Clinical Handbook of Mindfulness

Clinical Handbook of Mindfulness

Clinical Handbook

of Mindfulness

Fabrizio Didonna

Editor

123

Editor

Dr. Fabrizio Didonna

Coord. Unit for Mood & Anxiety Disorders

Department of Psychiatry

Casa di Cura Villa Margherita

Arcugnano, Vicenza - Italy

[email protected]

ISBN: 978-0-387-09592-9

e-ISBN: 978-0-387-09593-6

DOI 10.1007/978-0-387-09593-6

Library of Congress Control Number: 2008938818

c Springer Science+Business Media, LLC 2009

All rights reserved. This work may not be translated or copied in whole or in part without the

written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street,

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analysis. Use in connection with any form of information storage and retrieval, electronic adap-

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they are not identified as such, is not to be taken as an expression of opinion as to whether or

not they are subject to proprietary rights.

Printed on acid-free paper

springer.com

To my wife Rachele, For her love, support and

understanding. May she be always safe, happy,

healthy and free from inner and outer harm

F. D.

Contents

Acknowledgments
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xi

About the Editor
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
Contributors
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xv

Foreword
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxv
Introduction: Where New and Old Paths to Dealing

with Suffering Meet
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

01

Fabrizio Didonna

Part 1 Theory, Conceptualization, and Phenomenology

1

Mindfulness: What Is It? Where Did It Come From?
. . . . . . . . . .

17

Ronald D. Siegel, Christopher K. Germer, and Andrew Olendzki

2

Mindfulness and Meditation
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

37

Andrew Olendzki

3

The Neurobiology of Mindfulness
. . . . . . . . . . . . . . . . . . . . . . . . . . . .

45

Michael T. Treadway and Sara W. Lazar

4

Toward a Phenomenology of Mindfulness: Subjective

Experience and Emotional Correlates
. . . . . . . . . . . . . . . . . . . . . . . .

59

Kirk Warren Brown and Shari Cordon

Part 2 Clinical Applications: General Issues, Rationale,

and Phenomenology

5

Mindfulness and Psychopathology: Problem Formulation
. .

85

Nancy L. Kocovski, Zindel V. Segal, and Susan R. Battista

vii

viii

Contents

6

Emotional Memory, Mindfulness and Compassion
. . . . . . . . . .

99

Paul Gilbert and Dennis Tirch

7

The Use of Metaphor to Establish Acceptance

and Mindfulness
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111

Alethea A. Varra, Claudia Drossel, and Steven C. Hayes

8

Mindfulness and Feelings of Emptiness
. . . . . . . . . . . . . . . . . . . . . . 125

Fabrizio Didonna and Yolanda Rosillo Gonzalez

9

Assessment of Mindfulness
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

Ruth A. Baer, Erin Walsh, and Emily L. B. Lykins

Part 3 Mindfulness-Based Interventions for Specific Disorders

10

Mindfulness and Anxiety Disorders: Developing a Wise

Relationship with the Inner Experience of Fear
. . . . . . . . . . . . . 171

Jeffrey Greeson, Jeffrey Brantley

11

Mindfulness and Obsessive-Compulsive Disorder:

Developing a Way to Trust and Validate One’s Internal

Experience
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189

Fabrizio Didonna

12

Mindfulness-Based Cognitive Therapy for Depression

and Suicidality
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221

Thorsten Barnhofer and Catherine Crane

13

Mindfulness and Borderline Personality Disorder
. . . . . . . . . . . 245

Shireen L. Rizvi, Stacy Shaw Welch, and Sona Dimidjian

14

Mindfulness-Based Approaches to Eating Disorders
. . . . . . . . . 259

Ruth Q. Wolever and Jennifer L. Best

15

Paradise Lost: Mindfulness and Addictive Behavior
. . . . . . . . . . 289

Thomas Bien

16

Mindfulness for Trauma and Posttraumatic Stress

Disorder
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299

Victoria M. Follette and Aditi Vijay

17

Mindful Awareness and ADHD
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319

L. Zylowska, S.L. Smalley, and J.M. Schwartz

18

Mindfulness and Psychosis
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339

Antonio Pinto

Contents

ix

19

Mindfulness-Based Stress Reduction for Chronic Pain

Management
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369

Jacqueline Gardner-Nix

20

Mindfulness-Based Interventions in Oncology
. . . . . . . . . . . . . . . 383

Linda E. Carlson, Laura E. Labelle, Sheila N. Garland,

Marion L. Hutchins, and Kathryn Birnie

Part 4 Mindfulness-Based Interventions for Specific Settings

and Populations

21

Mindfulness-Based Intervention in an Individual Clinical

Setting: What Difference Mindfulness Makes Behind

Closed Doors
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 407

Paul R. Fulton

22

Mindfulness with Children: Working with Difficult

Emotions
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417

Trudy A. Goodman and Susan Kaiser Greenland

23

Mindfulness-Based Elder Care: Communicating Mindfulness

to Frail Elders and Their Caregivers
. . . . . . . . . . . . . . . . . . . . . . . . . . 431

Lucia Mc Bee

24

Mindfulness-Based Interventions in an Inpatient Setting
. . . . 447

Fabrizio Didonna

25

Training Professionals in Mindfulness: The Heart

of Teaching
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 463

Susan Lesley Woods

Appendix A: Mindfulness Practice
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 477

Thomas Bien and Fabrizio Didonna

Appendix B: Resources
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 489

Index
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497

Acknowledgments

I wish to acknowledge my indebtedness to a number of people.

First and foremost, I wish to acknowledge the influence of many teachers

and mentors: I am profoundly grateful to Jon Kabat-Zinn for his precious

and invaluable teaching throughout the past years, for his extraordinary and

contagious enthusiasm and wise example in transmitting and embodying the

deep meanings and principles of mindfulness. My warmest thanks to him

also for his precious help, support and feedback during the final stage of this

project, for helping me to expand the list of mindfulness centres and groups

in Appendix B and last, but not least, for his kind and thorough foreword to

this book.

My heartfelt thanks goes to Thich Nath Hanh and Thomas Trobe, who have

allowed me to see new paths over the years to improve professionally and

grow personally and to effectively integrate mindfulness and meditation into

my understanding and treating of psychological suffering in clinical practice.

A special and nostalgic acknowledgement goes to Ma Yoga Sudha, who

left us a few months ago. She personally taught me the precious and heal-

ing value of compassion, disidentification and free emotional expression in

psychotherapy through meditation.

I am also grateful to Giovanni Liotti who illuminated me with many wise

ideas and helped me learn how to understand and treat challenging and com-

plex psychiatric patients.

I also want to offer my sincere and warm thanks to Mark Williams, Marsha

Linehan and Jeffrey Young for their kind comments and support to the book.

I am extremely grateful to Thomas Bien, Sarah Guth and Jeffrey Brantley

for their valuable, thorough and helpful feedback and review on chapters 8,

11 and 24.

A Special thanks goes to Zindel Segal for sharing his advice and clinical

insights and for supporting me in this wonderful project right from the start.

I am very grateful to all the authors who have contributed to this book and

who have put so much work into helping bring this project to fruition. I also

thank them for their enthusiasm and collaborative way of accompanying me

throughout this fascinating, but also laborious, journey and lastly for their

precious and invaluable contribution to the field. Each has furnished many

new insights for me personally.

xi

xii

Acknowledgments

I am most grateful to the staff of Springer Publisher, in particular Executive

Editor Sharon Pannulla, and Editorial Assistant Jennifer Hadley, for their kind

assistance, advice, and support and for their flexible approach throughout

the process of putting this book together. Many thanks also to the Project

Manager Sasikala Rajesh.

I am also very indebted to my patients, who have taught me most of what

I know about clinical work with their efforts, perseverance and trust in the

therapy, and, in the end, their love of life.

Finally, I wish to offer my heartfelt thanks to my wife Rachele for her love

and patience as I toiled long hours and was often absent while editing and

writing this manual. To her this book is dedicated.

F. D.

About the Editor

Fabrizio Didonna, Psy D
, is a Clinical Psychologist and Cognitive

Behaviour Psychotherapist. He is a founder and President of the
Istituto Ital-

iano per la Mindfulness (IS.I.MIND)
. He is a Coordinator of the Unit for

Mood and Anxiety Disorders, and he also works at the Unit for Borderline

Personality Disorders in the Department of Psychiatry at the
Casa di Cura

Villa Margherita
in Vicenza, Italy. He is a teacher and trainer at the School

of Cognitive Therapy in Bologna, at the School of Cognitive and Forensic

Psychotherapy in Reggio Emilia and at the Institute for Cognitive Science in

Grosseto, Italy. He is an experienced instructor of mindfulness groups both

in inpatient and outpatient settings and was one of the first therapists who

planned and used mindfulness training with patients with severe disorders

in inpatient treatment programs. He has given workshops worldwide in the

field of CBT for obsessive compulsive disorder, depression, anxiety disor-

ders and mindfulness-based training, has presented scientific papers at con-