Mindful Happiness

Anthony Quintiliani, Ph.D, LADC

  • Home
  • Dr. Anthony Quintiliani
    • About
  • Mindful Happiness
  • Mindful Expressions Meditation CD
  • Contact

July 29, 2019 By Admin

Quintiliani’s Brief Life Experience Screening

Quintiliani’s Brief Life Experience Screening

Years ago, when I received a rather large number of managed care referrals for  adolescent “treatment failures” and their families, I soon realized that typical screening, assessment and therapy was NOT working well. I tried so, so hard to reach these young people – all experiencing extreme psychological suffering with little hope for relief. Suicide risk was high, uncomfortably high! Nothing seemed to work very well; cognitive, behavioral, and mindfulness interventions fell short of the goals. My alliance building skills did work, but other than a meaningful and emotional relationship there was very little positive change in their cognition, emotion, or behavior. For the most part my young clients did show up, so I guess the therapeutic relationship was a motivating factor. For some, legal consequences may have been a factor. After ample frustration, I decided to start fresh; I decided to break things down into logical, sequenced patterns in their lives. Behavioral task analysis was helpful, but insufficient for success. Then in a meditation, it came to me as clear as a Vermont summer sky. There were some fluffy clouds. Below I will share what worked much better, and how to use it as a transitional screening and treatment strategy. Ok, get ready for a lot of letters!

Hx – Mp – CEB – VAKGO – I-S – Rels:  This represents what I came up with to  reach these young clients, and how we collaboratively discovered deficits/problems and more than a few solutions. The administration format is quite simple: Simply move through the letters (and their meanings), and as you do ask for the major negative/unhelpful memory/characteristic/experience the person remembers.  After each entry, asks for the major positive/helpful memory/characteristic/experience the person remembers. When you complete the screening you will have highly significant self-report about core live processes and major life experiences – both unhelpful and helpful. Allow me to clarify each step. The process is voluntary, and the client may stop at any time. Be sure to obtain informed consent. Stick with the dyadic formula – both negative and positive experiences. The negatives are problems to be resolved via relationship and skills; the positives are sources of personal strengths to help resolve problems. Obtain information up to the present; this wide window of time will allow the person to include all significant experiences they are willing to share with you.

Hx (History):   involves early attachment, object relations, educational experiences, medical and psychological issues. Simply ask for a significant problem and a significant benefit for each area noted.

Mp (Mind Perception):   involves personal reflections about significant life events and emotional responses/reactions to them. Emphasize how the person utilized perceptual processes in these experiences. Are they anxious and/or depressed? Are they open to change? Are they at all optimistic? Are they pessimistic?

CEB (Cognition, Emotion and Behavior):   involves highly significant unhelpful and helpful experiences in thinking, feeling, and acting. What are the dominant negative and positive repeating thoughts, emotions, and behaviors? Keep behavioral reinforcement and conditioning in mind for the behavioral area. Special attention may be required for addictions (substances, processes, eating, cellphone, self-harming, etc.).

VAKGO (Sensory – Visual, Auditory, Kinesthetic, Gustatory, Olfactory):  involves the past experiences of sensory processing. What are the most unhelpful and helpful recalled sensory experiences the person has had? Be sure to ask about negatives and positives for each sensory category. Interoception may be important: they ability to perceive and interpret internal body sensations is a special sensory attribute. Caution: Since serious traumatic experiences are processed and recalled most often via the CEB and VAKGO categories, be sensitive to client readiness to share. Be prepared to stop and become more psychodynamically supportive.

I-S (Intuition and Spirituality):  involves the person’s history of negative and positive experiences regarding their intuition and their spirituality. Since some people are not at all spiritual, go easy on this category. Some people, however, are highly spiritual with and without formal religious practice. This may be an area of primary strength for some people.

Rels (Relationships):   involves the negative and positive nature of significant relationships in the person’s life.This is also the core area where all of the above categories may become quite integrated. Most people experience pain and suffering as well as joy and happiness via their interpersonal relationships – the more significant, the more powerful.

Summary: Now you have a sheet of paper that notes significant aspects of a client’s history (up to the present), as well as significant areas of suffering and happiness. Work on working through and witnessing the suffering, and be sure to help your client improve their ability to use mindful skills to improve their future. Feel free to integrate other evidence-based therapies into the process. The process is trans-theoretical, but one that fits common human experiences across various domains. Good luck on this. Hope it is helpful to you and your clients.

Anthony R. Quintiliani, PhD., LADC  

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: ANTHONY QUINTILIANI, Behavior, Featured, Screening Tagged With: ANTHONY QUINTLIANI, PERCEPTION, SCREENING

Twitter

Mindful Happiness -Currently in Production

Mindful Happiness Posts

Gurdjieff’s The Fourth Way Meditations: A way of Being and Knowing Although Gurdjieff developed a whole way of being and knowing, including attentional practices, dance/body movements, group processes, and meditations here I will focus only on some of the suggested meditations.  In particular, I include the meditations noted by his primary student (J. DeSalzmann, 2011). […]

Self-Medication:  Is Your Hand-Held Device a  Dopamine Device?   Mindfulness Activities: Here is a simple activity that may inform you about your personal level of addiction to your digital/electronic devices. Simply click the link below to download the PDF Worksheet;   answer each question according to your personal opinions.  Dr-Anthony-Quintiliani_HandHeldDeviceActivity Be sure to complete the meditation activity […]

Interoceptive Practices for Generic  Tai Chi  & Chi Kung  Postures By Anthony R. Quintiliani, Ph.D. From The Eleanor R. Liebman Center  for  the  Study  of  Secular  Meditation  in  Monkton,  Vermont These practices will require either knowledge of Tai Chi/Chi Kung postures or following pictures of the same postures.  Be prepared before you begin to practice. […]

Trauma: Object Relations Therapy Object relations therapists, D. W. Winnicott especially, have presented a logical analysis on how to provide object-relations-oriented therapy to people suffering from the effects of psychological trauma. Such attachment-based trauma therapy provides support and healing from trauma, loss and long-term trauma-effects.  The interventions below combine the best of object relations therapy, […]

Winnicott’s Ideas – Best Possible Clinical Alliance To develop and maintain a strong clinical alliance it is best to follow some of the well-known clinical advice on this topic.  Rogers, Kohut, Winnicott and many others have suggested just how to do so.  Here are some general clinical recommendations for enhancing the clinical alliance. Develop authentic […]

  How Most People Learn in Psychotherapy It is highly important that clients learn from their therapists.  In most cases this includes alternative ways of thinking, emoting, and behaving. So what can we learn from educational research on how people learn? Of course we all know it begins with a solid therapeutic alliance – the […]

Enhancing Hope in Psychotherapy The enhancement of personal hope is a key part of successful psychotherapy practice. Some view this requirement as a foundational aspect of the therapeutic alliance; others do not hold the same view.  In the case of serious co-occurring disorders, especially trauma and substance misuse, initiating, developing, and sustaining a hopeful future-view […]

Mindfulness and Concentration –  Experience Differences In this post I will explain some basic differences between mindfulness and concentration, both of which are required for effective meditation practice.  This will be the first of three posts dealing with what mindfulness and concentration are, how to experience them briefly in a body-based activity, and how to […]

Henry David Thoreau  & Walking Meditation Henry David Thoreau is, perhaps, the most individualistic of the American Transcendentalists. He asked us to consider what we have learned that is useful as we travel our own “stream of life.” He cautions us not to regret when we die that we “had not lived.” He advised us to […]

Understanding Cognitive-Behavioral Therapy? Cognitive-Behavioral Therapy (or Cognitive-Behavior Therapy, hereafter CBT) has been noted as the most common evidence-based therapy approach used in the United States.  That said, the most common “therapy” approach used here remains generic talk therapy with more or less psychodynamic characteristics. Given the absolute limited level of outcome-based evidence for effectiveness of […]

Mindful Movement as Part of Practice Mindful movement is an accepted part of regular practice. Such practices as walking meditation, more vigorous yoga asanas, qi gong, and tail chi are all part of this respected mindfulness tradition. Here I will introduce you to a very simple pre-meditation movement sequence.  Hope you practice it very soon. […]

How to be Happier in a Relatively Unhappy World In today’s fast-paced, digitized, unstable world – with it uncertainty, childish tweets from on-high, and general dissatisfaction with things as they are – how may one become a happier person. It is clear that isolation will not work; it is clear that aggressive actions in opposition […]

Pursuit of Happiness – Mindful Happiness Gilbert, a professor of Psychology at Harvard University and the author of Stumbling on Happiness, implies that we make mind-errors in our search for happiness.  Happiness is a core human emotion, most often activated into consciousness via the midbrain reward centers and dopamine activation. Perhaps our hardwired brains are made to […]

Trauma Informed Care – Avoidance Process Although more and more clinicians are learning about and using principles/practices of Trauma Informed Care, too few understand the behavioral dynamics of negative reinforcement in the avoidance of trauma-related cues (people, places, things, internal sensations, emotions and images). This post will give a very brief description of negative reinforcement […]

Mindful Equanimity and Homeostasis Neuroscientist Antonio Demasio’s new book  The Strange Order of Things: Life, Feeling, and the Making of Culture. (2018) New York: Pantheon Books notes the very important role homeostasis plays in human life and well being. In some ways homeostasis is about the arising, falling, and balancing out of all things important to human […]

Money and Electronic “Friends” Are They Real ? The Sutta Nipata  (4.15, Translated by Thanissaro Bhikkhu) noted “Seeing people floundering like fish in small puddles, competing with one another…fear came into me. The world was entirely without substance….Wanting a haven for myself, I saw nothing that wasn’t laid claim to.  Seeing nothing in the end but […]

Helper Self-Care is Important In the most current issue of The National Psychologist (July-August, 2019) an article linked helper effectiveness, risk management, and clinical outcomes to helper self-care. To make a long story shorter, I will simply paraphrase and re-word the suggestions.  These recommendations support YOUR emotional survival and successful risk management as a helper as […]

Meditation Guide to Getting Started Since just sitting in basic (mindfulness or vipassana) meditation is such an important practice on your way to emotional regulation – and possibly and eventually to Enlightenment – I decided to offer a quick review of this skilled practice.  Practice every day! 1) Sit comfortably with your back softly errect […]

Liberate Yourself with Spiritual Energy Cultivating authentic inner and outer peace is the only way to a happy and good future. Learn to use your spiritual higher self to let go of self-centerednesss, greed, and entitlement. Work to free yourself from the endless grasping for material “things.”  Does it really matter what kind of car […]

 A Practice To  Help Prevent Alzheimer Disease Kirtan Kriya meditation is part of the ancient Kundalini yoga tradition.  Current clinical research dealing with prevention of Alzheimer disease supports its use in medical meditation.  As G. Harrison (The Beatles fame) noted: As you move attention beyond yourself, you may find peace of mind is there.  Sanskrit root […]

Mindful Happiness Tags

TRAINING BRAIN SELF THERAPY. MINDFUL BREATHING ADDICTION SELF MEDICATION VIPASSANA MEDITATION ENLIGHTENMENT EMPTINESS EXERCISES SELF COMPASSION WISE MIND MINDFULNESS HAPPINESS BUDDHISM THICH NHAT HANH ACTIVITY CLINICAL SUPERVISION MBSR SELF CARE COMPASSION PRACTICES PRACTICE SELF ESTEEM MEDITATION PRACTICE JOURNALING TRAUMA MINDFUL HAPPINESS MINDFULNESS TRAINING SUFFERING VIPASSANA ANTHONY QUINTILIANI DR ANTHONY QUINTILIANI MINDFUL TRAINING ACTIVITIES ELEANOR R LIEBMAN CENTER PSYCHOTHERAPY VERMONT MEDITATION CONSCIOUSNESS MINDFUL MEDITATION WALKING MEDITATION COVID-19

Mindful Categories

Mindful Happiness Pages

  • About
  • Contact
  • Dr. Anthony Quintiliani
  • Mindful Expressions Meditation CD
  • Mindful Happiness
  • Site Map

Copyright © 2023 · Mindful Happiness