Cultivating self-care and compassion in psychological therapists in training: The experience of practicing loving-kindness meditation

Training and Education in Professional Psychology

Volumn 7, Issue 4, 2013, Pages 267-277

  Boellinghaus, Inga ^a   Jones, Fergal W ^a   Hutton, Jane ^b  

^a CANTERBURY CHRIST CHURCH UNIVERSITY   (United Kingdom)

^b KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

Compassion; Loving kindness; Meditation; Therapists in training

Indexed keywords

EID: 84888805264     PISSN: 19313918     EISSN: None     Source Type: Journal    
DOI: 10.1037/a0033092     Document Type: Article

References (56)

1. American Psychological Association. (2002). Ethical principles of psychologists and code of conduct. Washington, DC: Author.
2. American Psychological Association. (2012, July). Revised competency benchmarks in professional psychology. Retrieved from http://www.apa.org/ed/graduate/benchmarks-evaluation-system.aspx
3. Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125-143. 10.1093/clipsy.bpg015
4. Baker, E. K. (2003). Caring for ourselves: A therapist's guide to personal and professional well-being. Washington, DC: American Psychological Association. doi:10.1037/10482-000
5. Barnhofer, T., Chittka, T., Nightingale, H., Visser, C., & Crane, C. (2010). State effects of two forms of meditation on prefrontal EEG asymmetry in previously depressed individuals. Mindfulness, 1, 21-27. 10.1007/s12671-010-0004-7
6. Belsky, J., Rovine, M., & Taylor, D. C. (1984). The Pennsylvania Infant and Family Development Project, II: The development of reciprocal interaction in the mother-infant dyad. Child Development, 55, 706-717. 10.2307/1130123
7. Bennett-Levy, J. (2006). Therapist skills: A cognitive model of their acquisition and refinement. Behavioural and Cognitive Psychotherapy, 34, 57-78. 10.1017/S1352465805002420
8. Bowlby, J. (1982). Attachment and loss. Volume 1: Attachment (2nd ed.). London, England: Routledge.
9. Brady, J. L., Guy, J. D., & Norcross, J. C. (1995). Managing your own distress: Lessons from psychotherapists healing themselves. In L. Vande-Creek, S. Knapp, & T. L. Jackson (Eds.), Innovations in clinical practice: A source book (pp. 293-306). Sarasota, FL: Professional Resource Press.
10. British Psychological Society. (2009). Code of ethics and conduct: Guidance published by the Ethics Committee of the British Psychological Society. Leicester, England: Author.
11. Brooks, J., Holttum, S., & Lavender, T. (2002). Personality style, psychological adaptation and expectations of trainee clinical psychologists. Clinical Psychology & Psychotherapy, 9, 253-270. 10.1002/cpp.318
12. Chrisman, J. A., Christopher, J. C., & Lichtenstein, S. J. (2009). Qigong as a mindfulness practice for counseling students: A qualitative study. Journal of Humanistic Psychology, 49, 236-257. 10.1177/0022167808327750
13. Christopher, J. C. (2006). Teaching self-care through mindfulness practices: The application of yoga, meditation, and qigong to counselor training. Journal of Humanistic Psychology, 46, 494-509. 10.1177/0022167806290215
14. Christopher, J. C., & Maris, J. (2010). Integrating mindfulness as self-care into counselling and psychotherapy training. Counselling & Psychotherapy Research, 10, 114-125. 10.1080/14733141003750285
15. Cohen, J. S., & Miller, L. J. (2009). Interpersonal mindfulness training for well-being: A pilot study with psychology graduate students. Teachers College Record, 111, 2760-2774.
16. Crane, C., Jandric, D., Barnhofer, T., & Williams, J. M. G. (2010). Dispositional mindfulness, meditation, and conditional goal setting. Mindfulness, 1, 204-214. 10.1007/s12671-010-0029-y
17. Figley, C. R. (2002). Compassion fatigue: Psychotherapists' chronic lack of self care. Journal of Clinical Psychology, 58, 1433-1441. 10.1002/jclp.10090
18. Fredrickson, B. L., Cohn, M. A., Coffey, K. A., Pek, J., & Finkel, S. M. (2008). Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Journal of Personality and Social Psychology, 95, 1045-1062. 10.1037/a0013262
19. Gilath, O., Shaver, P. R., & Mikulincer, M. (2005). An attachmenttheoretical approach to compassion and altruism. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 121-147). New York, NY: Routledge.
20. Gilbert, P. (2005). Compassion and cruelty: A biopsychosocial approach. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 9-74). New York, NY: Routledge.
21. Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15, 199-208. 10.1192/apt.bp.107.005264
22. Hannigan, B., Edwards, D., & Burnard, P. (2004). Stress and stress management in clinical psychology: Findings from a systematic review. Journal of Mental Health, 13, 235-245. 10.1080/09638230410001700871
23. Hofman, S. G., Grossman, P., & Hinton, D. E. (2011). Loving kindness and compassion meditation: Potential for psychological interventions. Clinical Psychology Review, 31, 1126-1132. 10.1016/j.cpr.2011.07.003
24. Hutcherson, C. A., Seppala, E. M., & Gross, J. J. (2008). Loving-kindness meditation increases social connectedness. Emotion, 8, 720-724. 10.1037/a0013237
25. Kabat-Zinn, J. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. The American Journal of Psychiatry, 149, 936-943.
26. Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in every day life. New York, NY: Hyperion.
27. Kabat-Zinn, J. (2005). Coming to our senses: Healing ourselves and the world through mindfulness. New York: Hyperion.
28. Kuyken, W., Peters, E., & Lavender, T. (1998). The psychological adaptation of psychologists in clinical training: The role of cognition, coping and social support. Clinical Psychology and Psychotherapy, 5, 238-252. 10.1002/(SICI)1099-0879(199812)5:4<238::AID-CPP160>3.0.CO;2-W
29. Lutz, A., Brefczynski-Lewis, J., Johnstone, T., & Davidson, R. J. (2008). Regulation of the neural circuitry of emotion by compassion meditation: Effects of meditative expertise. PLoS ONE, 3, e1897. doi:10.1371/journal.pone.0001897
30. McCollum, E. E., & Gehart, D. R. (2010). Using mindfulness meditation to teach beginning therapists therapeutic presence: A qualitative study. Journal of Marital and Family Therapy, 36, 347-360.
31. Mikulincer, M., & Shaver, P. R. (2001). Attachment theory and intergroup bias: Evidence that priming the secure base schema attenuates negative reactions to out-groups. Journal of Personality and Social Psychology, 81, 97-115. 10.1037/0022-3514.81.1.97
32. Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change. New York, NY: Guilford Press.
33. Moore, K. A., & Cooper, C. L. (1996). Stress in mental health professionals: A theoretical overview. International Journal of Social Psychiatry, 42, 82-89. 10.1177/002076409604200202
34. Moore, P. (2008). Introducing mindfulness to clinical psychologists in training: An experiential course of brief exercises. Journal of Clinical Psychology in Medical Settings, 15, 331-337. 10.1007/s10880-008-9134-7
35. Motowidlo, S. J., Packard, J. S., & Manning, M. R. (1986). Occupational stress: Its causes and consequences for job performance. Journal of Applied Psychology, 71, 618-629. 10.1037/0021-9010.71.4.618
36. Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69, 28-44. 10.1002/jclp.21923
37. Neff, K. D., & Pommier, E. (2013). The relationship between selfcompassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity, 12, 160-176. 10.1080/15298868.2011.649546
38. Norcross, J. C., & Wampold, B. E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. Psychotherapy (Chic), 48, 98-102. 10.1037/a0022161
39. Pace, T. W., Negi, L. T., Adame, D. D., Cole, S. P., Sivilli, T. I., Brown, T. D.,... Raison, C. L. (2009). Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocrinology, 34, 87-98. 10.1016/j.psyneuen.2008.08.011
40. Plante, T. G. (2008). What do the spiritual and religious traditions offer the practicing psychologist? Pastoral Psychology, 56, 429-444. 10.1007/s11089-008-0119-0
41. Renjilian, D. A., Baum, R. E., & Landry, S. L. (1998). Psychotherapist burnout: Can college students see the signs? Journal of College Student Psychotherapy, 13, 39-48. 10.1300/J035v13n01_04
42. Rimes, K. A., & Wingrove, J. (2011). Pilot study of mindfulness-based cognitive therapy for trainee clinical psychologists. Behavioural and Cognitive Psychotherapy, 39, 235-241. 10.1017/S1352465810000731
43. Rockliff, H., Gilbert, P., McEwan, K., Lightman, S., & Glover, D. (2008). A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery. Clinical Neuropsychology, 5, 132-139.
44. Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95-103. 10.1037/h0045357
45. Salzberg, S. (1995). Loving-kindness: The revolutionary art of happiness. Boston, MA: Shambhala Publications.
46. Schafer, R. M., Handal, P. J., Brawer, P. A., & Ubinger, M. (2011). Training and education in religion/spirituality within APA-accredited clinical psychology programs: 8 years later. Journal of Religion and Health, 50, 232-239. 10.1007/s10943-009-9272-8
47. Schure, M. B., Christopher, J., & Christopher, S. (2008). Mind-body medicine and the art of self-care: Teaching mindfulness to counseling students through yoga, meditation, and Qigong. Journal of Counseling & Development, 86, 47-56. 10.1002/j.1556-6678.2008.tb00625.x
48. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulnessbased cognitive therapy for depression. New York, NY: Guilford Press.
49. Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: Effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1, 105-115. 10.1037/1931-3918.1.2.105
50. Shapiro, S. L., & Carlson, L. E. (2009). The art and science of mindfulness: Integrating mindfulness into psychology and the helping professions. Washington, DC: American Psychological Association. doi:10.1037/11885-000
51. Skovholt, T. M., & Ronnestad, M. H. (2003). Struggles of the novice counselor and therapist. Journal of Career Development, 30, 45-58. 10.1177/089484530303000103
52. Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. London, England: Sage.
53. Smith, J. A., & Osborne, M. (2003). Interpretative phenomenological analysis. In J. A. Smith (Ed.), Qualitative Psychology: A practical guide to methods (pp. 51-80). London, England: Sage.
54. Weibel, D. T. (2007). A loving-kindness intervention: Boosting compassion for self and others (Doctoral dissertation). Retrieved from http://etd.ohiolink.edu/send-pdf.cgi/Weibel%20David%20T.pdf?ohiou1190652251
55. Williams, J. M. G., & Kabat-Zinn, J. (2011). Mindfulness: Diverse perspectives on its meaning, origins, and multiple applications at the intersection of science and dharma. Contemporary Buddhism, 12, 1-18. 10.1080/14639947.2011.564811
56. Yardley, L. (2000). Dilemmas in qualitative health research. Psychology & Health, 15, 215-228. 10.1080/08870440008400302