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Mindfulness and trauma: implications for treatment

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Abstract

Mindfulness, originally a construct used in Eastern spiritual and philosophical traditions, has found new utility in psychotherapy practice. Mindfulness practice has been recently applied to treatments of several psychological and health related problems, and research is showing successful outcomes in psychological interventions incorporating mindfulness practices. Several schools of psychotherapy have theorized why mindfulness may be an effective intervention. One population which would theoretically be benefited by mindfulness practice in treatment consists of those individuals who have experienced traumatic events and are exhibiting post-traumatic stress disorder and/or related correlates of past trauma. The present paper gives a general review of the application of mindfulness to clinical psychology interventions. Additionally, we explain how mindfulness is applicable to our integrative behavioral approach to treating trauma and its sequelae. Specifically, this paper will (a) give a general overview of the conceptions and applications of mindfulness to psychology and psychotherapy and provide a brief account of the concepts origins in eastern traditions; (b) discuss the theoretical conceptualization of clinical problems that may relate to the long-term correlates of trauma; (c) describe how mindfulness, acceptance and the therapeutic relationship can address trauma symptoms and discuss a modified treatment approach for trauma survivors that incorporates mindfulness and acceptance practices into traditional exposure treatment.

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Notes

  1. The Pali equivalent of maitri is metta, usually translated “loving kindness”.

References

  • American Psychiatric Association Work Group on ASD and PTSD. (2004). Practice guidline for the treatment of patients with acute stress disorder and posttraumatic stress disorder. Washington, DC: American Psychiatric Association

    Google Scholar 

  • Baer R. A., Miller J. (2002). Underreporting of psychopathology on the MMPI-2, Psychological Assessment 14: 16–26

    Article  PubMed  Google Scholar 

  • Becker, C. B., & Zayfert, C. (2000). Implementation of empirically supported treatment for PTSD: Obstacles and innovations.Behavior Therapist, 23: 161–168

    Google Scholar 

  • Becker, C. B., Zayfert C. (2001). Integrating DBT-based techniques and concepts to facilitate exposure treatment for PTSDCognitive and Behavioral Practice 8: 107–122

    Article  Google Scholar 

  • Brewin C. R. (2003). Posttraumatic stress disorder: Malady or myth? New Haven, CT, Yale University Press

    Google Scholar 

  • Brown K. W., Ryan R. M. (2003). The benefits of being present: Mindfulness and its role in psychological wellbeingJournal of Personality and Social Psychology 8(4): 822–848

    Article  Google Scholar 

  • Chemtob C. M., Novaco R. W., Hamada R. S., Gross D. M. (1997). Cognitive behavioral therapy for severe anger in posttraumatic stress disorderJournal of Consulting and Clinical Psychology 65(1): 184–189

    Article  PubMed  Google Scholar 

  • Chodron P. (2001). The places that scare you: A guide to fearlessness in difficult times Boston, Shambhala

    Google Scholar 

  • Cioffi D., Holloway J. (1993). Delayed costs of suppressed painJournal of Personality and Social Psychology 64(2): 274–282

    Article  PubMed  Google Scholar 

  • Clark D. M., Ball S., Pape D. (1991). An experimental investigation of thought suppressionBehavior Research and Therapy 29: 253–257

    Article  Google Scholar 

  • Cloitre M., Koenen K. (2001). Interpersonal group process treatment for CSA-related PTSD: A comparison study of the impact of borderline personality disorder on outcomeInternational Journal of Group Psychotherapy 51: 379–398

    Article  PubMed  Google Scholar 

  • Cloitre M., Koenen K. C., Cohen L. R., Han H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuseJournal of Consulting and Clinical Psychology 70(5): 1067–1074

    Article  PubMed  Google Scholar 

  • Ekman P, Davidson R. J., Ricard M., Wallace B. A. (2005). Buddhist and psychological perspectives on emotional well-being. Current Directions in Psychological Science, 14(2), 59–63

    Article  Google Scholar 

  • Flack W. F., Litz B. T., Hseih F. Y., Kaloupek D. G., Keane T. M. (2000). Predictors of emotional numbing, revisited: A replication and extensionJournal of Traumatic Stress 13(4): 611–618

    Article  PubMed  Google Scholar 

  • Foa, E. B., Keane, T. M., & Friedman M. J. (2000) Effective treatments for PTSD. Practice guidelines from the International Society for Traumatic Stress Studies. New York: Guilford Press.

    Google Scholar 

  • Follette V. M., Palm K. M., Rasmussen Hall M. L. (2004). Acceptance, mindfulness, and trauma In: Hayes S. C., Follette V. M., Linehan M. (eds) Mindfulness and acceptance: Expanding the cognitive behavioral tradition. New York, Guilford Press

    Google Scholar 

  • Follette, W. C., & Naugle, A. E. (2006). Functional analytic clinical assessment in trauma treatment. In V. M. Follette & J. I.Ruzek (Eds.), Cognitive Behavioral Therapies for Trauma, (2nd edn., pp. 17–33). New York: Guilford Press

    Google Scholar 

  • Harvey P. (1990). An introduction to Buddhism: Teaching, history and practices. Cambridge University Press

  • Hayes S. C., & Gifford, E. V. (1997). The trouble with language: Experiential avoidance, rules, and the nature of verbal events. Psychological Science, 8(3), 170-173.

    Article  Google Scholar 

  • Hayes S. C., Strosahl K. D., Wilson K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change New York, Guilford Press

    Google Scholar 

  • Hayes S. C., Wilson K. G. (2003). Mindfulness: Methods and processClinical Psychology: Science and Practice 10(2): 161–165

    Article  Google Scholar 

  • Jaycox L., Foa E. B., Morral A. R. (1998). Influence of emotional engagement and habituation on exposure therapy for PTSDJournal of Consulting and Clinical Psychology 68(1): 185–192

    Article  Google Scholar 

  • Kabat-Zinn J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness New York, Dell Publishing

    Google Scholar 

  • Karekla M., Forsyth J. P., Kelly M. M. (2004). Emotional avoidance and panicogenic responding to a biological challengeBehavior Therapy 35: 725–746

    Article  Google Scholar 

  • Kohlenberg, R. J., Tsai, M., (1991) Functional analytic psychotherapy: Creating intense and curative therapeutic relationships. New York, NY,US: Plenum Press

    Google Scholar 

  • Kohlenberg, B., Tsai, M., & Kohlenberg, R. (in press). Functional analytic psychotherapy and the treatment of complex posttraumatic stress disorder. In Follette, V. M., Ruzek, J. I. (Eds.), Cognitive behavioral therapies for trauma, 2nd edn. New York: Guilford Press

  • Kumar S. M. (2002). An introduction to Buddhism for the cognitive-behavioral therapistCognitive and Behavioral Practice 9: 40–43

    Article  Google Scholar 

  • Langer E. J., Moldoveanu M. (2000). The construct of mindfulnessJournal of Social Issues 56(1): 1–9

    Article  Google Scholar 

  • Leitenberg H., Greenwald E., Cado S. (1992). A retrospective study of long-methods of coping with having been sexually abused during childhoodChild Abuse and Neglect 16: 399–407

    Article  PubMed  Google Scholar 

  • Linehan (1993) Cognitive behavioral treatment of borderline personality disorder. New York: Guilford Press

  • Litz B. T., Orsillo S. M., Kaloupek D., Weathers F. (2000). Emotional processing in posttraumatic stress disorderJournal of Abnormal Psychology 109(1): 26–39

    Article  PubMed  Google Scholar 

  • Nhat Hanh T. (1987). The miracle of mindfulness: A manual on meditation. Boston: Beacon Press

    Google Scholar 

  • Palm K. M., Follette V. M. (2000). Counseling Strategies with Adult Survivors of Sexual Abuse as ChildrenDirections in Clinical and Counseling Psychology 11: 49–60

    Google Scholar 

  • Pennebacker J. W., O’Heeron R. C. (1984). Confiding in others and illness rate among spouses of suicide and accidental-death victimsJournal of Abnormal Psychology 93: 473–476

    Article  Google Scholar 

  • Pitman R., Altman B., Greenwald E., Longre R. E., Macklin M. L., Poire R. E., Steketee G. (1991). Psychiatric complications during flooding therapy for posttraumatic stress disorderJournal of Clinical Psychiatry 52: 17–20

    PubMed  Google Scholar 

  • Roemer L., Litz B., Orsillo S., Wagner A. (2001) A preliminary investigation of the role of strategic withholding of emotions in PTSDJournal of Traumatic Stress 14(1): 149–156

    Article  Google Scholar 

  • Roth, S., Newman, E., Pelcovitz, D., van der Kolk, B.,& Mandel, D. (1997). Complex PTSD in victims exposed to physical and sexual abuse: Results from the DSM IV field trial for posttraumatic stress disorder. Journal of Traumatic Stress, 10(4), 539–555

    PubMed  Google Scholar 

  • Sachinvala N., Von Scotti H., McGuire M. (2000). Memory, attention, function and mood among patients with chronic posttraumatic stress disorderJournal of Nervous and Mental Disease 188(12): 818–823

    Article  PubMed  Google Scholar 

  • Scott, M.J., & Stradling, S. G. (1997). Client compliance with exposure treatments for posttraumatic stress disorder. Journal of Traumatic Stress, 10(3), 523-526

    PubMed  Google Scholar 

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002) Mindfullness-based cognitive therapy for depression. New York, Guilford Press

    Google Scholar 

  • Silver R. L., Boon C., Stones M. H. (1983). Searching for meaning in misfortune: Making sense of incestJournal of Social Issues 39: 81–102

    Article  Google Scholar 

  • Simpson E. B., Pistorello J., Begin A., Costello E., Levinson J., Mulberry S., Perlstein T., Rosen K., Stevens M. (1998). Use of dialectical behavior therapy in a partial hospital program for women with borderline personality disorderPsychiatric Services 49: 669–673

    PubMed  Google Scholar 

  • Tarrier N., Pilgrim H., Sommerfield C., Faragher B., Reynolds M., Graham E., Barrowclough C. (1999). A randomized trial of cognitive behavioral therapy and imaginal exposure in the treatment of chronic posttraumatic stress disorderJournal of Consulting and Clinical Psychology 67(1): 13–18

    Article  PubMed  Google Scholar 

  • Vasterling J., Duke L. M., Brailey K. (2002). Attention, learning and memory performances and intellectual resources in Vietnam veterans: PTSD and no disorder comparisonsNeuropsychology 16(1): 5–14

    Article  PubMed  Google Scholar 

  • Wagner, A. W., & Linehan, M. M. (2006). Applications of dialectical behavior therapy to posttraumatic stress disorder and related problems. In Follette V. M. & Ruzek J. I. (Eds.), Cognitive Behavioral Therapies for Trauma, (2nd edn., pp. 117–145) New York: Guilford Press.

    Google Scholar 

  • Wegner D. M., Smart L. (1997). Deep cognitive activation: A new approach to the unconsciousJournal of Consulting and Clinical Psychology 65(6): 984–995

    Article  PubMed  Google Scholar 

  • Wegner D. M., Shortt J. W., Blake A. W., Page M. S. (1990). The suppression of exciting thoughtsJournal of Personality and Social Psychology 58(3): 409–418

    Article  PubMed  Google Scholar 

  • Wegner D., Zanakos S. (1994). Chronic thought suppressionJournal of Personality 62(4): 615–640

    Article  Google Scholar 

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Authors and Affiliations

  1. University of Nevada, Reno, USA

    Victoria Follette

  2. Brown Medical School/Butler Hospital, Providence, USA

    Kathleen M. Palm

  3. University of Nevada, Reno, USA

    Adria N. Pearson

  4. Department of Psychology/296, University of Nevada, Reno, NV, 89557, USA

    Victoria Follette

Authors
  1. Victoria Follette
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  2. Kathleen M. Palm
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  3. Adria N. Pearson
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Correspondence to Victoria Follette.

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Follette, V., Palm, K.M. & Pearson, A.N. Mindfulness and trauma: implications for treatment. J Rat-Emo Cognitive-Behav Ther 24, 45–61 (2006). https://doi.org/10.1007/s10942-006-0025-2

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