PARTICIPANT RESPONSES AMSTERDAM Wise Psychotherapist

Transcription

1 PARTICIPANT RESPONSES AMSTERDAM 2015 Wise Psychotherapist 1. Non-judgmental 2. Warm, compassionate 3. Patience 4. Sees the whole person 5. Calm 6. Nuanced 7. Beginner s mind open-minded 8. Discernment 9. Interested 10. Curious, asking 11. Knowledge 12. Honest, real 13. Human 14. Playful 15. Understanding 16. Sees larger context 17. Sensitive 18. Courageous 19. Friendly 20. Experienced having lived life 21. Mentalizing 22. Intuitive 23. Present 24. Empathic 25. Supportive 26. Humility

2 Foolish (Unwise) Moments 1. Being so excited about my new idea, that I missed where my patient was entirely 2. Using the wrong name thinking that my patient was someone else 3. Pouring tea over my patient s arm 4. Forgetting my appointment 5. Please look me in the eye missing the cultural needs of the other 6. Thinking too much what intervention she needs next 7. Anxiety about getting it right got in the way 8. Stuck on preconceived idea about what treatment should be 9. Making assumptions based on limited information --- and thinking I could do more than I could 10. Overloading my client with my brilliant insights 11. Undervaluing my own value not noticing that we matter 12. Judging supervisee having preconceived ideas color my view What Gets in the Way 1. Me 2. Afraid to not be good enough smart and talented, or ethical and caring 3. Feeling people can t change 4. Allergies automatic reactions to certain types of people a. Narcissistic people b. Dumb people

3 c. Arrogant people d. Rigid e. Externalizes f. Lazy g. Complainers h. Driven 5. Striving 6. Impatience 7. Taking on more than I can handle 8. Not being able to admit that we re not the right person

4 Wisdom and Compassion in Psychotherapy: Deepening Mindfulness in Clinical Practice If we are doomed to die let us spend. -- Mesopotamia (3000 BCE) Ronald D. Siegel, Psy.D. Wisdom in Psychotherapy Be not puffed up with thy knowledge, and be not proud because thou are wise. -- Egypt (2000 BCE) Hard core pornography is hard to define [but] I know it when I see it. The narrow intelligence flashing from the keen eye of a clever rogue is not wisdom. -- Socrates (400 BCE) -- Justice Potter Stewart (1964) 1

5 Meeks & Jeste A 15 year old girl wants to get married right away. What should she do? 1. Prosocial behavior/attitudes 2. Social decision-making/pragmatic life knowledge 3. Emotional homeostasis 4. Reflection/Self-understanding 5. Value relativism/tolerance 6. Acknowledgement of/dealing effectively with uncertainty/ambiguity. Paul Baltes Berlin Group Not Knowing 1. Factual knowledge 2. Procedural knowledge 3. Life-span contextualism 4. Value relativism 5. Awareness and management of uncertainty Monika Ardelt Beginner s Mind A fool can learn to say all the things a wise man says, and to say them on the same occasions, but this isn t real wisdom. --John Kekes 2

6 Susan Bluck and Judith Gluck 1. Intelligence 2. Insight 3. Reflective attitude 4. Concern for others 5. Problem-solving abilities Mindfulness Buddhist Psychology The Roles of Mindfulness Implicit Practicing Therapist Compilation of insights derived largely from mindfulness practice Not a religion in Western sense, but the results of a 2500 year old tradition of introspection Explicit Mindfulness Informed Psychotherapy Mindfulness Based Psychotherapy Three Marks of Existence What is Mindfulness? Anicca (impermanence) Dukkha (unsatisfactoriness) Anatta (no enduring, separate self) Sati in Pali Connotes awareness, attention, & remembering In therapeutic arena, also includes Non-judgment Acceptance Adds kindness & friendliness 3

7 Therapeutic Mindfulness R-A-I-N 1. Awareness 2. Of present experience 3. With acceptance Recognize what is happening. Allow life to be just as it is. Investigate inner experience with kindness. Nonidentification; rest in Natural awareness. --Tara Brach Formal Meditation Skills Concentration (focused attention) to observe clearly Mindfulness (open monitoring) to see how the mind creates suffering Acceptance (loving-kindness; self-compassion; equanimity) to soothe and comfort How Mindfulness Fosters Wisdom I Stepping Out Of the Thought Stream Being With Discomfort Disengaging From Automatic Responses Acceptance How Mindfulness Fosters Wisdom II Transpersonal Insight Seeing How the Mind Creates Suffering Embracing Opposites Developing Compassion 4

8 Narcissism in Western Psychology Anatta DSM Character disorder Behavior therapy Self efficacy Psychodynamic psychotherapy Healthy narcissism or self esteem Why Are You Unhappy? Because 99.9% of everything you think, and of everything you do, is for yourself and there isn't one. - Wei Wu Wei (Terence James Stannus Gray) Narcissism in Buddhist Psychology We suffer when we don t know who we really are Attempt to buttress self is central cause of suffering Our concept of self is based on a fundamental misunderstanding The Western View of the Self Where do I Begin and End? Emphasis on separateness vs. connection to family, tribe, nature, etc. Healthy (Western) development: Individuated Aware of Boundaries Knowing one s needs Clear identity and sense of self 5

9 What about Boundaries? Us and Them Servant Meat Servant Enemy Enemy Servant Servant Meat Meat Enemy Servant Meat Servant Enemy Boundaries Constructing Experience Identity is a construction project Mind is a worldbuilding organ Makes order out of chaos Constructs reality from data streaming in at break-neck speed Where is the Organism? Coming together of Sense organ Sense object Awareness of object Six senses Seeing Hearing Smelling Tasting Touching Thinking Sense Contact 6

10 Evaluates sense experience Conditioned by culture and language Constructs and categorizes Omits details Fills in missing information Perception Intention and Disposition We try to Hold onto the pleasant Push away the unpleasant Ignore the neutral We develop habits of intention Dispositions Learned behaviors Conditioned responses Personality characteristics VIDEO The Construction of Experience Intention Feeling Perception Consciousness Sense Organ Sense Object Feeling We add an affective or hedonic tone to all experience Pleasant Unpleasant Neutral A human being is part of the whole called by us universe... We experience ourselves, our thoughts and feelings as something separate from the rest. A kind of optical delusion of consciousness. This delusion is a kind of prison for us, restricting us to our personal desires and to affection for a few persons nearest to us. Our task must be to free ourselves from the prison by widening our circle of compassion to embrace all living creatures and the whole of nature in its beauty. The true value of a human being is determined by the measure and the sense in which they have obtained liberation from the self. 7

11 The Self Flowers Wilt When We Pick Them A verb, not a noun Selfing occurs We respond differently when experiences belong to me Creates further distortions Copernicus of the Mind Identity is recreated moment by moment Continuity of self is illusory Like frames of a movie Jung s Shadow & The Separate Self Identifying with some mental contents while rejecting others Creates split off Shadow Mild dissociation caused by trying to avoid pain The Failure of Success The pain of I, me, me, mine Narcissistic recalibration Narcissistic defenses are all compensatory The Trance of Unworthiness Eastern meditation teachers are surprised by Western self-criticism Anxiety is primal mood of the separate self (Tara Brach) Related to Western cultural emphasis on the separate self 8

12 We re all Bozos on this Bus Dodo Bird Hypothesis Dandelions in a field Not a path to perfection, but a path to wholeness Boundary of what we can accept in ourselves is the boundary of our freedom Zen Patriarch Everybody has won, and all must have prizes. Therapeutic Progress What Matters Most in Psychotherapy? Not about me Not about me mine about me mine about me about me -- Adapted from Engler & Fulton Evenly Hovering Attention Wise Therapeutic Presence Listen and not to trouble to keep in mind anything in particular Freud,

13 And I, Sir, Can Be Run Through with a Sword Challenges and Obstacles Affect Tolerance Not my, but the Anger Fear Lust Joy You Have to Become a Somebody Before Becoming a Nobody Dangers: Fragmentation Dissolution Aggrandizement Analogous to stage-based trauma treatments Traditionally some practices are esoteric Patients can only be with those emotions that we can embrace Embracing Affect Emotions experienced as transient Teaspoon of salt in a pond Spiritual Materialism I Remarkably robust tendency to compare ourselves with others Last neurotic pattern to fall away Look how selfless I am! Getting hooked on the enlightened role 10

14 Spiritual Materialism II It s easy to become attached to the positive effects of mindfulness Craving clarity Seeking higher states of consciousness Feeling superior to others who we imagine are less awake or aware Compassion Compassion in Psychotherapy Latin: pati; Greek: pathein ( to suffer ) Latin: com ( with ) Compassion means to suffer with another person. Drive, excitement, vitality. Affect Regulation Systems Contentment, safety, connection Compassion s Relatives Seeking pleasure Achieving and Activating Threat-focused Protection & Safety Seeking Activating/Inhibiting Affiliative Soothing/safety Well-being Empathy Sympathy Love Pity Altruism Anger, anxiety, disgust 11

15 How Mindfulness Develops Compassion Compassion for ourselves arises as we open to our own suffering Compassion for others arises as we see that everyone else also suffers Compassion arises naturally as we see our interconnectedness Positivity Portfolio When do you feel close & trusting? When does a relationship spark joy, gratitude, inspiration, awe? When do you lean toward your beloved? have the urge to enjoy your beloved s companionship? --Barbara Fredrickson Lovingkindness Practice Metta practices May I be happy, peaceful, free from suffering May my loved ones be happy... May all beings be happy... Equanimity Phrases Everyone is on his or her own life journey. I am not the cause of my patient s suffering, nor is it entirely within my power to alleviate it. Though moments like this are difficult to bear, I may still try to help to the extent that I can. Research on LKM Builds positive emotions and resources Increases feelings of social connectedness. Changes the brain, which correlates with empathy and generosity. Shifts away from fault-finding, self and other Reduces back pain. Developing Compassion Imagine being a deeply compassionate person. Imagine being wise; knowing that we all just find ourselves here by the tide of evolution. Imagine yourself with the confidence, strength, and authority that arises from this understanding. --Paul Gilbert 12

16 Condon, Desbordes, & Miller (2013) Paradoxical Responses Universality of ambivalence Highlight one pole, energize the other Negative emotions may arise Cynicism, anger, sadism Practice saying Yes to these Cultivating Compassion 2 wk x 30 min online compassion training Loved one Self Stranger Difficult person All beings Compassionate Economics Subjects received $100, $75, or $50 Allowed to keep or give away any amount Meditators more likely to share Self-Compassion 13

17 When Things Go Wrong Unholy trinity of Self-criticism Self-isolation Self-absorption Self-Compassionate Letter Describe something that makes you feel badly about yourself Think of loving, accepting, imaginary friend Write a letter to yourself from your friend s perspective ---Kristen Neff An Antidote: Self-compassion First Noble Truth to the Rescue Self-Kindness Common Humanity Mindfulness Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, The Story of the Mustard Seed Self-compassion is not Sugarcoating we re opening to pain. Complacent it s a force of will - good will. Pity Party we re disentangling from pain. Exhausting we re struggling less. Selfish it s the first step to loving others. The Big Picture What helps you to identify with something larger than yourself? Nature Friend, Family, or Community Spiritual Teacher Religious figure or image 14

18 Greeting Exercise Begin with breath Visualize the person you re about to meet, suffering human being, once a child, has hopes and dreams, vulnerable and afraid, believing you can help Now say hello. 1) I find it relatively easy to get close to others and am comfortable depending on them and having them depend on me. I don't worry about being abandoned or about someone getting too close to me. Research On Self-compassion Predicts psychological well-being Different construct than self-esteem Unrelated to narcissism Adaptive response to academic failure Alleviates shame and self-criticism Helps to avoid unhealthy food 2) I find that others are reluctant to get as close as I would like. I often worry that my partner doesn't really love me or won't want to stay with me. I want to get very close to my partner, and this sometimes scares people away. Adult Attachment Styles 3) I am somewhat uncomfortable being close to others; I find it difficult to trust them completely, difficult to allow myself to depend on them. I am nervous when anyone gets too close, and often, others want me to be more intimate than I feel comfortable being. 15

19 Three Objects of Awareness Relationships Mindfulness of sensations, thoughts, feelings in me Mindfulness of the words, body language, mood of the other Mindfulness of the flow of relationship Life in a Space Suit Our defenses against pain insulate us from contact with one another We imagine they keep us safe, but actually leave us more vulnerable Relational-Cultural Theory Grew out of feminist critique of conventional psychology Benefits of mutual connection Energy and vitality Greater capacity to act Increased clarity Enhanced self-worth Desire and capacity for more connection 16

20 Suffering in Isolation If we re not happy, it s our fault Failure to buy the right consumer product Inherent weakness Psychiatric diagnostic system can exacerbate problem Only sick people have the disorders Experiencing Mode How is it felt in the body? How does the mind respond? Grasping Pushing away Ignoring Relative Truth Clinical Decisions Human story Success & Failure Pleasure & Pain Longing Hurt Anger Envy Joy Pride Narrative Mode Psychodynamic Earlier, transference, other relationships Behavioral How learned, how reinforced Systemic Maintained by family, community, culture Anicca (impermanence) Dukkha (unsatisfactoriness) Anatta (no enduring, separate self) Absolute Truth 17

21 1. Open to painful emotions Processing Trauma 2. Explore the facts of trauma 3. See it through lens of dependent origination Turning toward Safety II Inner focus Mountain Meditation Guided Imagery Metta Practice DBT techniques 4. Develop compassion Turning Toward the Sharp Points Timing is Everything Moving toward anything unwanted or avoided How is it experienced in the body? Pain, fear, sadness, anger Unwanted images or memories Urges toward compulsive behaviors Turning toward Safety I Outer or distal focus Walking Meditation Listening Meditation Nature Meditation Eating Meditation Open eye practices Different Strokes Need for frequent adjustment of exercises Elicit feedback about the experience Both during and after practice Titrate between Safety and Sharp Points 18

22 When Mindfulness of Inner Experience Can Be Harmful When overwhelmed by traumatic memories When terrified of disintegration, loss of sense of self When suffering from psychosis Fly Life Preservers Overwhelmed? Concentration Practices Stepping out of the thought stream Eyes open, external sensory focus Ground, trees, sky, wind, sounds Intensity of experience Capacity to bear experience Common Factors in Psychological Disorders 19

23 The Thinking Disease Review past pleasure and pain Stepping into Life: Treating Depression Try to maximize future pleasure and avoid future pain The Problem With Selfing All or Nothing How Does Mindfulness Help? Reinforces experiential approach Helps free us from believing in our thoughts Reduces narcissistic orientation Connects us to the world beyond our personal pleasure and pain Turning Away from Experience Depression involves turning away from pain Mindfulness turns toward the experience at hand, challenging the depressive stance 20

24 Psychosocial Models of Depression Aliveness Learned Helplessness Cognitive Models Psychodynamic Models Relational/Ecopsychological Models You become sensitive to the actual experience of living, to how things actually feel. You do not sit around developing sublime thoughts about living. You live. - Bhante Guanarantana Learned Helplessness Mindfulness redirects attention to present Practice seeing moment to moment experiences as workable Attention to Present Affect Focus on what, not why What is happening right now? Can you be with or breath into what is happening right now? Similar to Eugene Gendlin s focusing and Gestalt Therapy techniques. Murder in the 180 th Degree Moving Toward Pain What do you experience in your body? What is your relationship to your pain? Do you feel compassionate toward yourself? 21

25 Perspective on Thought Refuting thought often falls flat Changing relationship to all thinking is more powerful Thoughts are not facts... I am not my thoughts... Affective Meteorology Surviving & Connecting Patients need to know that they will not kill us off with their anger or despair When in the past did you not feel depressed? How were your thought patterns different? You cannot draw a depressed person out of his misery with love...you can, sometimes, manage to join someone in the place where he resides Andrew Solomon Entering Dark Places Following our patient into Despair Loneliness Un-lovability Self hate Premature offers of hope are empathic failures Empathic connection itself offers hope Hope 22

26 Medication Is patient caught in downward spiral? Does depressed affect lead to behavior which results in more depression? Is therapeutic relationship sufficient to reverse this? Components of Anxiety Physiological Psychophysiological arousal Cognitive/Affective Future oriented thinking, fear Accurate and inaccurate risk appraisal Behavioral Avoidance and rituals The Guest House This being human is a guest house. Every morning a new arrival. A joy, a depression, a meanness, some momentary awareness comes as an unexpected visitor. Welcome and entertain them all! Even if they're a crowd of sorrows, who violently sweep your house empty of its furniture, still, treat each guest honorably. He may be clearing you out for some new delight. The dark thought, the shame, the malice, meet them at the door laughing, and invite them in. Be grateful for whoever comes, because each has been sent as a guide from beyond. ~ Rumi ~ Toppling Forward Befriending Fear: Treating Anxiety Disorders Most of time we re lost in thoughts about the future Next, next, next Looking forward to pleasure Dreading pain 23

27 All anxiety is anticipatory Even people in terrible present situations worry about the future Anticipation Escape-Avoidance Learning Enter situation Anxiety arises Leave situation Anxiety abates Reduction in anxiety is negatively reinforcing Keeps me safe Worry Exposure and Response Prevention Helps me cope Prepares me for what may come Trying to Be Happy by Avoiding Pain The Diver Dan approach to life Phobic avoidance & constriction Medicating discomfort Hooked on distraction TV, Internet, Shopping Stimulation tolerance Compassionate Bait and Switch Patients want us to remove anxious feeling Instead, we help them to increase their capacity to bear it Changing their relationship to the experience 24

28 2500 Year Old Treatment Why do I dwell always expecting fear and dread? What if I subdue that fear and dread keeping the same posture that I am in when it comes upon me? While I walked, the fear and dread came upon me; I neither stood nor sat nor lay down until I had subdued that fear and dread. Facing Fears Mindfulness in Action Necessary component of all anxiety treatment Mindfulness provides support Relief from Narcissistic Threats Anxiety often involves threats to who we think we are Self image Health Wealth Anticipated loss of pleasure Anticipated pain Much anxiety is signal anxiety Fear of Anger Sadness Sexual urges Mindfulness of Unwanted Affect Repressed/suppressed memories Unacceptable thoughts 25

29 For meditations & other resources:

30 Clinician Resources Please visit and for updated listings. Mindfulness-Oriented Psychotherapy Books Baer, R. (Ed.) (2006). Mindfulness-based treatment approaches: Clinician s guide to evidence base and applications. Burlington, MA: Academic Press. Bien, T. (2006). Mindful therapy: A guide for therapists and helping professionals. Boston, MA: Wisdom. Bowen, S., Chawla, N., & Marlatt, G. A. (2011). Mindfulness-based relapse prevention for addictive behaviors. New York, NY: Guilford Press. Eifert, G. & Forsyth, J. (2005). Acceptance and commitment therapy for anxiety disorders. Oakland, CA: New Harbinger. Epstein, M. (1995). Thoughts without a thinker: Psychotherapy from a Buddhist perspective. New York: Basic Books. Germer, C. K., Siegel, R. D., & Fulton, P. R. (Eds.) (2013). Mindfulness and psychotherapy, 2 nd Edition. New York: Guilford Press. Germer, C., Siegel, R. D. (Eds.) (2012) Wisdom and Compassion in Psychotherapy: Deepening Mindfulness in Clinical Practice. New York: Guilford Press. Gilbert, P. (2005). Compassion: Conceptualisations, research and use in psychotherapy. London: Routledge. Gilbert, P. (2009). The compassionate mind: A New approach to life s challenges. Oakland, CA: New Harbinger Press. Goleman, D. & Dalai Lama. (2003) Destructive emotions: How can we overcome them? New York: Bantam Dell. Hayes, S., Smith, S. (2005). Get out of your mind and into your life: The new acceptance and commitment therapy. Oakland, CA: New Harbinger Publications. Hayes, S. C., Follette, V. M., & Linehan, M. (2011). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York, NY: Guilford Press.

31 Hayes, S., Strosahl, K., & Wilson, K. (1999). Acceptance and commitment therapy. New York: Guilford Press. Kabat-Zinn, J. (1990). Full catastrophe living. New York: Delacorte Press Kramer, G. (2007). Insight dialogue: The interpersonal path to freedom. Boston, MA: Shambhala. Kurtz, R. (1990). Body-centered psychotherapy: The Hakomi method. Mendocino, CA: LifeRhythm. Kwee, M., Gergen, K., & Koshikawa (Eds.) (2007). Horizons in Buddhist psychology. Chagrin Falls, Ohio: Taos Institute Publications. Langan, R. (2006). Minding what matters: Psychotherapy and the Buddha within. Boston: Wisdom Publications. Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. New York: Guilford Press. Magid, B. (2002). Ordinary mind: Exploring the common ground of Zen and psychotherapy. Boston: Wisdom Publications. Marra, T. (2005). Dialectical behavior therapy in private practice: A practical and comprehensive guide. Oakland, CA: New Harbinger Publications. McQuaid, J., & Carmona, P. (2004). Peaceful mind: using mindfulness and cognitive behavioral psychology to overcome depression. Oakland, CA: New Harbinger Publications. Miller, A., Rathus, J., & Linehan, M. (2007). Dialectical Behavior Therapy with suicidal adolescents. New York: The Guilford Press. Mruk, C. & Hartzell, J. (2003). Zen and psychotherapy: Integrating traditional and nontraditional approaches. New York: Springer Publishing Co. Orsillo, S & Roemer, L (Eds.) (2005). Acceptance and Mindfulness-Based Approaches to Anxiety: Conceptualization and Treatment. New York: Springer. Orsillo, S. M. & Roemer, L., (2011). The mindful way through anxiety. New York, NY: Guilford. Pollak, S. M., Pedulla, T., & Siegel, R. D., (2014). Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy. New York, NY: Guilford. Roemer, L., & Orsillo, S. M. (2009). Mindfulness and acceptance-based behavioral therapies in practice. New York, NY: Guilford Press.

32 Safran, J. E. (2003). Psychoanalysis and Buddhism. Boston: Wisdom Publications. Schwartz, J. (1996). Brain lock. New York: Regan Books. Segal, Z. V., Williams, J. M. G., Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression, (2nd ed.). 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, D.C: American Psychological Association. Siegel, D. (2007). The mindful brain. New York: W.W. Norton. Siegel, R. D., Urdang, M., & Johnson, D. (2001). Back sense: A revolutionary approach to halting the cycle of back pain. New York: Broadway Books. Stern, D. (2004) The present moment in psychotherapy and everyday life. NY: W. W. Norton. Unno, M. (Ed.) (2006). Buddhism and psychotherapy across cultures. Boston: Wisdom Publications. Websites Institute for Meditation and Psychotherapy: Mindfulness-Based Stress Reduction: Dialectical Behavior Therapy: Acceptance and Commitment Therapy: Mindfulness and Acceptance Special Interest Group of the Association for the Advancement of Behavior Therapy: listserv.kent.edu/archives/mindfulness/html Self-Compassion Resources: The Back Sense program for treating chronic back pain:

33 Mindfulness Practice Resources (Adapted and updated from The Mindfulness Solution: Everyday Practices for Everyday Problems, by Ronald D. Siegel, Guilford Press, 2010). Please visit and for updated listings. Mindfulness Practice Books Aronson, H. (2004). Buddhist practice on Western ground: Reconciling Eastern ideals and Western psychology. Boston: Shambhala Publications. Bays, J. C. (2011). How to train a wild elephant & other adventures in mindfulness. Boston: Shambala Publications. Beck, C, (1989). Everyday Zen: Love and work. San Francisco: HarperSanFrancisco. Brach, T. (2003). Radical acceptance: Embracing your life with the heart of a Buddha. New York: Bantam Dell. Brach, T. (2012). True refuge: Finding peace and freedom in our own awakened heart. York: Bantam Books. New Chodron, P. (2001). The wisdom of no escape and the path of loving-kindness. Boston: Shambhala Publications. Chodron, P. (2009). Taking the leap: Freeing ourselves from old habits and fears. Boston, MA: Shambhala. Dalai Lama & Cutler, H. (1998). The art of happiness: A handbook for living. New York: Riverhead. Germer, C. K. (2009). The mindful path to self-compassion: freeing yourself from destructive thoughts and emotions. New York: Guilford. Goldstein, J. (1993). Insight meditation: The practice of freedom. Boston: Shambhala Publications. Goldstein, J., & Kornfield, J. (1987). Seeking the heart of wisdom. Boston: Shambhala Publications. Goleman, D. (2003). Destructive emotions: How can we overcome them? New York: Bantam Dell. Gunaratana, B. (2002). Mindfulness in plain English. Somerville, MA: Wisdom Publications.

34 Hanh, T. N. (1975/1987). The miracle of mindfulness. Boston: Beacon Press. Kabat-Zinn, J. (1994). Wherever you go there you are: Mindfulness meditation in everyday life. New York: Hyperion. Kabat-Zinn, J. (2005). Coming to our senses: Healing ourselves and the world through mindfulness. New York: Hyperion. Kornfield, J. (1993). A path with heart: A guide through the perils and promises of spiritual life. New York: Bantam. Kornfield, J. (2008). The wise heart: A guide to the universal teachings of Buddhist psychology. New York, NY: Bantam. Kornfield, J. (2011). Bringing home the dharma: Awakening right where you are. Boston, MA: Shambhala. Lama Surya Das (1997). Awakening the Buddha within: Tibetan wisdom for the Western world. New York: Broadway. Rosenberg, L. (1998). Breath by breath: The liberating practice of insight meditation. Boston: Shambhala Publications. Salzberg, S. (1995). Lovingkindness: The revolutionary art of happiness. Boston: Shambhala Publications. Salzberg, S. (2011). Real happiness: The power of meditation. New York, NY: Workman. Siegel, R. D. (2010). The mindfulness solution: Everyday practices for everyday problems. New York: Guilford. Trungpa, C. (2005). Training the mind and cultivating loving-kindness. Boston: Shambhala Publications. Weiss, A. (2004). Beginning mindfulness: Learning the way of awareness. Novato, CA: New World Library. Recordings Meditations from The Mindfulness Solution: Everyday Practices for Everyday Problems: Meditations from Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy:

35 Meditation Training Centers Secular Center for Mindfulness in Medicine, Healthcare, and Society, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA Vipassana Barre Center for Buddhist Studies, 149 Lockwood Road, Barre, MA Insight Meditation Society, 1230 Pleasant St., Barre, MA Insight LA, 2633 Lincoln Blvd, #206, Santa Monica, CA New York Insight, P.O. Box 1790, Murray Hill Station, New York, NY Spirit Rock Meditation Center, P.O. Box 909, Woodacre, CA Tibetan Naropa University, 2130 Arapahoe Ave Boulder, CO Shambala Mountain Center, 4921 County Road 68-C, Red Feather Lakes, CO Zen San Francisco Zen Center, 300 Page Street, San Francisco, CA Zen Center of Los Angeles Zen Mountain Monastery, P.O.Box 197, Mt. Tremper, NY

36 Buddhist Psychology Books Batchelor, S. (1997). Buddhism without beliefs. New York: Riverhead Books. Bhikkhu Bodhi (Ed.). (1999). A comprehensive manual of Abhidhamma. Seattle, WA: Buddhist Publication Society. Fleischman, P. (1999). Karma and chaos: New and collected essays on vipassana meditation. Seattle: Vipassana Publications. Johansson, R. (1979). The dynamic psychology of early Buddhism. New York: Humanities Press. Kalupahana, D. (1987). The principles of Buddhist psychology. Albany: SUNY Press. Nyanaponika Thera. (1965/1996). The heart of Buddhist meditation. Boston: Weiser Books. Rahula, W. (1986) What the Buddha taught. New York: Grove Press. Websites Buddhist information and education: Buddhism and science: Audiovisual materials of all kinds: Mindfulness teacher talks: Buddhist journal (USA): Journal for mindfulness practitioners: Mindfulness and self compassion:

37 About the Presenter Dr. Ronald D. Siegel is an Assistant Professor of Psychology, part time, at Harvard Medical School, where he has taught for over 30 years. He is a long time student of mindfulness meditation and serves on the Board of Directors and faculty of the Institute for Meditation and Psychotherapy. He teaches internationally about the application of mindfulness practice in psychotherapy and other fields, and maintains a private clinical practice in Lincoln, Massachusetts. Dr. Siegel is coauthor of the self-treatment guide Back Sense: A Revolutionary Approach to Halting the Cycle of Chronic Back Pain, which integrates Western and Eastern approaches for treating chronic back pain; coeditor of the critically acclaimed text, Mindfulness and Psychotherapy, 2 nd Edition; author of a book for general audiences, The Mindfulness Solution: Everyday Practices for Everyday Problems; coeditor of Wisdom and Compassion in Psychotherapy: Deepening Mindfulness in Clinical Practice, with a foreword by His Holiness the Dalai Lama; coauthor of the professional guide Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy; and professor for The Science of Mindfulness: A Research- Based Path to Well-Being produced by The Great Courses. He is also a regular contributor to other professional publications, and is co-director of the annual Harvard Medical School Conference on Meditation and Psychotherapy. Ronald D. Siegel, Psy.D. 20 Long Meadow Road Lincoln, MA rsiegel@hms.harvard.edu For recordings of mindfulness practice instructions, including meditations for working with anxiety, depression, relationship issues, addictions, and other difficulties, please visit For additional recorded meditations, and patient handouts, please visit For information about mindfulness and psychotherapy programs, please visit For information about the Back Sense program for treating chronic back pain, please visit