how to obtain your continuing education contact hour for ... · an introduction to mindfulness...
TRANSCRIPT
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How to Obtain Your Continuing Education Contact Hour for this Webinar
• Create a Username & Password at the NYU Silver CE Online Portal: https://sswforms.es.its.nyu.edu/
• Log on to the “Continuing Education Online Portal for the NYU Silver School of Social Work” page, click on “All Events & Programs” tab
• Scroll down & select today’s webinar under “Online Learning” • Click “Register” • Fill in the billing information, click register, and pay the CE
registration fee
Remember: Our system works best with Google Chrome or Mozilla Firefox
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The Community Technical Assistance Center of New York
Dr. Annemarie Gockel
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Practicing Presence
Integrating Mindfulness into Psychotherapy with Adults
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Participating in Practice
• You are in charge of where you place your attention
• Disregard or adapt any instruction that isn’t appropriate for you in this moment
• It is always possible to redirect your attention to another point of focus: sounds, the breath, body sensations, another object in the room
Take care of yourself!
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Objectives
You will learn about:
• Three elements of mindfulness in psychotherapy
• Using mindfulness to work with body sensations, states of mind, and feelings
• Adapting mindfulness practices to the needs of particular clients
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What is “Mindfulness”?
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How Does Mindfulness Develop?
• Innate capacity that can emerge spontaneously
• Sustained mindfulness requires cultivation
• Through formal meditation or other contemplative practices
• And informal practices that gradually help us weave mindfulness into the fabric of our lives
Most common current practices: Concentration Open Awareness Loving Kindness or
Compassion
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Continuum of Mindfulness in Psychotherapy
Clinician’s own
mindfulness practice
Clinician’s presence &
use of awareness with client
Integrating insights from
practice
Using brief practices for
a specific purpose
Guiding mindfulness exploration in session
Fulton (2013)
Implicit Explicit
Clinician well-being Client well-being
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Element I: Starting Where You Are; The Clinician’s Mindfulness Practice Increase your well-being, self-regulation, and openness to experience.
Strengthen therapeutic skills and qualities to help you become more effective Positively impact client experience and outcome
Client Clinician
“My presence speaks volumes before I say a word”-Mos Def
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Psychological Effects of Mindfulness
Increased: Attentiveness Self-awareness Affect tolerance Cognitive flexibility Openness Creativity Emotional Regulation
Decreased: Negative emotion Anxiety Rumination Impulsivity (easier to manage urges) Reactivity
(Baer, 2003; Davis, & Hayes, 2011; Eberth, & Sedlmeier, 2012; Shapiro, Brown, Astin, 2008; Walsh, & Shapiro, 2006)
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Participating in Practice
• You are in charge of where you place your attention
• Disregard or adapt any instruction that isn’t appropriate for you in this moment
• It is always possible to redirect your attention to another point of focus: sounds, the breath, body sensations, another object in the room
Take care of yourself!
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Improved Immune Functioning
Chronic Pain
Anxiety
Regulation of Cortisol
Work Stress
Mindfulness and the Body
Asthma
Cancer Chronic Illness
Eating Disturbances
Fatigue
Fibromyalgia
Gastro-Intestinal Distress
Headaches
Heart Disease
High Blood Pressure
Sleep Regulation
Skin conditions
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Element II: Insights from the Practice
• We receive many insights from our ongoing practice
• Insights move us beyond conceptualization into experience, integration, and ultimately wisdom.
• We can begin to draw on these insights to help guide clients towards deepening understanding and increased freedom from their own dilemmas.
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Resistance increases suffering
Identify resistance
Explore with awareness
Insight
Reorganization
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Element III: Direct Interventions Informed consent-Is the client interested?
Risks/Benefits • Heightened sensations • Increased awareness • No guarantees • Change is unpredictable
Using practices we know, and can easily adapt
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Element III: Direct Interventions
Matching the practice to the client’s readiness: Concrete Abstract Briefer Extended More Guidance Less Guidance
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Element III: Direct Interventions Principles: • Matching practices to
the client’s needs • How much
interoception can the client tolerate?
• Testing it in session and debriefing
• Always providing options/choices
Choices: • Objects of focus • Moving vs sitting • Formal vs
informal • Style of practice
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Pause for Practice
• You are in charge of where you place your attention
• Disregard or adapt any instruction that isn’t appropriate for you in this moment
• It is always possible to redirect your attention to a another point of focus: sounds, the breath, body sensations, another object in the room
Take care of yourself!
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Working with Anxiety
Approach
Explore
Tolerate
Act
Learn
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Summary
We have explored:
Three elements of mindfulness in psychotherapy Using mindfulness to work with body
sensations, states of mind, and feelings Adapting mindfulness practices to the
needs of particular clients
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Resources Websites Mindfulness-Based Cognitive Therapy http://mbct.com/ Acceptance and Commitment Therapy http://contextualscience.org/act Dialectical Behavior Therapy http://behavioraltech.org/resources/whatisdbt.cfm Mindfulness-Based Stress Reduction (MBSR) http://www.umassmed.edu/cfm/Stress-Reduction/ Center for Mindful Eating http://www.thecenterformindfuleating.org/ Mindfulness-Based Relapse Prevention http://www.mindfulrp.com/ Mindful Self-Compassion Training http://www.mindfulselfcompassion.org/
Books • Boone, M. (Ed.). (2014). Mindfulness and
acceptance in social work: Evidence based interventions and emerging applications. Chicago, IL: Lyceum Books.
• Germer, C. K., Segal, R. D., & Fulton, P. R. (2013). Mindfulness in Psychotherapy (2nd ed.). New York, NY: Guilford Press.
• Hick, S. F., & Bien, T. (2008). Mindfulness and the therapeutic relationship. New York, NY: Guilford Press.
• Shapiro, S. L., & Carlson, L. E. (2009). The art and science of mindfulness: Integrating mindfulness into psychology and the helping professions. Washington, DC: American Psychological Association.
• Williams, M., & Penman, D. (2011). Mindfulness: A practical guide to finding peace in a frantic world. London: Little, Brown.
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How to Obtain Your Continuing Education Contact Hour for this Webinar, cont.
• After registering & within 24 hours, log back on to NYU Silver CE Online Portal
• Go to “Your Registrations” at the top of the page • Next to the name of the webinar you attended, you
will see “Take Assessment” in red • Complete assessment • Once done, you will be directed how to download
your CE certificate • For Questions: Call us at 212-998-5973 or email
us at [email protected]