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

Crisis Resilience Skills  – Mindful Happiness Below I will list various interventions that have proven effective in reducing the level of personal crisis. The sources for many of these skills came from Burns (1980), Ellis (1995), Seligman (1988), Linehan (1993, 2015)), Hayes (2018), and Thich Nhat Hanh (various publications). The skills noted are for immediate […]

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. […]

Tonglen Meditation or Giving and Taking I have added various posts about many compassion practice.  Earlier posts have covered a range of practices – from super-easy to more demanding. Here, I will add a more advanced practice.  This Tibetan compassion meditation practice has been taught often in the Vajrayana school of Buddhism.  In my opinion […]

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 […]

Our Brains React to Worry According to research by The American Psychological Association in 2015, some of the core sources of severe stress reaction for Americans are: financial problems, job-related problems, family problems, and health problems.  Our lives are complete only with joy/happiness, suffering and boredom – sometimes referred to as pleasant, unpleasant and neutral […]

Mindful Happiness – Happiness – Guided Imagery of Your Life This experience will include guided imagery and multi-sensory memory of happy experiences in your life.  At time, shadow experience may pop up, in which a happy memory has an unhappy component.  Your mindful concentration will be needed to remain on track with only the happy […]

Breathing Practices and Emptiness Here I will introduce you to five breathing practices, each one moving progressively closer and closer to emptiness/no-self experiences. Do your best to remain open in these practices. Notice the feel of your posture. Once comfortable notice your breath as it is. Relax and close your eyes if ok. Rest your […]

The Journey of Human Compassion Practices Where are YOU on the journey of human compassion practices?  I modified interpretations of compassion to present a more formal depiction of compassionate practices and skills.  Go ahead; take the compassion quiz. Your Goal: To Reduce Human Suffering Human Warmth   Unconditional Positive Regard   Human Caring     Compassionate Actions […]

Overcoming the Hindrances of Ill-Will and Aversion Although regular daily practice and sincerely following of The Eight-Fold Path in one’s life may be the best ways to overcome various hindrances, there may be some additional practical suggestions to consider on the path.  We will begin our discussion with common human pain and suffering; we will […]

Using Creativity in Clinical Supervision Effective clinical supervision is a combination of hearable direction about clinical practice, gentle-direct leadership, clinical “Know-How,” evidence-based skills, complex psychodynamics, and the willingness to work with others on their developmental processes. There are risks involved. I have provided clinical supervision and consultation to other clinicians for 43 years without a […]

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 […]

Mindfulness & Happiness – Tools In this post I will provide basic instructions for several mind-body practices that allow calm equanimity both at rest and in action.  We will cover RAIN, RAINDROP, Cloud Journeying, Gratitude, Tapping, and other Body-Based practices. RAIN (Tara Brach) – This simple to use approach helps you to maintain a cognitive […]

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 […]

Behaviors People Display When in Groups After more than 35 years of facilitating hundreds of classes, workshops, family therapy sessions, group therapy sessions, and work project groups it has become clear that we do some strange things when we participate in groups. It appears to me that many of these in-group functions serve both ego […]

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, […]

  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 […]

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 […]

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 […]

In The Dhammapada the Buddha includes an important section on the topic of happiness.  How to be happy in a life of changing joy, suffering, and neutrality? How to be happy in a world of attachment/craving for desired pleasures and avoidance of all suffering?  Attachment, impermanence and unhelpful experiences – all cause suffering.  It is quite […]

The Great Mother of Gratitude Meditation Sit in silence and take a few very slow, very deep breaths in and out. Relax within your personal comfort with eyes opened or closed. If you prefer your eyes to be open, hold you head level and gently gaze down a few feet in front of you. Continue […]

Mindful Happiness Tags

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

Mindful Categories

Mindful Happiness Pages

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

Copyright © 2021 · Mindful Happiness