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Anthony Quintiliani, Ph.D, LADC

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April 9, 2020 By Admin

Mindfulness Skills and Psychotherapy Outcomes

Mindfulness Skills and Psychotherapy Outcomes

There are at least ten good reasons why mindfulness training and regular practice may improve psychotherapy outcomes. These reasons assume the training is presented by a well-trained clinician-mindfulness practitioner. Of course improved outcomes also depend upon the client’s motivation and energy to actually practice mindfulness skills on a regular basis. One way to ensure this is to integrate such practices into every therapy session. Here is the list.

  1. Intention: Mutual intention to learn and practice mindfulness skills is required. Intention may also carry over to the client’s desire to make changes for the better. For both parties regular practice opens doorways to improved emotion regulation and awareness as well as possible spiritual development.
  2.  Attention: Attention is required for regular mindfulness practice. Such attentional improvements may help clients notice more clearly unhelpful patterns in cognition, emotion, behavior, and sensation. This also applies to therapists, who may find these skills improve their acuity in noticing small but important problems and changes in client behaviors.
  3. Awareness: Intention and attention tend to improve one’s level of awareness – for both positive and negative experiences. Awareness skills may be open or focused. Improved awareness of unhelpful experiences may challenge clients, but it will also help both parties to see more clearly what is important and what changes are needed. When awareness is matched with behavioral task analysis, it allow clear measurement of progress.
  4. Emotion Regulation: Improvement in emotion regulation is, perhaps, the single most beneficial change for both clients and therapists. Integrating various approaches from mindfulness-based therapies will ensure ample opportunity to practice emotion regulation, which is the single most problematic issue in most common problem areas (anxiety, depression, trauma, addictions, chronic pain).
  5. Mindfulness-Based Skills: Mindfulness-based therapies (MBSR, MBCT, ACT, etc.) offer a wide array of skill practices for both clients and therapist. Therefore, it is possible to match client needs with appropriate skill practices in sessions and  at home. Also the “self” of both parties is more strongly present in such practices. Who is this observer experiencing these conditions and situations of life.
  6. Subject-Object Observation: In the many problems people experience it is possible to match client needs with a specific set of mindfulness skills. The ongoing practice of subject-object observation (often without evaluation) allows various transformational experiences for clients. One that is most common is that thoughts, emotions, behaviors, and sensation are internal and external experiences that the “I” is having.  However, such experience is NOT-ME, they are simply current experiences in life. They are impermanent. The same is true for therapists. Also therapist may be able to use this formal process to investigate the quality of the therapeutic relationship and its core alliance. Transference and countertransference responses are Important!
  7. Interoception: Along with emotion regulation interoception skill, or the ability to recognize internal body sensations arising and the emotions that follow, is highly valuable in therapy. This allows both clients and therapists to recognize precursors to problematic thoughts, emotions, behaviors, and sensations. It enables a short window of time to act to prevent or mitigate negative experiences. It also brings in awareness of somatosensory experiences. Our sensory experiences are what we “are” in life.  Awareness os the “me.”
  8. There is ample, high quality research supporting the use of mindfulness skills in improving both depression and anxiety. Google it.
  9. There is high quality research supporting the use of mindfulness skills in improving chronic pain. Google it.
  10. There is good evidence supporting the use of mindfulness skills in improving both trauma symptoms and challenges, as well as improving addictive behaviors. These improvements come mainly from improved awareness,  emotional self-regulation, and interoceptive practices.

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  

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New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Featured, MIndfulness Tagged With: ATTENTION, AWARENESS, EMOTION REGULATION, INTROCEPTION. NTENTION, MINDFUL HAPPINESS, MINDFUL SKILLS, MINDFUL-BASED SKILLS, OUTCOMES, PSYCHOTHERAPY

March 22, 2020 By Admin

ACT – The Absolute Basics; Acceptance & Commitment Therapy

ACT – The Absolute Basics; Acceptance & Commitment Therapy

In this post I begin a series of writing dealing with ACT, Acceptance and Commitment Therapy. The details below are basic, but perhaps just enough to develop more interest in learning about ACT. Here we go!

1) Act, developed mainly by Steven Hayes Ph.D.and based on a foundation of Relational Frame Theory, uses both language and cognition as key components of therapy. However, ACT goes much further than RFT.

2) Act utilizes the Hexaflex Model to ground the therapy process. Within this model ACT focuses on flexible contact with the present moment, no matter what that contact is. It suggests that acceptance of difficulties works better than avoidance of them, in fact showing how avoidance of personal problems often makes condition worse emotionally. Self-as-context is emphasized. The focus is on cognition, emotion, and behavior of the person seeking help. Values are used in congruence with motivation, and cognitive diffusion is taught to free the person from deep “stuckness” in unhelpful thoughts. Finally, once a behavioral action plan is agreed upon, ACT works to obtain clear commitment to action by the person who is suffering. In summary, ACT does its best to reduce/eliminate cognitive and behavioral inflexibility. Ultimately, ACT strives to enhance and expand psychological flexibility on the part of the person seeking help.

3) ACT emphasizes the utter importance of a strong clinical relationship, alliance and trust in therapy. Without such a therapeutic relationship, it is unlikely there will be constructive, positive change.

4) Act utilizes helpful metaphors and reinforcing clinical interventions to support positive change. Act intends to reduce the power on unhelpful verbal rules used by the person hoping to change. For example, ACT notes the hopeless futility of avoiding personal problems and works to get the person unstuck from unhelpful thoughts, emotions, and behaviors. With both personal acceptance of your own cognition, emotion, and behavior (they are important but they are NOT you) – and commitment to valued actions – ACT hopes to improve what needs to be changed in a collaborative relationship.

5) ACT skill building occurs in interactive experiential actions and experiments; ACT pays close attention to positive changes that may occur. In the process ACT is both interpersonal and intrapersonal in nature. With costs-benefits analysis and various forms of behavioral functional analysis, ACT supports personal goals and improved stimulus control via contingencies of reinforcement (very behavioral here).

6) ACT has shown effectiveness in dealing with depression, anxiety, and addictions. More recently, ACT has modified its approach to improve outcomes in trauma treatment. In this process ACT recognizes self-medication contingencies, the role of avoidance in making things worse, as well as intrusive cognitions, emotions, and behaviors. Act hopes to use skillful means (mindfulness in acceptance and defusion) to reduce rigid reactions and fears. Act is flexible enough to complement other forms of evidence-based therapies.

For more information refer to Harris, R. (2019). ACT Made Simple. Oakland, CA: New Harbinger Publications or the various articles and book written by Steven Hayes on this topic.

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: ACT - Acceptance & Commitment Therapy, Featured, Therapy Tagged With: ACCEPTANCE AND COMMITMENT THERAPY, ACT, ANTHONY QUINTILIANI, MINDFUL HAPPINESS, MINFUL HAPPINESS, THERAPY.

February 22, 2020 By Admin

Taoist Meditation on Healing Colors of Light

Taoist Meditation on Healing Colors of Light

In Taoist views the four seasons (five if you include “Indian Summer”) are strongly associated with emotional moods and bodily energies. Healing colored light is also part of this viewpoint. For each of the colors we use, follow the process noted below.

  1. Sit quietly and breathe calmly.
  2. Circle your arms palms open above your head to collect the healing energy potential.
  3. Place your hands over your heart at first, then when ready move them to cup your knees and pull up a little.
  4. Allow the colored healing light to do its healing work inside you, and be open to imagination and suggestion.
  5. Smile!
  6. At the end of each color meditation, imagine releasing dark negative energies from your body.

For White Healing Light (think about courage and righteous justice), Bright Blue Healing Light (think about inner stillness, gratitude and gentleness), Bright Green Healing Light (think about kindness, generosity, and forgiveness),  Bright Red Healing Light (think about joy, happiness, honor, and love), Bright Yellow Healing Light (think about fairness, openness, and balance) AND now use any combination your wish – Follow the process noted and listen for guidance. In the combination feel whatever comes up in your upper chest, then in your heart area, and finally in your lower belly.

For more information on sound and color healing meditation, refer to C. Mantak (2009). The Six Healing Sounds: Taoist Techniques for Balancing Chi. Rochester, VT: Destiny Books [CD].

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, Featured, Meditation, MIndfulness, Taoism Tagged With: ANTHONY QUINTILIANI, HEALING COLORS OF LIGHT, MEDITATION, MINDFUL HAPPINESS, TAOIST

January 30, 2020 By Admin

A Tribute to Ram Dass (Richard Alpert)

A Tribute to Ram Dass (Richard Alpert)

Recently Ram Dass died at his home in Maui. He was 88 years old.  He was born into a well-off Boston family, and enjoyed materialism in his early professional years.  When completing a Ph.D. in Psychology at Stanford University he was still into material things. His spiritual awakening did not exist.  He was once known for his psychedelic drug experimentation while teaching at Harvard University. This experimentation occurred in the 1960s and 1970s, and in 1963 he was fired from Harvard for related reasons. In 1967 he went to India to study under Hindu Sadhu Neem, Karoli Baba, also known as Maharaj-ji. Before his teacher died, Alpert was named Ram Dass (Servant of God). He practiced bhakti yoga – pure love on the spiritual path. In 1974 Ram Dass returned to the United States, where he developed his own style of meditation, a style that radically integrated various forms of spiritual traditions.  In 1971 he published his first book, Be Here Now;  this book helped open up higher consciousness to others without the use of drug and expounded a life role of service to others. In 2004 Ram Dass relocated to Maui, where he remained for the rest of his life.  In 1997 he wrote Still Here. In some ways this book helped to clarify his deeper understanding of himself; the depth was the result of a serious stroke he suffered. His cerebral hemorrhage forced him to go deeper into self-understanding. In 2004 he survived a near-fatal infection. From his stroke on Ram Dass  was mainly homebound. His last book (with Mirabai Bush) was Walking Each Other Home:Conversations on Living and Dying. 

To the end he faced his death with great human grace, and he never gave up his view that to live must involve to love and serve others. Ram Dass, sometimes with the help of others, also established various organizations to provide teachings and service to others. Here is a short list: Hanuman Foundations (the teachings of Neen Karoli Baba); Love Serve Remember Foundation; Prison Ashram Project; Co-creating Living Dying Project and Doorway to Light; Seva Foundation (healthcare for underserved areas); and, Social Venture Network (for businesses). Yes, Ram Dass lived his talk – he walked the walk!

With the passing of Ram Dass, we have lost a great spiritual and meditation teacher. There are few and far between equivalent replacements. May he rest in great inner peace as he travels the bardo.

For more information refer to Duncan Oliver, J. (January, 2020). Ram Dass, beloved spiritual teacher, has died. In Tricycle. See tricycle.org/trikedaily/ram-dass-dies/.

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, Featured, People, Ram Dass, Spiritual Energy, Spiritual Experience, Spiriuality Tagged With: ANTHONY QUINTILIANI.MINDFUL HAPPPINESS, RAM DASS, SPIRITUALITY

January 22, 2020 By Admin

Brief Update on America’s Opioid Problems-2020

America’s Opioid Problem-2020; A Brief Update

Unfortunately, Opioid Use Disorder (OUD) is alive and well in 2020. Today approximately 150 People are dying each day due to opioid overdose. The CDC noted that from 1999 to 2017 approximately 399,000 people died in the United States from Opioid overdose. Related to chronic pain, this is one of the greatest failures in American medicine; perhaps, now medical training (as well as all mental health and social work training) will include sufficient clinical exposure to Substance Use Disorders ((SUD). Sufficient exposure goes way beyond Motivational Interviewing. Since many recognize addictions as America’s number one healthcare problem, all healthcare providers and school counselors, social workers, psychologist, etc. should receive proper clinical training in the prevention, intervention, and treatment of SUDs. It is about time!

Although in most parts of the country opioid dependence is still quite common, there is hope. Medically Assisted Treatment is being used, which in the best cases (Vermont’s model) includes medications to help reduce opioid cravings and psychoactive effects AND counseling to resolve mental health and addictions problems that lead to OUD in the first place. I, myself, a long time ago was part of a clinical team that established the first methadone clinic in Vermont under the jurisdiction a community mental health center (The Howard Center). As Clinical Director, and with lots of clinical experience and training in co-occurring disorders and the help of many, we were ready to act. Some thought Vermont did not need such a clinic, but on our first day of operation we had a waiting list of over 100 people hoping to receive these services. There is a risk here: current funding models short-change the clinical psychosocial interventions and enhance the medical interventions. For treatment to work long-term, people need BOTH! Even if people are successful at harm reduction regarding OUD, relapse is just around the corner if they do not receive therapy for pre-existing psychological problems (anxiety, depression, trauma, other addictions, and eating disorders). It is estimated that 90% of clients who do not take MAT medications may relapse. MAT with psychosocial clinical interventions sports a success rate of about 50%, which is great considering the severity of OUD. Let’s not be penny-wise and dollar-foolish; let’s not reduce psychosocial interventions that prevent relapse and enhance long-term health status.

For more information refer to The National Psychologist, 28(1), Winter, 2020, pages 1 and 5.

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: Addiction, ANTHONY QUINTILIANI, Featured, Opioid Crisis, Treatment Tagged With: MINDFUL HAPPINESS, OPIOID CRISIS 2020

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Mindfulness Expands the Art of Journal Writing T. Merton, J. Kerouc, I. Progoff, J. Upton, and others have helped to expand the art or journal writing practice.  This type of practice can become your mindfulness practice.  You will need to write on a daily basis (even if briefly), and you will need to be highly […]

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, […]

Expanded Lectio Divina for Self-Development In this post I will provide an expanded version of this process by combining information from Origen,  the Carthusian  Monk  Guigo II,   and  Augustine of Hippo.   The presented process of 12 steps may be used  to enhance internalization of sacred writing and/or to support internal healing of the participants. […]

The Holy Year of Mercy Like the Fourteenth Dalai Lama of Tibet, Pope Francis in The Church of Rome, is sharing his opinion on compassion and mercy in life.  Although Pope Francis distinguishes compassion (a human action) from mercy (a divine action), the two positive conditions are quite similar in values, attitudes, and behaviors.  Pope […]

Relapse Prevention Plans – The Basics T. T. Gorski, Anthony R. Quintiliani, Ph.D., LADC The following information about how to develop effective relapse prevention plans has been paraphrased from the Work of Terrence T. Gorski.  It is highly practical and a concrete way to develop your skills in relapse prevention interventions. Intermediate (Marlatt and Gordon) […]

Advanced Meditation Practices on Perception As the Sutra story goes, the Buddha instructed Ananda to visit the ailing venerable Girimananda, who was very, very ill.  In an effort to help the ailing man, the Buddha told Ananda to guide him in the Ten Meditation on Perceptions (on sensory input and the objects of mind). According […]

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 […]

Participate in Groups for Meditation, Problem-Solving, and Task Completion Meditation With The Sangha Among regularly practicing meditators and various meditation traditions, the sangha is the social, emotional and spiritual collective that continues to support ongoing serious practice and progress along the Path.  Given that so much has been written about the many benefits of practicing […]

Reminders for Your Psychological and Physical Health If you desire to be more compassionate with others and with yourself, remember the following. Be certain to ACT on the following. 1) Life is complete only with joy/happiness, neutral experiences, and suffering/pain.  These are the realities of human existence. These are the conditions of human life. Make […]

The Lotus Sutra and Meditatin Practice The Lotus Sutra is one of the most important and sacred of Buddhist sutras. It is often considered a summary of The Buddha’s teaching, presented many years after he began to teach and share his experiences. The version considered here is the Kumarajiva translation,  as translated by B. Watson; it […]

Buddhist Thought on Joy and Suffering 1) You actually DO have some control over your emotional destiny. 2) The core “conceptual” view of reality is that your inner emotional experience – especially negative afflictive emotional states related to people, places and things you REACT to – are perceived as totally true. 3) In a non-conceptual […]

The Needs of Traumatized Children – Learning Activity As a means to hone in on your helping behaviors, complete this learning activity. NEEDS     List a Concrete Example for Each Unmet Need. Biological  _______________________________________________ Psychological   ____________________________________________ Social  __________________________________________________ Emotional  _______________________________________________ Educational  ______________________________________________ Spiritual  ________________________________________________ Attachment  ______________________________________________ What can YOU do to help meet […]

Pathways for Coping with Loss and Grief Jeanne Cacciatore, a Zen priest and bereavement specialist, offer sound advice on the process of loss and grieving.  In her book, Bearing the Unbearable: Love and the Heart Breaking Path of Grief (2016), she presents the process as a series of contractions and expansions; contractions are the inward path of […]

Subtle and Direct Experiences of Happiness Khenpo Sherab Zangpo’s 2017 publication The Path: A Guide to Happiness, Somerville, MA: Wisdom Publications has much to offer about how to become a happier person.  Read over the listing below and see what you may be missing. Try this mantra: “I am happy the way I am.” “I am happy […]

Mindful Happiness Book Review The Awakened Introvert: Practical Mindfulness skills…  By Arnie, Kozak, Ph.D. Dr. Kozak begins his book noting the processes of mind that often cause people to suffer.  Critical judging, unhelpful story telling, over-attending to past suffering or losses and angst about possible future realities (the brain’s default mode), and auto-pilot inattention to important […]

Trauma Therapy:  Basics from Some Expert Clinicians For many years trauma therapist have used many approaches in their psychotherapy. Most of these approaches lack strong empirical support for outcomes, and are often the “favorites” of these therapists.  One might wonder what benefits therapists derive from using approaches that are not evidence-based. If an intervention fails […]

Practice:  Mindful Actions to Improve YOUR Self-Esteem Improving Your Awareness with Practice Remain mindfully aware of the content and meta-cognition regarding the “speaking” of your inner, self-conscious critic.  Note what trends appear in the conversation. Remain mindfully aware of the reactions your mind and body experience regarding the activity of your inner self-critic in dealing […]

Using Meditation, Yoga and Breathing… You can Anchor your Choice Making A key outcome of serious practice is  that you now reduce auto-pilot reactivity to people, places, things, emotions, sensations, craving, and memories and at the same time notice your mind CAN BE in charge of your brain-body reactions.  Yes, regular daily mindfulness practice allows […]

Using Your Compassionate Mind in Psychotherapy For you to become a more compassionate therapist, follow the details noted below. These preconditions, skills, and practices are required as a baseline for  compassionate practice. You need the ability to access calmness in an environment of emotional suffering, chaos, or conflict.  Most people do this by breathing in […]

Safety:  Mindful Candle Gazing Meditation Practices Candle light and candle gazing are common in many spiritual and religious practices.  After many fire-related losses, religious organizations have found ways to maintain the practice and reduce liability related to accidental fires.  The National Candle Association is also quite aware that their products include some risk.  Therefore, the […]

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