Psychosis and Mindfulness Flashcards
What is similar in all mindfulness interventions?
Based on well defined psychological model
Proposes mechanism that causes suffering
Aim isn’t to get rid of symptoms, but instead to develop a new relationship with them.
Done by improving skills of attention, emotion and behaviour and improving attitude toward situation
Done with Experiential training, and inquiry based learning process.
What are specific challenges are there for mindfulness for psychosis?
Mark Williams: Know your curriculum
1: Hearing Voices
2: Paranoia
3: Feeling unsafe
What is Paul Chadwicks model of mindfulness in psychosis?
The Experience of unpleasant symptoms: Leads to either:
Distressing Response: (Lost in reaction) Avoidance Judgement Rumination
Mindful Response: (Clear awareness) Turning toward the difficult Acceptance Letting go
How does mindfulness in psychosis work in practice?
Teaching a skill
Stepping out from autopilot
Learning and improving habitual reactions
Developing skill to accept and be compassionate to experience
What did Abba find with regards to mindfulness and psychosis?
By Interviewing 16 psychotic patients they found these themes.
Decentering from voices:
open awareness to included voices
Beginning again
Choosing their reaction:
Catching myself
Seeing my role in alleviating symtoms
Reclaiming power:
Accepting voices
Accepting I’m more than my psychosis
What are the concerns regarding psychosis and Mindfulness?
That the practice could worsen or induce symptoms.
What are the adaptations made for mindfulness for psychosis?
1: Meditation only 10 minutes
2: Avoid prolonged silences
3: Use of concrete language (Ambiguity avoided)
4: Participants are invited to take part, but can stop at any time too. ( They are in control)
What does a standard 10 minute practice look like as detailed by Chadwick?
1: Grounding through body
2: Breath as anchor, awareness of MW, Awareness to the habits of the mind
3: Accepting open awareness
What types of practices are used for those with psychosis practicing mindfulness?
Body based mindfulness, Mindfulness of the breath and Mindful movements.
Briefly described Paul Cahdwicks first Pilot study 2005?
15 psychotic subjects (2yrs)
No control
Aim:
See if this is an acceptable treatment
Is it beneficial, using “The Core”
10 participants showed positive results
Briefly described Chadwicks follow up study to 2005.
2009, Waitlist RCT, distress for 6 months
11 intervention, 11 Waitlist
No significant difference
But when second group completed, similar findings to pilot study using South Hampton Mindfulness Questionnaire.
What was Chadwicks most recent study?
108 RCT with TAU,
No significant difference (CORE)
Secondary measures of depression and voice related stress unproved.
What are some potential issues when studying psychosis and mindfulness?
The Core may be to general and there may be need for more specific measures for this demographic.
What are some of the issues regarding the meta-analysis at this point in psychosis and mindfulness?
Not enough primary studies
Heterogeneity in studies:
Individual vs group delivery Experience of staff Number of session Method of deleivery Nature of outcome
What is the purpose of the international trail registry website?
Avoids changing outcome measure
