PSYC201 Lecture Notes - Lecture 7: Cognitive Behavioral Therapy, Motivational Interviewing, Psychoeducation
2 Jun 2018
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PSYC201 – Week 7 Lecture:
Mindfulness Based Cognitive Therapy
• The CBT cycle (depression)
o Event → thought → feeling → response (cycle)
• Depression is chronic
o Clear evidence that depression is a chronic relapsing condition
o At least 50% of patients who recover from a single episode will go on
to have another episode
o Around 70-80% of patients who have had 2+ episodes will go on to
have further episodes
• What causes relapse?
o When mood becomes low, depressive thinking kicks in for previously
depressed indiviudals
o Cognitive processing is automatic – thinking runs around well worn
‘mental grooves’ → thinking then intensifies mood
o Depressive thinking in both content (i.e. failure/loss) and process (i.e.
rumination)
• Aim of relapse prevention?
o MBCT → aim of relapse prevention is to provide clients with tools to
disengage from these ruminative and self-perpetuating modes of mind
which are activated when they feel sad, or at other times when they are
exposed to triggers for relapse
• Relationship to thoughts and feelings
o How to change a person’s relationship to negative thoughts and
feelings? Without explicitly changing thought content
o It is not events that make us unhappy, but out relationship to events, or
our interpretation of events
o Aim of mindfulness meditation is to learn to relate to thoughts as
thoughts rather than the truth
• Automatic pilot
o We tend to be on automatic pilot most of the time
o We ‘live in our heads’
o Being in the moment is something we will do later when we ‘relax’
which never happens
• Definition of mindfulness
o Mindfulness means paying attention in a particular way; on purpose; in
present moment and non-judgementally
• MBCT for depression
o Aim of MBCT is to help individuals make a radical shift in their
relationship to thoughts, feelings and bodily sensations that contribute
to depression. Attempts to cope can make depression worse
o Core skill is the ability to recognize and disengage from mind states
characterized by self-perpetuating patterns of ruminative, negative
thought
• Evidence for MBCT
o Meta-analyses indicate that:
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