Swipe om te navigeren naar een ander artikel
Therapists and other health professionals might benefit from interventions that increase their self-compassion and other-focused concern since these may strengthen their relationships with clients, reduce the chances of empathetic distress fatigue and burnout and increase their well-being. This article aimed to review the effectiveness of mindfulness-based interventions (MBIs) and loving-kindness mediation (LKM) in cultivating clinicians’ self-compassion and other-focused concern. Despite methodological limitations, the studies reviewed offer some support to the hypothesis that MBIs can increase self-compassion in health professionals, but provide a more mixed picture with regard to MBIs’ affect on other-focused concern. The latter finding may in part be due to ceiling effects; therefore future research, employing more sensitive measures, would be beneficial. Turning to LKM, there is encouraging preliminary evidence from non-clinician samples that LKM, or courses including LKM and related practices, can increase self-compassion and other-focused concern. As well as extending the LKM evidence base to health professionals and using more robust, large-scale designs, future research could usefully seek to identify the characteristics of people who find LKM challenging and the supports necessary to teach them LKM safely.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.
Beddoe, A. E., & Murphy, S. O. (2004). Does mindfulness decrease stress and foster empathy among nursing students? Journal of Nursing Education, 43, 305–312. PubMed
Bennett-Levy, J. (2005). Therapist skills: a cognitive model of their acquisition and refinement. Behavioural and Cognitive Psychotherapy, 34, 57–78. CrossRef
Birnie, K., Speca, M., & Carlson, L. E. (2010). Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR). Stress and Health, 26, 359–371. CrossRef
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.
Chrisman, J. A., Christopher, J. C., & Lichtenstein, S. J. (2009). Qigong as a mindfulness practice for counseling students: a qualitative enquiry. Journal of Humanistic Psychology, 49, 236–257. CrossRef
Christopher, J. C., & Maris, J. (2010). Integrating mindfulness as self-care into counselling and psychotherapy training. Counselling and Psychotherapy Research, 10, 114–125. CrossRef
Christopher, J. C., Christopher, S. E., Dunnagan, T., & Schure, M. (2006). Teaching self-care through mindfulness practices: the application of yoga, meditation, and qigong to counselor training. Journal of Humanistic Psychology, 46, 494–509. CrossRef
Curran, S. L., Andrykowski, M. A., & Studts, J. L. (1995). Short Form of the Profile of Mood States (POMS-SF): psychometric information. Psychological Assessment, 7, 80–83. CrossRef
Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.
Davis, M. H. (1983). Measuring individual differences in empathy: evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113–126. CrossRef
Derogatis, L. R. (1977). The SCL-R-90 Manual I: Scoring, administration and procedures for the SCL-90. Baltimore: Clinical Psychometric Research.
Derogatis, L. R. (1993). BSI brief symptom inventory. Administration, scoring, and procedures manual (4th ed.). Minneapolis: National Computer Systems.
Galantino, M. L., Baime, M., Maguire, M., Szapary, P. O., & Farrar, J. T. (2005). Association of psychological and physiological measures of stress in health-care professionals during an 8-week mindfulness meditation program: mindfulness in practice. Stress and Health, 21, 255–261. CrossRef
Gilbert, P. (2005a). Compassion and cruelty: a biopsychosocial approach. In P. Gilbert (Ed.), Compassion: conceptualisations, research and use in psychotherapy (pp. 9–74). New York: Routledge.
Gilbert, P. (2005b). Compassion: conceptualisations, research and use in psychotherapy. New York: Routledge.
Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15, 199–208. CrossRef
Gilbert, P. (2010). Compassion focused therapy. London: Routledge.
Gilbert, P., & Tirch, D. (2009). Emotional memory, mindfulness and compassion. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 99–110). New York: Springer. CrossRef
Hannigan, B., Edwards, D., & Burnard, P. (2004). Stress and stress management in clinical psychology: findings from a systematic review. Journal of Mental Health, 13, 235–245. CrossRef
Hardy, G., Cahill, J., & Barkham, M. (2007). Active ingredients of the therapeutic relationship that promote client change: a research perspective. In P. Gilbert & R. L. Leahy (Eds.), The therapeutic relationship in the cognitive and behavioral psychotherapies (pp. 24–42). Hove: Routledge.
Hick, S. F., & Bien, T. (2008). Mindfulness and the therapeutic relationship. New York: Guilford Press.
Hofman, S. G., Grossman, P., & Hinton, D. E. (2011). Loving-kindness and compassion meditation: potential for psychological interventions. Clinical Psychology Review, 31, 1126–1132. CrossRef
Hojat, M., Mangione, S., Nasca, T. J., Cohen, M. J. M., Gonnella, J. S., Erdmann, J. B., et al. (2001). The Jefferson scale of physician empathy: development and preliminary psychometric data. Educational and Psychological Measurement, 61, 349–365. CrossRef
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. (1994). Wherever you go, there you are: mindfulness meditation in every day life. New York: Hyperion.
Kass, J., Friedman, R., Leserman, J., Zuttermeister, P., & Benson, H. (1991). Health outcomes and a new measure of spiritual experience. Journal for the Scientific Study of Religion, 30, 203–211. CrossRef
Klimecki, O., & Singer, T. (2011). Empathic distress fatigue rather than compassion fatigue? Integrating findings from empathy research in psychology and social neuroscience. In B. Oakley, A. Knafo, G. Madhavan, & D. S. Wilson (Eds.), Pathological altruism (pp. 368–383). New York: Oxford University Press.
Krasner, M. S., Epstein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. J., et al. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. Journal of the American Medical Association, 302, 1284–1293. PubMedCrossRef
Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy, 38, 357–361. CrossRef
Maslach, C., & Jackson, S. E. (1986). Maslach burnout inventory: manual. Palo Alto: Consulting Psychologists Press.
McCollum, E. E., & Gehart, D. R. (2010). Using mindfulness meditation to teach beginning therapists therapeutic presence: a qualitative study. Journal of Marital and Family Therapy, 36, 347–360. PubMed
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. CrossRef
Neff, K. D. (2012). The science of self-compassion. In C. Germer & R. Siegel (Eds.), Compassion and wisdom in psychotherapy. New York: Guilford Press.
Neff, K. D., & Pommier, E. (2012). The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity (in press)
Ringenbach, R. (2009). A comparison between counselors who practice meditation and those who do not on compassion fatigue, compassion satisfaction, burnout and self-compassion. Dissertation Abstracts International
Rockliff, H., Gilbert, P., McEwan, K., Lightman, S., & Glover, D. (2008). A pilot exploration of heart rate variability and salivary cortisol responses to compassion focused-imagery. Journal of Clinical Neuropsychology, 5, 132–139.
Salzberg, S. (1995). Loving-kindness: the revolutionary art of happiness. Boston, MA: Shambhala Publications.
Schure, M. B., Christopher, J., & Christopher, S. (2008). Mind-body medicine and the art of self-care: teaching mindfulness to counseling students through yoga, meditation, and qigong. Journal of Counseling and Development, 86, 46–56. CrossRef
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: Guilford Press.
Shapiro, S. L., & Carlson, L. E. (2009). The art and science of mindfulness: integrating mindfulness into psychology and the helping professions. Washington, DC: American Psychological Association. CrossRef
Shapiro, S. L., & Schwartz, G. E. (2000). The role of intention in self-regulation: toward intentional systemic mindfulness. In M. Bockaerts, P. R. Pintrich, & M. Zeidner (Eds.), Handbook of self-regulation (pp. 252–272). San Diego, CA: Academic.
Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomized trial. International Journal of Stress Management, 12, 164–176. CrossRef
Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1, 105–115. CrossRef
Sprecher, S., & Fehr, B. (2005). Compassionate love for close others and humanity. Journal of Social and Personal Relationships, 22, 629–651. CrossRef
Tirch, D. D. (2010). Mindfulness as a context for the cultivation of compassion. International Journal of Cognitive Therapy, 3, 113–123. CrossRef
Walsh, R. A. (2008). Minfulness and empathy. In S. F. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 72–86). New York: Guildford Press.
Weibel, D. T. (2007). A loving-kindness intervention: boosting compassion for self and others. Unpublished doctoral dissertation, College of Arts and Sciences, Ohio University.
Yardley, L. (2000). Dilemmas in qualitative health research. Psychology and Health, 15, 215–228. CrossRef
- The Role of Mindfulness and Loving-Kindness Meditation in Cultivating Self-Compassion and Other-Focused Concern in Health Care Professionals
Fergal W. Jones
- Springer US