Showing posts with label therapeutic alliance. Show all posts
Showing posts with label therapeutic alliance. Show all posts

Wednesday, 15 January 2014

#475 Mindfulness Research - Not So Simple

     The therapeutic alliance hangs on the patient's firm belief in the healer's intention & ability to heal and that her method is reasonable & effective. The ideal healer's every thought, word & action intentionally nurtures this relationship.
     This critical psychosocial component of all healing modalities should be intentionally maximized, not eliminated. Mindfulness can be seen as a healing modality - a path out of suffering towards wholeness. From a less medical and more developmental point of view, mindfulness can be seen as a way of consciously nurturing the maturation of one's own consciousness.
     Many researchers would like to use a scientific / medical model for studying mindfulness. Yet, unlike drugs & surgeries, which have significant "material" components, mindfulness has almost none. The "active ingredient" of mindfulness CANNOT be reduced to some molecule. It is NOT a simple cause & effect (nor is anything that simple in medicine). The actual process of engaging with mindfulness practices IS what brings about transformation & healing. So the advice below may not apply at all to mindfulness research.

     "Observational studies have a high risk of bias owing to problems such as self-selection of interventions (people who believe in the benefits of meditation or who have prior experience with meditation are more likely to enroll in a meditation program & report that they benefited from one) & use of outcome measures that can be easily biased by participants’ beliefs in the benefits of meditation. Clinicians need to know whether meditation training has beneficial effects beyond self-selection biases & the nonspecific effects of time, attention & expectations for improvement."

       Goyal M et al. Meditation Programs for Psychological Stress and Well-being. A Systematic Review and Meta-analysis. JAMA Intern Med. doi:10.1001/jamainternmed.2013.13018 Published online January 6, 2014.

Mystical Boat by Odilon Redon

Sunday, 6 October 2013

#407 Sympathetic Joy instead of Adversarial Relationship

     "If we approach life from a place of scarcity, a mind-set that emphasizes what we lack instead of what we have, then anyone who has something we want becomes the enemy. But when we can rejoice in other people's happiness, we realize that joy and fulfillment are not finite quantities we have to grab while we can. They are always available because they are internal qualities that flow naturally if we allow them to."

       Salzberg S, Thurman R. "Love your enemies: Hot to break the anger habit and be a whole lot happier." Hay House, 2013.

Toby Smith  

Friday, 19 July 2013

#371 Life as Therapy & Therapist

     "Therapeutic alliance is the prototypical common factor shared by nearly all psychotherapies. It is currently understood as involving
          1) an agreement between therapist & patient on the goals of treatment, 
          2) the tasks needed to accomplish those goals, and 
          3) a sense of a personal bond between therapist & patient." 
       Schnur JB, Montgomery GH. A systematic review of therapeutic alliance, group cohesion, empathy, and goal consensus/collaboration in psychotherapeutic interventions in cancer: Uncommon factors? Clin Psychol Rev 2010; 30(2): 238-47. 

     Isn't each one of us learning to become whole, healed, mature, evolved, perhaps even wise? If so, we each need to develop a therapeutic alliance with our life in this world, to 
          1) come to an understanding about the meaning, goal or purpose of our life;
          2) form a reasonable plan to accomplish this; and finally
          3) learn to consciously, open-heartedly embrace the "full catastrophe" - all that life brings us.
 
     "Free Will"? - see: http://mindfulnessforeveryone.blogspot.ca/2013/07/373-how-free-is-our-free-will.html  

bijan64   www.dpreview.com