Metacognitive Therapy (MCT) for depression is a formulation-driven treatment grounded in the Wells and Matthews (Attention and emotion: A clinical perspective, 1994) self-regulatory model. Unlike traditional CBT it does not focus on challenging the content of depressive thoughts or on increasing mastery and pleasure. Instead it focuses on reducing unhelpful cognitive processes and facilitates metacognitive modes of processing. MCT enables patients to interrupt rumination, reduce unhelpful self-monitoring tendencies, and establish more adaptive styles of responding to thoughts and feelings. An important component of treatment is modification of positive and negative metacognitive beliefs about rumination. MCT was evaluated in 6–8 sessions of up to 1 h each across 4 patients with recurrent and/or chronic major depressive disorder. A non-concurrent multiple-baseline with follow-up at 3 and 6 months was used. Patients were randomly allocated to different length baselines and outcomes were assessed via self-report and assessor ratings. Treatment was associated with large and clinically significant improvements in depressive symptoms, rumination and metacognitive beliefs and gains were maintained over follow-up. The small number of cases limits generalisability but continued evaluation of this new brief treatment is clearly indicated.
OBJECTIVE: To examine the moderating effects of subjective sleep quality (SSQ) and sleep duration on the relationships between mindfulness and health behaviors (i.e. nutrition and exercise) among undergraduate students. The unique influence of the five facets (i.e. factors) of mindfulness (i.e. observing, describing, acting with awareness, nonreactivity to inner experience and nonjudging of inner experience) on students' health behaviors was also explored.PARTICIPANTS: Three hundred fifty seven undergraduate students enrolled in U.S. colleges.
METHODS: Students completed an online survey. Hierarchical multiple regression analyses were conducted to determine whether SSQ moderated the relationship between mindfulness and nutrition behavior.
RESULTS: SSQ moderated the relationship between mindfulness and nutrition behavior. The observe facet of mindfulness was the most predictive of nutrition behavior, whereas the observe and describe facets were the most predictive of exercise behavior.
CONCLUSIONS: Interventions that target mindfulness and sleep quality may help promote healthy eating and increased exercise engagement in college students.
BackgroundA recent randomized controlled trial provided preliminary evidence for the effectiveness of mindfulness based cognitive therapy (MBCT) for the top 10% frequent attenders in primary care with persistent medically unexplained symptoms (MUS). This qualitative study aims to explore working mechanisms and possible barriers of MBCT in this population.
Methods
Twelve participants of the trial were interviewed about their experiences. This was done before and after the MBCT course, and 12 months later. Written evaluations of participants and notes of participant observers were used for data-triangulation.
Results
In total, 35 qualitative interviews were conducted. MBCT initiated a process of change, starting with awareness of the present moment, the associated sensory experiences, thoughts and emotions and accepting rather than resisting these. Participants started to recognize their own behavioral patterns and change them, thus improving self-care. Self-compassion seemed to result from and facilitate this process. Main barriers were concurrent social problems and the inability or unwillingness to accept symptoms.
Conclusions
MBCT can start a process of change in patients with persistent MUS. Awareness and acceptance of painful symptoms and emotions are key factors in this process. Change of unhelpful behavioral patterns and increased self-care and self-compassion can result from this process.
One of the most significant developments in the field of Mindfulness in recent years has been the development of ‘construct Mindfulness’ as a therapeutic tool and as a scientific technology. Both of these rest upon (and produce) bodies of scientific evidence about the effects and correlates of Mindfulness practice, both in terms of therapy and neurophysiology. In this second module, then, we’re going to explore some of implications and elaborations of these approaches. We’ll see what happens to the idea of Mindfulness when we make it into something that can be measured, and then we’ll investigate some of the most popular (and effective) Mindfulness-based Interventions, such as MBSR and MBCT. In the end, we’ll also ask whether this operationalized approach to Mindfulness actually hides deeper philosophical, religious, and existential questions, to which we’ll turn in the next module.
Evidence for the effectiveness of mindfulness as a clinical intervention is quickly growing. Much of our current understanding and application of mindfulness within clinical psychology has arisen from dialogue with Buddhist traditions, with the notable exception of Acceptance and Commitment Therapy. We wrote this article with two purposes: (1) to provide a concise review of mindfulness within the Buddhist traditions for interested clinicians and researchers and (2) to explore whether further dialogue between Buddhism and clinical psychology could enhance mindfulness as it is used within clinical psychology. We concluded that mindfulness, as it is understood and applied in Buddhism, is a richer concept than thus far understood and applied in psychology. In addition, within Buddhism the development of mindfulness must be understood in tandem with the development of wisdom, compassion, and ethics. We suggest an operational definition of mindfulness within Buddhism. We also explore implications for clinical psychology and possible future directions for mindfulness research and practice.
In everyday life, many people believe that two heads are better than one. Our ability to solve problems together appears to be fundamental to the current dominance and future survival of the human species. But are two heads really better than one? We addressed this question in the context of a collective low-level perceptual decision-making task. For two observers of nearly equal visual sensitivity, two heads were definitely better than one, provided they were given the opportunity to communicate freely, even in the absence of any feedback about decision outcomes. But for observers with very different visual sensitivities, two heads were actually worse than the better one. These seemingly discrepant patterns of group behavior can be explained by a model in which two heads are Bayes optimal under the assumption that individuals accurately communicate their level of confidence on every trial.
<p>PennSound is an ongoing project, committed to producing new audio recordings and preserving existing audio archives. </p>
Mindfulness-based cognitive therapy (MBCT) may be helpful in preventing relapse in those with three or more depressive episodes. Recent research suggests it may also benefit those who have experienced fewer previous episodes of depression. If confirmed, this raises challenges of how MBCT is offered, accessed and supported.
This study investigates the psychological process involved when people with current distressing psychosis learned to respond mindfully to unpleasant psychotic sensations (voices, thoughts, and images). Sixteen participants were interviewed on completion of a mindfulness group program. Grounded theory methodology was used to generate a theory of the core psychological process using a systematically applied set of methods linking analysis with data collection. The theory inducted describes the experience of relating differently to psychosis through a three-stage process: centering in awareness of psychosis; allowing voices, thoughts, and images to come and go without reacting or struggle; and reclaiming power through acceptance of psychosis and the self. The conceptual and clinical applications of the theory and its limits are discussed.
Far-reaching changes to the structure and function of the Earth's natural systemsrepresent a growing threat to human health. And yet, global health has mainly improved
as these changes have gathered pace. What is the explanation? As a Commission, we
are deeply concerned that the explanation is straightforward and sobering: we have
been mortgaging the health of future generations to realise economic and development
gains in the present. By unsustainably exploiting nature's resources, human civilisation
has flourished but now risks substantial health effects from the degradation of nature's
life support systems in the future.
Far-reaching changes to the structure and function of the Earth's natural systemsrepresent a growing threat to human health. And yet, global health has mainly improved
as these changes have gathered pace. What is the explanation? As a Commission, we
are deeply concerned that the explanation is straightforward and sobering: we have
been mortgaging the health of future generations to realise economic and development
gains in the present. By unsustainably exploiting nature's resources, human civilisation
has flourished but now risks substantial health effects from the degradation of nature's
life support systems in the future.
Social cognition concerns the various psychological processes that enable individuals to take advantage of being part of a social group. Of major importance to social cognition are the various social signals that enable us to learn about the world. Such signals include facial expressions, such as fear and disgust, which warn us of danger, and eye gaze direction, which indicate where interesting things can be found. Such signals are particularly important in infant development. Social referencing, for example, refers to the phenomenon in which infants refer to their mothers' facial expressions to determine whether or not to approach a novel object. We can learn a great deal simply by observing others. Much of this signalling seems to happen automatically and unconsciously on the part of both the sender and the receiver. We can learn to fear a stimulus by observing the response of another, in the absence of awareness of that stimulus. By contrast, learning by instruction, rather than observation, does seem to depend upon awareness of the stimulus, since such learning does not generalize to situations where the stimulus is presented subliminally. Learning by instruction depends upon a meta-cognitive process through which both the sender and the receiver recognize that signals are intended to be signals. An example would be the ‘ostensive’ signals that indicate that what follows are intentional communications. Infants learn more from signals that they recognize to be instructive. I speculate that it is this ability to recognize and learn from instructions rather than mere observation which permitted that advanced ability to benefit from cultural learning that seems to be unique to the human race.
BackgroundDepression is often a chronic relapsing condition, with relapse rates of 50-80% in those who have been depressed before. This is particularly problematic for those who become suicidal when depressed since habitual recurrence of suicidal thoughts increases likelihood of further acute suicidal episodes. Therefore the question how to prevent relapse is of particular urgency in this group.
Methods/Design
This trial compares Mindfulness-Based Cognitive Therapy (MBCT), a novel form of treatment combining mindfulness meditation and cognitive therapy for depression, with both Cognitive Psycho-Education (CPE), an equally plausible cognitive treatment but without meditation, and treatment as usual (TAU). It will test whether MBCT reduces the risk of relapse in recurrently depressed patients and the incidence of suicidal symptoms in those with a history of suicidality who do relapse. It recruits participants, screens them by telephone for main inclusion and exclusion criteria and, if they are eligible, invites them to a pre-treatment session to assess eligibility in more detail. This trial allocates eligible participants at random between MBCT and TAU, CPE and TAU, and TAU alone in a ratio of 2:2:1, stratified by presence of suicidal ideation or behaviour and current anti-depressant use. We aim to recruit sufficient participants to allow for retention of 300 following attrition. We deliver both active treatments in groups meeting for two hours every week for eight weeks. We shall estimate effects on rates of relapse and suicidal symptoms over 12 months following treatment and assess clinical status immediately after treatment, and three, six, nine and twelve months thereafter.
Discussion
This will be the first trial of MBCT to investigate whether MCBT is effective in preventing relapse to depression when compared with a control psychological treatment of equal plausibility; and to explore the use of MBCT for the most severe recurrent depression - that in people who become suicidal when depressed.
Discover the biggest issue in conservation today. This companion to the documentary Cowspiracy explores the impacts of the most environmentally destructive industry on the planet: animal agriculture.The award-winning documentary Cowspiracy presents alarming truths about the effects of animal agriculture on the planet. One of the leading causes of deforestation, greenhouse gas production, water use, species extinction, ocean dead-zones, and a host of other ills, animal agriculture is a major threat to the future of all species, and one of the environmental industry’s best-kept secrets. The Sustainability Secret expands upon Cowspiracy in every way. Journey with authors Kip Andersen and Keegan Kuhn as they discover one shocking statistic after another and interview leading businesses, environmental organizations, and political groups about the subject of animal agriculture and its disastrous effects. Extended transcripts, updated statistics, tips on becoming vegan, and comprehensive reading lists provide an in-depth overview of this planetary crisis and demonstrate effective ways to offset the damage through personal dietary choices. Firmly rooted in science and supporting research, The Sustainability Secret reveals the absolutely devastating environmental impact of the meat and dairy industry and offers a path to global sustainability for a growing population.
<p>This facility enables one to identify the Chinese, Tibetan, and Sanskrit "parallels" or "counterparts" to the suttas of the four main Pali Nikayas - or vice versa. It is designed for those whose interest in the Early Buddhist discourses extends beyond the limits of the Pali Sutta-piṭaka to include the extensive corresponding materials found elsewhere: the Agamas and individual sutras preserved in Chinese, the occasional sutra translations contained in the Tibetan Kanjur, and the numerous published fragments of sutras in Sanskrit and related languages. It is an up-dated and revised successor to Akanuma's <em>Comparative Catalogue of Chinese Agamas & Pali Nikayas</em> (1929), and is the natural starting point in navigating around this vast mass of textual material.</p>
Join Sara Estelle in the latest Nature Connections show as she is joined by Chris Phillips, Author of "Treating Depression Naturally". Chris shares more about how depression is a uniquely experienced emotion/state of being and how and why it might manifest. Chris also talks about 3 aspects of depression - namely anger, hormonal depression and depression experienced by many young people today - and flower essences that might help
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Having been a practitioner in the bhakti-yoga community for nearly a decade now, I have come to understand that the values of yoga, values that connect u...
The Green Wheeling Initiative is a down-home, ground-up, grass-roots revolutionary food justice and cultural movement in West Virginia which is responding to ecological injustice. Its goal is to restore the idea of community.
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