Mindfulness-based cognitive therapy (MBCT) is a form of psychotherapy that uses mindfulness techniques in combination with cognitive behavioral therapy (CBT) to prevent depression-relapse. MBCT was developed by Philip Barnard and John D. Teasdale, and Zindel Segal, building on Jon Kabat-Zinn's mindfulness-based stress reduction (MBSR). CBT-inspired methods are used in MBCT, such as psycho-education, educating the participant about depression and the role that cognition plays within it. Like CBT, MBCT is built on the etiological theory that depression-relapse may occur when individuals, who have had a depression, become distressed, and return to automatic cognitive processes that can trigger a depressive episode. The goal of MBCT is to interrupt these automatic processes, and teach the participants to focus less on reacting to incoming stimuli, and instead accepting and observing them without judgment. Like MBSR, the mindfulness practice encourages the participant to notice when automatic processes are occurring, and to respond less reactive and more reflective. MBCT encourages "decentering," becoming aware of all incoming thoughts and feelings and accepting them, but not attaching or reacting to them. This process aims to aid an individual in disengaging from self-criticism, rumination, and dysphoric moods that can arise when reacting to negative thinking patterns.
Origins and development MBCT was developed by John Teasdale, Philip Barnard, Zindel Segal and Mark Williams, combining elements from Kabat-Zin's mindfulness-based stress reduction program with elements from cognitive behaviotal therapy.
Kabat-Zin: Mindfulness-based stress reduction Jon Kabat-Zin developed his mindfulness-based stress reduction out of his personal experience with Buddhist meditation, stressing mindfulness as the critical component.
Barnard & Teasdale: Model of Interacting Cognitive Subsystems In 1991, building on Kabat-Zin's work, Philip Barnard and John Teasdale created a multilevel concept of the mind called "Interacting Cognitive Subsystems" (ICS). According to this model, the mind has multiple modes, that are responsible for receiving and processing new information cognitively and emotionally. The two main modes of mind are the "doing" mode and the "being" mode. The "doing" mode is also known as the "driven" mode. This mode is very goal-oriented and is triggered when the mind develops a discrepancy between how things are and how the mind wishes things to be. The second main mode of mind is the "being" mode. This mode is not focused on achieving specific goals; instead, the emphasis is on "accepting and allowing what is," without any immediate pressure to change it. A central component of ICS is metacognitive awareness: the ability to experience negative thoughts and feelings as mental events that pass through the mind, rather than as a part of the self. Individuals with high metacognitive awareness are able to avoid depression and negative thought patterns more easily during stressful life situations, in comparison with individuals with low metacognitive awareness. Meta-cognitive awareness is regularly reflected through an individual's ability to decenter. Decentering is the ability to be aware of incoming thoughts and feelings, and accepting them, but not attaching or reacting to them, perceiving thoughts and feelings as both impermanent and objective occurrences in the mind. This process aims to aid an individual in disengaging from self-criticism, rumination, and dysphoric moods that can arise when reacting to negative thinking patterns. According to this model, an individual's vulnerability to depression is related to the degree to which he/she relies on only one of the modes of mind, inadvertently blocking the other modes. Mental health is related to an individual's ability to disengage from one mode or to easily move among the modes of mind. Individuals who are able to flexibly move between the modes of mind based on conditions in the environment are in the most favorable state. The ICS model theorizes that the "being" mode is the most likely mode of mind that will lead to lasting emotional changes. Therefore, to prevent relapse in depression, cognitive therapy must promote this mode. This led Teasdale to the creation of MBCT, which promotes the "being" mode.
Working method
Cognitive-behavioral elements CBT-inspired methods are used in MBCT, such as psycho-education, educating the participant about depression and the role that cognition plays within it. Like CBT, MBCT is build on the etiological theory that depression-relapse may occur when individuals, who have had a depression, become distressed, they return to automatic cognitive processes that can trigger a depressive episode. The goal of MBCT is to interrupt these automatic processes and teach the participants to focus less on reacting to incoming stimuli, and instead accepting and observing them without judgment.
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