Mindfulness-integrated CBT for Well-being and Personal Growth, 2014
Integrating Buddhist and Western psychology with current findings in neuroscience, this chapter d... more Integrating Buddhist and Western psychology with current findings in neuroscience, this chapter describes crucial aspects of how our mind and body process emotional information, and how to overcome our emotional reactivity. It also explains how we become attached to immediate pleasures, which we rely on to feel “happy” at the cost of a more reliably fulfilling life. This chapter provides a scientifically informed explanation for how mindfulness training can benefit you and is, therefore, more theoretical than the rest of the book. Please bear with me during this important chapter and take your time to reread it if necessary. It will make even more sense once you have started your mindfulness practice – the advantage of experiential learning. Leave aside whatever may seem a little obscure at this stage until your training develops, as we will return to these concepts in the next few weeks with some useful illustrations.
ObjectivesThis study investigated the effectiveness of a group-based 8-week intervention, Mindful... more ObjectivesThis study investigated the effectiveness of a group-based 8-week intervention, Mindfulness-integrated Cognitive Behavior Therapy (MiCBT), to decrease psychological distress and increase wellbeing in a heterogeneous population in primary health care. MiCBT focuses on the importance of interoception and its interaction with cognition in emotional experience. These interactions are represented in the co-emergence model of reinforcement, in which non-reactivity (equanimity) to interoceptive signals facilitates adaptive behavior.MethodsParticipants (n = 125, aged 20–72) were randomized to two groups (MiCBT), and treatment-as-usual (TAU). Outcomes were assessed at pre-, mid-, and post-intervention and at 6-month follow-up. The primary outcome was psychological distress, measured by the Depression, Anxiety and Stress Scale (DASS-21). Secondary outcome measures were the Kessler Psychological Distress Scale-10 (K10), Satisfaction with Life Scale (SWLS), and Flourishing Scale (FS)....
The inclusion of ethics in mindfulness-based interventions (MBIs) has become a hot topic in recen... more The inclusion of ethics in mindfulness-based interventions (MBIs) has become a hot topic in recent years, contributing to a differentiation between what has recently been called first- and second-generation MBIs. This chapter first discusses the origins and purpose of ethics in Theravada Buddhism and the traditional understanding that developing mindfulness also aids in monitoring and preventing harmful intentions and actions, while cultivating beneficial ones, to decrease suffering. It will then describe the role and benefits of cultivating ethics in Mindfulness-integrated Cognitive Behavior Therapy (MiCBT), a four-stage transdiagnostic approach that combines Burmese Vipassana meditation and core principles of traditional CBT. There are three principal reasons for which MiCBT dedicates a whole therapeutic stage to the development of empathy grounded in loving-kindness meditation and ethical living: (1) the cultivation of compassion, (2) the prevention of relapse into common mental health disorders, and (3) the cultivation of joy and well-being. The chapter also offers some insight into the reasons for which more advanced mindfulness states inevitably lead to the observation that ethics and compassion are interdependent, and reflects on some of the implications that this may have for MBI programs.
Diabetes Mellitus (DM) is the most common metabolic disorder and the most common cause of death i... more Diabetes Mellitus (DM) is the most common metabolic disorder and the most common cause of death in eastern populations, with prevalence estimated to be at the level of epidemic illness. Despite medical attention, psychological factors remain a significant contributor to DM, requiring effective psychological interventions. This study evaluated the effects of Mindfulness-integrated Cognitive Behavior Therapy (MiCBT) on depression, treatment adherence, and control of blood glucose of 25 Iranian patients (11 males and 14 females, mean age = 45.6) with type 2 DM, randomly assigned to either an 8-session MiCBT (n = 12) or treatment-as-usual (TAU) (n = 13). We present a theoretical conceptualization and detailed step-by-step implementation of MiCBT, and an assessment of its effectiveness in this sample. While no between-group differences were found at pre-treatment on any of the measures, the MiCBT group showed a significantly greater reduction in depression and greater treatment adherence...
Interoception, the ability to feel the body’s internal sensations, is an essential aspect of emot... more Interoception, the ability to feel the body’s internal sensations, is an essential aspect of emotional experience. There is mounting evidence that interoception is impaired in common mental health disorders and that poor interoceptive awareness is a major contributor to emotional reactivity, calling for clinical interventions to address this deficit. The manuscript presents a comprehensive theoretical review, drawing on multidisciplinary findings to propose a metatheory of reinforcement mechanisms applicable across a wide range of disorders. We present a reconsideration of operant conditioning through the co-emergence model of reinforcement, which is a neurophenomenological account of the interaction between cognition and interoception, and its consequences on behavior. The model suggests that during memory processing, the retrieval of autobiographical memory (including maladaptive cognition) is dependent upon its co-emerging interoceptive cues occurring at the encoding, consolidati...
After publication of our article [1] the authors have notified us that one of the names has been ... more After publication of our article [1] the authors have notified us that one of the names has been incorrectly spelled.
Mindfulness-integrated Cognitive Behaviour Therapy (MiCBT) is an evidence-based integration of tr... more Mindfulness-integrated Cognitive Behaviour Therapy (MiCBT) is an evidence-based integration of traditional CBT and mindfulness meditation in the Burmese Vipassana tradition of Ledi Sayadaw, U Ba Khin and S. N. Goenka, developed into a four-stage model to address a range of acute and chronic conditions and prevent relapse. MiCBT is a “second-generation mindfulness-based intervention” (MBI) developed between 2001 and 2003, and continually piloted and improved across disorders since. While there are inevitable overlaps with MBIs that originate from MBSR, the structure, content and implementation of MiCBT differ in several ways, including the theoretical basis for the construction of each of the 4 stages. This symposium will discuss the theoretical basis, structure, implementation and efficacy of MiCBT.
Background Effective transdiagnostic treatments for patients presenting with principal or comorbi... more Background Effective transdiagnostic treatments for patients presenting with principal or comorbid symptoms of anxiety and depression enable more efficient provision of mental health care and may be particularly suitable for the varied population seen in primary healthcare settings. Mindfulness-integrated cognitive behavior therapy (MiCBT) is a transdiagnostic intervention that integrates aspects of CBT, including exposure skills targeting avoidance, with training in mindfulness meditation skills adopted from the Vipassana or insight tradition taught by the Burmese teachers U Ba Khin and Goenka. MiCBT is distinguished from both cognitive therapy and mindfulness-based cognitive therapy by the use of a theoretical framework which proposes that the locus of reinforcement of behavior is the interoceptive experience (body sensations) that co-arises with self-referential thinking. Consequently, MiCBT has a strong focus on body scanning to develop interoceptive awareness and equanimity. De...
Tienda online donde Comprar Terapia Cognitivo-Conductual Con Mindfulness Integrado. Principios Y ... more Tienda online donde Comprar Terapia Cognitivo-Conductual Con Mindfulness Integrado. Principios Y Practica al precio 37,36 € de Bruno A. Cayoun, tienda de Libros de Medicina, Libros de Psicologia - Psicologia General
The present research examined how the inhibitory dysfunction observed in Attention Deficit Hypera... more The present research examined how the inhibitory dysfunction observed in Attention Deficit Hyperactivity Disorder (ADHD) affects bimanual coordination in three experiments with unmedicated boys (aged 8 to 15) with ADHD-C (with and without Developmental Coordination Disorder (DCD)) and matched controls. Experiment 1 (N = 31, Mean age = 11 years : 9 months) explored the dynamics of bimanual circling using both free-hand movements using circle templates and constrained movements using cranks. Impairment in temporal stability was mostly attributable to difficulties in controlling the spatial component of the task, which was more pronounced in children with comorbid DCD. Experiment 2 (N = 32, Mean age = 12 years : 1 month) used a Stop-re-engagement paradigm (Change task) with a continuous (hand-circling) task to investigate whether inhibitory deficits at the central level of processing and/or allocation of effort in ADHD affect movement coordination. The ADHD and ADHD/DCD groups showed a lack of inhibitory control, as measured by Switch reaction time. However, these children also displayed slower and more variable speed of execution and the apparent inhibitory deficit was more associated with the reengagement component of the task. Experiment 3 (N = 32, Mean age = 12 years : 1 month) used the Change Task, as traditionally delivered by computer, to investigate the source of the poor response re-engagement. Results showed a slow mode of information processing in ADHD groups rather than a deficit in the processes necessary to inhibit a prepotent xii response. Processing speed was most impaired in children with ADHD/DCD, indicating that difficulties in cognitive flexibility and motor coordination were the main deficits. The overall results are a better fit for the hypothesis that ADHD involves a deficit in the regulation of energetic states. It was concluded that children with ADHD without DCD do not suffer from bimanual coordination impairment and that it is a necessity for future bimanual coordination studies to control for the presence of comorbid DCD in ADHD samples.
Diabetes Mellitus (DM) is the most common metabolic disorder and the most common cause of death i... more Diabetes Mellitus (DM) is the most common metabolic disorder and the most common cause of death in eastern populations, with prevalence estimated to be at the level of epidemic illness. Despite medical attention, psychological factors remain a significant contributor to DM, requiring effective psychological interventions. This study evaluated the effects of Mindfulness-integrated Cognitive Behavior Therapy (MiCBT) on depression, treatment adherence, and control of blood glucose of 25 Iranian patients (11 males and 14 females, mean age = 45.6) with type 2 DM, randomly assigned to either an 8-session MiCBT (n = 12) or treatment-as-usual (TAU) (n = 13). We present a theoretical conceptualization and detailed step-by-step implementation of MiCBT, and an assessment of its effectiveness in this sample. While no betweengroup differences were found at pre-treatment on any of the measures, the MiCBT group showed a significantly greater reduction in depression and greater treatment adherence than the TAU group at post-treatment. The MiCBT group also showed a significantly greater blood sugar reduction than the TAU group at 6-week follow-up. Within-group analysis found no significant change on any of the measures for TAU, whereas the MiCBT group reported a significant decrease in depression and increase in treatment adherence from pre-to post-treatment and maintained at 6-week follow-up. Blood sugar reduction also only occurred in the MiCBT group from pre-to post-treatment. Replication studies with larger samples are necessary to confirm these findings and validate the transdiagnostic efficacy and transcultural applicability of MiCBT in type 2 DM.
Interoception, the ability to feel the body’s internal sensations, is an essential aspect of emot... more Interoception, the ability to feel the body’s internal sensations, is an essential aspect of emotional experience. There is mounting evidence that interoception is impaired in common mental health disorders and that poor interoceptive awareness is a major contributor to emotional reactivity, calling for clinical interventions to address this deficit. The manuscript presents a comprehensive theoretical review, drawing on multidisciplinary findings to propose a metatheory of reinforcement mechanisms applicable across a wide range of disorders. We present a reconsideration of operant conditioning through the co-emergence model of reinforcement, which is a neurophenomenological account of the interaction between cognition and interoception, and its consequences on behavior. The model suggests that during memory processing, the retrieval of autobiographical memory (including maladaptive cognition) is dependent upon its co-emerging interoceptive cues occurring at the encoding, consolidation and reconsolidation stages. Accordingly, “interoceptive reinforcement” during emotional distress is a common factor to all emotional disorders and a major cause for relapse. We propose that interoceptive desensitization has transdiagnostic benefits, readily achievable through the cultivation of equanimity during mindfulness training and can be integrated in cognitive and behavioral interventions to permit a transdiagnostic applicability. We summarize the contributions of this approach into 10 specific and testable propositions.
Mindfulness-integrated CBT for Well-being and Personal Growth, 2014
Integrating Buddhist and Western psychology with current findings in neuroscience, this chapter d... more Integrating Buddhist and Western psychology with current findings in neuroscience, this chapter describes crucial aspects of how our mind and body process emotional information, and how to overcome our emotional reactivity. It also explains how we become attached to immediate pleasures, which we rely on to feel “happy” at the cost of a more reliably fulfilling life. This chapter provides a scientifically informed explanation for how mindfulness training can benefit you and is, therefore, more theoretical than the rest of the book. Please bear with me during this important chapter and take your time to reread it if necessary. It will make even more sense once you have started your mindfulness practice – the advantage of experiential learning. Leave aside whatever may seem a little obscure at this stage until your training develops, as we will return to these concepts in the next few weeks with some useful illustrations.
ObjectivesThis study investigated the effectiveness of a group-based 8-week intervention, Mindful... more ObjectivesThis study investigated the effectiveness of a group-based 8-week intervention, Mindfulness-integrated Cognitive Behavior Therapy (MiCBT), to decrease psychological distress and increase wellbeing in a heterogeneous population in primary health care. MiCBT focuses on the importance of interoception and its interaction with cognition in emotional experience. These interactions are represented in the co-emergence model of reinforcement, in which non-reactivity (equanimity) to interoceptive signals facilitates adaptive behavior.MethodsParticipants (n = 125, aged 20–72) were randomized to two groups (MiCBT), and treatment-as-usual (TAU). Outcomes were assessed at pre-, mid-, and post-intervention and at 6-month follow-up. The primary outcome was psychological distress, measured by the Depression, Anxiety and Stress Scale (DASS-21). Secondary outcome measures were the Kessler Psychological Distress Scale-10 (K10), Satisfaction with Life Scale (SWLS), and Flourishing Scale (FS)....
The inclusion of ethics in mindfulness-based interventions (MBIs) has become a hot topic in recen... more The inclusion of ethics in mindfulness-based interventions (MBIs) has become a hot topic in recent years, contributing to a differentiation between what has recently been called first- and second-generation MBIs. This chapter first discusses the origins and purpose of ethics in Theravada Buddhism and the traditional understanding that developing mindfulness also aids in monitoring and preventing harmful intentions and actions, while cultivating beneficial ones, to decrease suffering. It will then describe the role and benefits of cultivating ethics in Mindfulness-integrated Cognitive Behavior Therapy (MiCBT), a four-stage transdiagnostic approach that combines Burmese Vipassana meditation and core principles of traditional CBT. There are three principal reasons for which MiCBT dedicates a whole therapeutic stage to the development of empathy grounded in loving-kindness meditation and ethical living: (1) the cultivation of compassion, (2) the prevention of relapse into common mental health disorders, and (3) the cultivation of joy and well-being. The chapter also offers some insight into the reasons for which more advanced mindfulness states inevitably lead to the observation that ethics and compassion are interdependent, and reflects on some of the implications that this may have for MBI programs.
Diabetes Mellitus (DM) is the most common metabolic disorder and the most common cause of death i... more Diabetes Mellitus (DM) is the most common metabolic disorder and the most common cause of death in eastern populations, with prevalence estimated to be at the level of epidemic illness. Despite medical attention, psychological factors remain a significant contributor to DM, requiring effective psychological interventions. This study evaluated the effects of Mindfulness-integrated Cognitive Behavior Therapy (MiCBT) on depression, treatment adherence, and control of blood glucose of 25 Iranian patients (11 males and 14 females, mean age = 45.6) with type 2 DM, randomly assigned to either an 8-session MiCBT (n = 12) or treatment-as-usual (TAU) (n = 13). We present a theoretical conceptualization and detailed step-by-step implementation of MiCBT, and an assessment of its effectiveness in this sample. While no between-group differences were found at pre-treatment on any of the measures, the MiCBT group showed a significantly greater reduction in depression and greater treatment adherence...
Interoception, the ability to feel the body’s internal sensations, is an essential aspect of emot... more Interoception, the ability to feel the body’s internal sensations, is an essential aspect of emotional experience. There is mounting evidence that interoception is impaired in common mental health disorders and that poor interoceptive awareness is a major contributor to emotional reactivity, calling for clinical interventions to address this deficit. The manuscript presents a comprehensive theoretical review, drawing on multidisciplinary findings to propose a metatheory of reinforcement mechanisms applicable across a wide range of disorders. We present a reconsideration of operant conditioning through the co-emergence model of reinforcement, which is a neurophenomenological account of the interaction between cognition and interoception, and its consequences on behavior. The model suggests that during memory processing, the retrieval of autobiographical memory (including maladaptive cognition) is dependent upon its co-emerging interoceptive cues occurring at the encoding, consolidati...
After publication of our article [1] the authors have notified us that one of the names has been ... more After publication of our article [1] the authors have notified us that one of the names has been incorrectly spelled.
Mindfulness-integrated Cognitive Behaviour Therapy (MiCBT) is an evidence-based integration of tr... more Mindfulness-integrated Cognitive Behaviour Therapy (MiCBT) is an evidence-based integration of traditional CBT and mindfulness meditation in the Burmese Vipassana tradition of Ledi Sayadaw, U Ba Khin and S. N. Goenka, developed into a four-stage model to address a range of acute and chronic conditions and prevent relapse. MiCBT is a “second-generation mindfulness-based intervention” (MBI) developed between 2001 and 2003, and continually piloted and improved across disorders since. While there are inevitable overlaps with MBIs that originate from MBSR, the structure, content and implementation of MiCBT differ in several ways, including the theoretical basis for the construction of each of the 4 stages. This symposium will discuss the theoretical basis, structure, implementation and efficacy of MiCBT.
Background Effective transdiagnostic treatments for patients presenting with principal or comorbi... more Background Effective transdiagnostic treatments for patients presenting with principal or comorbid symptoms of anxiety and depression enable more efficient provision of mental health care and may be particularly suitable for the varied population seen in primary healthcare settings. Mindfulness-integrated cognitive behavior therapy (MiCBT) is a transdiagnostic intervention that integrates aspects of CBT, including exposure skills targeting avoidance, with training in mindfulness meditation skills adopted from the Vipassana or insight tradition taught by the Burmese teachers U Ba Khin and Goenka. MiCBT is distinguished from both cognitive therapy and mindfulness-based cognitive therapy by the use of a theoretical framework which proposes that the locus of reinforcement of behavior is the interoceptive experience (body sensations) that co-arises with self-referential thinking. Consequently, MiCBT has a strong focus on body scanning to develop interoceptive awareness and equanimity. De...
Tienda online donde Comprar Terapia Cognitivo-Conductual Con Mindfulness Integrado. Principios Y ... more Tienda online donde Comprar Terapia Cognitivo-Conductual Con Mindfulness Integrado. Principios Y Practica al precio 37,36 € de Bruno A. Cayoun, tienda de Libros de Medicina, Libros de Psicologia - Psicologia General
The present research examined how the inhibitory dysfunction observed in Attention Deficit Hypera... more The present research examined how the inhibitory dysfunction observed in Attention Deficit Hyperactivity Disorder (ADHD) affects bimanual coordination in three experiments with unmedicated boys (aged 8 to 15) with ADHD-C (with and without Developmental Coordination Disorder (DCD)) and matched controls. Experiment 1 (N = 31, Mean age = 11 years : 9 months) explored the dynamics of bimanual circling using both free-hand movements using circle templates and constrained movements using cranks. Impairment in temporal stability was mostly attributable to difficulties in controlling the spatial component of the task, which was more pronounced in children with comorbid DCD. Experiment 2 (N = 32, Mean age = 12 years : 1 month) used a Stop-re-engagement paradigm (Change task) with a continuous (hand-circling) task to investigate whether inhibitory deficits at the central level of processing and/or allocation of effort in ADHD affect movement coordination. The ADHD and ADHD/DCD groups showed a lack of inhibitory control, as measured by Switch reaction time. However, these children also displayed slower and more variable speed of execution and the apparent inhibitory deficit was more associated with the reengagement component of the task. Experiment 3 (N = 32, Mean age = 12 years : 1 month) used the Change Task, as traditionally delivered by computer, to investigate the source of the poor response re-engagement. Results showed a slow mode of information processing in ADHD groups rather than a deficit in the processes necessary to inhibit a prepotent xii response. Processing speed was most impaired in children with ADHD/DCD, indicating that difficulties in cognitive flexibility and motor coordination were the main deficits. The overall results are a better fit for the hypothesis that ADHD involves a deficit in the regulation of energetic states. It was concluded that children with ADHD without DCD do not suffer from bimanual coordination impairment and that it is a necessity for future bimanual coordination studies to control for the presence of comorbid DCD in ADHD samples.
Diabetes Mellitus (DM) is the most common metabolic disorder and the most common cause of death i... more Diabetes Mellitus (DM) is the most common metabolic disorder and the most common cause of death in eastern populations, with prevalence estimated to be at the level of epidemic illness. Despite medical attention, psychological factors remain a significant contributor to DM, requiring effective psychological interventions. This study evaluated the effects of Mindfulness-integrated Cognitive Behavior Therapy (MiCBT) on depression, treatment adherence, and control of blood glucose of 25 Iranian patients (11 males and 14 females, mean age = 45.6) with type 2 DM, randomly assigned to either an 8-session MiCBT (n = 12) or treatment-as-usual (TAU) (n = 13). We present a theoretical conceptualization and detailed step-by-step implementation of MiCBT, and an assessment of its effectiveness in this sample. While no betweengroup differences were found at pre-treatment on any of the measures, the MiCBT group showed a significantly greater reduction in depression and greater treatment adherence than the TAU group at post-treatment. The MiCBT group also showed a significantly greater blood sugar reduction than the TAU group at 6-week follow-up. Within-group analysis found no significant change on any of the measures for TAU, whereas the MiCBT group reported a significant decrease in depression and increase in treatment adherence from pre-to post-treatment and maintained at 6-week follow-up. Blood sugar reduction also only occurred in the MiCBT group from pre-to post-treatment. Replication studies with larger samples are necessary to confirm these findings and validate the transdiagnostic efficacy and transcultural applicability of MiCBT in type 2 DM.
Interoception, the ability to feel the body’s internal sensations, is an essential aspect of emot... more Interoception, the ability to feel the body’s internal sensations, is an essential aspect of emotional experience. There is mounting evidence that interoception is impaired in common mental health disorders and that poor interoceptive awareness is a major contributor to emotional reactivity, calling for clinical interventions to address this deficit. The manuscript presents a comprehensive theoretical review, drawing on multidisciplinary findings to propose a metatheory of reinforcement mechanisms applicable across a wide range of disorders. We present a reconsideration of operant conditioning through the co-emergence model of reinforcement, which is a neurophenomenological account of the interaction between cognition and interoception, and its consequences on behavior. The model suggests that during memory processing, the retrieval of autobiographical memory (including maladaptive cognition) is dependent upon its co-emerging interoceptive cues occurring at the encoding, consolidation and reconsolidation stages. Accordingly, “interoceptive reinforcement” during emotional distress is a common factor to all emotional disorders and a major cause for relapse. We propose that interoceptive desensitization has transdiagnostic benefits, readily achievable through the cultivation of equanimity during mindfulness training and can be integrated in cognitive and behavioral interventions to permit a transdiagnostic applicability. We summarize the contributions of this approach into 10 specific and testable propositions.
Uploads