Mindfulness in clinical practice

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Mindfulness in clinical practice
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Abraham Maslow's hierarchy of needs
A Theory of Human Motivation, 1943
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?????????????????????? ?????????????
attitude
Awareness
affection
Acceptance
Assertive
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attitude
Awareness
affection
Acceptance
Assertive
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???????????????????????? (Attitude mode)
- ??????????????? ????????????????????????????
?????????????????????????????????????? -
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????????????????????????????? - ????????????
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???????? ????????????????????.....
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?????????????????????? ?????????????
attitude
Awareness
affection
Acceptance
Assertive
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??????????????????????? (Affective mode)

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?????????????????????? ?????????????
attitude
Awareness
affection
Acceptance
Assertive
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????????????????????????? (Assertive mode)

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?????????????????????? ?????????????
attitude
Awareness
affection
Acceptance
Assertive
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Expectation Want Need
Difference is suffering
reality
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Expectation Want Need
reality
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• ????????????????????? (???????????????)

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????????????????????????????????? VS
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??????????? amygdala
an alarm to activate a cascade of biological
systems to protect the body in times of danger.
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simply labeling emotions

• turns down the amygdala alarm center response in
  the brain that triggers negative feelings.
• another region of the brain was more active
• the right ventrolateral prefrontal cortex.

Lieberman MD, 2007
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???????????????? ? ???? ? ????????????????????
amygdala ?????????
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??????????????????????? ?????????
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????????? ????????????????????
?????????????????????????????????
??????????????????????? ?????? 1. ??????????
????????????????????? ??????????? ???????
???????? 2. ?????????? ?????????????????????????
??????????? 3. ???????????????????
????????????????????????????????????? ??????
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home.iprimus.com.au/rboon/BrainWaves.jpg
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(No Transcript)
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SPECT scans

• A non-meditator
• B long-term meditator

Newberg, A. B., et al. Cerebral blood flow
differences between long-term meditators and
non-meditators. Consciousness and Cognition (2010)
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?????????????????????

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?????????????????????????????????
??????????????? ??????? ??????????? ??????
?????????????? ???????????????????? ???????????
(Endophine) ???????????????????????
???????????????????????????????????????????
?????????? (Dopamine) ???????????????????????????
? ????????????????? ???????????? (Serotonin)
???????????????????????? ??????????
?????????????????????? ???????
http//www.parent-youth.net/index.php?layshowac
articleId538689002Ntype5
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?????????????? Buddhist Techniques
?????????????????
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Buddhist Techniques
???????? ? ?????? ??? ?. ????????????????????
(Therapeutic Alliance) ?. ??????????????????????
(Cognitive Techniques) ?. ???????????
(Concentration Meditation) ?. ?????????
(Mindfulness Meditation)
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Buddhist Techniques
???????? ? ?????? ??? ?. ????????????????????
(Therapeutic Alliance) ?. ??????????????????????
(Cognitive Techniques) ?. ???????????
(Concentration Meditation) ?. ?????????
(Mindfulness Meditation)
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Buddhist Techniques
???????????????????? (Therapeutic Alliance)
????????????????????????
15 ?????????????????????????????? 15 ???? placebo effect 30 ?????????????????????????? ??????????????? ????? ??????????????????????????? 40 ????????????????????????? ??????????????????? ???????????????????????????
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• ?????????????????????????????
• ??????????? ????????

• ???????????? ???????? ??? ??????????
• Experiential
• Modeling
• ???????????? ???????? ????????? ??????????????
• ??? ?????????????????????????
  ???????????????-?????????????
• ??????????? ????????????? ??????????????????????
  ???????????????

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Buddhist Techniques
????????????????????????? ??????????

• ????? awareness ???? mindfulness
  ???????????????????????????????????????? ????
• ??????? mindfulness ???????????????????????????
  ?????
• ??????????????????????????
• ??????????????? empathy gt sympathy
• ?????????????????????????? ???????????????????????
  ????????????

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Buddhist Techniques
???????? ? ?????? ??? ?. ????????????????????
(Therapeutic Alliance) ?. ??????????????????????
(Cognitive Techniques) ?. ???????????
(Concentration Meditation) ?. ?????????
(Mindfulness Meditation)
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Buddhist Techniques
?????????????????????? (Cognitive Techniques)

• ????????????????? ???????? ????????????????
• ?????????????? ??????????????,
  ??????????????
• ????????? ????????????? /
• ????? ???????????????
• ????? ??????????????????

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Buddhist Techniques

• ?????????????????????

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Buddhist Techniques
???????? ? ?????? ??? ?. ????????????????????
(Therapeutic Alliance) ?. ??????????????????????
(Cognitive Techniques) ?. ???????????
(Concentration Meditation) ?. ?????????
(Mindfulness Meditation)
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Buddhist Techniques
????????? ???????? (Meditation Techniques)

• Meditation Techniques
• ?????? ????? (Concentration Meditation)
• ?????? ??? (Mindfulness meditation)

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Buddhist Techniques
??????????? (Concentration Meditation)
?????????????????????????????????????? -
??????????????????????????????????? -
??????????? - ?????????????? -
?????????????????????
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Buddhist Techniques
????????? (Mindfulness meditation)
?????? ??????????? ?. ???????????????????
????????? ?. ??????????? ?????????? ?.
??????????????????????? ???????
(?????????????????????? ??????? ?????? )
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In conclusion
Buddhism Western Psychology
Problem Suffering (?????) Significant distress, disability, pain, loss, suicidality
Etiology Craving (?????) Clinging (???????) Ignorance (??????) Biological defect, genetics, childhood development, Conditioning, socialization
Goal Enlightenment (????????) Decrease symptoms, Normal or higher functioning, raise self esteem.
Treatment Eightfold path (???? ?) Medication, psychosocial management
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??????????????????? ?
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Case Study

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Case Study

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Case Study

• ??????? ???????????????.......
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Self - Study
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Self - Study
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Self - Study
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Self - Study
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Self - Study