an exploratory mixed methods study of the acceptability and effectiveness of mindfulness

However this is a rather subtle process and as this

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Unformatted text preview: known to play a significant role in maintaining generalised anxiety disorder [19]. Unlike CBT, the mindfulness-based approach does not explicitly aim to challenge beliefs about worry and instead focuses on changing participants' way of relating to worry itself. In theory, the repeated application of nonjudgemental attention to the process of worry (watching thoughts come and go without either blocking or following them) reduces habitual worrying and the distress associated with worrisome thoughts. However this is a rather subtle process and as this study shows is the easily open to misinterpretation. Although it is possible that the course was simply too short, and indeed the majority of participants thought that this was the case, the above examples indicate that for some patients MBCT may not affect significant change in key domains that maintain depression and anxiety. Interestingly, while Baer's review [18] suggest that mindfulness training has benefits across a wide range of disorders, Teasdale et al remain cautious about attempts "to apply mindfulness training indiscriminately, as if it were a simple, general-purpose therapeutic technology" [20]. Instead they suggest that mindfulness training "is best conducted by practitioners who have adequately formulated views of the disorders they wish to treat and of the ways that mindfulness training can be helpful to clients with those disorders". In the case of relapsing depression the problem is conceptualised in terms of ruminative thinking induced by low affect, which can turn brief periods of low mood into prolonged episodes of depression. It must also be remembered that the authors of the MBCT manual tailored the mindfulness exercises to nondepressed clients with a history of relapsing depression, teaching them to recognise and remain 'open' to difficult emotions without engaging in ruminative thinking. However, the results from this study suggest that MBCT may be of benefit to a wider range of patients than nondepressed patients with a history of relapsing depression. At th...
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