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Effects of Dialogical Mindfulness on Psychopathology: A Pilot Study's Results From a Seven-Day Psychosynthesis Course About the Inner Child

Authors:
  • Charité Universitätsmedizin Berlin / Medizinische Hochschule Brandenburg
  • (i) Leiden University (ii) Central Institute of Mental Health, Mannheim
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Abstract

Mindfulness-based interventions have been found to be beneficial in the treatment of various disorders. In the context of psychosynthesis therapy, mindfulness is employed as having an inner dialogue with the mental system and its psychological and psychosomatic components. However, empirical studies on the effect of this transpersonal-based mindfulness approach are still lacking. This study aimed at investigating the effect of mindfulness in the context of psychosynthesis on psychopathological symptoms. Fifty-eight participants (35 females, 23 males) attending a psychosynthesis seminar provided data on psychopathology (Symptom Checklist-90-Revised; SCL-90–R) and mindfulness (Five Facet Mindfulness Questionnaire; FFMQ) at baseline (T1), postintervention (T2), and 3-week follow up (T3). A significant decrease for all psychopathological symptoms assessed by the SCL-90–R (p < .001) and an increase in mindfulness abilities determined by the FFMQ (p < .001) from T1 to T2 was observed. Postintervention effects remained stable at 3-week follow up. The decrease in psychopathological symptoms from T1 to T2 was significantly correlated to an increase in mindfulness abilities (p < .012). Future studies should investigate the effects of dialogical mindfulness on specific symptomatology including control conditions.
Effects of Dialogical Mindfulness on
Psychopathology: A Pilot Study’s Results From
a Seven-Day Psychosynthesis Course About the
Inner Child
Kerem Böge
Leiden University and Charité
University Hospital, Berlin,
Germany
Joanne Mouthaan and
Annegret Krause-Utz
Leiden University
Mindfulness-based interventions have been found to be beneficial in the treatment of various
disorders. In the context of psychosynthesis therapy, mindfulness is employed as having an
inner dialogue with the mental system and its psychological and psychosomatic components.
However, empirical studies on the effect of this transpersonal-based mindfulness approach
are still lacking. This study aimed at investigating the effect of mindfulness in the context of
psychosynthesis on psychopathological symptoms. Fifty-eight participants (35 females, 23
males) attending a psychosynthesis seminar provided data on psychopathology (Symptom
Checklist-90-Revised; SCL-90–R) and mindfulness (Five Facet Mindfulness Questionnaire;
FFMQ) at baseline (T1), postintervention (T2), and 3-week follow up (T3). A significant
decrease for all psychopathological symptoms assessed by the SCL-90–R (p.001) and an
increase in mindfulness abilities determined by the FFMQ (p.001) from T1 to T2 was
observed. Postintervention effects remained stable at 3-week follow up. The decrease in
psychopathological symptoms from T1 to T2 was significantly correlated to an increase in
mindfulness abilities (p.012). Future studies should investigate the effects of dialogical
mindfulness on specific symptomatology including control conditions.
Keywords: dialogical mindfulness, psychosynthesis, psychopathology, mindfulness
Conceptualizations of health as the mere absence of disease have been increasingly
challenged (Jadad & O’Grady, 2008;Larson, 1999;Smith, 2010;The Lancet, 2009), with
the traditional biomedical model giving way to more emphasis on patient-centered care
(Johnson, 2012) and enhanced adaptative resources and increased subjective well-being
This article was published Online First May 2, 2019.
Kerem Böge, Department of Behavioural and Social Science, Leiden University, and Depart-
ment of Psychiatry and Psychotherapy, Charité University Hospital, Berlin, Germany; Joanne
Mouthaan and Annegret Krause-Utz, Department of Behavioural and Social Science, Leiden
University.
Correspondence concerning this article should be addressed to Kerem Böge, Department of
Behavioural and Social Science, Leiden University, Wassenaarseweg 52, 2333 AK Leiden, the
Netherlands. E-mail: boege.kerem@gmail.com
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
The Humanistic Psychologist
© 2019 American Psychological Association 2020, Vol. 48, No. 1, 84–99
0887-3267/20/$12.00 http://dx.doi.org/10.1037/hum0000134
84
... International guidelines recommend evidence-based treatment options such as psychopharmacology, cognitivebehavioral therapy (CBT), and psychosocial support for the treatment of SSDs (11,12). Several limitations of antipsychotic pharmacological treatments have been acknowledged (13), as meta-analyses estimated their effectiveness, primarily measured on positive symptoms, with overall medium effect sizes (14). The current state of research highlights the effects of pharmacological approaches mainly on positive-and depressive symptoms, although long-lasting improvements on negative symptoms, cognitive performance, social functioning, and overall quality of life remain unsatisfactory (14)(15)(16)(17). ...
Thesis
In recent years, Mindfulness-Based Interventions (MBI) have gained popularity as a modern psychotherapeutic approach, primarily in English-speaking countries. A growing body of evidence demonstrates the clinical benefits of MBI for a wide range of symptoms experienced in Schizophrenia Spectrum Disorders (SSD). However, research in German speaking countries remains scarce. Against this background, the present dissertation aims to contribute to the available body of literature by developing and validating a Mindfulness-Based Group Therapy (MBGT) for the treatment of inpatients with schizophrenia spectrum disorders. This comprehensive research study will include both qualitative and quantitative data analysis concerning the three subprojects revealed below. A qualitative research design based on inductive thematic analysis in the form of a semistructured interview guide was developed and 27 interviews were conducted with inpatients having SSD after attending a mindfulness-based intervention in study one. Analyses revealed two domains (content and function) of MBI. The domain content had further subcategories, including core elements, as well as effects on emotions, cognition, and symptoms changes. The second domain was related to the relevance of perception of context and transfer to everyday life. Overall, individuals reported improvements on several clinical parameters and gave an indepth understanding of underlying processes and mechanisms at action. Based on these outcomes, a novel Mindfulness-Based Group Therapy (MBGT) was developed for the first time in the German language through a fundamental participatory and iterative research process and finally published in a manual's printed book form. Moreover, historical concerns regarding the therapeutic utility of mindfulness for SSD are discussed, while recommendations and careful adaptations are given to implement MBI in inpatient and outpatient settings as a part of an editorial article. In study two, the newly translated German version of the Southampton Mindfulness Questionnaire (SMQ) was validated regarding convergent and divergent validity, reliability, factor structure, and treatment sensitivity while providing evidence for clinical practice and research for healthy individuals, mediators, and clinical groups. In the third study, a rater-blinded randomized controlled trial was conducted to assess the feasibility, acceptability, and preliminary outcomes of MBGT with inpatients having SSD. Results showed high protocol adherence and retention rates indicating feasibility and acceptability. Furthermore, various improvements were revealed on clinical- and process dimensions compared with treatment-as-usual. Overall, the present dissertation gives compelling evidence regarding the effects of mindfulness for SSD and adds a modern psychological treatment option for this marginalized patient group.
Chapter
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It is a long-standing assumption that holotropic breathwork (HB) induces an altered state of consciousness. However, this assumption has not been empirically tested. Consequently, 32 participants were recruited for the present study, which aimed to use the Phenomenology of Consciousness Inventory (PCI) to quantify the pattern of phenomenological subsystems and Altered State of Awareness (ASA) scores associated with a HB condition relative to a comparison condition and a baseline assessment. The hypothesis that the HB group would report a different pattern of relationships among phenomenological subsystems relative to the comparison condition and baseline was partially supported. In addition, the hypothesis that, while controlling for baseline, the HB group would report higher ASA scores than the comparison group was supported. Finally, for the HB group, transliminality did not significantly improve the prediction of ASA, while controlling for baseline. Various suggestions for future research are discussed.
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. Yoga is a holistic system of varied mind-body practices that can be used to improve mental and physical health and it has been utilized in a variety of contexts and situations. Educators and schools are looking to include yoga as a cost-effective, evidence-based component of urgently needed wellness programs for their students. Objectives . The primary goal of this study was to systematically examine the available literature for yoga interventions exclusively in school settings, exploring the evidence of yoga-based interventions on academic, cognitive, and psychosocial benefits. Methods . An extensive search was conducted for studies published between 1980 and October 31, 2014 (PubMed, PsycInfo, Embase, ISI, and the Cochrane Library). Effect size analysis, through standardized mean difference and Hedges’g, allowed for the comparison between experimental conditions. Results and Conclusions . Nine randomized control trials met criteria for inclusion in this review. Effect size was found for mood indicators, tension and anxiety in the POMS scale, self-esteem, and memory when the yoga groups were compared to control. Future research requires greater standardization and suitability of yoga interventions for children.
Book
Winner of the 1988 Clark Vincent Award for an "outstanding contribution to the profession through a literary work" and translated into four languages, the original edition of Therapeutic Metaphors for Children and the Child Within was considered a groundbreaking addition to the field of child and adolescent psychotherapy. The 1986 edition was the first-and to this day the only-book that solely intertwines the extraordinary foundational teachings and philosophies of Milton H. Erickson and creative healing approaches for children and adolescents. With resiliency at its core, this revision now brings forward important topics related to neurobiology and cultural value of metaphor and play, along with fresh case examples and creative activities to a new generation of mental health, education, and coaching professionals.
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Although research subscales have been developed (Buckelew, DeGood, Schwartz, & Kerler, 1986) to assess the cognitive and somatic item patterning among chronic pain patients using the SCL-90-R, no information is available concerning the reliability or validity of those subscales. This study was designed to assess the internal consistency of these experimental subscales, evaluate the validity of these scales using standardized clinical scales measuring similar constructs, and to further examine the item response patterning with a new pain clinic sample and a rehabilitation center patient sample. The SCL-90-R was administered to 78 patients with chronic pain, 52 patients with spinal cord injury, and a control group of 145 college students. Estimates of internal consistency, represented by coefficient alpha, were .69 for the Somatic Depression subscales and .91 for the Cognitive Depression subscales. Data suggestive of construct validity included differential correlations of r = .78 between the experimental Cognitive Depression scale and the SCL-90-R Obsessive Compulsive scale, r = .66 between the experimental Somatic Depression scale and the SCL-90-R Somatization scale. Similar evidence of divergent validity was not clearly demonstrated with the remaining SCL-90-R subscales. Multivariate analysis of variance revealed that previously found item response patterning was replicated with a new chronic pain sample and with a spinal cord injured sample. Refinement of the research subscales and implications for clinical use among medical/rehabilitation samples is discussed.
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