16. mindfulness-based therapies + ACT Flashcards

what is mindfulness, mindful-based therapies, ACT

1
Q

what is mindfulness?

A

the awareness that arises from paying attention on purpose, in the present moment, and non-judgementally

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2
Q

what are the 3 components of mindfulness?

A
  • intention
  • attention
  • attitude
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3
Q

mindfulness

what is intention?

A

knowing why you’re doing what you’re doing

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4
Q

mindfulness

what is attitude?

A

the way we do what we’re doing, doing it with openness

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5
Q

mindfulness

what is attention?

A

being fully attentitve to your surroundings in the now

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6
Q

what are Kabat-Zinn’s 7 attudinal foundations of mindfulness?

A
  1. non judging
  2. patience
  3. beginner’s mind
  4. trust
  5. non-striving
  6. acceptance
  7. letting go/be or non-attachment
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7
Q

elements of formal mindfulness: meditation practices

explain them

A
  • mindful breathing: focus on breath, acknowledge and let go
  • body scan: going through each part of body
  • mountain meditation: self as a mountain, strong and stable, life as weather
  • loving kindness meditation: foster loving feelings towards self and others, those we don’t like too
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8
Q

mindfulness

what is informal practice?

A

awareness:
* thoughts
* emotions
* bodily sensations
* sensory input

during everyday activities

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9
Q

what is mindfulness-based stress reduction?

what was it originally developped for?

A
  • 8 week workshop
  • 2-3 hours group sessions each
  • daily homework
  • one-day retreat
  • not formal ther – complement to trad medical or psyc tx

pain tx

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10
Q

what is mindfulness-based cognitive therapy MBCT?

what was it originally developed for?

A
  • group tx that integrates MBSR with CBT
  • move away from CBT emphasis on changing content of negative thinking towards focus on how experiences are processed – not change, but acknowledge

depression: relapse prevention

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11
Q

MBSR and MBCT: Evidence for Efficacy

what were the findings for Khoury’s research?

A
  • large effect on stress
  • moderate effects on depression, anx, distress, qual of life

all could benefit, not just those with MI

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12
Q

MBSR and MBCT: Evidence for Brain Changes

what were Gotnik’s findings?

A
  • increase in volume, activity, and connectivity of PFC, cingulate cortex, insula, and hippocampus
  • decrease in amygdala activity, incr activity with PFC

in both higher and lower order

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13
Q

what is acceptance and commitment therapy?

A
  • therapeutic approach that uses acceptance and mindfulness processes, and commitment and behavior change processes, to produce greater psychological flexibility
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14
Q

what is ACT’s perspective on pain and suffering?

A

negative emotion and thoughts are notmal
suffering is due to use of language and our attempts to control our internal human experience

pain is normal, suffering is not

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15
Q

ACT

what is the traditional perspective on suffering?

A

humans are naturally psychologically healthy and, if we experience psychological pain, it means something is wrong and it needs to be fixed

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16
Q

what is the philosophical foundation of ACT?

you don’t really need to understand this

A

relational frame theory
our mind makes arbitrary connections between things, with our connections based on history and context

17
Q

what is the hexaflex model of ACT? its main premise?

A

suffering comes from psychological inflexiblity

go see the image of the model idk lol

18
Q

ACT Model of Psychopathology and Treatment

what is cognitive fusion?

A

verbal dominance over the behavioural regulation
taking your thoughts too literally

separating yourself from your thoughts

19
Q

ACT Model of Psychopathology and Treatment

what is cognitive defusion?

A

mindfully noticing thinking as it occurs
watching thoughts go by as if they were on leaves floating down on a stream

changing language

20
Q

ACT Model of Psychopathology and Treatment

what is experiential avoidance?

A

attempt to alter form, frequency, or function of private experiences, even when doing so is costly or ineffective

21
Q

ACT Model of Psychopathology and Treatment

what is experiential acceptance? explain it on higher and lower order brain functions?

A

adopt an intentionally open and flexible posture about moment-to-moment
lower order: avoidance of threats
higher order: avoidance of consequences of threat

22
Q

ACT Model of Psychopathology and Treatment

what’s the problem with values in ACT?

(à revoir)

A
  • persist or change in behaviour in the service of one’s chose values
  • values are predominant reinforcers: intrinsic to behaviour pattern itself (direction rather than a destination)
  • problem: not your values, not clear; based on avoidance
23
Q

ACT Model of Psychopathology and Treatment

what are some patterns of action linked to chosen values?

A
  • inaction
  • impulsivity
  • avoidance persistence
24
Q

how can you simply explain ACT to clients?
what methods can you use?

A

use metaphors due to problems with the nature of language
creative hopelessness: bring people into experiential contact with the fact that what they’ve done so far hasn’t worked