Abstract
As demonstrated by the chapters in this Handbook, self-compassion is associated with myriad benefits for mental health and psychological well-being. The beneficial impact of self-compassion is perhaps even more evident in psychotherapy, where self-compassion has long held a role under the umbrella of “self-acceptance.” Drawing primarily on compassion-focused therapy and the mindful self-compassion program, this chapter provides guidance on how to integrate self-compassion into psychotherapy and provides and overview of the evidence connecting self-compassion with therapeutic processes and outcomes.
The chapter begins by locating self-compassion in the context of psychotherapy, past and present. Next, we outline the evidence for self-compassion as a transdiagnostic and transtheoretical mechanism of action in therapy. The majority of this chapter describes three levels by which self-compassion can be integrated into psychotherapy—compassionate presence, compassionate relationship, and compassionate interventions—along with supporting research. When all three levels are part of treatment, it can be considered fully self-compassion based. Finally, we explore emotion regulation as the basic mechanism by which self-compassion works in psychotherapy, along with underlying neurophysiological and psychological processes, especially the cultivation of secure attachment and the alleviation of shame.
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Germer, C. (2023). Self-Compassion in Psychotherapy: Clinical Integration, Evidence Base, and Mechanisms of Change. In: Finlay-Jones, A., Bluth, K., Neff, K. (eds) Handbook of Self-Compassion. Mindfulness in Behavioral Health. Springer, Cham. https://doi.org/10.1007/978-3-031-22348-8_22
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