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Assessing Mindfulness and Experiential Acceptance

Attempts to Capture Inherently Elusive Phenomena

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Part of the book series: Series in Anxiety and Related Disorders ((SARD))

Abstract

The Guest House, a poem by Rumi (translated by Barks & Moyne, 1997) that has been utilized in mindfulness-based therapeutic approaches (e.g., Roemer & Orsillo, 2002; Segal, Williams, & Teasdale, 2002), conveys the essence of mindfulnessandexperiential acceptance. Such a “stance” stands in sharp contrast to the approach that many of us take toward our thoughts, feelings, and bodily sensations, particularly those that we label “unwanted.” Bringing mindfulness and/or acceptance to our private experiences may fundamentally alter our relationship to these phenomena. How would we know if an individual was willing to “welcome and entertain them all” (Segal, 2003)? What might it look like to “meet them at the door laughing”? How might we measure this critical shift via self-report or experimental designs?

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References

  • Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70, 1129–1139.

    Article  PubMed  Google Scholar 

  • Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science & Practice, 10, 125–143.

    Article  Google Scholar 

  • Baer, R. A., Smith, G. T., & Cochran, K. B. (2004). Assessment of mindfulness by self-report: The Kentucky Inventory of Mindfulness Skills. Assessment, 11, 191–206.

    Article  PubMed  Google Scholar 

  • Barks, C., & Moyne, J. (1997). The essential Rumi. San Francisco: Harper.

    Google Scholar 

  • Barrios, B., & Hartmann, D. P. (1986). The contributions of traditional assessment: Concepts, issues, and methodologies. In R. O. Nelson & S. C. Hayes (Eds.), Conceptual foundations of behavioral assessment (pp. 81–110). New York: Guilford.

    Google Scholar 

  • Bishop, S. R. (2002). What do we really know about mindfulness-based stress reduction? Psychosomatic Medicine, 64, 71–84.

    PubMed  Google Scholar 

  • Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241.

    Article  Google Scholar 

  • Bishop, S. R., Segal, Z. V., Lau, M., Anderson, N. D., Carlson, L., Shapiro, S., et al. (2003). The Toronto Mindfulness Scale: Development and validation. Manuscript in preparation.

    Google Scholar 

  • Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulation in acceptance and commitment therapy. Journal of Clinical Psychology, 57, 243–255.

    Article  PubMed  Google Scholar 

  • Block-Lerner, J., Plumb, J. C., & Orsillo, S. M. (2003, November). Facilitating an experientially accepting stance in the laboratory: Can we design manipulations to test mechanisms of change? Paper presented at the Association for Advancement of Behavior Therapy, Boston, MA.

    Google Scholar 

  • Borkovec, T. D. (2002). Life in the future versus life in the present. Clinical Psychology: Science and Practice, 9, 76–80.

    Article  Google Scholar 

  • Breslin, C. F., Zack, M., & McMain, S. (2002). An information processing analysis of mindfulness: Implications for relapse prevention in the treatment of substance abuse. Clinical Psychology: Science and Practice, 9, 275–299.

    Article  Google Scholar 

  • Brown, K.W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.

    Article  PubMed  Google Scholar 

  • Buchheld, N., & Walach, H. (2002). Mindfulness in Vipassana meditation and psychotherapy: Development of the Freiburg Mindfulness Questionnaire. Zeitschrift für Klinische Psychologie, Psychiatrie und Psychotherapie, 50, 153–172.

    Google Scholar 

  • Cambell-Sills, L., Barlow, D. H., Brown, T. A., & Hoffman, S. G. (2004). Appraisal and regulation of emotion in anxiety and mood disorders. Manuscript submitted for publication.

    Google Scholar 

  • Campos, P. E. (2002). Integrating Buddhist philosophy with cognitive and behavioral practice (Introduction). Cognitive and Behavioral Practice, 9, 38–40.

    Article  Google Scholar 

  • Catanzaro, S. J., & Mearns, J. (1990). Measuring generalized expectancies for negative mood regulation: Initial scale development and implications. Journal of Personality Assessment, 54, 546–563.

    Article  PubMed  Google Scholar 

  • Craven, J. L. (1989). Meditation and psychotherapy. Canadian Journal of Psychiatry, 34, 648–653.

    Google Scholar 

  • Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S., et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 564–570.

    Article  PubMed  Google Scholar 

  • Deikman, A. J. (1982). The observing self: Mysticism and psychotherapy. Boston: Beacon Press.

    Google Scholar 

  • Delprato, D. J. (1981). The constructional approach to behavioral modification. Journal of Behavior Therapy and Experimental Psychiatry, 12, 49–55.

    Article  PubMed  Google Scholar 

  • Dimidjian, S., Linehan, M. M., Marlatt, G. A., & Segal, Z. (2002, November). Mindfulness practice: Clinical application and training. Clinical roundtable conducted at the annual meeting of the Association for Advancement of Behavior Therapy, Reno, NV.

    Google Scholar 

  • Dimidjian, S., & Linehan, M. M. (2003). Defining an agenda for future research on the clinical application of mindfulness practice. Clinical Psychology: Science & Practice, 10, 166–171.

    Article  Google Scholar 

  • Dougher, M. J. (1994). The act of acceptance. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: Content and context in psychotherapy (pp. 37–45). Reno, NV: Context Press.

    Google Scholar 

  • Dunn, B. R., Hartigan, J. A., & Mikulas, W. L. (1999). Concentration and mindfulness meditations: Unique forms of consciousness. Applied Psychophysiology and Biofeedback, 24, 147–165.

    Article  PubMed  Google Scholar 

  • Eifert, G. H., & Heffner, M. (2003). The effects of acceptance versus control contexts on avoidance of panic-related symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 34, 293–312.

    Article  PubMed  Google Scholar 

  • Feldman, G. C., Hayes, A. M., Kumar, S. M., & Greeson, J. M. (2003, November). Clarifying the construct of mindfulness: Relations with emotional avoidance, overengagement, and change with mindfulness training. Paper presented at the Association for Advancement of Behavior Therapy, Boston, MA.

    Google Scholar 

  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.

    Article  Google Scholar 

  • Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362.

    Article  PubMed  Google Scholar 

  • Haas, J. R. (1994). The elusive nature of acceptance. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: Content and context in psychotherapy (pp. 33–35). Reno, NV: Context Press.

    Google Scholar 

  • Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11, 255–262.

    Article  Google Scholar 

  • Hayes, S. C. (1984). Making sense of spirituality. Behaviorism, 12, 99–110.

    Google Scholar 

  • Hayes, S. C. (1994). Content, context, and types of psychological acceptance. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: Content and context in psychotherapy (pp. 13–32). Reno, NV: Context Press.

    Google Scholar 

  • Hayes, S. C. (2002a). Acceptance, mindfulness, and science. Clinical Psychology: Science and Practice, 9, 101–106.

    Article  Google Scholar 

  • Hayes, S. C. (2002b). Buddhism and acceptance and commitment therapy. Cognitive and Behavioral Practice, 9, 58–66.

    Article  Google Scholar 

  • Hayes, S. C., Barnes-Holmes, D., Roche, B. (Eds.). (2001). Relational frame theory: A post-Skinnerian account of human language and cognition. New York: Plenum.

    Google Scholar 

  • Hayes, S. C., Bissett, R. T., Korn, Z., Zettle, R. D., Rosenfarb, I. S., Cooper, L. D., et al. (1999). The impact of acceptance versus control rationales on pain tolerance. The Psychological Record, 49, 33–47.

    Google Scholar 

  • Hayes, S. C., Brownstein, A. J., Haas, J. R., & Greenway, D. E. (1986). Instructions, multiple schedules, and extinction: Distinguishing rule governed from schedule controlled behavior. Journal of the Experimental Analysis of Behavior, 46, 137–147.

    Article  PubMed  Google Scholar 

  • Hayes, S. C., Follette, V., & Linehan, M. M. (2004). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford.

    Google Scholar 

  • Hayes, S. C., & Shenk, C. (2004). Operationalizing mindfulness without unnecessary attachments. Clinical Psychology: Science and Practice, 11, 249–254.

    Article  Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.

    Google Scholar 

  • Hayes, S. C., Strosahl, K. D., Wilson, K. G., Bissett, R., T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553–578.

    Google Scholar 

  • Hayes, S. C., & Wilson, K. G. (2003). Mindfulness: Method and process. Clinical Psychology: Science & Practice, 10, 161–165.

    Article  Google Scholar 

  • Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.

    Article  PubMed  Google Scholar 

  • Heaton, R. K. (1981). The Wisconsin Card Sort Test. Lutz, FL: Psychological Assessment Resources.

    Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell Publishing.

    Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go there you are: Mindfulness meditation in everyday life. New York: Hyperion.

    Google Scholar 

  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science & Practice, 10, 144–156.

    Article  Google Scholar 

  • Kumar, S. M. (2002). An introduction to Buddhism for the cognitive-behavioral therapist. Cognitive and Behavioral Practice, 9, 40–43.

    Article  Google Scholar 

  • Labouvie-Vief, G., Chiodo, L. M., Goguen, L. A., Diehl, M., & Orwoll, L. (1995). Representations of self across the life span. Psychology and Aging, 10, 404–415.

    Article  PubMed  Google Scholar 

  • Langer, E. J. (1989). Mindfulness. Cambridge, MA: Perseus Books.

    Google Scholar 

  • Langer, E. J., & Moldoveanu, M. (2000). The construct of mindfulness. Journal of Social Issues, 56, 1–9.

    Article  Google Scholar 

  • Levitt, J. T., Brown, T. A., Orsillo, S. M., & Barlow, D. H. (2004). The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder. Behavior Therapy, 35, 747–766

    Article  Google Scholar 

  • Linehan, M. M. (1993a). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford.

    Google Scholar 

  • Linehan, M. M. (1993b). Skills training manual for cognitive behavioral treatment of borderline personality disorder. New York: Guilford.

    Google Scholar 

  • Litz, B. (1992). Emotional numbing in combat-related posttraumatic stress disorder: A critical review and reformulation. Clinical Psychology Review, 12, 417–432.

    Article  Google Scholar 

  • Marlatt, G. A. (1994). Addiction and acceptance. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: Content and context in psychotherapy (pp. 175–197). Reno, NV: Context Press.

    Google Scholar 

  • Marlatt, G. A., & Kristeller, J. L. (1999). Mindfulness and meditation. In W. R. Miller (Ed.), Integrating spirituality into treatment: Resources for practitioners (pp. 67–84). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Martin, J. R. (1997). Mindfulness: A proposed common factor. Journal of Psychotherapy Integration, 7, 291–312.

    Article  Google Scholar 

  • Martin, M. M., & Rubin, R. B. (1995). A new measure of cognitive flexibility. Psychological Reports, 76, 623–626.

    Google Scholar 

  • McCracken, L. M. (1998). Learning to live with pain: Acceptance of pain predicts adjustment in persons with chronic pain. Pain, 74, 21–27.

    Article  PubMed  Google Scholar 

  • McCracken, L. M., & Eccleston, C. (2003). Coping or acceptance: What to do about chronic pain? Pain, 105, 197–204.

    Article  PubMed  Google Scholar 

  • Moore, R. G., Hayhurst, H., & Teasdale, J. D. (1996). Measure of awareness and coping in autobiographical memory: Instructions for administration and coding. Unpublished manuscript, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.

    Google Scholar 

  • Neff, K. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250.

    Article  Google Scholar 

  • Neff, K. (2003b). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–102.

    Article  Google Scholar 

  • Nelson, R. O., & Hayes, S. C. (1986). The nature of behavioral assessment. In R. O. Nelson & S. C. Hayes (Eds.), Conceptual foundations of behavioral assessment (pp. 3–41). New York: Guilford.

    Google Scholar 

  • Orsillo, S. M., Roemer, L., Block-Lerner, J., & Tull, M. T. (2004). Acceptance, mindfulness, and cognitive-behavioral therapy: Comparisons, contrasts, and application to anxiety. In S. C. Hayes, V. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford.

    Google Scholar 

  • Perez-de-Albeniz, A., & Holmes, J. (2000). Meditation: Concepts, effects and uses in therapy. International Journal of Psychotherapy, 5, 49–58.

    Article  Google Scholar 

  • Peterson, R. A., & Reiss, S. (1992). Anxiety Sensitivity Index manual (2nd ed.). Worthington, OH: International Diagnostic Systems.

    Google Scholar 

  • Purdon, C. (1999). Thought suppression and psychopathology. Behaviour Research and Therapy, 37, 1029–1054.

    Article  PubMed  Google Scholar 

  • Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models (Featured article). Clinical Psychology: Science and Practice, 9, 54–68.

    Article  Google Scholar 

  • Roemer, L., & Orsillo, S. M. (2003). Mindfulness: A promising intervention strategy in need of further study. Clinical Psychology: Science & Practice, 10, 172–178.

    Article  Google Scholar 

  • Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C., & Palfai, T. P. (1995). Emotional attention, clarity and repair: Exploring emotional intelligence using the trait meta-mood scale. In J.W. Pennebaker (Ed.), Emotion, disclosure, and health (pp. 125–154). Washington, DC: APA Books.

    Chapter  Google Scholar 

  • Salters, K., & Roemer, L. (2003, November). Flexibility and sensitivity to current environmental contingencies: Exploring basic processes in experiential acceptance and avoidance. Paper presented at the Association for Advancement of Behavior Therapy, Boston, MA.

    Google Scholar 

  • Sanderson, C., & Linehan, M. M. (1999). Acceptance and forgiveness. In W. R. Miller (Ed.), Integrating spirituality into treatment: Resources for practitioners (pp. 199–216). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Segal, Z.V. (2003, November). Discussion. In K. Salters and J. Block-Lerner (Chairs), Mindfulness and acceptance-based behavioral therapies: Methodologies and mechanisms. Symposium conducted at the Association for Advancement of Behavior Therapy, Boston, MA.

    Google Scholar 

  • Segal, Z. V., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford.

    Google Scholar 

  • Seligman, M. E. P. (2002). Positive psychology, positive prevention, and positive therapy. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 89–105). New York: Oxford University Press.

    Google Scholar 

  • Shapiro, S. L., & Schwartz, G. E. R. (2000). Intentional systemic mindfulness: An integrative model for self-regulation and health. Advances in Mind-Body Medicine, 2000, 16, 128–134.

    Google Scholar 

  • Shapiro, S. L., & Walsh, R. (2003). An analysis of recent meditation research and suggestions for future directions. The Humanistic Psychologist, 31, 86–114.

    Article  Google Scholar 

  • Sternberg, R. J. (2000). Images of mindfulness. Journal of Social Issues, 56, 11–26.

    Article  Google Scholar 

  • Stewart, S. H., Samoluk, S. B., & MacDonald, A. B. (1999). Anxiety sensitivity and substance use and abuse. In S. Taylor (Ed.), Anxiety sensitivity: Therapy, research, and treatment of the fear of anxiety (pp. 287–319). Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Street, W. R. (1994). Attitude-behavior congruity, mindfulness, and self-focused attention: A behavior-analytic reconstruction. The Behavior Analyst, 17, 145–153.

    Google Scholar 

  • Taylor, S., & Cox, B. J. (1998). An expanded Anxiety Sensitivity Index: Evidence for a hierarchic structure in a clinical sample. Journal of Anxiety Disorders, 12, 463–483.

    Article  PubMed  Google Scholar 

  • Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology, 70, 275–287.

    Article  PubMed  Google Scholar 

  • Teasdale, J. D., Segal, Z. V., & Williams, J. M. G. (2003). Mindfulness training and problem formulation. Clinical Psychology: Science & Practice, 10, 157–160.

    Article  Google Scholar 

  • Tull, M.T., Jakupcak, M., & Roemer, L. (2005). Anexperimental investigation of the effect of emotional acceptance and suppression on later emotional reactivity and willingness. Manuscript submitted for publication.

    Google Scholar 

  • Valentine, E. R., & Sweet, P. L. G. (1999). Meditation and attention: A comparison of the effects of concentrative and mindfulness meditation on sustained attention. Mental Health, Religion, and Culture, 2, 59–70.

    Google Scholar 

  • Walsh, R. (1980). The consciousness disciplines and the behavioral sciences: Questions of comparison and assessment. American Journal of Psychiatry, 137, 663–673.

    PubMed  Google Scholar 

  • Watts, A. (2000). What is Zen? New York: MJF Books.

    Google Scholar 

  • Wegner, D. M., & Zanakos, S. (1994). Chronic thought suppression. Journal of Personality, 62, 615–640.

    Article  Google Scholar 

  • Wilson, K. G., & Murrell, A. R. (2004). Values-centered interventions: Setting a course for behavioral treatment. In S. C. Hayes, V. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford.

    Google Scholar 

  • Williams, K. E., Chambless, D. L., & Ahrens, A. (1997). Are emotions frightening? An extension of the fear of fear construct. Behaviour Research and Therapy, 35, 239–248.

    Article  PubMed  Google Scholar 

  • Zettle, R. D., & Hayes, S. C. (1987). Content and process analysis of cognitive therapy. Psychological Reports, 61, 939–953.

    PubMed  Google Scholar 

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Block-Lerner, J., Salters-Pedneault, K., Tull, M.T. (2005). Assessing Mindfulness and Experiential Acceptance. In: Orsillo, S.M., Roemer, L. (eds) Acceptance and Mindfulness-Based Approaches to Anxiety. Series in Anxiety and Related Disorders. Springer, Boston, MA. https://doi.org/10.1007/0-387-25989-9_3

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