Rethinking mindfulness in the therapeutic relationship

mindfulness - Rethink Mental Illness | Evidence search | NICE

Read "Rethinking Mindfulness in the Therapeutic Relationship, Mindfulness" on DeepDyve, the largest online rental service for scholarly. First, it presents a review of the empirical literature discussing therapists' mindfulness and the therapeutic relationship with an emphasis on the. Why did I change when I went to therapy? Attachment theory and its therapeutic implications. Rethinking mindfulness in the therapeutic relationship .

Rethinking How You Evaluate a New Partner

I went against the common practice of downplaying the insight stages and instead put them front-and-center on the site. I did this because my teacher was clear about them with me, so I followed suit and was candid about them in my teaching.

I made sure to include a rich description of the dukkha nanas and cautions to those who may be about to plunge into them. Unbeknownst to me this one gesture of understanding came to define my experience of teaching for the next two years, as the great majority of people who contacted me, and continue to contact me, are in the dark night.

But I was alarmed when it seemed that a significant number, perhaps a third, learned to meditate from their therapist or from a group in a clinical setting. Sometimes they were actively suicidal at the time they learned to meditate. Interestingly, the majority never discussed their negative experiences while they were in therapy.

Like the therapists themselves, they wanted to believe that meditation was helping, and so they dismissed what was occurring or blamed it on the thing that brought them to therapy in the first place. As a psychologist this is more than a bit embarrassing, it is troubling. It is one of the ethical principles of psychology that no intervention is done without fully explaining the risks and benefits of the treatment.

rethinking mindfulness in the therapeutic relationship

If an intervention could possibly cause distress, even mild distress, psychologists are ethically obligated to inform the person of this possibility and gain their informed consent before proceeding. Psychologists are not doing this when it comes to mindfulness meditation, chiefly because they do not know there are risks. But more and more people who have participated in it know that there are. This is not a situation created by malice, but by ignorance.

Psychologists simply were not told this could ever happen, and were given the impression that the results of meditation were exclusively happiness, calm, and increased wellbeing. They are not to be blamed for this situation, as they have merely borrowed a problem that already existed in the way meditation was being taught to students in the west.

Sooner or later, those who teach it will learn about the progress of insight and the dark night. Either from writings like this or from patients themselves. When they do they will face an ethical dilemma about whether to continue teaching meditation in clinical settings. Ethically, we are obligated to acknowledge the risks and be cautious. This is not happening yet, but it is my sincere hope that those enamored of third wave CBT will examine not only the manuals and the studiesbut look deeply into the descriptions of insight in the pali cannon.

Even better, talk with meditators who have experienced a dark night, researchers who study itor best of all dive into it and see what it is like.

rethinking mindfulness in the therapeutic relationship

Psychologists might benefit most from going beyond mindfulness meditation, breaking loose of the manual, and seeing how far this practice can go. We realized that talking about a traumatic event held certain risks. At times, we inadvertently re-traumatized patients, especially if interventions were introduced too soon, before the patient was ready. We began to realize that not everyone who experiences a traumatic event gets PTSD. We looked for what factors might predict greater sensitivity to trauma.

Just adding that piece clarified our thinking about what triggers PTSD. It also began to expand our treatment options to include sensory motor approaches. And we started to see how more vastly intricate and multifaceted multiple trauma was compared to single incident trauma.

But I believe a third wave of trauma research and treatment innovations has just begun to crest.

Rethinking Trauma: The Third Wave of Trauma Treatment

For instance, in a new relationship, you might decide you like a person because they live in a cute bungalow in a walkable neighborhood, have fun friends, or are generous during the initial dating phase. Rarely, during the first stages of a relationship, is it easy to take a step back and evaluate from the view of the foundation. This visualization of a relationship being similar to a house, should help prioritize how you evaluate a relationship. Remember - just like a relationship, a house full of intricate electrical and plumbing work and beautiful decor without the right structural foundation would be destined to blow over with the right gust of wind.

Rethinking Trauma: The Third Wave of Trauma Treatment - NICABM

When reflecting back on failed relationships of your past, ask yourself whether the foundation was ever there? Did you get sidetracked by decorations when the priority should have been the framing?

How did this lack of prioritizing what is really important cause problems in the relationship?

Dance/Movement Therapy, Mindfulness & Substance Abuse Recovery