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The Clinical Handbook of Mindfulness-Integrated Cognitive Behavior Therapy
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Table of Contents

About the Authors xiv Foreword xvi Acknowledgments xviii Introduction xix About the Companion Website xxiii Part 1 The MiCBT Approach, Theory and Validation 1 1 Principles of MiCBT 3 Definition and Purpose of Mindfulness 3 Origin and Development 5 Basic Principles 7 Structure and Content of MiCBT: The Four Stages 11 References 19 2 Theoretical Framework and Empirical Findings 23 The Co?emergence Model of Reinforcement: A Rationale for MiCBT 24 Empirical Evidence 32 References 35 3 Preparing for Implementation 40 Importance of Commitment 40 Helpful Attitudes 42 Program Delivery 46 Client Suitability and Contraindications 46 Professional Training and Ethics 47 Resources 49 References 50 Part 2 Step-by-Step Application 53 Session 1: Therapy Contract and Commitment to Self?Care 55 Writing a "Therapy Contract" 55 Readiness for Change 57 Three Ways of Learning 58 Importance of Neuroplasticity 62 This Week's Practice 62 Application with Individual Clients 64 Application with Groups 67 Frequently Asked Questions 71 References 84 Session 2: Regulating Attention Through Mindfulness of Breath 85 Introduction 85 Checking Client Readiness 85 Purpose of Mindfulness of Breath 86 Practice Set?up 87 Differentiating Mindfulness from Attentiveness 92 Normalizing Intrusive Thoughts 93 Application with Individual Clients 97 Application with Groups 100 Frequently Asked Questions 104 References 115 Session 3: Understanding and Regulating Emotions 117 Introduction 117 Checking Client Readiness 117 Mindfulness of Body Sensations 118 The Main Purpose of Learning Body Scanning 120 Implications of Co?emergence Effects 122 Explaining the Co?emergence Model of Reinforcement 123 Experiential Explanation of the Co?Emergence Model 125 Example of Use of the Diary of Reactive Habits 126 Mindfulness of Body Sensation Through "Body Scanning" 127 Application with Individual Clients 129 Application with Groups 131 Frequently Asked Questions 133 References 145 Session 4: Applied Practice and Skill Transfer 147 Introduction 147 Checking Client Readiness 147 Increasing Practice Efficacy 148 Effects of Body Scanning on the Development of Insight 152 Applying the Practice and Recording Equanimity 153 Application with Individual Clients 156 Application with Groups 158 Frequently Asked Questions 160 References 173 Session 5: Integrating Mindfulness and Behavioral Methods 174 Introduction 174 Checking Client Readiness 175 Advanced Scanning: Symmetrical Scanning 176 Integrating Mindfulness with Exposure Skills 178 Application with Individual Clients 186 Application with Groups 188 Frequently Asked Questions 191 References 203 Session 6: Generalizing Self?Confidence and Self?Efficacy 204 Introduction 204 Checking Client Readiness 204 Advanced Scanning: Partial Sweeping 206 Extending the Integration of Mindfulness and Exposure: Bipolar and in?vivo Exposure 209 Application with Individual Clients 212 Application with Groups 214 Frequently Asked Questions 216 References 228 Session 7: Developing Interpersonal Insight 229 Introduction 229 Checking Client Readiness 229 Advanced Scanning: Sweeping en masse 230 Integrating Mindfulness with Interpersonal Skills 234 Experiential Ownership 235 Application with Individual Clients 240 Application with Groups 241 Frequently Asked Questions 243 References 254 Session 8: Mindful Communication Skills 255 Introduction 255 Checking Client Readiness 255 Advanced Scanning: Transversal Scanning 256 Assertive Communication 258 Mindful Assertiveness 261 Mindful Assertiveness and the Co?emergence Model 264 Application with Individual Clients 265 Applications with Groups 266 Frequently Asked Questions 267 References 276 Session 9: Cultivating Compassion and Connectedness 277 Introduction 277 Checking Client Readiness 278 Advanced Scanning: Sweeping in Depth 279 Cultivating Interpersonal Connectedness and Compassion 280 Loving?Kindness Meditation 283 Grounding Compassion in Ethical Conduct 286 Practicing the Five Ethical Challenges 288 Application with Individual Clients 290 Application with Groups 292 Frequently Asked Questions 294 References 303 Session 10: Promoting Well?Being and Outgrowing Suffering 305 Introduction 305 Checking Client Progress 305 Assessing Results 307 Supporting Personal Growth: Ten Maturing Factors 309 Maintenance of Mindfulness Practice 310 Application with Individual Clients 312 Application with Groups 313 References 318 Part 3 Summary Checklists and MiCBT Scripts 319 Appendix 1: Summaries of Weekly Content 321 Session 1: Summary of weekly content-individuals 321 Session 1: Summary of weekly content-groups 322 Session 2: Summary of weekly content-individuals 323 Session 2: Summary of weekly content-groups 324 Session 3: Summary of weekly content-individuals 324 Session 3: Summary of weekly content-groups 325 Session 4: Summary of weekly content-individuals 326 Session 4: Summary of weekly content-groups 327 Session 5: Summary of weekly content-individuals 327 Session 5: Summary of weekly content-groups 328 Session 6: Summary of weekly content-individuals 329 Session 6: Summary of weekly content-groups 329 Session 7: Summary of weekly content-individuals 330 Session 7: Summary of weekly content-groups 330 Session 8: Summary of weekly content-individuals 331 Session 8: Summary of weekly content-groups 332 Session 9: Summary of weekly content-individuals 333 Session 9: Summary of weekly content-groups 334 Session 10: Summary of weekly content-individuals 334 Session 10: Summary of weekly content-groups 335 Appendix 2: Audio Instruction Scripts for Therapists 337 Guidelines for Therapists 337 General Introduction 337 Rationale for Mindfulness Training 338 Introduction to Progressive Muscle Relaxation Script (Session 1) 340 Progressive Muscle Relaxation Script (Session 1) 340 Introduction to Mindfulness of Breath Script (Session 2) 342 Mindfulness of Breath Script (Session 2) 342 Introduction to Part?by?Part Body Scanning Script (Session 3) 344 Part?by?Part Body Scanning Script (Session 3) 344 Withdrawing Audio Instructions Script (Session 4) 347 Introduction to Advanced Scanning Script (Session 5) 348 Symmetrical Scanning Script (Session 5) 348 Introduction to Partial Sweeping Script (Session 6) 349 Partial Sweeping Script (Session 6) 349 Introduction to Sweeping en masse Script (Session 7) 350 Sweeping en masse Script (Session 7) 351 Introduction to Transversal Scanning Script (Session 8) 352 Transversal Scanning Script (Session 8) 352 Note on Session 9 353 Introduction to Loving?Kindness Meditation Script (Session 9) 353 Loving?Kindness Meditation Script (Session 9) 354 Index 356

About the Author

BRUNO A. CAYOUN is a clinical psychologist, researcher and the developer of Mindfulness-integrated Cognitive Behavior Therapy. He is the founder and Director of the MiCBT Institute. SARAH E. FRANCIS is a registered psychologist trained in a number of mindfulness-based therapies. She specializes in the research and clinical applications of Mindfulness-integrated Cognitive Behavior Therapy. ALICE G. SHIRES is a clinical psychologist and Director of the Psychology Clinic at the Graduate School of Health, University of Technology, Sydney (UTS) and heads the UTS Mindfulness Integrated Therapies Research Clinic.

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