...DEPRESSIVE RELAPSE AND WHY SHOULD ATTENTIONAL CONTROL (MINDFULNESS) TRAINING HELP? J OHN D. TEASDALE, 1 ZINDEL SEGAL2 a n d J. MARK G. WILLIAMS3 ' MRC Applied Psychology Unit, 15 Chaucer Road, Cambridge CB2 2EF, England, 2Clark Institute of Psychiatry, Departments of Psychiatry and Psychology, University of Toronto, 3Department of Psychology, University College of North Wales (Received 12 November 1993; receivedfor publication 17 January 1994) S ummary--There is encouraging evidence that structured psychological treatments for depression, in p articular cognitive therapy, can reduce subsequent relapse after the period of initial treatment has been completed. However, there is a continuing need for prophylactic psychological approaches that can be administered to recovered patients in euthymic mood. An information-processing analysis of depressive m aintenance and relapse is used to define the requirements for effective prevention, and to propose mechanisms through which cognitive therapy achieves its prophylactic effects. This analysis suggests that similar effects can be achieved using techniques of stress-reduction based on the skills of attentional control t aught in mindfulness meditation. An information-processing analysis is presented of mindfulness and mindlessness, and of their relevance to preventing depressive relapse. This analysis provides the basis for the development of Attentional Control Training, a new approach to preventing relapse that integrates ...
Words: 10431 - Pages: 42
...FACTORS AFFECTING DRUG RELAPSE AMONG DRUG DEPENDENTS: BASIS FOR IMPROVED REHABILITATION SERVICES A Research Paper Presented to The Faculty of Lourdes College Cagayan de Oro City In Partial Requirement for the Degree Bachelor of Science in Social Work Batuampar, Haya Bueno, Ma. Margarita Pates Kris CHAPTER I THE PROBLEM Introduction Drug abuse is a rampant social problem. Drug abusers are placed in rehabilitation centers that help the residents recover from abusing drugs. As stated in R.A 9165 Art. II Sec 15 “ A person apprehended or arrested, who is found to be positive for use of any dangerous drug, after a confirmatory test, shall be imposed a penalty of a minimum of six (6) months rehabilitation in a government center”, these residents are then reintegrated into the society after their rehabilitation. But sometimes, these residents turn back to using drugs and undergo relapse. Out of all drug users, 14.72% are readmitted into centers because they undergo relapse. (Dangerous Drug Board, 2012) Marlatt and other studies have shown that people who receive treatment for problematic drug and alcohol use are likely to return or ‘relapse’ to problematic use. In fact Marlatt and Denovan (2005) contend that many will have multiple episodes of abstinence and relapse. According to Marlatt in order for a person to undergo relapse he/she must first experience any high risk situations. The result whether he/she will relapse is able to cope and increase self-efficacy...
Words: 2747 - Pages: 11
...Introduction: Developed by Prochaska and DiClemente in 1983, the Trans-Theoretical Model is one of many popular theories, which is used to describe the event of changing a behavior. It is said that the Trans-Theoretical Model (TTM) is a theory of behavioral changes which "intentional behavior change is a process occurring in a series of stages, rather than a single event and that motivation is required for the focus, effort and energy needed to move through the stages” (Miller, W.R., Rollnick, S., 2002). What makes the Trans-Theoretical Model so unique, is that it describes how change occurs over time and not immeadiately. According to Prochaska & DiClemente (1983), this theory proposes that a person may progress through five stages of change when trying to modify their behaviors. In the first stage titled pre-contemplation, we have people who have no intentions of taking action, or wanting to change their behavior in the near future. Many peers suggest that the desire to change a behavior is usually measured within the next six months (Prochaska, DiClemente, & Norcross, 1992). Individuals in this stage are unaware or uninformed of the consequences of their behavior (Scholl, 2002), or they may have had a number of failed attempts and are reluctant to try again (Prochaska & Velicer, 1997). Prochaska et al. (1992), says the main component of pre-contemplation, is the person shows resistance to recognize or modify problem behavior. For an individual to move out of this stage...
Words: 2509 - Pages: 11
...Each model of change represents different ideas and theories of how successful change can occur. The main focus in this report is to explore three existing models used today, designed to effectively achieve change. Also, introduction of a model created specifically for this paper, inspired by the theories of each of the models discussed will be explored. The Transformational Change Model otherwise known as the R.I.S.E. Model, the Trans-Theoretical model and Bridges' Transition are the three existing models of discussion along with the affects, behaviours and cognitive feelings recognized as part of the process of change throughout the stages in each. Bridges Transition Model This model focuses on the transition process rather than the steps of change. Change may happen to people without any warning, as where transition is usually a slow internal process. The Bridges Transition Model is defined by 3 stages. Stage 1 – Ending, Losing and Letting Go This stage involves letting go of the way things are. Resistance and emotional disturbance are commonly present in the beginning stages of this model. The affects of this stage includes feelings of fear, denial, disorientation, frustration, uncertainty, anger and a sense of loss. Bridges believes people cannot recognize the new idea until the acceptance that something is ending has taken place. This may end up being a fairly length Education on how an individuals current experience, knowledge and skills can assist in a more positive...
Words: 1803 - Pages: 8
...PREVENTION OF OBESITY IN CHILDHOOD Introduction What is health The World Health Organisation (WHO 1986)defines health as a state of complete physical ,mental and social well being and not just the absence of disease and infirmity. Forster (2002) confirms that health is generally seen in terms of people being ill or well but indicates that this is a simplistic view, as being well or ill are not entirely separate notions but in fact overlap to some degree. Forster(2002) while concurring with the definition of health as provided by the WHO (1986) adds that this definition provides a positive view of health and suggest that health fluctuates over time along a continuum, good and poor health appearing at opposite poles of the continuum. Ewles and Simnett(2003) also suggest that health is determined by many factors such as Physical health, body function, Societal health living accomodation ,employment status , Spiritual health, religious beliefs and moral values or behaviours, Social health being able to sustain relationships and make friends, Emotional health the ability to cope with depression, stress and anxiety. Therefore an individuals health position along this continuum is variable but no distinct demarcation line between health and ill health exists. With regards to the definition given it is argued that health professionals interventions should focus on helping the clients ,individuals, families and communities to gain health related knowledge, attitudes and practice associated...
Words: 2972 - Pages: 12
...symptom which the patient is vulnerable to developing. Subsequently, the associated tertiary symptoms affecting the patient psychological state and social systems will be discussed before summarising the knowledge gained and how this will alter skills in future practice experiences. To respect and maintain patient confidentiality in line with the Nursing and Midwifery Councils (2008) code, a pseudonym will be used and will be referred to as Mary throughout this essay. Mary is a forty-nine year old female who was diagnosed with Multiple Sclerosis twenty-one years ago. In 2006 her mobility deteriorated after a significant relapse and as a result of her symptoms she has been confined to bed since 2010. Additionally Mary has mild speech difficulties, is doubly incontinent and has a history of depression. In 1977 George Engle developed the biopsychosocial model proposing that effects on a person’s health are a result of interactions between biological, psychological and social factors and not a single factor alone. Biological signs and symptoms are explored further by establishing the patient’s psychological state and social structure, for example their feelings, beliefs and...
Words: 2138 - Pages: 9
... How Society and Nurses Affect the Roles of Nursing Introduction A nurse has many roles and parts to play in the daily routine of caring for patients. By examining the different roles of a nurse; health promoter, care provider; learner and teacher, we will see how nursing has evolved and how the philosophy of nursing changes. How these roles tie into society and into the symbiotic relationship between society at large and the nursing profession. The shift of healthcare to prevention, education, and the ever changing world of medicine, along with the realization that a nurse’s job is specialized, has tremendously affected the beliefs and ideas of the profession. Based on our textbook, research, and my personal experiences I will explore and clarify my philosophy of nursing. The purpose of this paper is to examine the fact that nursing is an ever-changing profession which society’s ideas and beliefs will impact, whether by necessity or through evolution. Health Promoter and Care Provider Health promotion or prevention is the latest hot topic in the healthcare arena. According 2 to Prochaska, J. and DiClemente, C. (1992), the nursing strategies for health behavior change are Precontemplation, Contemplation, Preparation, Action and Maintenance touch on every different type of nurse and show a need for growth. While providing hands on care, the nurse “raises the client’s awareness of healthy behaviors”. This could be the role of a hospital nurse, clinical nurse or a home healthcare...
Words: 966 - Pages: 4
...Drugs A Term Paper Presented to: Mrs. Nora H. Cubal Mati School of Arts and Trades City of Mati, Davao Oriental In Partial Fulfillment Of the Requirements in English IV Presented by: Niño F. Sugaan IV-Zamora S.Y. 2012-2013 Table of Contents I- Introduction A. Statement of the Problem B. Significance of the Study C. Definition of Terms II- Discussion A. What is Drugs? B. Reasons why there are drug addicts C. How drug affects the personality of the user D. Drug addiction treatment III- Summary IV- Suggestion V- Bibliography Acknowledgements First of all I would like to acknowledge to my parents , teachers and classmates for their support and cooperation which help me in completion with this project and I would like to express my special gratitude to the industry for giving me such attention and time. My thanks and appreciation also go to my colleague in developing the project and people who have willingly helped me out with the use of their abilities I- Introduction A drug is a substance which may have medicinal, intoxicating, performance enhancing or other effects when taken or put into a human body or the body of another animal and is not considered a food or exclusively a food. What is considered a drug rather than a food varies between cultures, and distinctions between drugs and foods and between kinds of drug are enshrined...
Words: 2225 - Pages: 9
...Professional Development of Nursing Professionals A committee on Robert Wood Johnson foundation collaborated with the Institute of Medicine (IOM) to develop a project on the future of nursing back in 2008. In 2010 the IOM released a report on the initiative named The Future of Nursing: Leading Change, Advancing Health. Part II of the report describes the needed changes of the nursing profession in order to advance the whole health care system. The IOM “envisions a future where primary care and prevention are central drivers of the health care system, inter-professional collaboration and coordination are the norm, and payment for health care services rewards value, not volume of services, and quality care is provided at a price that is affordable for both individuals and society” (IOM, 2010). This report was supported by evidence-based practice which contributed for the high endorsement of the report from the American Nursing Association (ANA). In this paper I would like to focus on three major sections of the project, namely transforming of nursing education, nursing practice and nursing leadership. The report underlines the deep changes in nursing education that need to be implemented in the following years. Even though the main goal of the nursing education remains to prepare the future nurses and nursing specialist to provide quality and safe care to a diverse population, the education needs to evolve in ways that encourage working in teams with other health professionals...
Words: 1046 - Pages: 5
...drug-taking behavior that take place at the expense of most other activities and the inability to cease drug-taking. THERE ARE FIVE THEORIES OF ADDICTION NAMELY; * MEDICAL MODEL * PSYCHODYNAMIC MODEL * SOCIAL MODEL * MORAL MODEL * BIO-PSYCHO-SOCIAL MODEL MEDICAL MODEL This involves * Addiction as a “brain disease” * Neurotransmitter imbalance * Disease model: * Agent: drug * Vector: dealers * Host: addict PSYCHODYNAMIC MODEL This involves the following * Drug abusers who are self-medicating * Drug abuse which is a symptom of underlying psychological problems * Drug use is also a maladaptive psychological coping strategy * Drug abusers also need to resolve internal conflict, and when they do, drug use will be unnecessary. SOCIAL MODEL This involves * Drug use as a learned behavior * People using drugs because drug use is modeled by others * Peer pressure * Environmental effects leading to drug use MORAL MODEL * Addicts are usually weak and can overcome a compulsion to use with willpower * Drug abusers are anti-social and should be punished for that * Drug are generally evil BIO-PSYCHO-SOCIAL MODEL * All the above are true, to greater or lesser degrees * Each person’s drug use is a result of some aspects of some or all the other models * Treatment and recovery require addressing the body, mind, social, nutrition, employment, family issues, psychological issues. On a broad inference, addiction is...
Words: 3596 - Pages: 15
...MEASURES FOR THE TREATMENT OF DRUG ABUSERS PREFACE Crimes related to drug abuse and the illegal manufacturing and trafficking of drugs are serious problems for virtually every country. The abuse of drugs has an adverse impact, not only on the individual abuser, but also on the economy and society of a country as a whole. Drug use and the problems that accompany it have an extremely deleterious effect on the healthy development of young people, especially. Due to the rapid increase in drug related crime and drug abusers in Asian countries, the establishment of effective countermeasures for demand and supply reduction are a pressing issue. In light of the above-mentioned situation, the United Nations Asia and Far East Institute for the Prevention of Crime and the Treatment of Offenders (UNAFEI); and the Research Division of the Research and Training Institute, Ministry of Justice jointly conducted a comprehensive study on drug abuser treatment, from 2002 to 2004, entitled “Research on the Trends in Drug Abuse and Effective Measures for the Treatment of the Drug Abusers in Asian Countries - An Analysis of Innovative Measures for the Treatment of Drug Abusers”. The Asian countries included in the study are: China (Hong Kong), Korea, Malaysia, Singapore and Thailand. This is the first phase of the study on drug abuser treatment; the second phase, which begun last year, will cover Australia, Canada, the UK and the USA. UNAFEI is a United Nations regional institute, established in 1961...
Words: 122547 - Pages: 491
...studies on factors affecting transfer of training was conducted, with a specific focus on the effects of supervisor support, resulting in the development of a research model of the transfer process. All components of the model were measured by means of questionnaires for former trainees and their supervisors, and stepwise regression analyses were carried out to examine the relationships in the model. Results indicate indirect relationships between supervisor support and transfer of training, by means of both trainees' motivation to transfer and the transfer climate. The indirect effect of supervisor support on transfer of training is only slight, however. Learning results are shown to be the strongest predictor of transfer of training. Owing to the small sample size structural equation modelling techniques could not be used, thus limiting the possibility to test the model as a single entity. The use of perceptional measures implies the risk of response tendencies from trainees and supervisors. Further research using different measures and different timing of measurement during the training and transfer process is recommended. Results of this study indicate that supervisor support that is intended to enhance transfer of training can best be directed at improvement of the transfer climate at the workplace. The paper provides both researchers and practitioners with a further insight into the complex effects of supervisor support on transfer of training, indicating the importance of...
Words: 8738 - Pages: 35
...Major Depressive Disorder and Cognitive Behavioral Therapy Argosy University Abnormal Psychology Brandy Rhodes 12/08/11 Abstract: Major depression disorder is a wide and complex disorder than many Americans suffer from. This paper will review the research and material of major depression disorder and the effective treatment with cognitive behavioral therapy. Although there are several types of therapy available to treat depression and other mood disorders, CBT (cognitive behavioral therapy) has been one of the most widely used and thought to be very effective in treating the disorder. First the paper will review what the disorder is and the criteria needed to diagnosis one with major depressive disorder and then we will take a look at how CBT helps the client overcome the signs and symptoms of the disorder. Lastly the paper will follow up with why CBT is thought to effective with treating major depressive disorder. Major Depressive Disorder and Cognitive Behavioral Therapy Many clients’ that are seen in today’s clinics suffer from major depressive disorder (MDD) which is one of the most common disorders. “Major depressive disorder has a life time prevalence of 15.8 % (Mor and Haran, 2009). Many times MDD is characterized by early onset with development occurring throughout the life span. MDD is a disorder characterized by extreme depressed mood that lasts at least 2 weeks and includes cognitive symptoms such as feelings of hopelessness, worthlessness, and indecisiveness;...
Words: 1977 - Pages: 8
... discuss the use of psychoeducation in mental health care under the following headings; Opportunities for psychoeducation in clinical settings Role of the nurse/therapist in providing psychoeducation Effectiveness of psychoeducation in enhancing mental health outcomes for people with mental disorders The current therapeutic model for the treatment of mental health disorders embraces a combination of pharmacological and psychological interventions. Psychoeducational methods are employed in clinical procedures for all mental health disorders and are critical to integrated health care (Bedell, Hunter & Corrigan, 2009). Creamer and O'Donnell (2008) refer to psychoeducation as education, which is specially targeted to psychological health and aims to produce changes in an individual’s knowledge, attitudes, and skills to improve health outcomes. This study is aimed at discussing what psychoeducation is, its role in clinical settings, its efficacy and how nurses figure in employing techniques attributed to psychoeducation. The study draws from evidence-based literature, including meta-analyses and research papers in the field. It is common practice to inform patients with any chronic disorder to be informed about their illness, prognosis and treatment. For instance, patients with diabetes will be educated on their treatment and how they can help manage the situation and not aggravate their condition. This concept is psychoeducation and is similarly rendered...
Words: 3022 - Pages: 13
...Running Head: COMMUNITY REINFORCEMENT APPROACH Community Reinforcement Approach Health Data by Sabrina Morton A Paper Submitted in partial fulfillment of the requirements for Health Care Policy and Applied Economics The Community Reinforcement Approach (CRA) is a comprehensive behavioral program developed by behaviorists Nathan Azrin and George Hunt. The Community Reinforcement Approach (CRA), originally developed for individuals with alcohol use disorders, focuses on the management of substance-related behaviors and other disrupted life areas for treating substance-abuse problems. It is based on the belief that environmental contingencies can play a powerful role in encouraging or discouraging substance abuse. To provide an alcoholic with the incentive to quit drinking, CRA has the following two major goals: (1) Elimination of positive reinforcement for drinking; and (2) Enhancement of positive reinforcement for sobriety. Accordingly, it utilizes social, recreational, familial, and vocational reinforcers to support change in an individual's drinking or drug using behaviors and assist consumers in the recovery process. The Community Reinforcement Approach (CRA) focuses on the management of substance-related behaviors and other disrupted life areas. In essence, the goal of CRA is to help individuals obtain knowledge of and embrace a meaningful and healthy way of life that is more rewarding than one filled with alcohol or drug misuse. This comprehensive...
Words: 3386 - Pages: 14
