Chapter 12: mindfulness and other contemplative therapies Flashcards

1
Q

contemplative therapies =

A

a collection of practices that can be used to train and develop the mind to reduce mental dysfunction, enhance well being and develop capacities such as heightened calm, concentration, insight and joy.

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2
Q

contemplative psychologies are based on a good-news, bad-news understanding of the mind:

A
  • bad news: our ordinary state of mind is considerably less controlled, developed and functional than we recognize and results in unnecessary suffering
  • good news: we can train and develop our minds far beyond conventional levels, which results in enhanced mental capacities, well-being and maturity
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3
Q

central assumptions underlying contemplative therapies:

A
  1. Our usual state of mind is significantly uncontrolled, underdeveloped, and dysfunctional.
  2. This ‘normal’ dysfunction goes unrecognized because we all share it (which makes it seem normal) and because it is self-masking (it distorts awareness to conceal itself).
  3. The mental dysfunction creates much of our psychological suffering.
  4. Contemplative practices can be used to train and develop the mind.
  5. All of these claims can be tested for oneself.
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4
Q

3 broad levels of development:

A
  1. Preconventional (prepersonal): stage in which we have no coherent sense of self or of social conventions yet.
  2. Convention (personal): stage in which we establish a more coherent sense of self and largely accept the conventional cultural assumptions about ourselves and the world.
  3. Postconvention (transpersonal): stage in which we reflect on culturally accepted beliefs and embrace deeper questions about life and ourselves.
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5
Q

wat is het verschil tussen psychotherapie en contemplative therapies

A

most psychotherapies aim to foster healthy conventional development, while contemplative therapies traditionally aim for postconventional growth.

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6
Q

hoe kijkt contemplative psychology naar psychoanalyse

A

From a contemplative perspective, psychoanalysis has underestimated our human nature and potentials. By focusing on conflict, problems, and pathology it largely overlooks our strengths and possibilities.

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7
Q

wat is een overeenkomst tussen psychoanalyse en contemplative therapies

A

Both approaches agree that meditative disciplines can help patients grasp things in the depth of the mind which are otherwise inaccessible

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8
Q

Contemplative, Jungian, humanistic, and person-centered psychologies agree that….

A
  • the mind possesses an innate drive toward growth and development
  • transpersonal experiences can foster psychological healing and growth
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9
Q

transpersonal experiences=

A

experiences in which the sense of identity or self expands beyond the individual or personal to encompass wider aspects of humankind and the world

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10
Q

overeenkomst cognitive therapies and contemplative therapies

A
  • both recognize the power of thoughts and beliefs
  • both agree we are all prone to numerous cognitive distortions (but go about ‘solving’ them in different ways
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11
Q

precursors of contemplative therapies

A

The earliest systematic seekers of heeling and self-understanding were called shamans. They learned to alter their consciousness through various techniques (fasting, drumming, psychedelics)

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12
Q

shamans =

A

ancient healers who functioned as physicians, therapists and spiritual counselors.

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13
Q

3 major integrations between contemplative and traditional therapies:

A
  1. search for common factors
  2. technical eclecticism: combination fo mindfulness with traditional therapeutic techniques
  3. theoretical integration (combination of contemplative and traditional perspectives into integrative theories (integral psychology)
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14
Q

issues of popularity with contemplative psychology

A
  1. iedereen denkt dat mindfulness het enige is
  2. practices like meditation are often ripped from their supportive multimodal context, which might reduce their benefits
  3. dingen als bewustzijn, postconventional development en transpersonal identity zijn lastig te meten (en dus lastig te onderzoeken)
  4. het traditionele motief voor contemplative psychologie is compassie en altruisme. dit wordt vaak vergeten
  5. extensive personal experience is essential; many people practice way to little
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15
Q

Our usual state of consciousness (when not impaired by illnesses, stress, intoxication) is not optimal as is stated in traditional Western psychology: our minds are continuously filled with thoughts, images, fantasies, and other distortions of awareness. Contemplative views state that there are more effective functional states available through contemplative training.

-> The ‘normal’ person is considered to be partly ‘dreaming’ and contemplative therapies enable people to ‘awaken’ (known as enlightenment or nirvana)

A

oke

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16
Q

hoe kijken contemplative methoden naar onze identiteit

A

Our ‘self’ is substantially different from our usual unexamined assumptions. Close examination with meditation reveals our self-sense is continuously and selectively constructed from a flux of thoughts, images, and emotions: our self is a mental construction.

-> Contemplative methods teach people to recognize that their self-image is only a fabrication that one can disidentify from and to recognize our unity with all people and the universe.

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17
Q

hoe kijken contemplative methodes naar motivatie

A

Western psychologies overlook a range of higher motives (metamotives; self-actualization, selftranscendence, selfless service). These metamotives are essential elements of our psychological nature that need to be exercised: ignoring them produces several kinds of pain and pathology (metapathologies; deep sense of meaningless, cynicism, alienation).

Further, there is a risk that we fall for the delusion that if we can get enough of lesser motives (sex, money, power), we will be fully and permanently happy. Whenever we do not get these means, we suffer. However, when we do get them, we will habituate and want more (hedonic treadmill).

-> Contemplatives emphasize the essentiality of recognizing and cultivating metamotives.

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18
Q

meditatie=

A

a family of introspective self-regulation practices that train attention and perception in order to bring mental processes under greater voluntary control and foster beneficial mental capacities, well being and maturation

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19
Q

2 categories of meditations

A
  1. concentration meditations: holding attention on a single stimulus to develop abilities to focus, concentrate and calm the mind
  2. awareness meditations: exploring the ongoing flux of experiences to cultivate awareness and to use it to explore the nature of the mind and experiences. this produces insight and self-understanding, fostering mental health and maturation.
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20
Q

yoga=

A

a family of multimodal practices with aims similar to meditation. However, yogas are more inclusive in that they can include ethics, lifestyle, body postures, diet, breath control, study, and intellectual analysis next to meditation.

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21
Q

3 mental factors that play a fundamental role in contemplatives view on psychopathology

A
  1. Delusion: unrecognized mental dullness, mindlessness, or unconsciousness that misperceives and misunderstands the nature of mind, reality, and self. These delusions produce pathogenic beliefs, behaviors, and motives (among which craving and aversions).
  2. Craving: intense compulsive desire for something. Painful emotions stem directly from craving, and it is also the basis for suffering, reflecting the gap between what we crave and what we have.
  3. Aversion: compulsive need to avoid undesirable stimuli. It again produces negative emotions: what you are unwilling to experience paradoxically runs your life.
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22
Q

the contemplative ideal of health encompasses 3 shifts:

A
  1. unhealthy qualities (delusion, craving, aversion)
  2. healthy qualities
  3. maturation to postconventional, transpersonal levels
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23
Q

7 practices of contemplative therapies with their 7 corresponding qualities:

A
  1. cultivating ethicality/ethical behaviour (unethical behaviour = karma)
  2. transforming emotions (reducing negative emotions, cultivating positive emotions)
  3. redirecting motivation (on what really matters: metamotives)
  4. developing concentration
  5. refining awareness (perception)
  6. fostering wisdom (deep nuanced insight)
  7. practicing altruism and service
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24
Q

Altruistic service is regarded as …. because …

A

a means to and an expression of psychological well-being and maturity
because it inhibits harmful qualities and strengthens positive emotions.

25
Q

research consistently finds that most therapeutic benefits come from…

A

non specific factors / common factors

26
Q

common factors voorbeelden

A

therapist personal qualities
quality of the therapeutic relationship

27
Q

Good contemplative therapists are characterized by…

A

the essential conditions of Rogers. all of these are fostered by meditation, as well as other helpful qualities. it is suggested that therapists of other approaches can learn from contemplative practices.

28
Q

wat is de progressie binnen contemplative therapies

A

het gaat redelijk langzaam, omdat je echt een skill moet opbouwen. dus de eerste periodes zullen langzaam zijn en minder belonend aanvoelen

29
Q

difficulties that can emerge during CP

A

a) emotional lability,
b) psychosomatic symptoms,
c) perceptual changes
d) existential challenges (questions about life’s meaning and purpose).

30
Q

met wat voor sessions start je vaak bij mediteren

A

short sessions, 20 minutes once or twice a day.

  • visualization: trying to visualize a certain image clearly for 1 or 2 minutes
  • breath meditation: turning the attention to the sensations of breathing in the abdomen and focusing attention on it, trying to not let it wander
31
Q

6 stages of meditation practice

A
  1. mental dyscontrol: recognition of how little control we have over our own mental processes
  2. habitual patterns: recognition of repetitive mental and behavioural patterns
  3. cognitive insights: gaining deeper cognitive insights about motivation, thoughts and perception
  4. exceptional abilities: emergence of a variety of exceptional abilities
  5. transpersonal experiences: emergence of transpersonal experiences which produce identification with others and compassionate concern for them
  6. stabilization of these practices
32
Q

working mechanisms that suggest how contemplative therapies work:

A
  1. calming the mind
  2. enhanced awareness (expansion of consciousness)
  3. disidentification: can help separating the self with certain unhelpful thoughts (eg. thoughts are just thoughts)
  4. rebalancing: contemplatives increase healthy mental factors and decreases unhealthy ones.
33
Q

3 categories of beneficial applications of contemplative methods

A
  1. therapeutic applications for psychological & somatic issues
  2. enhancement of psychological capabilities and well-being
  3. transpersonal growth
34
Q

which psychological disorders can be helped through CP

A
  • stress disorders (anxiety, ptsd, stress in prisoners)
  • drug use (transcendental meditation)
  • depression (mindfulness based cogntiive therapy MBCT)
35
Q

transcendental meditation=

A

a mantra (inner sound) practice that involves directing attention to a repetitive mantra to settle the mind into a clear, peaceful state

36
Q

contemplative practices can relieve these somatic issues:

A
  • cardiovascular system (but: dissolve when practice is discontinued)
  • hormonal and immune effects (type 2 diabetes, dysmenorrhea, premenstrual dysphoric disorder)
  • the stress and anxiety that comes with other diseases
37
Q

enhancement of psychological capabilities and well-being

A
  • interpersonal relationships
  • aging: no loss of attention skills, greater gray matter volume and brain density in areas like hippocampus and pFC, greater connectivity within and between hemispheres, less age-related loss of gray matter
38
Q

Many of the benefits are also of professional help for health professionals, especially psychotherapists: contemplatives can enhance essential therapist qualities like empathy, attention and managing stress.

A

oke

39
Q

transpersonal growth

A

explore the depths of mind, probe existential questions, develop exceptional abilities and well-being, and seek advanced levels of psychological and spiritual maturity.

40
Q

lucid dreaming=

A

= the ability to know one is dreaming while still asleep. Dream yoga is used to develop this technique, which can then be used to observe, modify, and do psychotherapeutic and contemplative work in one’s dreams.

41
Q

Cultivating ethicality oefening

A

Subjects are asked to look for lies (things they are denying or distorting) that are causing and perpetuating suffering.

Another exercise involves a full day of only truth telling, which can be supplemented by recording temptations to lie and identifying the underlying motives and emotions.

42
Q

Transforming emotions oefening

A

subjects can be asked to visualize someone that is angry and aggressive, and someone that is kind and loving. after each visualization, they are asked to notice any emotions that arise and how they feel. this can help to show that what we meditate on, we cultivate.

43
Q

redirecting motivation oefening

A

subjects are asked to turn their attention to a craving once it arises and to explore it. they try to identify the components that make it up: emotions, body sensations, thoughts, feelings and tensions. this gives insight into craving and can also decondition and weaken it.

44
Q

developing concentration oefening

A

subjects are simply asked to commit a specific time to doing only one thing at a time, giving full attention to each individual activity

45
Q

refining awareness oefening

A

subjects are asked to do mindfulness mediation for a period of 10-15 minutes. the attention is kept on the breath and the physical sensations are investigated carefully. whe one has become lost in thought, one simply notes this and return the attention to the breathing again.

another exercise is mindful eating, in which the subject carefully attends to and enjoys each sensation and taste of the food they are eating, instead of simply eating it on automatic pilot.

46
Q

fostering wisdom exercise

A

students are asked to reflect on several existential questions about our mortality (given that we will all die, what is truly important in your life?). these can motivate to reorder priorities and live more fully

47
Q

practicing altruism and service oefening

A

subjects are asked to think of some difficulty they are having. then they think of people who are suffering from related difficulties, possibly even more. subjects open themselves to the experience of their suffering and let concern and passion for them arise.

48
Q

exeptional abilities that meditation seems to enhance

A

concentration and attention, reduce destructive emotions and cultivate positive emotions (emotional maturity), cultivate equanimity, and foster moral maturity.

49
Q

equanimity=

A

the capacity for maintaining calm in the face of provocative stimuli

50
Q

unique abilities of contemplative techniques

A

lucid dreaming, complete inhibition of the startle response

51
Q

contemplation =

A

thoughtful observation, deep consideration, reflection. it is inherent in most religions, which contemplate the nature of being (who am i?)

(in Hindu: mostly ‘where does consciousness arise from?’)

52
Q

contemplative psychotherapy =

A

basically a combination of western therapy (CBT & BT) and the Buddhistic approach to exploring and calming the mind. most of third wave therapies are contemplative.

contemplative therapies assume that suffering is part of normal life, and that we should allow our feelings (stop controlling them) and behave in line with our own values. trying to control our feelings only increases suffering.

53
Q

third-wave therapies =

A

therapies that focus on how a person relates to the process of internal experiences (thoughts/urges/sensations) rather than to their content (as second-wave therapies, cbt).

  • mindfulness-based stress reduction MBSR
  • mindfulness-based cognitive therapy MBCT
  • acceptance and commitment therapy ACT
  • dialectical behaviour therapy DBT
54
Q

third wave vs. second wave

A

second wave: changing negative thoughts and feelings, relaxation, content of thoughts, reduce symptoms, symptoms are an illness

third wave: mindfulness and acceptance of thoughts/feelings, observation, meta-cognitive and process of thinking, work towards life goals, symptoms are functional

55
Q

evidence for third wave therapies

A

ACT is modestly to strongly supported and similarly effective as CBT. Further, MBCT for depression is strongly supported and DBT for borderline personality disorder is also strongly supported.

56
Q

the main goal of acceptance and commitment therapy =

A

increasing psychological flexibility to deal effectively with suffering and to lead a meaningful life, accept pain and reduce suffering. this is mainly done with mindfulness and value driven action.

57
Q

cognitive fusion=

A

the belief that our thoughts are reality and that we are our thoughts. In response, they are seen as important.

In ACT, we try to disidentify (defuse) from thoughts so that they do not dominate behavior and attention. We try to see thoughts as a response to reality, which can be helpful or unhelpful.

58
Q

6 principles of ACT:

A
  1. contact with the present moment
  2. values
  3. commited action (invest in actions consistent with your values, decrease actions that are unconsistent with these values)
  4. acceptance
  5. defusion (disidentify from your thoughts os that they do not dominate behaviour and attention)
  6. self as context: see the self as a flexible entity that changes, depending on the context
59
Q
A