A Compassion Focused Model of Recovery after Psychosis

Gumley, Andrew; Braehler, Christine; Laithwaite, Heather; MacBeth, Angus; Gilbert, Paul

doi:10.1521/ijct.2010.3.2.186

Cited by 89 publications

(105 citation statements)

References 64 publications

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“…The soothing system has been described as potentially underde-veloped in psychosis, and therefore, difficulties in accessing this system are common (Gumley, Braehler, Laithwaite, MacBeth, & Gilbert, 2010). We hypothesise that the person may have gained awareness of the "threat-based mind versus soothing and compassionate mind" throughout the intervention and therefore responded in a more attuned way at post-intervention assessments.…”

Section: Participantmentioning

confidence: 97%

“…It is possible that the brief intervention tested was not long and powerful enough for these changes to be consolidated and to reflect an emotional change (shame feelings). Self-criticism is a defensive response to deal with feelings of shame (Gilbert, 2010), and although no other studies assessed selfcriticism, decreases in shame and self-criticism are essential in recovery and relapse prevention according to the social mentalities model for psychosis (Gumley et al, 2010). Furthermore, relapse has been associated with greater feelings of self-blame and shame (Gumley et al, 2006); therefore, intervention should focus on the activation of the safeness system (Gumley et al, 2010), which is essential for stress reduction and promotion of social bonding and affiliative behaviours (Gumley, Braehler, & Macbeth, 2014;Gumley, Taylor, Schwannauer, & Macbeth, 2014).…”

Section: Participantmentioning

confidence: 99%

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Schizophrenia: An Exploration of an Acceptance, Mindfulness, and Compassion‐based Group Intervention

Martins

Castilho

Santos

et al. 2017

Australian Psychologist

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Objective: This study aimed to develop and apply a brief (five-session) group-based intervention called Compassionate, Mindful and Accept-ing approach to Psychosis (CMAP) for patients diagnosed with paranoid schizophrenia. Methods: The intervention was based on three major approaches: the mindfulness framework adapted for psychosis with the proposed modifications for meditation work, the rationales from Acceptance and Commitment Therapy, and What is already known on this topic1 Contextual therapies aim at developing a more flexible response and more useful self-others and self-self relationships rather than eliminating symptoms.2 Acceptance, mindfulness, and compassion-based therapies for psychosis have shown promising results in several outcomes.3 To our knowledge, only one integrated treatment combining CAM exists and found promising results regarding acceptability, self-regulation, and affective symptoms. What this topic adds1 This study aimed at developing a brief and easy to implement intervention based on acceptance, mindfulness, and compassion for schizophrenia.2 Understanding of acceptability in sample of five patients: intervention seemed acceptable with subjective improvement of difficulties and coping.3 Potential benefits of this approach are illustrated through the results of two case studies: improvement in paranoid conviction and acting with awareness.Contextual cognitive behavioural therapy (CCBT; Hayes, Villatte, Levin, & Hildebrandt, 2011) emerged as a response to criticisms of the cognitive behaviour therapy model, where the function, not content per se, of internal events (including thoughts and images) were regarded as key to

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Section: Participantmentioning

confidence: 97%

Section: Participantmentioning

confidence: 99%

Schizophrenia: An Exploration of an Acceptance, Mindfulness, and Compassion‐based Group Intervention

Martins

Castilho

Santos

et al. 2017

Australian Psychologist

Self Cite

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“…(7) Psychotic disorders have also been treated with mindfulness techniques, even if some clinicians have expressed reservations about using such methods with this group of patients (Shonin et al 2014). The results of these studies, however, are encouraging (Khoury et al 2013), especially in group settings (Chadwick et al 2005;Gumley et al, 2010;Braehler et al 2012, Langer et al 2012. (8) Finally, an increasingly important field of research is sexual disorders and their treatment through mindfulness (Brotto et al 2008;Silverstein et al 2011).…”

Section: Research Findings and Research Dilemmasmentioning

confidence: 99%

Applications of Mindfulness in Psychotherapy – Contemporary Dilemmas

Škodlar

2016

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Mindfulness has without doubt been the fastest spreading and most popular concept in psychotherapy in the last two decades. Its influence exceeds that of any other individual concept or approach in modern psychotherapy. However, there are many dilemmas, open questions and controversies related to this rapid, almost fanatic spread, which obviously compensates for a certain lack in modern Euro-and Americo-centric societies. Similarly, we are witnessing in the West a lack of reflection, a process of limitless idealization, and the search for a panacea. This all flows with a tint of colonialism, presumptuously taking over ideas, concepts and techniques without a proper study of the primary sources, and with all the accompanying negative side-effects: profiteering, self-promotion, unethical conduct, empty promises of instant rewards, and so on. In the present paper, the development of interest in mindfulness in psychotherapy, as well as the research findings and dilemmas, and concepts and mechanisms of applying mindfulness in psychotherapy, will be reviewed. The main purpose of the paper is to contribute to the critical reflection in studying and applying mindfulness in psychotherapy. Keywords: mindfulness, meditation, psychotherapy, psychotherapy research IzvlečekČuječnost je v zadnjih dveh desetletjih zagotovo koncept, ki se najhitreje širi in je najbolj odmeven v psihoterapiji. Je vplivnejši od kateregakoli drugega posameznega koncepta ali pristopa v sodobni psihoterapiji. Vendar so ob tem hitrem, skoraj fanatičnem širjenju, ki očitno nadomešča določena pomanjkanja v sodobnih evropskih ali ameriških družbah, prisotne številne dileme, odprta vprašanja in razhajanja. Prav tako smo na Zahodu priča pomanjkanju refleksije, procesu brezmejne idealizacije in iskanju panaceje. Vse to poteka z določeno stopnjo kolonialistične naravnanosti, ki samozaverovano jemlje ideje, koncepte in tehnike, brez poglobljenega študija primarnih virov in z vsemi negativnimi stranskimi učinki, kot so dobičkarstvo, samo-promocija, neetično ravnanje, prazne obljube o takojšnjem uspehu ipd. V pričujočem besedilu so predstavljeni razvoj zanimanja za čuječnost v psihoterapiji, izsledki raziskav in dileme v raziskovanju ter koncepti in mehanizmi * Borut ŠKODLAR, Associate Professor, University Psychiatric Clinic Ljubljana.

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“…Those who develop depression appraise psychosis as a humiliating threat to their future status that will lead to the loss of a sense of personally valued social roles and goals (Birchwood et al, 2006;Birchwood et al, 2000). Consistent with these threat appraisals, internalised stigma and shame are key features evident in depression occurring in the context of schizophrenia (Gumley et al, 2010). Prevalence studies show that several months after an acute episode of psychosis, rates of depression can be up to 50% of cases (Whitehead et al, 2002;Birchwood, 2003).…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Commitment Therapy for depression following psychosis: An examination of clinically significant change

White

Gumley

McTaggart

et al. 2015

Journal of Contextual Behavioral Science

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Depression following psychosis is common and can impact negatively on individuals' quality of life. This study conducted post-hoc analyses on 14 participants with psychosis from a larger randomised controlled trial who presented with clinically important levels of depression at baseline. Eight of the participants received Acceptance and Commitment Therapy (ACT), whilst the remaining six individuals received treatment as usual (TAU). The focus was on investigating clinically significant change in outcome measures between baseline and 3-months post-baseline in the participants. Participants completed measures assessing depression and anxiety (HADS), psychosis symptoms (PANSS) and psychological inflexibility (AAQ-II) between baseline and at 3-month post-baseline assessments. Odds ratio analysis indicated that participants receiving ACT, compared to TAU, were 15 times more likely to achieve clinically significant decreases in depression scores (Fisher's Exact Test p = 0.05). Differences between the ACT and TAU groups in clinically significant changes in anxiety, psychological inflexibility, positive symptoms, negative symptoms and general level of psychopathology were not statistically significant. The study provides tentative support for the use of ACT to treat depression emerging in the context of psychosis.

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A Compassion Focused Model of Recovery after Psychosis

Cited by 89 publications

References 64 publications

Schizophrenia: An Exploration of an Acceptance, Mindfulness, and Compassion‐based Group Intervention

Schizophrenia: An Exploration of an Acceptance, Mindfulness, and Compassion‐based Group Intervention

Applications of Mindfulness in Psychotherapy – Contemporary Dilemmas

Acceptance and Commitment Therapy for depression following psychosis: An examination of clinically significant change

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