of Main Points.
Part IV The Benefits.
10 MiCBT with DSM-V Axis 1 and Axis 2 Disorders.
Developmental versus Situational Causes of Psychopathology.
Early Cue Detection versus Experiential Avoidance.
Case Example 1: Social Phobia.
Case Example 2: PTSD.
Case Example 3: PTSD and Dysthymic Disorder.
Case Example 4: PTSD and Major Depressive Episode.
Case Example 5: PTSD and Gambling Addiction.
Case Example 6: Chronic Pain.
Case Example 7: Chronic Pain, Chronic Depression, OCD and Panic Disorder with Agoraphobia.
Case Example 8: General Anxiety Disorder, Connective Tissue Disorder and Osteoarthritis.
Case Example 9: Chronic Depression, General Anxiety, Binge Eating and Diabetes.
Case Example 10: Borderline Personality Disorder.
The Issue of Personality.
Summary of Main Points.
11 Evaluation of Mindfulness Training.
Measuring Effi cacy of Mindfulness-based Treatments.
Data Collection: A Non Diagnosis-Specifi c Analysis of MiCBT.
Effects of MiCBT on Health Behavior of People with Type 2 Diabetes.
Mindfulness and Western Therapies.
Summary of Main Points.
Part V Teaching and Training.
12 Weekly Implementation Protocol.
Expected Skills Acquired with the Program.
Contact Hours for the 8- to 12-Week MiCBT Program.
Structure of Facilitator Handouts.
Summary of the 4-Stage Model.
Concluding Comment.
Follow-up Sessions.
Outline for the MiCBT Follow-up Groups.
Summary of Main Points.
13 Professional Training.
The Importance of Therapist Variables.
Effects of Mindfulness on Therapy Outcomes.
The Importance of Professional Training.
Case Example 1: Needle Phobia.
Case Example 2: Pain, Gambling Addiction and Anxiety.
Case Example 3: Pain.
Case Example 4: Distressing Situation.
Case Example 5: ADHD.
Recommendations for Clinicians.
Summary of Main Points.
14 Frequently Asked Questions.
Common Questions about Mindfulness Meditation.
Compatibility with Pharmacotherapy.
Unexplained Experiences with the Practice.
Adherence to Therapy.
Trauma.
Passion.
Pain.
MiCBT for Children.
Conducting Groups.
Contraindications.
Summary of Main Points.
References.
Glossary.
List of Appendices.
Appendix A – Scripts.
Appendix B – Assessment Tools.
Appendix C – Client Forms.
Index.
Modern psychotherapy has taken a leap forward. This book outlines, in a clear, succinct yet accessible writing style, the essentials of providing a therapeutic intervention that is effective. Having practiced this model of therapy for several years after attending workshops in its use, I can directly attest to the efficacy of the approach. This book is the culmination of a number of years of practice, and theoretical development which has evolved from the mindfulness approach and created a nexus with the more western scientific schools of thought. Yet it is more than a nexus, as the title suggests, its focus is on integration between CBT and Mindfulness practice. Dr Cayoun has brought together his own personal experiences with mindfulness, a thoughtful development of a comprehensive theory, and the practical use of these in a therapeutic environment. Taken together, he has cleverly spliced the Eastern mindfulness tradition with cognitive behaviour therapy and western knowledge of the functioning of the human brain.
The book provides a clear and concise outline for the use of the therapy while explaining the important implications and theoretical underpinnings of the approach along the way. He uses a 4 stage structured programme and the explanation of this provides clear evidence of a thorough practical understanding of each aspect of the approach. Embedded within the text are numerous examples and practical suggestions relating to the way the therapy might unfold with each unique individual. The book contains case examples, as well as scientific theories, all seamlessly integrated side by side. The reader gains the feeling that the author knows what he is talking about and explains this in a manner that reaches out to any audience in a simple yet comprehensive way.
This book is essential reading for anyone interested in learning more about the mind and therapy and integrating the best of Eastern Wisdom and Western science.
It is rich with information and beautifully shows how well two approaches to mind: Buddhist Mindfulness Meditation and Cognitive Behavior Therapy can be integrated together and can reinforce one another and create a therapeutic approach that is much greater than the sum of the two. His approach is simply called Mindfulness Integrated Cognitive Behavior Therapy ( MiCBT )
Not only does the book illustrate the actual clinical use and integration of the wisdom of Mindfulness Meditation and scientifically proven results of Western cognitive behavior therapy, but it contains comprehensive descriptions of the underlying general principles of meditation, behavior therapy, and some basic learning theory.
These descriptions of the underlying principles make clear the essence of these approaches and how they affect how we react and respond and therefore how we can learn to use them to create a healthier mind. By clearly explaining the underlying principles of how these approaches actually help change repetitive behaviors and thoughts, the reader is given a strong foundation in understanding what truly occurs in therapy and how to do this more effectively.
Dr Cayoun has developed his approach (Mindfulness Integrated Cognitive Behavior Therapy) over many years with clients, students and colleagues at his center in Australia. This book is in part a guidebook to using this MiCBT approach with patients and individuals who are suffering with various conditions or who simply wish to learn this approach to enhance their own wellness.
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