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The essential guide to MiCBT for therapists working in clinical settings


The Clinical Handbook of Mindfulness-integrated Cognitive Behavior Therapy offers therapists working in clinical settings a practical set of evidence-based techniques derived from mindfulness (vipassana) training and the principles of Cognitive Behavior Therapy. The increasing popularity of Mindfulness-integrated Cognitive Behavior Therapy (MiCBT) is principally attributed to its transdiagnostic applications. It offers novel tools that address a broad range of psychological disorders both acute and chronic, including those with complex comorbidities, and helps prevent relapse.


The authoritative guide to this unique approach includes:





A clear explanation of MiCBT's origins and development, structure and content, scientific underpinnings and supporting empirical evidence

A comprehensive guide to the 10-session MiCBT program for groups and individual clients that includes worksheets and handouts for each session and suggestions to overcome common difficulties

A presentation of the research and practical experience of the authors, noted experts in the field of MiCBT



Written for mental health therapists working with groups and individual clients, The Clinical Handbook of Mindfulness-integrated Cognitive Behavior Therapy offers an effective guide for implementing the principles of MiCBT within their professional practice.

The Clinical Handbook of Mindfulness-integrated Cognitive Behavior Therapy - A Step-by-Step Guide For Therapists

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