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Clinical Handbook of Mindfulness Clinical Handbook of Mindfulness Fabrizio Didonna Editor 123 Editor Dr.FabrizioDidonna Coord.UnitforMood&AnxietyDisorders DepartmentofPsychiatry CasadiCuraVillaMargherita Arcugnano,Vicenza-Italy [email protected] ISBN:978-0-387-09592-9 e-ISBN:978-0-387-09593-6 DOI10.1007/978-0-387-09593-6 LibraryofCongressControlNumber:2008938818 c SpringerScience+BusinessMedia,LLC2009 ⃝ Allrightsreserved.Thisworkmaynotbetranslatedorcopiedinwholeorinpartwithoutthe writtenpermissionofthepublisher(SpringerScience+BusinessMedia,LLC,233SpringStreet, NewYork,NY10013,USA),exceptforbriefexcerptsinconnectionwithreviewsorscholarly analysis.Useinconnectionwithanyformofinformationstorageandretrieval,electronicadap- tation, computer software, or by similar or dissimilar methodology now known or hereafter developedisforbidden. Theuseinthispublicationoftradenames,trademarks,servicemarks,andsimilarterms,evenif theyarenotidentifiedassuch,isnottobetakenasanexpressionofopinionastowhetheror nottheyaresubjecttoproprietaryrights. Printedonacid-freepaper springer.com To my wife Rachele, For her love, support and understanding. May she be always safe, happy, healthy and free from inner and outer harm F. D. Contents Acknowledgments................................................. xi AbouttheEditor................................................... xiii Contributors....................................................... xv Foreword.......................................................... xxv Introduction:WhereNewandOldPathstoDealing withSufferingMeet............................................... 01 FabrizioDidonna Part1 Theory,Conceptualization,andPhenomenology 1 Mindfulness:WhatIsIt?WhereDidItComeFrom?.......... 17 RonaldD.Siegel,ChristopherK.Germer,andAndrewOlendzki 2 MindfulnessandMeditation.................................. 37 AndrewOlendzki 3 TheNeurobiologyofMindfulness............................ 45 MichaelT.TreadwayandSaraW.Lazar 4 TowardaPhenomenologyofMindfulness:Subjective ExperienceandEmotionalCorrelates........................ 59 KirkWarrenBrownandShariCordon Part2 ClinicalApplications:GeneralIssues,Rationale, andPhenomenology 5 MindfulnessandPsychopathology:ProblemFormulation.. 85 NancyL.Kocovski,ZindelV.Segal,andSusanR.Battista vii viii Contents 6 EmotionalMemory,MindfulnessandCompassion.......... 99 PaulGilbertandDennisTirch 7 TheUseofMetaphortoEstablishAcceptance andMindfulness.............................................. 111 AletheaA.Varra,ClaudiaDrossel,andStevenC.Hayes 8 MindfulnessandFeelingsofEmptiness...................... 125 FabrizioDidonnaandYolandaRosilloGonzalez 9 AssessmentofMindfulness................................... 153 RuthA.Baer,ErinWalsh,andEmilyL.B.Lykins Part3 Mindfulness-BasedInterventionsforSpecificDisorders 10 MindfulnessandAnxietyDisorders:DevelopingaWise RelationshipwiththeInnerExperienceofFear............. 171 JeffreyGreeson,JeffreyBrantley 11 MindfulnessandObsessive-CompulsiveDisorder: DevelopingaWaytoTrustandValidateOne’sInternal Experience.................................................... 189 FabrizioDidonna 12 Mindfulness-BasedCognitiveTherapyforDepression andSuicidality................................................ 221 ThorstenBarnhoferandCatherineCrane 13 MindfulnessandBorderlinePersonalityDisorder........... 245 ShireenL.Rizvi,StacyShawWelch,andSonaDimidjian 14 Mindfulness-BasedApproachestoEatingDisorders......... 259 RuthQ.WoleverandJenniferL.Best 15 ParadiseLost:MindfulnessandAddictiveBehavior.......... 289 ThomasBien 16 MindfulnessforTraumaandPosttraumaticStress Disorder ...................................................... 299 VictoriaM.FolletteandAditiVijay 17 MindfulAwarenessandADHD............................... 319 L.Zylowska,S.L.Smalley,andJ.M.Schwartz 18 MindfulnessandPsychosis................................... 339 AntonioPinto Contents ix 19 Mindfulness-BasedStressReductionforChronicPain Management.................................................. 369 JacquelineGardner-Nix 20 Mindfulness-BasedInterventionsinOncology............... 383 LindaE.Carlson,LauraE.Labelle,SheilaN.Garland, MarionL.Hutchins,andKathrynBirnie Part4 Mindfulness-BasedInterventionsforSpecificSettings andPopulations 21 Mindfulness-BasedInterventioninanIndividualClinical Setting:WhatDifferenceMindfulnessMakesBehind ClosedDoors.................................................. 407 PaulR.Fulton 22 MindfulnesswithChildren:WorkingwithDifficult Emotions...................................................... 417 TrudyA.GoodmanandSusanKaiserGreenland 23 Mindfulness-BasedElderCare:CommunicatingMindfulness toFrailEldersandTheirCaregivers.......................... 431 LuciaMcBee 24 Mindfulness-BasedInterventionsinanInpatientSetting.... 447 FabrizioDidonna 25 TrainingProfessionalsinMindfulness:TheHeart ofTeaching................................................... 463 SusanLesleyWoods AppendixA:MindfulnessPractice................................ 477 ThomasBienandFabrizioDidonna AppendixB:Resources............................................ 489 Index.............................................................. 499 Acknowledgments Iwishtoacknowledgemyindebtednesstoanumberofpeople. Firstandforemost,Iwishtoacknowledgetheinfluenceofmanyteachers and mentors: I am profoundly grateful to Jon Kabat-Zinn for his precious andinvaluableteachingthroughoutthepastyears,forhisextraordinaryand contagiousenthusiasmandwiseexampleintransmittingandembodyingthe deep meanings and principles of mindfulness. My warmest thanks to him alsoforhisprecioushelp,supportandfeedbackduringthefinalstageofthis project,forhelpingmetoexpandthelistofmindfulnesscentresandgroups inAppendixBandlast,butnotleast,forhiskindandthoroughforewordto thisbook. MyheartfeltthanksgoestoThichNathHanhandThomasTrobe,whohave allowed me to see new paths over the years to improve professionally and growpersonallyandtoeffectivelyintegratemindfulnessandmeditationinto myunderstandingandtreatingofpsychologicalsufferinginclinicalpractice. A special and nostalgic acknowledgement goes to Ma Yoga Sudha, who left us a few months ago. She personally taught me the precious and heal- ing value of compassion, disidentification and free emotional expression in psychotherapythroughmeditation. I am also grateful to Giovanni Liotti who illuminated me with many wise ideasandhelpedmelearnhowtounderstandandtreatchallengingandcom- plexpsychiatricpatients. IalsowanttooffermysincereandwarmthankstoMarkWilliams,Marsha LinehanandJeffreyYoungfortheirkindcommentsandsupporttothebook. I am extremely grateful to Thomas Bien, Sarah Guth and Jeffrey Brantley fortheirvaluable,thoroughandhelpfulfeedbackandreviewonchapters8, 11and24. A Special thanks goes to Zindel Segal for sharing his advice and clinical insightsandforsupportingmeinthiswonderfulprojectrightfromthestart. Iamverygratefultoalltheauthorswhohavecontributedtothisbookand whohaveputsomuchworkintohelpingbringthisprojecttofruition.Ialso thankthemfortheirenthusiasmandcollaborativewayofaccompanyingme throughout this fascinating, but also laborious, journey and lastly for their precious and invaluable contribution to the field. Each has furnished many newinsightsformepersonally. xi xii Acknowledgments IammostgratefultothestaffofSpringerPublisher,inparticularExecutive EditorSharonPannulla,andEditorialAssistantJenniferHadley,fortheirkind assistance, advice, and support and for their flexible approach throughout the process of putting this book together. Many thanks also to the Project ManagerSasikalaRajesh. Iamalsoveryindebtedtomypatients,whohavetaughtmemostofwhat I know about clinical work with their efforts, perseverance and trust in the therapy,and,intheend,theirloveoflife. Finally,IwishtooffermyheartfeltthankstomywifeRacheleforherlove and patience as I toiled long hours and was often absent while editing and writingthismanual.Toherthisbookisdedicated. F.D.
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