Mindfulness and Acceptance in Behavioral Medicine: Current Theory and Practice

400 Pages·2011·4.24 MB·English

by  Lance McCracken

MINDFULNESS
& ACCEPTANCE
IN BEHAVIORAL
MEDICINE
Current Theory & Practice
Edited by
LANCE M. McCRACKEN, PH.D.
C P
ontext ress
An Imprint of New Harbinger Publications, Inc.
Publisher’s Note
This publication is designed to provide accurate and authoritative information
in regard to the subject matter covered. It is sold with the understanding that
the publisher is not engaged in rendering psychological, financial, legal, or other
professional services. If expert assistance or counseling is needed, the services of
a competent professional should be sought.
Distributed in Canada by Raincoast Books
Copyright © 2011 by Lance M. McCracken
New Harbinger Publications, Inc.
5674 Shattuck Avenue
Oakland, CA 94609
www.newharbinger.com
Cover design by Amy Shoup; Acquired by Catharine Sutker;
Text design by Tracy Marie Carlson; Edited by Karen Stein
All Rights Reserved
P(cid:37)(cid:39)(cid:1)(cid:42)(cid:52)(cid:35)(cid:47)(cid:27)(cid:1)(cid:26)(cid:24)(cid:25)(cid:18)(cid:22)(cid:24)(cid:19)(cid:19)(cid:21)(cid:24)(cid:20)(cid:19)(cid:18)

Library of Congress Cataloging in Publication Data
Mindfulness and acceptance in behavioral medicine : current theory and prac-
tice / edited by Lance M. McCracken.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-57224-731-4 (pbk.) -- ISBN 978-1-57224-732-1 (pdf ebook)
1. Acceptance and commitment therapy. 2. Mindfulness-based cognitive
therapy. I. McCracken, Lance M., 1962-
[DNLM: 1. Cognitive Therapy. 2. Adaptation, Psychological. 3. Awareness. 4.
Health Behavior. 5. Mind-Body Therapies--methods. 6. Patient Acceptance of
Health Care--psychology. WM 425.5.C6]
RC489.A32M56 2011
616.89’1425--dc22
2010046098
To my parents, Patricia and Terrence McCracken, and to Sherry

Contents
Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Part 1
Introduction
1
History, Context, and New Developments
in Behavioral Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Lance M. McCracken
■ ■
A Brief Early History of Behavioral Medicine Process and
■
Outcome in Behavioral Medicine Behavioral Medicine and
■
Empirically Supported Treatment The Development of
■
Mindfulness-Based Approaches in Health Care ACT Model and
■
Process Meta-Analyses of Mindfulness-Based Treatments
■ ■
Summary References
Part 2
Applications of ACT and Mindfulness to Specific
Conditions and Populations
2
Acceptance and Commitment Therapy
for Chronic Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Kevin E. Vowles & Miles Thompson
■
The Development of Psychological Models of Chronic Pain
■
Critique of Cognitive Behavioral Approaches for Chronic Pain
■
ACT and Mindfulness-Based Approaches for Chronic Pain
■ ■ ■
Measures Treatment Outcome Clinical Issues
■ ■
Summary References
Mindfulness & Acceptance in Behavioral Medicine
3
Analysis and Treatment of Epilepsy Using
Mindfulness, Acceptance, Values, and
Countermeasures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
JoAnne Dahl & Tobias Lundgren
■ ■
Conditioning and the Epileptic Seizure Interruption
■ ■
Function Reviews of Psychological Treatment of Epilepsy
■ ■
Acceptance and Commitment Therapy and Epilepsy Acceptance
■
and Change A Short-Term ACT Treatment Protocol for Severe
■ ■ ■
Epilepsy Results Summary References
4
Health Behavior Problems in Diabetes,
Obesity, and Secondary Prevention . . . . . . . . . . . . . 79
Jennifer A. Gregg, Priscilla Almada, & Eric Schmidt
■ ■ ■
Obesity Diabetes Beyond Obesity and Diabetes: Metabolic
■
Syndrome and the Future of Secondary Prevention Summary
■
References
5
Acceptance and Commitment Therapy:
A Promising Approach to Smoking Cessation . . 107
Jonathan B. Bricker
■
Current Smoking Cessation Intervention Approaches
■ ■
Acceptance & Commitment Therapy How ACT Differs from
■
CBT ACT for Smoking Cessation: A Brief Clinical Overview
■ ■ ■
Future Directions Summary References
6
Insomnia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Lars-Gunnar Lundh
■ ■
Sleep-Interfering and Sleep-Interpreting Processes Empirical
■ ■
Studies Summary References
vi
Contents
7
Mindfulness for Cancer and Terminal Illness 159
Linda E. Carlson & Joan Halifax
■
Psychological Sequelae of Cancer Diagnosis and Treatment
■ ■
Application of Mindfulness in Cancer Patients Mindfulness-
■ ■
Based Interventions for End of Life Care Summary References
Part 3
Assessment Methods
8
Assessment of Acceptance and Mindfulness in
Behavioral Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Ruth A. Baer & Jessica R. Peters
■
Definitions and Descriptions of Mindfulness and Acceptance
■ ■
Instruments for Measuring Mindfulness Use of Mindfulness
■
Measures in Behavioral Medicine Settings Instruments for
Measuring Acceptance, Values, or Psychological Flexibility
■ ■
Conclusions References
Part 4
Related Clinical Methods
9
Acceptance and Commitment Therapy and
Motivational Interviewing for Health
Behavior Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
David Gillanders
■ ■
Key Features of MI Similarities Between ACT and MI
■ ■
Differences between ACT and MI Clinical Issues
■ ■
Summary References
vii
Mindfulness & Acceptance in Behavioral Medicine
10
Integration of Exposure-Based and Other
Traditional CBT Methods with Acceptance
and Mindfulness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243
Rikard K. Wicksell
■ ■
Background and Theoretical Framework Implementing ACT
■
Interventions with Traditional Methods Acceptance of Therapist
■ ■
Distress Summary References
Part 5
Training and Education of Health Care Providers
11
Bias, Prejudice, and Disparities in Health Care . . 269
Miles Thompson
■ ■
Global Health Care Disparities Reasons and Solutions
■ ■ ■
Ways Forward Relational Frame Theory Acceptance and
■ ■
Commitment Training Widening the Scope References
12
Mindfulness-Based Training for Health Care
Professionals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303
Nicole L. Kangas & Shauna L. Shapiro
■
Mindfulness and Self-Care for Health Care Professionals
■ ■
Consequences of Clinician Stress Mindfulness Practice as
■
a Means of Self-Care Incorporating Mindfulness in Therapy to
Enhance Professional Effectiveness and Patient Outcomes
■ ■
Summary References
viii
Contents
13
Team Working and the Social Contexts
of Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341
Jeremy Gauntlett-Gilbert
■ ■
Professional Training and Cultures Organization and Systems
■ ■
Cultures Patient Assumptions and Expectations Training
■
ACT and Leading Implementation Summary and Conclusions
■
References
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 371
ix