SIEGEL Vallecitos Slides 2018

The Roles of Mindfulness Cultivating an Inner Holding Environment Implicit • Practicing Therapist • Mindfulness Infor...

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The Roles of Mindfulness

Cultivating an Inner Holding Environment

Implicit

• Practicing Therapist • Mindfulness Informed Psychotherapy • Mindfulness Based Psychotherapy

Vallecitos Mountain Retreat Center Explicit

How It Works

Fly

Overwhelmed?

Intensity of experience

Capacity to bear experience

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The Thinking Disease

How Does Mindfulness Help? • Reinforces experiential approach

• Review past pleasure and pain • Try to maximize future pleasure and avoid future pain

• Helps free us from believing in our thoughts • Reduces narcissistic orientation • Connects us to the world beyond our personal pleasure and pain

Decisions, Decisions 1. 2. 3. 4. 5. 6. 7.

Core Practice Skills 1. Concentration (focused attention) 2. Mindfulness per se (open monitoring) 3. Acceptance and Compassion

Which skills to emphasize? Formal or informal practice? Which objects of attention? Religious or secular practices? Narrative or experiencing mode? Relative or absolute truth? Turning toward safety or sharp points?

Focused Attention vs. Open Monitoring • Concentration (FA)  Choose an object and follow it closely

• Mindfulness (OM)  Attend to whatever object rises to forefront of consciousness

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Not Knowing

Beginner’s Mind

Acceptance

Loving-kindness Practice • “Metta” practices  May I be happy, peaceful, free from suffering  May my loved ones be happy. . .  May all beings be happy. . .

Motivational Systems Drive, excitement, vitality

.

Objects of Attention

Contentment, safety, connection

Affiliative Soothing/safety

Seeking pleasure Achieving and Activating

Course

• • • • • • •

Well-being

Threat-focused Protection & Safety Seeking Activating/Inhibiting

Anger, anxiety, disgust

Feet touching ground Sights and sounds of nature Taste of food Sound of bell Breath in belly Mantra Air at tip of nose

Subtle

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Turning toward Safety I

Timing is Everything

• Outer or distal focus     

Turning toward Safety II • Inner focus    

Mountain Meditation Guided Imagery Metta Practice DBT techniques

Different Strokes • Need for frequent adjustment of exercises • Elicit feedback about the experience  Both during and after practice

• Titrate between Safety and Sharp Points

Walking Meditation Listening Meditation Nature Meditation Eating Meditation Open eye practices

Turning Toward the Sharp Points • 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

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

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Relative Truth

Life Preservers

• Human story • Concentration Practices  Stepping out of the thought stream

• Eyes open, external sensory focus  Ground, trees, sky, wind, sounds

Absolute Truth

       

Success & Failure Pleasure & Pain Longing Hurt Anger Envy Joy Pride

Processing Trauma 1. Open to painful emotions

• Anicca (impermanence) • Dukkha (unsatisfactoriness) • Anatta (no enduring, separate self)

2. Explore the facts of trauma 3. See it through lens of dependent origination 4. Develop compassion

The Problem With Selfing

Anatta

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Therapeutic Benefits of Glimpsing Anatta • Increased affect tolerance • Radical acceptance of parts

3) Freedom from Self-Esteem Concerns

• Freedom from self-esteem concerns • Deeper connection to others

What Defines Me? • • • • • • •

Physical beauty Athletic talent Financial status Artistic creativity Academic degree Designer outfit Alma matter

The Failure of Success

Lake Wobegon Where all the women are strong, all the men are good looking, and all the children are above average.

Wrong Wall?

• The pain of I, me, me, mine • Narcissistic recalibration • Impossibility of winning consistently

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It’s Getting Worse

Narcissistic Personality Inventory • I just want to be reasonably happy • I want to amount to something in the eyes of the world • If I ruled the world it would be a better place • The thought of ruling the world scares the hell out of me • I am much like everybody else • I am an extraordinary person • I always know what I’m doing • Sometimes I’m not sure of what I’m doing

Egos Inflating Over Time: A Cross‐Temporal Meta‐Analysis of the Narcissistic Personality Inventory

He’s just an ordinary kid. -- Barry Magid (Ordinary Mind)

Journal of Personality, Volume 76, Issue 4

Self-Esteem Autobiography I get my money from Mommy.

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Connecting to Others

Life in a Space Suit Love

Self-Esteem

• Defenses against pain insulate us from one another • We imagine they keep us safe, but they leave us more vulnerable

Judgments “Do unto others as you would have them do unto you” It’s not just a commandment, but a law of nature.

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It’s About Other People Make a connection, not an impression.

Service

Embracing Insignificance

Poor Prognosis

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King of England, 1387

Wat Tham Sua

Tiger Cave Temple Krabi, Thailand

Therapeutic Progress Not about me

Not about me

”mine” about me

Why Are You Unhappy? Because 99.9% of everything you think, and everything you do, is for yourself. And there isn’t one.

”mine” about me about me

-- Wei Wu Wei

-- Adapted from Engler & Fulton

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