‘I Do Not Exist’: Pathologies of Self Among Western Buddhists

Pickering, Judith

doi:10.1007/s10943-019-00794-x

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Apart from these methodological lessons learnt from the limitations of the present study; future study might explore the impact of self-regulation mediators (e.g.., self-concept, self-belief, self-efficacy; being all very closely interrelated) on the treatment- success of persons with mental disorders [ 15 , 47 , 48 ] – if an inherent “Self” exists at all (e.g., [ 19 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

Do patients’ resilience and subjective illness representation predict the outcome of a routine inpatient treatment program of major depressive disorder?

Marschollek

Bonnet

2021

Eur Arch Psychiatry Clin Neurosci

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Adopting a personalized medicine approach beyond genetic/epigenetic profiling within psychiatric diagnostic and treatment is challenging. For the first time, we studied the influence of two patient resources (resilience and illness representation) on the success of an inpatient treatment of major depressive disorder (MDD). Using a 5-week observational real-world-study, the treatment- success was measured by the difference between the subjective depression- severity (according to the German short form of Beck’s Depression-Inventory) at baseline (i.e., days four to six post-admission) and study- endpoint. In the intention-to-treat sample (n = 60, 47.3 ± 12.8 years old; 58% females), the patients’ illness representation [measured by the “Krankheitskonzeptskala” (KK)] did not predict their treatment- success. The KK-dimension ‘trust-in-doctors’ was associated with resilience but not with the treatment-success. Albeit, the patients’ resilience (determined by Resilience- Scale, 11-item-version (RS-11)) negatively predicted their positive treatment- success (b = − 0.09, p = 0.017, f2 = 0.11). This influence of resilience on treatment- success was completely mediated by the baseline-depression- severity. This means, patients with low resilience reported high baseline-depression- levels which predicted a significant positive treatment- success. And, patients with high resilience reported low baseline-depression-levels which predicted no relevant or even negative inpatient treatment-success. The latter “high-resilience”- group (n = 27) was especially interesting. Remarkably, these patients appeared to have experienced within the first four-to-six inpatient treatment-days an “early sudden gain” against their considerable MDD- burden that initially had led to their admission. Thus, a stronger resilience might serve as a proxy of the development of an early MDD-relief as well as of lower baseline-depression- levels. Further studies are warranted to support the value of a patient’s resilience to predict his treatment response and inpatient treatment duration.

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Section: Discussionmentioning

confidence: 99%

Do patients’ resilience and subjective illness representation predict the outcome of a routine inpatient treatment program of major depressive disorder?

Marschollek

Bonnet

2021

Eur Arch Psychiatry Clin Neurosci

View full text Add to dashboard Cite

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“…The research gap stems from clinical concerns for contraindications when offering mindfulness to those with PTSD-D ( Forner, 2019 ; Zerubavel and Messman-Moore, 2015 ). As mindfulness processes such as interoception and decentering can become negative after a certain degree of exposure ( Britton, 2019 ), mindfulness meditation can lead to adverse experiences such as depersonalization, derealization, and alterations in sense of self, time, space, and body ( Berkovich-Ohana et al, 2013 ; Kohls et al, 2019 ; Lindahl et al, 2017 ; Pickering, 2019 ). Lack of discussion around dissociation in common mindfulness teachings have further resulted in some mindfulness trainings that push patients outside their window of tolerance ( Siegel, 2012 ; Treleaven and Britton, 2018 ).…”

Section: Introductionmentioning

confidence: 99%