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Gepubliceerd in: Mindfulness 2/2014

01-04-2014 | ORIGINAL PAPER

The Role of the Teacher in Mindfulness-Based Approaches: A Qualitative Study

Auteurs: Joël R. van Aalderen, Walter J. Breukers, Rob P. B. Reuzel, Anne E. M. Speckens

Gepubliceerd in: Mindfulness | Uitgave 2/2014

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Abstract

In the last decade, mindfulness-based interventions have been shown to be effective interventions for both psychiatric disorders and chronic and severe physical conditions, such as cancer. The literature consistently stresses the importance of mindfulness teachers having an ongoing experiential engagement with mindfulness meditation practice in addition to theoretical knowledge in order to be effective as a teacher. However, there has been little systematic investigation of the role of the mindfulness teacher. This study explores the role of the mindfulness-based teacher from the perspective of both participant and teacher. Three qualitative techniques are used to obtain information: in-depth interviews of mindfulness training participants (n = 10) and teachers (n = 9); a focus group consisting of mindfulness teachers (n = 6); and observation by participation in a mindfulness-based cognitive therapy course (MBCT). These three sources of information enabled us to use triangulation to come to our conclusions. A thematic analysis approach was used to derive central themes from the interviews. Analyses resulted in four overarching themes characterising the teacher-participant relationship in MBCT: embodiment, empowerment, non-reactivity and peer support. The embodiment of the method by the teacher, the teaching of an empowering way of dealing with problems and group processes are mentioned as key factors. Group processes seem to be underestimated by the teachers in our study. Further quantitative research is necessary to validate the results of this explorative study.
Literatuur
go back to reference Allen, M., Bromley, A., Kuyken, W., & Sonnenberg, S. J. (2009). Participants' experiences of mindfulness-based cognitive therapy: “it changed me in just about every way possible”. Behavioural and Cognitive Psychotherapy, 37(04), 413–430. PubMedCrossRef Allen, M., Bromley, A., Kuyken, W., & Sonnenberg, S. J. (2009). Participants' experiences of mindfulness-based cognitive therapy: “it changed me in just about every way possible”. Behavioural and Cognitive Psychotherapy, 37(04), 413–430. PubMedCrossRef
go back to reference Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. Journal of Psychosomatic Research, 68, 539–544. PubMedCrossRef Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. Journal of Psychosomatic Research, 68, 539–544. PubMedCrossRef
go back to reference Crane, C., & Williams, J. M. G. (2010). Factors associated with attrition from mindfulness-based cognitive therapy in patients with a history of suicidal depression. Mindfulness, 1(1), 10–20. PubMedPubMedCentralCrossRef Crane, C., & Williams, J. M. G. (2010). Factors associated with attrition from mindfulness-based cognitive therapy in patients with a history of suicidal depression. Mindfulness, 1(1), 10–20. PubMedPubMedCentralCrossRef
go back to reference Crane, R. S., Kuyken, W., Hastings, R. P., Rothwell, N., & Williams, J. M. G. (2010). Training teachers to deliver mindfulness-based interventions: learning from the UK experience. Mindfulness, 1(2), 74–86. PubMedPubMedCentralCrossRef Crane, R. S., Kuyken, W., Hastings, R. P., Rothwell, N., & Williams, J. M. G. (2010). Training teachers to deliver mindfulness-based interventions: learning from the UK experience. Mindfulness, 1(2), 74–86. PubMedPubMedCentralCrossRef
go back to reference Crane, R. S., Kuyken, W., Williams, J. M. G., Hastings, R. P., Cooper, L., & Fennell, M. J. V. (2012). Competence in teaching mindfulness-based courses: concepts, development and assessment. Mindfulness, 3, 76–84. PubMedPubMedCentralCrossRef Crane, R. S., Kuyken, W., Williams, J. M. G., Hastings, R. P., Cooper, L., & Fennell, M. J. V. (2012). Competence in teaching mindfulness-based courses: concepts, development and assessment. Mindfulness, 3, 76–84. PubMedPubMedCentralCrossRef
go back to reference Finucane, A., & Mercer, S. W. (2006). An exploratory mixed methods study of the acceptability and effectiveness of mindfulness-based cognitive therapy for patients with active depression and anxiety in primary care. BMC Psychiatry, 6. doi: 10.​1186/​1471-244X-6-14. Finucane, A., & Mercer, S. W. (2006). An exploratory mixed methods study of the acceptability and effectiveness of mindfulness-based cognitive therapy for patients with active depression and anxiety in primary care. BMC Psychiatry, 6. doi: 10.​1186/​1471-244X-6-14.
go back to reference Fjorback, L. O., Arendt, M., Ørnbøl, E., Fink, P., & Walach, H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy—a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124(2), 102–119. PubMedCrossRef Fjorback, L. O., Arendt, M., Ørnbøl, E., Fink, P., & Walach, H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy—a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124(2), 102–119. PubMedCrossRef
go back to reference Godfrin, K. A., & van Heeringen, C. (2010). The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: a randomized controlled study. Behaviour Research and Therapy, 48(8), 738–746. PubMedCrossRef Godfrin, K. A., & van Heeringen, C. (2010). The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: a randomized controlled study. Behaviour Research and Therapy, 48(8), 738–746. PubMedCrossRef
go back to reference Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: a randomized, double-blind, controlled study. Psychotherapy and Psychosomatics, 76(6), 332–338. PubMedCrossRef Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: a randomized, double-blind, controlled study. Psychotherapy and Psychosomatics, 76(6), 332–338. PubMedCrossRef
go back to reference Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183. PubMedPubMedCentralCrossRef Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183. PubMedPubMedCentralCrossRef
go back to reference Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., et al. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76(6), 966–978. PubMedCrossRef Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., et al. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76(6), 966–978. PubMedCrossRef
go back to reference Landelijke Stuurgroep Multidisciplinaire Richtlijnontwikkeling GGZ (2010). Richtlijnherziening van de Multidisciplinaire richtlijn Depressie (tweede revisie). Richtlijn voor de diagnostiek, behandeling en begeleiding van volwassen patiënten met een depressieve stoornis. http://​www.​ggzrichtlijnen.​nl/​. Accessed 13 Apr 2012. Landelijke Stuurgroep Multidisciplinaire Richtlijnontwikkeling GGZ (2010). Richtlijnherziening van de Multidisciplinaire richtlijn Depressie (tweede revisie). Richtlijn voor de diagnostiek, behandeling en begeleiding van volwassen patiënten met een depressieve stoornis. http://​www.​ggzrichtlijnen.​nl/​. Accessed 13 Apr 2012.
go back to reference Lau, M. A., & McMain, S. F. (2005). Integrating mindfulness meditation with cognitive and behavioural therapies: the challenge of combining acceptance- and change-based strategies. Canadian Journal of Psychiatry, 50(13), 863. Lau, M. A., & McMain, S. F. (2005). Integrating mindfulness meditation with cognitive and behavioural therapies: the challenge of combining acceptance- and change-based strategies. Canadian Journal of Psychiatry, 50(13), 863.
go back to reference Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40. PubMedCrossRef Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40. PubMedCrossRef
go back to reference Malterud, K. (2001). Qualitative research: standards, challenges, and guidelines. The Lancet, 358(9280), 483–488. CrossRef Malterud, K. (2001). Qualitative research: standards, challenges, and guidelines. The Lancet, 358(9280), 483–488. CrossRef
go back to reference Manicavasgar, V., Parker, G., & Perich, T. (2011). Mindfulness-based cognitive therapy vs cognitive behaviour therapy as a treatment for non-melancholic depression. Journal of Affective Disorders, 130(1–2), 138–144. PubMedCrossRef Manicavasgar, V., Parker, G., & Perich, T. (2011). Mindfulness-based cognitive therapy vs cognitive behaviour therapy as a treatment for non-melancholic depression. Journal of Affective Disorders, 130(1–2), 138–144. PubMedCrossRef
go back to reference Mason, O., & Hargreaves, I. (2001). A qualitative study of mindfulness-based cognitive therapy for depression. The British Journal of Medical Psychology, 74(2), 197–212. CrossRef Mason, O., & Hargreaves, I. (2001). A qualitative study of mindfulness-based cognitive therapy for depression. The British Journal of Medical Psychology, 74(2), 197–212. CrossRef
go back to reference McCown, D., Reibel, D., & Micozzi, M. S. (2010). Teaching mindfulness: a practical guide for clinicians and educators. New York: Springer. CrossRef McCown, D., Reibel, D., & Micozzi, M. S. (2010). Teaching mindfulness: a practical guide for clinicians and educators. New York: Springer. CrossRef
go back to reference Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review, 31(6), 1032–1040. PubMedCrossRef Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review, 31(6), 1032–1040. PubMedCrossRef
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford.
go back to reference Segal, Z. V., Teasdale, J. D., & Williams, J. M. G. (2004). Mindfulness-based cognitive therapy: theoretical rationale and empirical status. In S. C. Hayes, V. M. Follette, & M. Linehan (Eds.), Mindfulness and acceptance: expanding the cognitive-behavioral tradition. New York: Guilford. Segal, Z. V., Teasdale, J. D., & Williams, J. M. G. (2004). Mindfulness-based cognitive therapy: theoretical rationale and empirical status. In S. C. Hayes, V. M. Follette, & M. Linehan (Eds.), Mindfulness and acceptance: expanding the cognitive-behavioral tradition. New York: Guilford.
go back to reference Segal, Z. V., Bieling, P., Young, T., MacQueen, G., Cooke, R., Martin, L., et al. (2010). Antidepressant monotherapy vs sequential pharmacotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67(12), 1256–1264. PubMedPubMedCentralCrossRef Segal, Z. V., Bieling, P., Young, T., MacQueen, G., Cooke, R., Martin, L., et al. (2010). Antidepressant monotherapy vs sequential pharmacotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67(12), 1256–1264. PubMedPubMedCentralCrossRef
go back to reference Shafran, R., Clark, D. M., Fairburn, C. G., Arntz, A., Barlow, D. H., Ehlers, A., et al. (2009). Mind the gap: improving the dissemination of CBT. Behaviour Research and Therapy, 47(11), 902–909. PubMedCrossRef Shafran, R., Clark, D. M., Fairburn, C. G., Arntz, A., Barlow, D. H., Ehlers, A., et al. (2009). Mind the gap: improving the dissemination of CBT. Behaviour Research and Therapy, 47(11), 902–909. PubMedCrossRef
go back to reference Smith, A., Graham, L., & Senthinathan, S. (2007). Mindfulness-based cognitive therapy for recurring depression in older people: a qualitative study. Aging & Mental Health, 11(3), 346–357. CrossRef Smith, A., Graham, L., & Senthinathan, S. (2007). Mindfulness-based cognitive therapy for recurring depression in older people: a qualitative study. Aging & Mental Health, 11(3), 346–357. CrossRef
go back to reference Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623. PubMedCrossRef Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623. PubMedCrossRef
go back to reference Van Aalderen, J. R., Donders, A. R. T., Giommi, F., Spinhoven, P., Barendregt, H. P., & Speckens, A. E. M. (2012). The efficacy of mindfulness-based cognitive therapy in recurrent depressed patients with and without a current depressive episode: a randomized controlled trial. Psychological Medicine, 42(5), 989–1002. PubMedCrossRef Van Aalderen, J. R., Donders, A. R. T., Giommi, F., Spinhoven, P., Barendregt, H. P., & Speckens, A. E. M. (2012). The efficacy of mindfulness-based cognitive therapy in recurrent depressed patients with and without a current depressive episode: a randomized controlled trial. Psychological Medicine, 42(5), 989–1002. PubMedCrossRef
Metagegevens
Titel
The Role of the Teacher in Mindfulness-Based Approaches: A Qualitative Study
Auteurs
Joël R. van Aalderen
Walter J. Breukers
Rob P. B. Reuzel
Anne E. M. Speckens
Publicatiedatum
01-04-2014
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2014
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-012-0162-x