Mindfulness-Based Cognitive Therapy for Depression

by Zindel Segal PhD, Mark Williams DPhil, John Teasdale PhD, Jon Kabat-Zinn PhD (Foreword by)

Overview

This acclaimed work, now in a new edition, has introduced tens of thousands of clinicians to mindfulness-based cognitive therapy (MBCT) for depression, an 8-week program with proven effectiveness. Step by step, the authors explain the "whys" and "how-tos" of conducting mindfulness practices and cognitive interventions that have been shown to bolster recovery from depression and prevent relapse. Clinicians are also guided to practice mindfulness themselves, an essential prerequisite to teaching others. Forty-five reproducible handouts are included. Purchasers get access to a companion website featuring downloadable audio recordings of the guided mindfulness practices (meditations and mindful movement), plus all of the reproducibles, ready to download and print in a convenient 8 1/2" x 11" size. A separate website for use by clients features the audio recordings only.

New to This Edition
*Incorporates a decade's worth of developments in MBCT clinical practice and training.
*Chapters on additional treatment components: the pre-course interview and optional full-day retreat.
*Chapters on self-compassion, the inquiry process, and the three-minute breathing space.
*Findings from multiple studies of MBCT's effectiveness and underlying mechanisms. Includes studies of adaptations for treating psychological and physical health problems other than depression.
*Audio files of the guided mindfulness practices, narrated by the authors, on two separate Web pages--one for professionals, together with the reproducibles, and one just for clients.

See also the authors' related titles for clients: The Mindful Way through Depression demonstrates these proven strategies in a self-help format, with in-depth stories and examples. The Mindful Way Workbook gives clients additional, explicit support for building their mindfulness practice, following the sequence of the MBCT program. Plus, for professionals: Mindfulness-Based Cognitive Therapy with People at Risk of Suicide extends and refines MBCT for clients with suicidal depression.

Product Details

ISBN-13:	9781462508594
Publisher:	Guilford Publications, Inc.
Publication date:	10/18/2012
Sold by:	Barnes & Noble
Format:	eBook
Pages:	471
Sales rank:	303,930
File size:	2 MB

About the Author

Zindel Segal, PhD, is Distinguished Professor of Psychology in Mood Disorders at the University of Toronto–Scarborough. He is Director of Clinical Training in the Clinical Psychological Science Program and is also Professor in the Department of Psychiatry. Dr. Segal has conducted influential research into the psychological processes that make certain people more vulnerable than others to developing depression and experiencing recurrent episodes. He actively advocates for the relevance of mindfulness-based clinical care in psychiatry and mental health. He collaborated with John Teasdale and Mark Williams in developing mindfulness-based cognitive therapy (MBCT) to prevent relapse and recurrence in major depression; together, they coauthored Mindfulness-Based Cognitive Therapy for Depression, Second Edition (for mental health professionals), as well as the self-help guides The Mindful Way Workbook and (with Jon Kabat-Zinn) The Mindful Way through Depression.

Mark Williams, DPhil, is Emeritus Professor of Clinical Psychology at the University of Oxford, having been Wellcome Principal Research Fellow at Oxford from 2003 to 2012 and at Bangor University from 1991 to 2002. He collaborated with John Teasdale and Zindel Segal in developing mindfulness-based cognitive therapy (MBCT) to prevent relapse and recurrence in major depression; together, they coauthored Mindfulness-Based Cognitive Therapy for Depression, Second Edition (for mental health professionals), as well as the self-help guides The Mindful Way Workbook and (with Jon Kabat-Zinn) The Mindful Way through Depression. Dr. Williams is also coauthor of Mindfulness-Based Cognitive Therapy with People at Risk of Suicide (for mental health professionals). He is a Fellow of the British Psychological Society, the Academy of Medical Sciences and the British Academy. Now retired, he continues to live near Oxford, to teach mindfulness to teachers-in-training across the world, and to explore, with colleagues, how mindfulness might be used in evidence-based public policy.

John Teasdale, PhD, held a Special Scientific Appointment with the United Kingdom Medical Research Council’s Cognition and Brain Sciences Unit in Cambridge. He is a Fellow of the British Academy and the Academy of Medical Sciences. He collaborated with Mark Williams and Zindel Segal in developing mindfulness-based cognitive therapy (MBCT) to prevent relapse and recurrence in major depression; together, they coauthored Mindfulness-Based Cognitive Therapy for Depression, Second Edition (for mental health professionals), as well as the self-help guides The Mindful Way Workbook and (with Jon Kabat-Zinn) The Mindful Way through Depression. Since retiring, Dr. Teasdale has taught mindfulness and insight meditation internationally. He continues to explore and seek to understand the wider implications of mindfulness and meditation for enhancing our way of being.

Table of Contents

Introduction
I. The Challenge of Depression
1. Depression Casts a Long Shadow
2. Why Do People Who Have Recovered from Depression Relapse?
3. Developing Mindfulness-Based Cognitive Therapy
II. Mindfulness-Based Cognitive Therapy
4. Doing and Being
5. The Eight-Session Program: How and Why
6. The Preclass Participant Interview
7. Awareness and Automatic Pilot: Session 1
8. Kindness and Self-Compassion in Mindfulness-Based Cognitive Therapy
9. Living in Our Heads: Session 2
10. Gathering the Scattered Mind: Session 3
11. Recognizing Aversion: Session 4
12. Inquiring into Practice and Practicing Inquiry
13. Allowing/Letting Be: Session 5
14. Thoughts Are Not Facts: Session 6
15. A Day of Mindful Practice
16. "How Can I Best Take Care of Myself?": Session 7
17. Maintaining and Extending New Learning: Session 8
18. Reprise: The 3-Minute Breathing Space as the Spine of the Program
III. Evaluation and Dissemination
19. Does Mindfulness-Based Cognitive Therapy Work?
20. How Does Mindfulness-Based Cognitive Therapy Achieve Its Effects?
21. Moving the Program Off the Page and into the Clinic: Supports for Mindfulness-Based Cognitive Therapy Instructors and Their Patients
Epilogue
Audio Downloads
1. Welcome and Introduction (0:30)
2. Raisin Exercise (9:13)
3. Body Scan (37:47)
4. 10-Minute Sitting Meditation--Mindfulness of the Breath (11:20)
5. Mindful Movement--Formal Practice (38:25)
6. Stretch and Breath Meditation (40:41)
7. Mindful Walking (32:24)
8. 3-Minute Breathing Space--Regular Version (4:08)
9. 3-Minute Breathing Space--Responsive Version (4:58)
10. 20-Minute Sitting Meditation (20:32)
11. Sitting Meditation (36:46)
12. Working with Difficulty Meditation (24:08)
13. Bells at 5 Minutes, 10 Minutes, 15 Minutes, and 30 Minutes (30:32)

Interviews

Mental health professionals, including clinical psychologists, clinical social workers, psychiatrists, and counselors. May serve as a supplemental text in graduate-level courses.

Editorial Reviews

A seminal work, from the clinicians who pioneered MBCT….The book is aimed primarily at those intending to train as MBCT instructors but is accessible enough for the general reader, particularly those interested in depression, psychological therapies, or mindfulness meditation. It is well written in an engaging style and the authors’ enthusiasm is evident. It is good value for money and is highly recommended.

International Journal of Social Psychiatry

"Not your ordinary treatment manual for depression....A skillful and practical integration of some key elements of a 2,500-year-old mind science with 21st-century cognitive psychology." (on the first edition)

Journal of Cognitive Psychotherapy

"A seminal book. Segal, Williams, and Teasdale have made a unique and enormous contribution to the field and have sparked a new generation of research in mindfulness-based approaches to emotional and physical conditions. This is a 'must read' book for anyone working in our field." (on the first edition)

Cognitive Behavioral Therapy Book Reviews

"As a major plus, the book contains many practical tools useful to initiate an MBCT program, including client handouts....The concepts discussed in this book are truly visionary." (on the first edition)

Psychiatry: Interpersonal and Biological Processes

"A landmark book.” (on the first edition)

Mindful Magazine

"MBCT is a major achievement. Based on a coherent body of experimental work, the treatment has proven its worth in reducing the recurrence of depression and, as a consequence, changing the future prospects of numerous people whose lives are blighted by repeated episodes of this disabling condition. This second edition will be widely welcomed by practitioners; every chapter has been updated and numerous new practical aids have been added, including downloadable practice exercises and handouts. Thoroughly recommended."—David M. Clark, DPhil, Department of Experimental Psychology, University of Oxford, United Kingdom

"Mindfulness-Based Cognitive Therapy for Depression is the gold standard for anyone who wants to learn this powerful approach. The second edition brings this classic up to date, making it the state-of-the-art guide for therapists and students alike."—Daniel Goleman, PhD, author of Emotional Intelligence

"I love this book. More than a book, actually, it is a trusted friend. If you are dedicated to helping vulnerable people stay well and protect themselves from future episodes of depression, you will find what you need here. The program is grounded in rigorous clinical research, sound theory, and an unwavering conviction about the possibility of learning to live each moment fully and wisely. The core building blocks from the first edition remain—step-by-step descriptions of each session, including transcripts, handouts, and rich case illustrations—but there are countless new treasures as well. The themes of many of the sessions have been refined in ways that bring the curriculum even closer to the lived experience of people struggling with recurrent depression. This book stands as an exemplar of how to integrate clinical innovation, science, and practice."—Sona Dimidjian, PhD, Department of Psychology and Neuroscience, University of Colorado Boulder

"What began as a thoughtful new approach to treating depression over a decade ago has since changed the face of cognitive therapy. In this truly outstanding second edition, the authors offer crystal-clear instructions for teaching the MBCT program. Important new chapters have been added on embodying compassion and practicing inquiry in the teaching process. The authors review the impressive research on MBCT and offer reflections on how it actually works. Clinicians of all theoretical orientations and levels of experience will discover insights and practical skills that can have a vital impact on how they practice psychotherapy."—Christopher Germer, PhD, private practice, Arlington, Massachusetts

"Superb! The authors describe their evidence-based maintenance therapy for depression in great detail, while telling an engrossing (and well-referenced) story of how they developed their approach. Fascinating reading."—Ricardo F. Muñoz, PhD, Distinguished Professor of Clinical Psychology, Palo Alto University

"A defining resource in the burgeoning arena of mindfulness-based therapies. The second edition incorporates new evidence from both clinical trials and neuroscientific studies of the mind, continuing the story of discovery of the mindfulness path out of chronic depression. Presented is up-to-date conceptual and clinical material that reflects the experience and wisdom of the authors, their colleagues, and the many individuals who have benefited from MBCT. As a graduate textbook for a course on either major depression or psychotherapeutic uses of meditation, this volume illustrates the theory and application of mindfulness-based approaches in an elegant and always readable manner."—Jean L. Kristeller, PhD, Department of Psychology, Indiana State University

"Warmly written, accessible, and deeply insightful. This landmark book has played a key role in making mindfulness a central concern in clinical practice. The up-to-date second edition not only summarizes the extraordinary expansion of research evidence, but also is immensely practical and filled with clinical wisdom. Important, too, is its emphasis on compassion. A 'must' for all therapists interested in mindfulness."—Paul Gilbert, PhD, Centre for Compassion Research and Training, University of Derby, United Kingdom

From the Publisher

"Readable and practical. An effective, brief group treatment for preventing depressive relapse is welcome news for patients, clinicians, and managed care companies alike." (on the first edition)

Psychiatric Services

Reviewer: Howard A Fox, MA (Fielding Graduate University)
Description: This introduction to the use of mindfulness practice as a treatment for depression provides a step-by-step guide to how to first experience mindfulness practices and how to integrate the practice when working with clients. The book contains over 40 reproducible handouts as well access to additional tools, including downloadable audio recordings, on a companion website.
Purpose: The purpose is to introduce clinicians to mindfulness-based guided meditation as an accompaniment to cognitive therapy for treating patients with depression. Now in its second edition, this book provides insights into the lessons learned that resulted from the introduction of mindfulness meditation as a treatment for recurring cognitive depression. The authors revisit the established treatment for cognitive depression, recount how they came to believe that mindfulness-based meditation was an approach worth considering, and provide updates to the theories and research that continue to motivate clinicians to consider this approach. In doing so, they have provided a detailed journey through their eight-session MBCT program, as well as recommendations, guidelines, and next steps for clinicians interested in incorporating MBCT into their practice. The authors share new research into its effectiveness as well as clinical teaching about implementation.
Audience: Mental health professionals who are treating patients for depression are the intended audience — psychologists, clinical social workers, psychiatrists, and counselors. Graduate students and professionals interested in the theory and application of mindful meditation will also benefit.
Features: The book accomplishes a number of goals. In part I, the authors describe how they came to study mindfulness as a therapy for working with patients who have experienced recurrent depression, as well as new lessons learned, to incorporate in this edition. In part II, the authors take readers through the eight-week session format in detail. Each chapter includes step-by-step instructions, handout tools to use with clients, and access to support materials from the website. The authors also explain the importance of mindfulness training before working with clients using MBCT. Finally, in part III, the authors discuss the results of MBCT studies and how to use, extend, and adapt the use of MBCT for treatment of conditions beyond depression.
Assessment: The authors' descriptions of the session details and the tools used will be helpful to professionals wanting to know more about how to implement mindfulness-based therapies. The reference section is a mix of scholarly work on established treatment and current studies where mindfulness practice has been introduced. It will be interesting to see in another 10 years where mindfulness as a therapeutic approach resides.

Doody's Review Service

"As a major plus, the book contains many practical tools useful to initiate an MBCT program, including client handouts....The concepts discussed in this book are truly visionary." (on the first edition)

Psychiatry: Interpersonal and Biological Processes

"As a major plus, the book contains many practical tools useful to initiate an MBCT program, including client handouts....The concepts discussed in this book are truly visionary."--Psychiatry: Interpersonal & Biological Processes (on the first edition)

Psychiatry: Interpersonal & Biological Processes