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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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Mindful Happiness Posts

Inner Workings of Self-Medication Process   To continue our discussion about the self-medication process we will first turn to the human brain.  The human brain is the most complex system known to science.  Here, my comments will be basic.  Self-medication often has roots in the quality of our earliest childhood experiences (attachment and object relations with […]

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 […]

Forms of Happiness from Buddhist Psychology Given the season “to be jolly” I plan to write several posts on the topic of happiness. The following information notes five stages or levels of happiness.  Read them over and see what stage/level may be appropriate for you at this time in your practice. Note that some meditation […]

More on Self-Compassion Practices Suffering and happiness represent opposites in human emotional experience.  In our culture we often equate happiness with what we HAVE and suffering with the GAP between what we have versus what we want.  Material possessions tend not to lead to intrinsic happiness; joy based on materials gains is often short-lived – […]

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 […]

Cognitive Defusion in Mindfulness Psychotherapy A well-meaning therapist might ask: What is cognitive defusion. Well this practice, as used in Acceptance and Commitment Therapy, is beyond cognitive restructuring of cognitive distortions and automatic negative thoughts ( I call “Red Ants”). The practice concretely de-literalizes the personal truth and meaning of unhelpful, repetitive thoughts and words. […]

Beads: Significance in Spiritual and Religious Practices The significance of religious and spiritual practices in the world is enormous.  Christian, Muslim, Hindu, and Buddhist practitioners make up the overwhelming majority of the world’s population. The  CIA estimates are that Christians (33%), Muslims (23%), Hindus (14%) and Buddhist (7%) make up the majority of religious followers. […]

How to Find & Choose an Effective Therapist Recently The Harvard Health Newsletter posted some interesting questions to ask while seeking out a psychotherapist. I will add a few more details and areas of inquiry in this post. Keep in mind that these questions and inquiries do not mean you will be happy and improve […]

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 […]

Mindfulness-Based Emotion Regulation The following emotional regulation practices (also called emotional balance skills) have been supported by over 2500 years of mindfulness training and current psychological research on human emotions.  These practices/skills are to be practiced before they are needed, and directly applied when they are needed.  Here is the list. 1) Practice noticing and […]

Grief, Mourning, and Traditional Chinese Medicine Based on the Buddhist reality of impermanence – we all will someday die; it is also quite true that we all will suffer from loss, grief, and mourning when others we care about die.  The typical stages in this process are Denial, Anger, Bargaining, Depression, and Acceptance. There are […]

Loving Kindness Meditation from The Buddha Loving Kindness Meditation (hereafter LKM) is, perhaps, one of the most popular meditation practices in the world. What many practitioners do not know is that one form of it came directly from The Buddha. Along with LKM wisdom we also are guided by the enlightened words of The Dalai […]

 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 […]

Failure and Success: After We Fail, We Succeed Humans tend to get very discouraged when things do not go our way. This may be especially true for younger people, who have grown up attached to their instant gratification digital devices. Below I will list several highly successful people, but I will also note their many […]

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 […]

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 […]

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 […]

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 […]

Self-Care as Ritual Self-care for Americans is often considered a luxury.  Due to our technological demands and addictions (Demons as they are), and the slow slipping of our economic structures, we are often at the mercy of the bottom line at work. Over-paid CEOs and CFOs and their many assistants eat up so, so much […]

Happiness Path  – The 14th Dalai Lama His Holiness The 14th Dalai Lama has suggested, among many other important things, that humans may experience true inner happiness by regular practice on the path to enlightenment. In his 2012 book, From Here to Enlightenment, he noted that personal happiness may be attained via specific behaviors and ways of […]

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