Week 5 Flashcards
Who was MBSR originally developed for?
People with medical problems which continued despite treatment
What is the relationship between MBSR and medical problems?
Provides a way of better dealing with/accepting symptoms
What is the relationship between MBSR and acceptance?
Acceptance (of the current situation) is a core of MBSR
However it also includes mindful action towards change
What is the format of MBSR?
- Fairly large groups, of perhaps twenty people
- 8 weekly 2.5 hour sessions
- Full-day at 6 weeks
- Home practice of 45 minutes practice, 6 days a week
- Sitting and walking meditations, body scan, yoga and mindfulness of everyday activity
- Learning through experience, enquiry and use of poems and stories
What are the weekly themes in MBSR?
W1: There is more right with you than wrong with you W2: Perception and creative responding
W3: The pleasure and power of being present
W4: The shadow of stress
W5: Finding the space for making choices
W6: Working with difficult situations
Full day: Dive in!
W7: Cultivating kindness towards self and others
W8: The eighth week is the rest of your life
What is the development of MBSR?
MBSR was developed for people with medical problems which continued despite treatment
Balance between acceptance of current situation and mindful action towards change
Emphasises accessing the heart of being, whole despite physical problems
Increased awareness of responses which may have previously followed automatically from symptoms
Provides way of changing relationship to symptoms
Emphasis on integrated awareness of body and mind
What are the principles of MBSR?
- Becoming aware of the moment, rather than functioning on automatic pilot
- Living the whole life more mindfully
- Letting go of constant judgment of current state
- Observing with acceptance
- Allowing distressing moods, thoughts and sensations to come and go, with openness
- Turning towards the difficult
What factors are relevant for the development of MBCT?
Thoughtful integration of MBSR with CBT, with MBSR as overarching framework
Developed by academic psychologists with a focus on evaluation
Developed by Teasdale, Williams and Segal, with specific aim of relapse prevention of depression
Theory: relapse prevention is primarily mediated through meta-cognitive awareness
Core skill to be developed is the ability to step out of negative thinking process by being mindful in the moment and let go of constant striving to escape unhappiness
What are the principles of MBCT?
Broadly similar to those of MBSR
More explicit emphasis on working with thoughts, shifting “mental modes” and developing the capacity to choose where we focus our attention
Often formulation-based and offered to groups of people living with particular challenges
What are the weekly themes in MBCT?
W1: Awareness and automatic pilot
W2: Living in our heads
W3: Gathering the scattered mind
W4: Recognizing aversion
W5: Allowing/letting be
W6: Thoughts are not facts
W7: “How can I best take care of myself?”
W8: Maintaining and extending new learning
What is the format of MBCT?
Like MBSR, eight weekly sessions with homework, two hours long
Some additions based on CBT: information, in-session exercises and homework
Breathing space
What are the similarities between MBSR and MBCT?
Practices introduced week by week
Theme for each session
Variety of learning methods:
- Mindfulness practice
- dialogue
- reading
- stories and poems
Group processes
According to Teasdale’s study, what is the efficacy (percentage-wise) of MBCT over TAU (anti-depressants)?
And according to Kuyken et al. (2008)?
- Teasdale: over 60 weeks, 40% relapsed (v 66% with TAU)
- Kuyken: relapse/recurrence rates over 15-month follow-up in were 47% for MBCT and 60% for maintenance antidepressants
- 75% in MBCT group completely discontinued medication
