The person-centred approach as an ideological discourse: a discourse analysis of person-centred counsellors' accounts on their way of being

In accord with humanistic psychology, the person-centred approach (PCA) highlights individuality and is characterised by subjectivity and freedom vs. objectivity and determination. This study endeavoured to define how person-centred counsellors position themselves within PCA. In order to employ a critical frame of mind, analysis focused on identifying constructions, contradictions and functions of language that pointed to power relations. This study revealed a power relation between PCA and the counsellors, displaying five discourses: the philosophical discourse, the discourse of freedom, the discourse of religion/spirituality, the discourse of militarism and the discourse of eros (love). PCA is thought to empower the client in relation to its respectful and non-directive, therapeutic framework. Analysis suggests that despite rhetorical endorsement of PCA as enabling, the approach has implications for subjectivity and practice regarding the counsellor him/herself. Adhesive attachments closely resembling religious and erotic ones seem responsible for dogmatic and militaristic phenomena as described by participants. Strong emotions such as pride and guilt are indicative of this adhesive investment. Furthermore, the analysis shows that as the discourse of freedom becomes embedded in the philosophical discourse of PCA, it has connotations of truth. Lastly, the discourse of religion/spirituality seems to organise PCA in terms of meaning coherence.     

A longitudinal person-centred approach to the job demands-control model

We used a longitudinal design and a person-centred methodology to test the strain and learning hypotheses of the job demands–control model among Finnish employees (n = 926), who were followed-up at three time points covering a period of 2 years (2008–2010). First, we identified longitudinal subgroups in demands and control across three measurement points. Second, we examined how these subgroups differed in strain (job exhaustion) and motivation-related outcomes (vigour at work, work–family enrichment). Growth mixture modelling revealed four subgroups: “stable high strain”, “stable low strain”, “increasing control”, and “decreasing control”. The stable high- and low-strain subgroups also differed in the outcomes studied (exhaustion, work–family enrichment) as suggested by the demands–control model. The findings also suggest that job control is subject to changes over time and that these changes are likely to be associated with changes in employee outcomes. Malleability of job control should be kept in mind in job stress interventions, likewise the fact that some employees suffer from chronic job stress.     

正念冥想对情绪的调节作用:理论与神经机制

正念冥想可调节个体的负性情绪、促进个体正性情绪,对于心身疾病具有显著的干预效用.正念冥想的再感知模型、正念应对模型、推动性上升螺旋模型以及正念情绪调节模型都强调了正念冥想对情绪的调节作用.认知神经科学的研究发现,正念冥想可促进左侧前额叶脑区激活增强,涉及的脑区主要包括背外侧前额叶皮层(DLPFC)和背内侧前额叶皮层(DMPFC).研究者进一步发现,正念特质是通过改善前额叶对边缘系统反应的调节来实现对情绪的调节作用.而且,这种调节作用还有可能体现为通过冥想训练分离联结在一起的两种自我参照神经机制,从而加强体验性神经机制.另外,研究者还发现,正念冥想训练还可以改变与情绪加工相关的大脑结构.进一步澄清冥想训练与大脑偏侧化的关系和不同类型被试之间的比较研究将成为该领域日后研究的重点.     

Investigating occupational well-being and leadership from a person-centred longitudinal approach: congruence of well-being and perceived leadership

The overall objective of this longitudinal study was to investigate the association between perceived leadership and employee well-being from a person-centred approach utilizing the principles of the conservation of resources theory (Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524; Hobfoll, S. E. (2002). Social and psychological resources and adaptation. Review of General Psychology, 6, 307–324). First, we aimed to identify latent classes (i.e., subgroups) of employees that demonstrated similar mean levels of stability and change in occupational well-being (i.e., vigour and emotional exhaustion) across a mean time-lag of 14 months. Second, we ascertained whether employees in the latent well-being classes differed in their ratings of transformational, authentic, and abusive leadership behaviours across time. Self-report data were obtained from Finnish employees (N = 262, 88% women) working in a variety of municipal jobs. Using factor mixture modelling, four latent well-being classes were identified, indicating good (79%), low (10%), improving (8%), and deteriorating (3%) well-being. Congruence in both level and change of well-being and perceived leadership was found. That is, employees with better well-being across time reported more favourable leadership behaviours at both time points, and changes in employee well-being were reflected as changes in perceived leadership. The close relationship between perceived leadership and well-being is discussed from both a leader-centric (leadership as a resource) and a follower-centric (well-being as a resource) perspective.     

Mindfulness and Contemplation: Secular and Religious Traditions in Western Context

This article considers the growth of mindfulness as a secular practice embedded in a culture that is pluralistic but still primed by Western religion and spirituality. Eastern and Western meditational practices are compared and contrasted for greater understanding of the strengths of each. Western contemplative practices are described as an attentional training process with common factors related to mindfulness. Even as Eastern and Western meditational forms are distinguished, the shared concerns of those who value a religious–spiritual perspective in counseling are raised. Ethical implications are discussed related to informed consent, competence, and multicultural awareness.     

从以变量为中心到以个体为中心：正念研究路径的转向及启示

将以个体为中心的研究路径引入正念研究领域。基于量化研究,主要以五因素正念问卷为测量工具,以潜在剖面分析为研究方法,将研究对象区分为不同的子群体,并分析各个子群体形成的影响因素及在结果变量上的不同表现等,很好地弥补了变量中心研究路径的不足。基于质性研究,关于正念安全性/不良反应的问题,采用以个体为中心的研究路径,尊重个体差异性与自主性,以确保个体在安全练习的基础上获益。以个体为中心的研究路径对于准确把握个体正念方式并以此为依据有针对性地对个体开展正念干预等有着重要的意义。

     

Breath Versus Emotions: The Impact of Different Foci of Attention During Mindfulness Meditation on the Experience of Negative and Positive Emotions

Mindfulness meditation yields beneficial effects on the processing of emotions. However, it is still unclear whether the focus of attention during meditation influences these effects. In the present study we aimed at comparing the effects of breathing meditation and emotion-focused meditation on the immediate and delayed processing of negative and positive emotions. The study included 65 adult novice meditators who were exposed to positively and negatively valenced film clips. Participants were randomly assigned to three conditions. While watching the films at t1, they were asked to mindfully focus on their breath (condition 1), on emotions (condition 2), or on nothing in particular (condition 3). Ten minutes later at t2, comparable film clips were shown but all participants watched them without taking up a mindful attitude. Dependent measures were emotional states at t1 and t2. Participants of both meditation conditions particularly showed a more preferable delayed emotional reaction to negative stimuli than participants of the control condition. Breathing meditation and emotion-focused meditation may constitute effective emotion regulation strategies to deal with negatively valenced emotional states.     

正念冥想在ADHD儿童干预中的应用

正念冥想是有意识、非评判地将注意集中于当下经验的方法。近年来,正念冥想作为一种潜在的方法被引进到ADHD儿童干预领域。因为ADHD儿童的特异性,为了增加正念冥想方案对ADHD儿童的适切性,研究者从练习设置、奖励系统、解释方式和家长纳入几个方面对标准的正念减压训练方案做了改编。越来越多的研究证据表明,正念冥想训练能有效地减轻ADHD儿童的核心缺陷、改善其内外化症状和亲子关系。本文通过对已有相关实证研究的分析认为这些积极的影响可能与ADHD儿童的执行功能与去中心化等心理功能的改善有关,而大脑相关区域激活模式的变化和结构的积极改变可能是正念冥想影响ADHD儿童的神经基础。文章也提出已有研究在内容和方法学上的不足及其以后的探究方向。     

Extensions and Mechanisms of Mindfulness‐based Cognitive Therapy: A Review of the Evidence

Mindfulness‐based cognitive therapy (MBCT) was originally developed to prevent depressive relapse and recurrence and has also been widely extended to new patient populations and target problems over the last 14 years. We provide a comprehensive review of this literature, examining the strength of the evidence base for specific populations and target problems and identifying questions for future research to address. Specifically, we review studies addressing the use of MBCT for depressive disorders (prevention of depressive relapse and treatment of residual and current depressive symptoms), the use of MBCT in the treatment or management of other mental disorders (bipolar disorder, anxiety disorders, mixed anxiety and depression symptoms, disordered eating, personality disorders, and psychosis), and the use of MBCT in behavioural medicine contexts. Additionally, we discuss the extension of MBCT during specific developmental periods, like childhood, pregnancy and post‐partum, and adult caregiving, and, finally, we address the use of MBCT among clinical health‐care providers. In the second section, we review hypothesised mechanisms of change in MBCT and reflect on implications for theories of how MBCT works in the application to various patient populations and target problems. We also consider research addressing active ingredients and what is known about the “dosage” of meditation practice. We conclude with a summary of recommendations for future research.     

Reliability and validity of an auditing tool for person-centred psychotherapy and counselling for young people: The PCEPS-YP

The present study aimed to test the reliability and validity of the Person Centred and Experiential Psychotherapy Scale–Young Person version (PCEPS-YP). This is a newly developed and adapted 9-item scale which aims to measure counsellor competences in, and adherence to, person-centred practice, when working with adolescents. Counselling practice was assessed for 19 counsellors by randomly selecting 20-min audio segments from 142 recorded counselling sessions. Audio material was independently rated by eight raters using the PCEPS-YP to produce an average adherence rating per counsellor. Scale reliability was assessed via interrater reliability and internal consistency testing. Convergent validity was tested using ratings from the observer-rated Barrett-Leonard Relationship Inventory (BLRI Obs 40), and the scale was subjected to exploratory factor analysis. Results showed a high degree of internal consistency within raters (α = 0.95), marginally acceptable reliability across grouped raters (α = 0.58) and weaker reliability between pairs of raters (α = 0.50). Exploratory factor analysis revealed one strong factor for the scale with no subscales. Small-to-moderate correlations existed between the PCEPS-YP and the BLRI subscales and mean total score (rs = .12 to .40). Our findings suggest that the PCEPS-YP has potential as an effective, reliable and valid tool for assessing competence and adherence in person-centred practice with young people, both for research and for clinical purposes. However, training procedures need to be established that can enhance interrater reliability, and more evidence of convergent validity is needed.     

The role of personal practice in therapist skill development: a model to guide therapists,educators, supervisors and researchers

Prior to 2000, personal practice (PP) for therapists mostly meant personal therapy. Recently a new landscape of PPs has emerged, with meditation-based programs and therapy self-practice/self-reflection (SP/SR) programs playing an increasing role in training and personal/professional development. The challenge now for practitioners and researchers is to refocus on the role of PPs in training and professional development. Are PPs of value - or not? Do they have a role in therapist development? How might PPs enhance therapist skilfulness? Do different PPs act in similar or different ways? Currently, the PP literature lacks a theoretical framework to guide practitioners in their choice of PPs or researchers in their choice of research questions and measures. The purpose of this article is to provide such a framework, the Personal Practice (PP) model. The PP model proposes primary impacts of PPs in four domains: personal development/wellbeing, self-awareness, interpersonal beliefs/attitudes/skills and reflective skills. The model also suggests a secondary impact on therapists’ conceptual/technical skills when therapists use reflection to consider the implications of their PP for their “therapist self”. We offer some suggestions to enhance the quality of future research, and conclude that PPs may play an important and perhaps unique role in therapist training.     

Meditation and Appropriation: Best Practices for Counselors Who Utilize Meditation

Support for meditation is found across academic communities and popular culture. Although the application of meditative practices has yielded positive treatment outcomes, larger purposes of the practice are perhaps lost in the empirically driven West, thus driving a risk of appropriation. In response, the authors outline 4 implications for best practice for counselors who aspire to engage in the culturally responsible use of meditative practices.     

Detached Mindfulness In Cognitive Therapy: A Metacognitive Analysis And Ten Techniques

This paper describes the nature and information processing requirements of detached mindfulness. The construct emerged from the self-regulatory information processing theory of emotional disorder (Wells & Matthews, 1994), and is viewed as a metacognitive state that facilitates change in core underlying pathological processes. Detached mindfulness has multiple components, requiring the activation of metacognitive knowledge, metacognitive monitoring and control, suspension of conceptual processing, attentional flexibility, and a de-centered relationship with thoughts. A model of the cognitive structures and processes supporting the state is presented. Implications of the model for the scientific development and effective use of mindfulness techniques are discussed. Ten techniques for rapidly achieving detached mindfulness in the course of metacognitive therapy are described.Address correspondence to Professor Adrian Wells, Academic Division of Clinical Psychology, The University of Manchester, Rawnsley Building, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; e-mail: Adrian.Wells@manchester.ac.uk.     

Loving‐Kindness Meditation and Empathy: A Wellness Group Intervention for Counseling Students

The effect of a 6‐week loving‐kindness meditation (LKM) on the multidimensional empathy of 103 master's‐level counseling students was evaluated, in addition to the correlation between reported levels of time spent meditating and empathy. Statistical analyses indicated that participants who received the LKM intervention experienced gains in dimensions of empathy. A significant relationship between quantity of meditation and perspective taking was noted. Implications and suggestions for future research are explored.     

正念训练的去自动化效应：Stroop和前瞻记忆任务证据

研究显示正念训练对心理认知和健康有改善作用, 但少有研究用认知实验进行检验并探讨心理机制, 本研究将正常成人分为正念(训练)和对照组(等待)、使用Stroop任务和前瞻记忆任务, 进行前、后测考察。结果发现, 两种任务正念组后测反应时均低于前测, 且不一致条件下更显著, 对照组无差异。对前瞻记忆前后进行中任务的差值进行前、后测比较发现, 对照组后测显著小于前测, 正念组差异不显著。结果表明, 正念训练促进了Stroop和前瞻记忆任务的完成, 起到了抗自动化干扰、及阻止随任务熟悉加工更为自动化的作用。     

LETTING A LITTLE NONVERBAL AIR INTO THE ROOM: INSIGHTS FROM ACCEPTANCE AND COMMITMENT THERAPY PART 2: APPLICATIONS

Acceptance and Commitment Therapy (ACT) and Rational-Emotive Behavior Therapy (REBT) seem to have much in common. For example, they both seek to increase client’s willingness to accept inevitable, unpleasant experience. However, the techniques the therapies use to increase acceptance are often quite different. Building on the philosophical and theoretical framework presented in the previous paper, we discuss the major practical differences between ACT and REBT. We then suggest some concrete ways that the two approaches can be integrated. Such integration may greatly expand the sorts of techniques that a therapist can effectively use in the therapy room. Address correspondence to Joseph Ciarrochi, Department of Psychology, University of Wollongong, Wollongong, NSW 2522, Australia     

Learning from experience: Bion's concept of reverie and Buddhist meditation: A comparative study

The author argues for a common denominator between Bion's view and the Buddhist view of mental development. In both thought systems, mental growth is synonymous to learning from experience. The author closely examines Bion's concept of attention and compares it to mindfulness, a major factor in Buddhist meditation. In both doctrines, attention must be isolated from other mental processes in order to attain learning from experience. The author compares reverie to the state of mind of equanimity. She argues that enhancement of the ability of reverie, or improving the inner container such that it can hold any content while unmoved by desire, is the purpose of Buddhist practice. Both view the mind as capable of transcending its own restrictions and 'the capacity to know anything' as attainable through disciplined practice.     

Mindfulness induction and cognition: A systematic review and meta-analysis

Mindfulness meditation might improve a variety of cognitive processes, but the available evidence remains fragmented. This preregistered meta-analysis (PROSPERO-CRD42018100320) aimed to provide insight into this hypothesis by assessing the effects of brief mindful attention induction on cognition. Articles were retrieved from Pubmed, PsycInfo and Web of Science up until August 1, 2018. A total of 34 studies were included. The outcomes were categorized into four cognitive domains: attentional functioning, memory, executive functioning and higher-order function. A small effect was found across all cognitive domains (Hedges’ g = 0.18, 95% IC = 0.07–0.29). Separated analyses for each cognitive domain revealed an effect only in higher-order cognitive functions (k = 10, Hedges’ g = 0.35, 95% IC = 0.20–0.50). Results suggest that mindfulness induction improves cognitive performance in tasks involving complex higher-order functions. There was no evidence of publication bias, but studies generally presented many methodological flaws.