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Anthony Quintiliani, Ph.D, LADC

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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  

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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

January 12, 2020 By Admin

Two Forms of Self-Help Journaling

Self-Help Journaling – Two Methods

Generally there are two forms of self-help journaling: writing about worries and concerns OR writing about joy and happiness. In my more than 35 years of clinical experience I have not found the former to be very helpful. Most people stuck in negative mood states are not easily able to disengage themselves from negative, worrisome thoughts. For these folks journaling and placing more cognitive and emotional attention on negatives is often unhelpful. So I  stopped recommending this form of journaling to clients years ago. If you suffer from anxiety, depression, trauma, addictions and/or eating problems, I would not recommend negative problem solving journaling as a practice. Our limbic brain sets us up for overdrive when dealing with negative emotions and experiences, so no need to add more cognition and attention to it all. Better to work on positives!

I have found positive journaling to be amazingly helpful for some people. The practice is quite easy. Simply find a journal you like to look at and hold. Yes, visual and kinesthetic pleasures are important as motivators. Place it near your bed, and every night a few minutes before you go to bed do some journaling – even a few minutes can be helpful.  Just write freely, without censoring in any way. It is a good idea to use all your sensory experiences here. What did you see, hear, feel, smell, taste, experience that you may wish to write about? Once you get into the process, try to go a bit deeper: exactly what was it about the positive experience that impacted you, and how deeply? Do your best not to seek ideal happiness experiences (there may not be nirvana); these realities are far and few for most people. So best to begin with simply paying more attention to positives during the day. You may begin to notice that some of the experiences and things you have been conditioned to take for granted are actually positive in nature. Pick only one experience to write about. Later go back often and re-read what you wrote.

For more information refer to J. Smiechowski’s ideas in Easy Health Options Home; MedicalXpress; Journal of Psychophysiology; and University of Rochester, Journaling for Mental Health.

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: Activities, Featured, Journal Writing, Self-Help Tagged With: JOURNALING, SELF CARE

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How Suicide impacts Psychotherapists One of the greatest fears of psychotherapists is that one of their clients will commit suicide.  Here are some common reactions of psychotherapists when one of their clients commits suicide.  In some ways these reactions are sequential, but no exact concrete sequence is well documented. Here is a list to consider. […]

Tibetan Tantric Meditation on Selflessness Mahamudra meditations tend to unify emptiness and bliss, and represent many core principles of Tibetan Buddhism. Nagarjuna’s text on The Middle Way played an important and influential role in these practices. Selflessness of persons and selflessness of phenomena are highly represented in noted meditation practices. Therefore,, this can be considered […]

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 […]

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Meditation on the Feeling of Letting Go – Pacification! Pacifying the mind is a desired outcome of regular, stable meditation practice.  Pacification may be done via meditating on the breath, general mindfulness awareness, vipassana, and various other forms of  meditation.  However, the wise mind skill of “letting go” of unhelpful, negative, and harmful thoughts and […]

Yoga Nidra and Your Inner Peace Yoga Nidra will allow you to relax like you may never have relaxed before.  Follow these modified instructions for your best relaxed state.  If at any time during Yoga Nidra you feel uncomfortable, simply stop and breathe in a manner that restores equilibrium.  Although this uncomfortable outcome is highly […]

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Meditating in the Gap of Nothingness The Buddha taught about your four best friends, that is how the body changes physiology when you sit, stand, walk/move and every time you are lying down. Modern Western neuroscience now supports this statement of 2500+ years ago. Thich Nhat Hanh added the importance of your breath, walking meditation, […]

Psychodynamics of Alliance – Therapeutic Relationship Enhancement This post includes basic considerations, processes, and clinical skills necessary for developing a strongly positive clinical alliance and therapeutic relationship in therapy.  Here the alliance is required for any substantial change in psychotherapy, and the therapeutic relationship rides the quality of the initial alliance to expand and inter-penetrate […]

Advanced Practice in Tara Brach’s RAIN Protocol So often we humans find ourselves in a state of limbic disarray, with ego defenses stimulating our need to protect ourselves from others – even from ourselves. We feel something is very wrong in this moment, and we allow separateness to pull us into a frenzied effort to […]

More on Mindful Breathing Whole-Heart Breathing – I have modified and expanded this great process from Thich Nhat Hanh.  If comfortable close your eyes and simply breathe calming and deeply for a few breaths. Add you personal half smile and allow the soothing (sometimes very subtle) sensation to spread all over your face.  Do not […]

Help For Therapists: Working with Diversity Clinical interventions, especially strongly evidence-based interventions, impact clients via new skills and practices in mind-body clinical realities. No matter how good (or “good enough” ) a clinical intervention is it requires a highly positive, active therapeutic relationship. As ample research suggests, a strong and positive therapeutic relationship in therapy […]

Meditation Process in Chan Buddhism Chan Master Changlu’s The Deportmant for Sitting Meditation  (12th century China) is a clear and helpful set of instruction. 1) It begins with the making of a personal vow for great compassion, personal liberation, and samadhi – all for the purpose of delivering sentient beings from their suffering and to their […]

From The Eleanor R. Liebman Center for Secular Meditation, Monkton, Vermont – Five Breathing and Meditation Practices – Attention and concentration on the breath are common practices to attune meditation capacity. We use the breath as an object of attention in our mind training.   The better your quality of attention and concentration, the better […]

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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, […]

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Self-Care to Reduce Compassion Fatigue First let’s begin with what some people do to counteract the stressors of living in a hurried,“over-technologized” world. Technically, “technologize” is not a popularly accepted word, but it is a sad  reality. We live in a time when texting while driving may become the new addiction-based cause for many, many […]

In Times of Uncertainty; Clinical Practice H. Colodro and J. Oliver provide sound advice in their new book, A Guide to Self-Care for Practitioners in Times of Uncertainty. This 2020 New Harbinger publication is loaded with helpful suggestions on surviving, even thriving, in our time of struggle. Their core questions include: What do my clients need most […]

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 […]

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