Title: Positive Mental Training for Emotional Distress
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2- Positive Mental Training for Emotional Distress
Wellbeing - Resilience Training
-
- Friday 4th September 2009
- 12.30pm 5.00pm
- Scottish Health Service Centre, Crewe Road South,
Edinburgh - Dr Alastair Dobbin
- Sheila Ross, MSc
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3Outline of the Afternoon Introduction/expectation
s What is Positive Mental Health The Philosophy
of Therapy Unconscious progressing Tea ( 3 pm
ish) Relaxation Positive Mental Training
Programme Patient videos Closing
exercise Discussion
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4- What do you think
- positive mental health is
- and
- what do we need to have it?
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6Theories of Emotion
James Lange now dominant theory better fit with
subsequent evidence
7Ventral Stream and Dorsal Stream
8- Rational thought does not drive what we do
- It interprets it
- (DB Video)
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9- How can we use this to help people?
- Placebo suggestion
- Unconscious v conscious suggestion
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12What is Hypnosis?
- State of relaxation and absorption
- Induced by focused attention
- - Eye closure, relaxation, suggestion
- Decreases sympathetic autonomic arousal effects
13Gruzelier, J. (1998). A working model of the
neurophysiology of hypnosis a review of the
evidence. Contemporary Hypnosis, 15, 3-21
Karl Friston Thomas Bayes
14Youre horrible I hate you Youre ugly Go
away Leave me alone
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15Self Hypnosis - uses
- A trigger, conditioning -can be established in
just one hypnotic session. - Any stimulus for instance a word, movement,
behaviour or situation, but also a thought - When a stimulus has become a trigger it works
even in those situations where the subject is
unaware of the presence of the trigger. Such a
trigger can not be changed by voluntary effort.
16Self Hypnosis
- A positive emotion such as the ideal performing
feeling can be borrowed from a previous event and
then conditioned to a future event. - Lars Eric Unestahl 1973 Hypnosis and post
hypnotic suggestions (PhD thesis Uppsala
University) VEJE international Orebro, Sweden.
17LPIN Task Group 5
18 Relaxation Practice makes perfect
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19LPIN Task Group 5
20Pavlovian Conditioning
CS UCS UCR
Sound (Tone)
Electric Shock
21 RECALL TRIALhas 2 effects simultaneously
Trauma Recall
1
CS2 - UCS CS1 CR2
(UCS)
Extinction
2
CS2 UCS CR3
22 Extinction
Avoidance Behaviour
1 2 3 4 5 6 No of
Trials minus Trauma
23Reappraisal in Self confidence
- You find you can never ever fail
- You will learn from your mistakes
- You will grow as a result of difficulties
- You will see problems as solutions
- You will see hindrances as challenges
- You have a right to be angry/sad
24- Positive Mental Training
- The Programme
- DVD How Positive Mental Training helps stress
and depression - Dr Alastair Dobbin Sheila Ross 14
mins. -
- CD1 The Foundations of Positive Mental Health
- CD2 Building Mental Skills for Success
- CD3 Building Personal Development for success
- Each CD has 4 tracks, each track 18 mins. long
-
25- Based on the Swedish model of Integrated Mental
Training - Developed for Peak Performance in Sport
- Used over the last 30 years
26CD 1
- Muscular Relaxation 1 2
- Jacobson relaxation with experiential self focus
- Notice the experience of relaxation and
tension - Encourages the observation of the body and
breathing/Mindfulness - Sets up a trigger
- Mental Relaxation 1 2
- Visualisation technique of a safe place
- Inner Mental Room
- Bolted onto physical relaxation
27LPIN Task Group 5
28Positive Mental TrainingCDs 2 3
- Each begins with Relaxation introduction and use
of trigger and mental room to recall experiential
mindset and remove negative affect (3 minutes) - Music
- Fixing Positive affect to enable problem solving1
- Further psychotherapeutic tools -
- reframing, accessing positive memories/states,
visualisation, desensitisation.
29Its use in Primary Care
- Complies with NICE guidelines
- Fits with stepped care approach
- Library system
- Evidence for good patient preference compliance
30What is Positive Mental Training?
- A self help modular programme
- To listen to at home
- A DVD and 3 CDs
- Over 12 weeks one 18 min track a day
- Simple effective
31Comparison of Dobbin et al preference arms and
benchmarked studies randomised data with
Confidence Intervals
32Who for?
- Emotional distress
- Exclusions?
- Easily Accessible by socially excluded groups
done at clients convenience no therapist
present - so - Single mothers
- Low income
- Young men
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34Resource
- This presentation on
- www.foundationforpositivementalhealth.com
- Contact us through this
- Certificates evaluation forms
35Advantages
- Immediate psychotherapeutic intervention
- Simple (requires no reading skills)
- Good compliance effectiveness
- Free patient access library system
- Retains GP/patient relationship
- Can be used by other Health Professionals
- Fits in with existing systems