Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy 1/2006

01-03-2006

Mindfulness and trauma: implications for treatment

Auteurs: Victoria Follette, Kathleen M. Palm, Adria N. Pearson

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 1/2006

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Mindfulness, originally a construct used in Eastern spiritual and philosophical traditions, has found new utility in psychotherapy practice. Mindfulness practice has been recently applied to treatments of several psychological and health related problems, and research is showing successful outcomes in psychological interventions incorporating mindfulness practices. Several schools of psychotherapy have theorized why mindfulness may be an effective intervention. One population which would theoretically be benefited by mindfulness practice in treatment consists of those individuals who have experienced traumatic events and are exhibiting post-traumatic stress disorder and/or related correlates of past trauma. The present paper gives a general review of the application of mindfulness to clinical psychology interventions. Additionally, we explain how mindfulness is applicable to our integrative behavioral approach to treating trauma and its sequelae. Specifically, this paper will (a) give a general overview of the conceptions and applications of mindfulness to psychology and psychotherapy and provide a brief account of the concepts origins in eastern traditions; (b) discuss the theoretical conceptualization of clinical problems that may relate to the long-term correlates of trauma; (c) describe how mindfulness, acceptance and the therapeutic relationship can address trauma symptoms and discuss a modified treatment approach for trauma survivors that incorporates mindfulness and acceptance practices into traditional exposure treatment.
Voetnoten
1
The Pali equivalent of maitri is metta, usually translated “loving kindness”.
 
Literatuur
go back to reference American Psychiatric Association Work Group on ASD and PTSD. (2004). Practice guidline for the treatment of patients with acute stress disorder and posttraumatic stress disorder. Washington, DC: American Psychiatric Association American Psychiatric Association Work Group on ASD and PTSD. (2004). Practice guidline for the treatment of patients with acute stress disorder and posttraumatic stress disorder. Washington, DC: American Psychiatric Association
go back to reference Baer R. A., Miller J. (2002). Underreporting of psychopathology on the MMPI-2, Psychological Assessment 14: 16–26 PubMedCrossRef Baer R. A., Miller J. (2002). Underreporting of psychopathology on the MMPI-2, Psychological Assessment 14: 16–26 PubMedCrossRef
go back to reference Becker, C. B., & Zayfert, C. (2000). Implementation of empirically supported treatment for PTSD: Obstacles and innovations. Behavior Therapist, 23: 161–168 Becker, C. B., & Zayfert, C. (2000). Implementation of empirically supported treatment for PTSD: Obstacles and innovations. Behavior Therapist, 23: 161–168
go back to reference Becker, C. B., Zayfert C. (2001). Integrating DBT-based techniques and concepts to facilitate exposure treatment for PTSDCognitive and Behavioral Practice 8: 107–122 CrossRef Becker, C. B., Zayfert C. (2001). Integrating DBT-based techniques and concepts to facilitate exposure treatment for PTSDCognitive and Behavioral Practice 8: 107–122 CrossRef
go back to reference Brewin C. R. (2003). Posttraumatic stress disorder: Malady or myth? New Haven, CT, Yale University Press Brewin C. R. (2003). Posttraumatic stress disorder: Malady or myth? New Haven, CT, Yale University Press
go back to reference Brown K. W., Ryan R. M. (2003). The benefits of being present: Mindfulness and its role in psychological wellbeingJournal of Personality and Social Psychology 8(4): 822–848 CrossRef Brown K. W., Ryan R. M. (2003). The benefits of being present: Mindfulness and its role in psychological wellbeingJournal of Personality and Social Psychology 8(4): 822–848 CrossRef
go back to reference Chemtob C. M., Novaco R. W., Hamada R. S., Gross D. M. (1997). Cognitive behavioral therapy for severe anger in posttraumatic stress disorderJournal of Consulting and Clinical Psychology 65(1): 184–189 PubMedCrossRef Chemtob C. M., Novaco R. W., Hamada R. S., Gross D. M. (1997). Cognitive behavioral therapy for severe anger in posttraumatic stress disorderJournal of Consulting and Clinical Psychology 65(1): 184–189 PubMedCrossRef
go back to reference Chodron P. (2001). The places that scare you: A guide to fearlessness in difficult times Boston, Shambhala Chodron P. (2001). The places that scare you: A guide to fearlessness in difficult times Boston, Shambhala
go back to reference Cioffi D., Holloway J. (1993). Delayed costs of suppressed painJournal of Personality and Social Psychology 64(2): 274–282 PubMedCrossRef Cioffi D., Holloway J. (1993). Delayed costs of suppressed painJournal of Personality and Social Psychology 64(2): 274–282 PubMedCrossRef
go back to reference Clark D. M., Ball S., Pape D. (1991). An experimental investigation of thought suppressionBehavior Research and Therapy 29: 253–257 CrossRef Clark D. M., Ball S., Pape D. (1991). An experimental investigation of thought suppressionBehavior Research and Therapy 29: 253–257 CrossRef
go back to reference Cloitre M., Koenen K. (2001). Interpersonal group process treatment for CSA-related PTSD: A comparison study of the impact of borderline personality disorder on outcomeInternational Journal of Group Psychotherapy 51: 379–398 PubMedCrossRef Cloitre M., Koenen K. (2001). Interpersonal group process treatment for CSA-related PTSD: A comparison study of the impact of borderline personality disorder on outcomeInternational Journal of Group Psychotherapy 51: 379–398 PubMedCrossRef
go back to reference Cloitre M., Koenen K. C., Cohen L. R., Han H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuseJournal of Consulting and Clinical Psychology 70(5): 1067–1074 PubMedCrossRef Cloitre M., Koenen K. C., Cohen L. R., Han H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuseJournal of Consulting and Clinical Psychology 70(5): 1067–1074 PubMedCrossRef
go back to reference Ekman P, Davidson R. J., Ricard M., Wallace B. A. (2005). Buddhist and psychological perspectives on emotional well-being. Current Directions in Psychological Science, 14(2), 59–63 CrossRef Ekman P, Davidson R. J., Ricard M., Wallace B. A. (2005). Buddhist and psychological perspectives on emotional well-being. Current Directions in Psychological Science, 14(2), 59–63 CrossRef
go back to reference Flack W. F., Litz B. T., Hseih F. Y., Kaloupek D. G., Keane T. M. (2000). Predictors of emotional numbing, revisited: A replication and extensionJournal of Traumatic Stress 13(4): 611–618 PubMedCrossRef Flack W. F., Litz B. T., Hseih F. Y., Kaloupek D. G., Keane T. M. (2000). Predictors of emotional numbing, revisited: A replication and extensionJournal of Traumatic Stress 13(4): 611–618 PubMedCrossRef
go back to reference Foa, E. B., Keane, T. M., & Friedman M. J. (2000) Effective treatments for PTSD. Practice guidelines from the International Society for Traumatic Stress Studies. New York: Guilford Press. Foa, E. B., Keane, T. M., & Friedman M. J. (2000) Effective treatments for PTSD. Practice guidelines from the International Society for Traumatic Stress Studies. New York: Guilford Press.
go back to reference Follette V. M., Palm K. M., Rasmussen Hall M. L. (2004). Acceptance, mindfulness, and trauma In: Hayes S. C., Follette V. M., Linehan M. (eds) Mindfulness and acceptance: Expanding the cognitive behavioral tradition. New York, Guilford Press Follette V. M., Palm K. M., Rasmussen Hall M. L. (2004). Acceptance, mindfulness, and trauma In: Hayes S. C., Follette V. M., Linehan M. (eds) Mindfulness and acceptance: Expanding the cognitive behavioral tradition. New York, Guilford Press
go back to reference Follette, W. C., & Naugle, A. E. (2006). Functional analytic clinical assessment in trauma treatment. In V. M. Follette & J. I.Ruzek (Eds.), Cognitive Behavioral Therapies for Trauma, (2nd edn., pp. 17–33). New York: Guilford Press Follette, W. C., & Naugle, A. E. (2006). Functional analytic clinical assessment in trauma treatment. In V. M. Follette & J. I.Ruzek (Eds.), Cognitive Behavioral Therapies for Trauma, (2nd edn., pp. 17–33). New York: Guilford Press
go back to reference Harvey P. (1990). An introduction to Buddhism: Teaching, history and practices. Cambridge University Press Harvey P. (1990). An introduction to Buddhism: Teaching, history and practices. Cambridge University Press
go back to reference Hayes S. C., & Gifford, E. V. (1997). The trouble with language: Experiential avoidance, rules, and the nature of verbal events. Psychological Science, 8(3), 170-173. CrossRef Hayes S. C., & Gifford, E. V. (1997). The trouble with language: Experiential avoidance, rules, and the nature of verbal events. Psychological Science, 8(3), 170-173. CrossRef
go back to reference Hayes S. C., Strosahl K. D., Wilson K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change New York, Guilford Press Hayes S. C., Strosahl K. D., Wilson K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change New York, Guilford Press
go back to reference Hayes S. C., Wilson K. G. (2003). Mindfulness: Methods and processClinical Psychology: Science and Practice 10(2): 161–165 CrossRef Hayes S. C., Wilson K. G. (2003). Mindfulness: Methods and processClinical Psychology: Science and Practice 10(2): 161–165 CrossRef
go back to reference Jaycox L., Foa E. B., Morral A. R. (1998). Influence of emotional engagement and habituation on exposure therapy for PTSDJournal of Consulting and Clinical Psychology 68(1): 185–192 CrossRef Jaycox L., Foa E. B., Morral A. R. (1998). Influence of emotional engagement and habituation on exposure therapy for PTSDJournal of Consulting and Clinical Psychology 68(1): 185–192 CrossRef
go back to reference 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 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
go back to reference Karekla M., Forsyth J. P., Kelly M. M. (2004). Emotional avoidance and panicogenic responding to a biological challengeBehavior Therapy 35: 725–746 CrossRef Karekla M., Forsyth J. P., Kelly M. M. (2004). Emotional avoidance and panicogenic responding to a biological challengeBehavior Therapy 35: 725–746 CrossRef
go back to reference Kohlenberg, R. J., Tsai, M., (1991) Functional analytic psychotherapy: Creating intense and curative therapeutic relationships. New York, NY,US: Plenum Press Kohlenberg, R. J., Tsai, M., (1991) Functional analytic psychotherapy: Creating intense and curative therapeutic relationships. New York, NY,US: Plenum Press
go back to reference Kohlenberg, B., Tsai, M., & Kohlenberg, R. (in press). Functional analytic psychotherapy and the treatment of complex posttraumatic stress disorder. In Follette, V. M., Ruzek, J. I. (Eds.), Cognitive behavioral therapies for trauma, 2nd edn. New York: Guilford Press Kohlenberg, B., Tsai, M., & Kohlenberg, R. (in press). Functional analytic psychotherapy and the treatment of complex posttraumatic stress disorder. In Follette, V. M., Ruzek, J. I. (Eds.), Cognitive behavioral therapies for trauma, 2nd edn. New York: Guilford Press
go back to reference Kumar S. M. (2002). An introduction to Buddhism for the cognitive-behavioral therapistCognitive and Behavioral Practice 9: 40–43 CrossRef Kumar S. M. (2002). An introduction to Buddhism for the cognitive-behavioral therapistCognitive and Behavioral Practice 9: 40–43 CrossRef
go back to reference Langer E. J., Moldoveanu M. (2000). The construct of mindfulnessJournal of Social Issues 56(1): 1–9 CrossRef Langer E. J., Moldoveanu M. (2000). The construct of mindfulnessJournal of Social Issues 56(1): 1–9 CrossRef
go back to reference Leitenberg H., Greenwald E., Cado S. (1992). A retrospective study of long-methods of coping with having been sexually abused during childhoodChild Abuse and Neglect 16: 399–407 PubMedCrossRef Leitenberg H., Greenwald E., Cado S. (1992). A retrospective study of long-methods of coping with having been sexually abused during childhoodChild Abuse and Neglect 16: 399–407 PubMedCrossRef
go back to reference Linehan (1993) Cognitive behavioral treatment of borderline personality disorder. New York: Guilford Press Linehan (1993) Cognitive behavioral treatment of borderline personality disorder. New York: Guilford Press
go back to reference Litz B. T., Orsillo S. M., Kaloupek D., Weathers F. (2000). Emotional processing in posttraumatic stress disorderJournal of Abnormal Psychology 109(1): 26–39 PubMedCrossRef Litz B. T., Orsillo S. M., Kaloupek D., Weathers F. (2000). Emotional processing in posttraumatic stress disorderJournal of Abnormal Psychology 109(1): 26–39 PubMedCrossRef
go back to reference Nhat Hanh T. (1987). The miracle of mindfulness: A manual on meditation. Boston: Beacon Press Nhat Hanh T. (1987). The miracle of mindfulness: A manual on meditation. Boston: Beacon Press
go back to reference Palm K. M., Follette V. M. (2000). Counseling Strategies with Adult Survivors of Sexual Abuse as ChildrenDirections in Clinical and Counseling Psychology 11: 49–60 Palm K. M., Follette V. M. (2000). Counseling Strategies with Adult Survivors of Sexual Abuse as ChildrenDirections in Clinical and Counseling Psychology 11: 49–60
go back to reference Pennebacker J. W., O’Heeron R. C. (1984). Confiding in others and illness rate among spouses of suicide and accidental-death victimsJournal of Abnormal Psychology 93: 473–476 CrossRef Pennebacker J. W., O’Heeron R. C. (1984). Confiding in others and illness rate among spouses of suicide and accidental-death victimsJournal of Abnormal Psychology 93: 473–476 CrossRef
go back to reference Pitman R., Altman B., Greenwald E., Longre R. E., Macklin M. L., Poire R. E., Steketee G. (1991). Psychiatric complications during flooding therapy for posttraumatic stress disorderJournal of Clinical Psychiatry 52: 17–20 PubMed Pitman R., Altman B., Greenwald E., Longre R. E., Macklin M. L., Poire R. E., Steketee G. (1991). Psychiatric complications during flooding therapy for posttraumatic stress disorderJournal of Clinical Psychiatry 52: 17–20 PubMed
go back to reference Roemer L., Litz B., Orsillo S., Wagner A. (2001) A preliminary investigation of the role of strategic withholding of emotions in PTSDJournal of Traumatic Stress 14(1): 149–156 CrossRef Roemer L., Litz B., Orsillo S., Wagner A. (2001) A preliminary investigation of the role of strategic withholding of emotions in PTSDJournal of Traumatic Stress 14(1): 149–156 CrossRef
go back to reference Roth, S., Newman, E., Pelcovitz, D., van der Kolk, B.,& Mandel, D. (1997). Complex PTSD in victims exposed to physical and sexual abuse: Results from the DSM IV field trial for posttraumatic stress disorder. Journal of Traumatic Stress, 10(4), 539–555 PubMed Roth, S., Newman, E., Pelcovitz, D., van der Kolk, B.,& Mandel, D. (1997). Complex PTSD in victims exposed to physical and sexual abuse: Results from the DSM IV field trial for posttraumatic stress disorder. Journal of Traumatic Stress, 10(4), 539–555 PubMed
go back to reference Sachinvala N., Von Scotti H., McGuire M. (2000). Memory, attention, function and mood among patients with chronic posttraumatic stress disorderJournal of Nervous and Mental Disease 188(12): 818–823 PubMedCrossRef Sachinvala N., Von Scotti H., McGuire M. (2000). Memory, attention, function and mood among patients with chronic posttraumatic stress disorderJournal of Nervous and Mental Disease 188(12): 818–823 PubMedCrossRef
go back to reference Scott, M.J., & Stradling, S. G. (1997). Client compliance with exposure treatments for posttraumatic stress disorder. Journal of Traumatic Stress, 10(3), 523-526 PubMed Scott, M.J., & Stradling, S. G. (1997). Client compliance with exposure treatments for posttraumatic stress disorder. Journal of Traumatic Stress, 10(3), 523-526 PubMed
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002) Mindfullness-based cognitive therapy for depression. New York, Guilford Press Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002) Mindfullness-based cognitive therapy for depression. New York, Guilford Press
go back to reference Silver R. L., Boon C., Stones M. H. (1983). Searching for meaning in misfortune: Making sense of incestJournal of Social Issues 39: 81–102 CrossRef Silver R. L., Boon C., Stones M. H. (1983). Searching for meaning in misfortune: Making sense of incestJournal of Social Issues 39: 81–102 CrossRef
go back to reference Simpson E. B., Pistorello J., Begin A., Costello E., Levinson J., Mulberry S., Perlstein T., Rosen K., Stevens M. (1998). Use of dialectical behavior therapy in a partial hospital program for women with borderline personality disorderPsychiatric Services 49: 669–673 PubMed Simpson E. B., Pistorello J., Begin A., Costello E., Levinson J., Mulberry S., Perlstein T., Rosen K., Stevens M. (1998). Use of dialectical behavior therapy in a partial hospital program for women with borderline personality disorderPsychiatric Services 49: 669–673 PubMed
go back to reference Tarrier N., Pilgrim H., Sommerfield C., Faragher B., Reynolds M., Graham E., Barrowclough C. (1999). A randomized trial of cognitive behavioral therapy and imaginal exposure in the treatment of chronic posttraumatic stress disorderJournal of Consulting and Clinical Psychology 67(1): 13–18 PubMedCrossRef Tarrier N., Pilgrim H., Sommerfield C., Faragher B., Reynolds M., Graham E., Barrowclough C. (1999). A randomized trial of cognitive behavioral therapy and imaginal exposure in the treatment of chronic posttraumatic stress disorderJournal of Consulting and Clinical Psychology 67(1): 13–18 PubMedCrossRef
go back to reference Vasterling J., Duke L. M., Brailey K. (2002). Attention, learning and memory performances and intellectual resources in Vietnam veterans: PTSD and no disorder comparisonsNeuropsychology 16(1): 5–14 PubMedCrossRef Vasterling J., Duke L. M., Brailey K. (2002). Attention, learning and memory performances and intellectual resources in Vietnam veterans: PTSD and no disorder comparisonsNeuropsychology 16(1): 5–14 PubMedCrossRef
go back to reference Wagner, A. W., & Linehan, M. M. (2006). Applications of dialectical behavior therapy to posttraumatic stress disorder and related problems. In Follette V. M. & Ruzek J. I. (Eds.), Cognitive Behavioral Therapies for Trauma, (2nd edn., pp. 117–145) New York: Guilford Press. Wagner, A. W., & Linehan, M. M. (2006). Applications of dialectical behavior therapy to posttraumatic stress disorder and related problems. In Follette V. M. & Ruzek J. I. (Eds.), Cognitive Behavioral Therapies for Trauma, (2nd edn., pp. 117–145) New York: Guilford Press.
go back to reference Wegner D. M., Smart L. (1997). Deep cognitive activation: A new approach to the unconsciousJournal of Consulting and Clinical Psychology 65(6): 984–995 PubMedCrossRef Wegner D. M., Smart L. (1997). Deep cognitive activation: A new approach to the unconsciousJournal of Consulting and Clinical Psychology 65(6): 984–995 PubMedCrossRef
go back to reference Wegner D. M., Shortt J. W., Blake A. W., Page M. S. (1990). The suppression of exciting thoughtsJournal of Personality and Social Psychology 58(3): 409–418 PubMedCrossRef Wegner D. M., Shortt J. W., Blake A. W., Page M. S. (1990). The suppression of exciting thoughtsJournal of Personality and Social Psychology 58(3): 409–418 PubMedCrossRef
go back to reference Wegner D., Zanakos S. (1994). Chronic thought suppressionJournal of Personality 62(4): 615–640 CrossRef Wegner D., Zanakos S. (1994). Chronic thought suppressionJournal of Personality 62(4): 615–640 CrossRef
Metagegevens
Titel
Mindfulness and trauma: implications for treatment
Auteurs
Victoria Follette
Kathleen M. Palm
Adria N. Pearson
Publicatiedatum
01-03-2006
Uitgeverij
Springer US
Gepubliceerd in
Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 1/2006
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI
https://doi.org/10.1007/s10942-006-0025-2