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Anthony Quintiliani, Ph.D, LADC

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March 26, 2017 By Admin

How to Improve Client/Patient Collaboration

Improving Client/Patient Collaboration  in Treatment

To improve collaboration between you and your clients/patients, simply practice the following behaviors as your norms.  See the

list below, and practice, practice, practice.

  1. Present with an attitude of helpfulness and authentic caring. Empathy and authentic concern are required.
  2. Recognize the reality that clients/patients are at different levels of readiness to make changes – almost alway NOT where you are in the process.
  3. Know how to use cognitive-behavioral therapies, mindfulness-based stress reduction, deepo psychodynamics in alliance building, and other effective approaches.
  4. Complete a cost-benefit analysis grid with the person, and work with pros/cons of staying the same vs changing.
  5. Do whatever you can to enhance the quality of the clinical relationship.
  6. Act within an understanding of equality; you are not able to control any person who is suffering.
  7. Provide psychoeducation where needed.
  8. Anticipate barriers to making desired changes; offer concrete support and help in doing so.
  9. Your clinical interventions should be evidence-based for a higher probability of success.
  10. Use the person’s personal hopes, goals, and motivations.
  11. Use task analysis as a behavioral method to break down larger tasks into smaller, more manageable tasks.
  12. Be willing to try harm reduction when people appear pre-contemplative in stages of change.
  13. Provide direct feedback, with more emphasis on reinforcing praise rather than scolding.
  14. Remain in the Middle Way regarding too much/too little expected change, as well as the timing and time required for any changes to occur.
  15. Be highly mindful of both your own emotion regulation and that of the person you are working with. Practice emotion regulation skills often.
  16. Intervene quickly in anxiety, depression, substance misuse, and trauma.  Intervene carefully, intelligently, and again with evidence-based actions.
  17. Remember in crisis situations that  safety is first, stabilization is second.
  18. Identify people, places, and things that help and hinder progress into healthier life patterns.
  19. Monitor serious symptoms and act accordingly.  If medications are required, be part of the monitoring system and do “check-ins” often.
  20. Use self-help groups if the client/patient finds them helpful.  One needs to participate to know the correct answer here.
  21. Do GOOD self-care and get effective clinical supervision when needed.

For more information refer to Daley, D. C. and Zuckoff, A. (1999). Improving Treatment Compliance: Counseling and Systems Strategies for Substance Abuse and Dual Disorders. Center City, MINN. Hazelden.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: ANTHONY QUINTILIANI, Clinicians, Counselor Activites, Featured, Ideas & Practices, Leadership, MIndfulness, Practices, Self -Kindness, Self Care, Self Compassion, Self Esteem, Stress Reduction, Therapist, Therapy, Thoughts & Opinions, Training

February 26, 2017 By Admin

Dangers of Smartphone Abuse

Psychological Research on the Dangers of Smartphone Abuse

There is no doubt that smartphone technology bring us a great deal of advanced technological access to a world of information and communication. There is a downside. Recent research published by The American Psychological Association in March, 2017, and opinions in The Atlantic warn of potential and actual biopsychosocial dangers of excessive smartphone use.  By now most of us realize that smartphone use is a strongly reinforced habitual behavior, a habitual behavior that results in huge profits for the industry.  Like so much else in American commerce, the profit incentive takes precedent over the health of the people using the products. Here are some things the researchers discovered. Most of these findings resulted from heavy, addictive use of smartphones (on 24/7, spending many hours a day connected, loss of sleep to remain connected, rising anxiety when not connected, etc.). Here is a list of possible problems to consider quite seriously.

Do any of these reflect your own relationship with your smartphone? Here is the list:

  1. Reduced self-care;
  2. Impact on one’s sense of well-being;
  3. Sleep problems;
  4. Fear of missing out leading to compulsive use (self-medicating anxiety, depression, loneliness, etc.);
  5. Anxiety within 10-20 minutes without smartphone use;
  6. Reduced face-to-face communications (remember your mirror neurons);
  7. Interference with “real” interpersonal relationships;
  8. Higher levels of distraction (how is your ADHD doing), and problems with attention and concentration;
  9. Stronger array and generalization for bullying;
  10. Compulsive, habitual use via behavioral conditioning process;
  11. Use of persuasive technology to get users “hooked” on their smartphones (there is a Persuasive Technology Lab);
  12. Brain hijacking via brain stem and limbic reactivity;
  13. Possible classical conditioning along with obvious instrumental conditioning via smartphone use behavior and environmental cues;
  14. Obsessive-compulsive smartphone checking (up to 150 times a day in some cases);
  15. Possible additional psychological health risks for people with anxiety, depression, trauma, etc.;
  16. Possible added stressors regarding the need to keep up, not miss anything; and,
  17. Possible iPhone disorders (see the next psychiatric Diagnostic and Statistical Manual – DSM-6).

The research and opinions suggest that there is an important human need to “take back your control.”  Here are ways to reduce your smartphone’s control OVER your life.

  1. Make conscious, mindful choices to use your smartphone less – and save money while you do so.
  2. Retrain yourself NOT to be the rat in the cage pecking away for reinforcement (the behavioral psychology story).
  3. Consciously time-out/limit your smartphone use.
  4. Clarify expectations that you will NOT be available via smartphone 24/7 or for immediate responses.
  5. Silence all notifications.
  6. Protect your precious sleep time by totally unplugging.
  7. Be more active interpersonally in the real world of human relations. Spend more time with people, not smartphones.
  8. Do not open the device without clear intention (Tristan Harris – Time Well Spent).
  9. Perhaps influencing smartphone companies and engineers to have a “do no harm’ ethics code.
  10. Doing more meditation, yoga, exercise instead of smartphone use.
  11. NEVER text, email, or talk while driving.

For more information refer to Weir, K. (March 2017). (DIS) – Con Nected. The Monitor on Psychology. Washington, DC: American Psychological Association. See also Top Concentrations Killers. WebMD, March 7, 2017. Also refer to Harris, T. (November, 2016). The Binge Breaker. The Atlantic.  

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Addiction, Behavior, Brain, Featured, Mindful Awareness, Psychological Research, Self Care, Smartphones, Thoughts & Opinions Tagged With: ABUSE, ADDICTION, MINDFUL HAPPINESS, SMARTPHONES

November 8, 2016 By Admin Leave a Comment

Mindful Solidarity with Standing Rock Sioux Earth Protectors

Mindful Solidarity with Standing Rock Sioux Earth Protectors

The Standing Rock Sioux earth protectors are fighting earth destruction, environmental degradation, oil profiteering, and corporate greed.  Yes, I suppose finding huge reserves of crude helps many people become employed in the Dakotas. This is important. But other earth-wise activity (more solar for example) would be far more productive. As the First Nations People stand up for their water and spiritual rights, the powers of the state are encroaching on them with more and more force.  Reportedly, military equipment, riot police, and attack dogs are being used against mainly unarmed indigenous people praying and demonstrating to protect their rights to clean water and the spiritual sacredness of area burial grounds. Just like much earlier in our glorious history, Americans profiteers (with their official police and sometimes the army) may end up killing American Indians over land and dakota_access_pipelinewaterprotectorsits underground riches. Nothing new here! It is only a matter of time before shots are fired and people die!  Some say that the Dakota Access Oil Pipeline may have already violated earlier treaty obligations with The Sioux.  That has NEVER prevented the dominant white culture from acting for its own financial interests in the past – nothing new here. It may be environmental racism that The Army Corp of Engineers moved the pipeline route away from Bismarck (fear of possible water contamination for mainly white folks) so it now crosses land and water of First Nations People.  The marginalization and disrespect continue. Perhaps this is urban slum politics in the great rural areas of the Dakotas. Such fears regarding Bismarck simply emphasize that the technology being used is NOT completely safe and dependable.  This is the FALSE PROMISE OF TECHNOLOGY. Like so many of our technological advances (the internet for example), the primacy of safety and security have been over-shadowed by the desire for free flow of commerce and thus greater standingrocksioux_dakotaaccespipeline-mindfulhappinessprofits. The core issue is that such oil extraction and use continues to threaten mother earth’s health AND OUR FUTURE AS HUMANS. Oil profiteers, using private and public security forces with armored military vehicles and attach dogs, are determined to force the Sioux off the land – perhaps off their own land. Praise to Amy Goodman for reportedly filming brutal dog attacks and releasing the video into the internet network.  It is reported that many national unions (except the national AFL-CIO) have already stated their support for the Standing Rock Sioux in their fight against corporate greed (America’s #1 problem)  and cultural repression (also a #1 problem – “black lives matter”). Perhaps we will witness annihilation once again (and again and again).  Is this “the great American dream?” No!

If ever there was a time for OUR NATIONAL GOVERNMENT to correct a long-standing dakotaaccesspipelinewrong, this may be that time. President Obama, as the Commander and Chief (notice the word, “chief”), this is a good time to act on the behalf of oppressed people, even if it includes acting against corporate profiteering interests.

CHANGE THE ROUTE OF THE PIPELINE NOW, AND FIND WAYS TO REIMBURSE THE DAPL CORPORATE ENTITIES THAT STAND TO FACE GREAT FINANCIAL LOSSES IF THAT IS DONE.  CHANGE THE PIPELINE’S ROUTE BEFORE PEOPLE ARE KILLED – THAT IS KILLED OVER OIL! That sounds familiar.

By Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

 

Filed Under: ANTHONY QUINTILIANI, Commentary, Featured, First Nation, Spiritual Energy, Standing Rock Sioux, Thoughts & Opinions

May 25, 2016 By Admin Leave a Comment

Human Beings Having Trouble BEING Human! Mindful Happiness Offers Some Help.

Human Beings Have Trouble BEING Human –

Some Sound Advice from Dr Anthony Quintiliani

The world today appears to be even more destructive than ever before in human history.  However, historians and violence researchers inform us that we as average persons are safer today than we were in the past.  Finger-tip access to world-wide media leads us into the conclusion that the whole world is falling apart. In some cases, it is!  Let’s look at some obvious problems, problems especially current in the United States.  In mindfulhappiness-world-fallung-apartmy opinion massive mindfulness and wise mind adoption and regular practice in our culture may be an answer to the turmoil we face. Here is a short list of OUR problems.

Problems We Face Are:

Rugged individualism, sometimes over-dependency, a separate self, material gain and greed, rising fear, rising intolerance, strong striving, learned helplessness, I/me/my entitlement, narcissism, conditioned limbic dominance, norms of defensiveness, the GREAT rush, craving and desiring, corruption of power and money, corporate influence in government, more smartphone less face-to-face communication, greed-based climate change, endless wars, Big Pharma-made opioid overdose crisis, increased white working class premature deaths, growing personal and national debt, earlier onset of serious mental illness in children and youth, earlier onset of suicide risk, weak self-esteem, earlier onset of medications use in children and youth, declining standard of living, racial and ethnic hatred, increased mental illness in college-aged populations, declining physical health status, an inner emptiness for many, loss of hope for many, more anxiety, depression, trauma, and substance misuse, rampant self-medication for short-term relief of our suffering, etc.

Need I go on?  Hopefully not. These are the more severe norms of American suffering.

Yet in spite of this cultural  mess we still produce vast achievements, great wealth, many goods, vast opportunities, strong caring, generosity, philanthropy, and HOPE for so, so many people who wish to come here to improve their lives.

Mindfulness and Wise Mind Traditions That Can Help Us –

Some Common Outcomes from REGULAR Practice of Mindfulness, Meditation, Yoga, Even Exercise Are:

Mindfulness awareness, improved attention, improved concentration, the ability to pause before reacting, emotional slowing, inner calm, IMG_2694compassion, self-compassion, executive strengthening, limbic weakening, mindful responding, kindness, impermanence, interbeing – the Golden Rule, dependent arising, no independent self, non-material authentic happiness, contentment, skillful reduction of suffering, ultimate emptiness (non-nihilistic), personal responsibility for doing good, etc. etc. I will not continue the list.  You get the picture.

It is highly unlikely that American leaders will guide us into becoming a nation of reasonable, mindful beings. However, we as individuals and groups may pursue life-changing opportunities through the regular practice of mindfulness, meditation, yoga, etc. Such practices and skills will improve our inner emotional lives and inner/outer peace. Yes, this is possible. If you doubt it, search the many, many research studies on the positive effects of mindfulness, meditation, yoga and exercise.  I dare you to try!!!!  Go ahead. You have nothing to lose.

For more information refer to Alper, S. A. (2016). Mindfulness Meditation in Psychotherapy…Oakland, CA: New Harbinger.

By Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

CLICK HERE  or any image below to Order 

Mindful Happiness cover designs.indd

MindfulHappiness_Amazon           mindful-happiness_barnes_and_noble

Filed Under: Activities, Benefits of Mindfulness, Commentary, Featured, Happiness, Meditation, MIndfulness, MIndfulness Activities, Thoughts & Opinions, Training Tagged With: MINDFUL ACTIVITIES, MINDFULNESS, PRACTICE, THE GOLDEN RULE, WISE MIND TRADITIONS

March 30, 2016 By Admin Leave a Comment

Early Judeo-Christian Meditation Practice

Looking at Early Judeo-Chrsitian Meditation Practice

An early description of enlightened liberation in Buddhist meditation practice reads like mindful-happiness-mahasaccaka-sutrathis: Birth is destroyed, the spiritual life has been lived, what had to be done has been done. There is no more coming back to any state of being.  Ignorance was banished and true knowledge arose, darkness was banished and light arose, as happens in one who dwells diligent, ardent, and resolute.”  From the Mahasaccaka Sutra.

In Gnosticism (considered by some the first roots of Christianity), but which  predates formal Christianity, core spiritual and religious beliefs shifted from having knowledge of god and Jesus to a mystical oneness with god. This was a judeo-christian-meditation-MindfulHappinesssignificant change in one’s relationship to divinity.  With sitting in prayer and meditation one of the earliest known forms of formal meditation is the Judeo-Christian practice of Hesychast.  This meditation method implied great grace and personal commitment to practice.  Some of the key characteristics of Hesychast meditation are as follows.

  1. Your correct posture represents your correct attitude.
  2. Emphasis on the body implies it is the temple of your spirit.
  3. “Sit down like a mountain” and synchronize your breath as if a flowing ocean. Remain focused on your breath – breathing in, and breathing out.  Continue to focus on the flow of your breath.
  4. Recognize that the deeper sea is more calm than the surface waves. Breathe with “oceanic respiration.”
  5. Listen carefully to your breath. Be at peace with the inhalation, the source of inspiration. Notice the end of the exhalation – more pure peace again.
  6. According to scripture, the Samaritan woman was told to become one with the breath of her spirit and the spirit of the breath.
  7. Be like a mountain, a bird, a flower, an ocean when you meditate. The Old Testament meditations included the Jewish “haga” and the Latin “Meditatio.”  These are roots of future meditation practices.
  8. Meditate from the throat as you are murmuring the “name” of who you believe in. Allow the murmuring to vibrate in the body. Meditating on the “name” was common in various forms of Hindu, Buddhist and early Christian practices. Repeat, be virtuous, and note the sacred name again and again.
  9. Now as you breathe, invoke the name, and make an image of the face of who you believe in – allow the sacred presence to enter your heart.  This is a form of heart-centering spirituality.
  10. Practice using your inner chant of the name to awaken your heart – BE in the light and BE in the peace!
  11. Work on meditating via a constant presence – peace, light, love, non-judgmental, non-attachment, compassion, and awaken your heart’s vital center of the divine. Become one!
  12. Stay steady and deep as you meditate in transcendence of the universe and all the 10,000 things.
  13. It is only YOU here now. Just ONE!
  14. Now end your meditation and simply reflect and contemplate on your experience.

For more information refer to Leloup, J-Y (2000, 2009 Edn.). Compassion and Meditation: The Spiritual Dynamic Between Buddhism and Christianity. Translated by J. Rowe. Rochester, VT: Inner Traditions, pp. 21-36.

By Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

CLICK HERE  or any image below to Order 

Mindful Happiness cover designs.indd

MindfulHappiness_Amazon           mindful-happiness_barnes_and_noble

Filed Under: ANTHONY QUINTILIANI, Featured, Judea-Christian Meditation, Meditation, Thoughts & Opinions Tagged With: DR ANTHONY QUINTILIANI, JUDEAO-CHRISTIAN MEDITATION

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