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索引

Index AB A-­B-­C process, 80 about this book, 5–­7 acceptance and commitment therapy (ACT), 10, 91, 196, 197 activity scheduling, 123 affect: practice for exploring, 181–­193. See also emotions affective neuroscience, 19, 53, 61, 197 affiliation contexts, 20 amygdala, 52, 63, 64 anger, 153, 159, 183–­186 antecedents to behavior, 80 anxiety, 77, 187–­188 archetypal motives, 52 attachment: aversion and, 64; history and style of, 76–­79 attachment anxiety, 77 attachment avoidance, 77 attachment behavioral system, 40 attachment security, 77 attachment theory, ix, 40 attention: focusing in a soothing way, 59; mindfulness and, 29–­30, 93–­94 aversion, 64, 82 avoidance: attachment, 77; of mindfulness practice, 103–­104; safety strategies and, 176; shame-­related, 15 awareness, compassionate, 91–­105. See also mindfulnessbehavior: compassionate, 30–­31; defensive, 175–­176; functional analysis of, 80–­82 behavior therapy, 80–­87 behavioral activation, 201 beliefs of clients, 7–­10 Bell, Tobyn, 182 biological influences, 173 body: practicing mindfulness of, 102; soothing rhythm breathing and, 57–­59 Bowlby, John, 40, 76 brain: challenges of our evolved, 18; evolutionary shaping of, 49–­59; exploring the old vs. new, 50–­56; parts of the triune, 49–­50. See also mind breathing: mindful, 57–­58, 97–­102; soothing rhythm, 30, 57–­59 Burns, David, 174 C captain of the ship metaphor, 183, 190, 192 cardboard cutout metaphor, 131–­132, 133 case formulation, 171–­179; description of components in, 171; innate and historical influences in, 173; key fears explored in, 173–­175; patterns of self and other relating in, 177; safety strategies recognized in, 175–­176; treatment planning based on, 179; unintended consequences explored in, 176–­177; worksheet for CFT, 172, 178, 210CFT Made Simple cerebral cortex, 50 CFT. See compassion-­focused therapy CFT Case Formulation Worksheet, 172, 178, 210 chair work, 155–­170; benefits of, 155; empty-­chair work, 156–­159; Multiple Selves practice and, 181; two-­chair work, 159–­170 Circle of Compassion, 27 coercive environment, 201 cognitive behavioral therapy (CBT), 205 colleague consultations, 48 common humanity, 42, 47 compassion: attributes of, 26–­29; building blocks of, 17–­19; CFT as rooted in, 196; circle of, 27; connecting with qualities of, 44; cultivation of, 43–­44; definition of, viii, 16–­17, 25–­26; extending to vulnerable self, 119–­123; fears of, 41, 87–­89; flow of, 152; skills related to, 29–­31 compassion for others practice, 153–­154 Compassion for Voices (film), xi Compassion Practice Journal form, 216 compassionate action, 30 compassionate awareness, 91–­105 compassionate behavior, 30–­31 compassionate correction, 16 compassionate imagery. See imagery compassionate letter-­w riting, 124–­127; example letter, 126; instructions for, 124–­126, 214–­215 Compassionate Mind, The (Gilbert), 43 Compassionate Mind Foundation, 36, 172 compassionate motivation, viii, 12, 28 compassionate self, 7, 115–­127; captain of the ship metaphor and, 183, 190, 192; chair work with, 156, 159–­170; example dialogue on practicing, 116–­119; exposure therapy and, 201–­202; helping clients cultivate, 17, 115–­127; home practice of, 123–­124; imagery practices based on, 152–­153; letter-­ writing exercise for, 124–­127; loving-­kindness meditation and, 153; method-­acting approach to developing, 116; modeling in therapy, 41–­44; motivation and, 201; strengthening the perspective of, 123–­124; therapeutic perspective using, 200–­202; vulnerable or suffering self and, 119–­123. See also self-­compassion Compassionate Self practice, 30, 43, 116–­119, 123, 127 226 compassionate thinking and reasoning, 29, 129–­140; compassionate understanding linked to, 135–­139; examples of working with, 131–­134, 136–­139; importance of mindfulness for, 130; mentalizing for, 135; threat-­based thinking vs., 134–­135 compassionate understanding: of the evolution of our brains, 49–­59; of the social shaping of the self, 75–­89; thought work linked to, 135–­139; of the three types of emotion, 61–­73 compassion-­focused therapy (CFT): approach of, 3–­4; case formulation in, 171–­179; chair work in, 155–­170; characteristics of, 195–­196; compared to other approaches, 196–­198; core ideas of, 14–­23; evidence base for, 4–­5, 205, 206; general description of, 2–­3; integrating into your practice, 10–­11, 198–­202; layered approach to, 5–­7; origins of, 13–­14; roles of the therapist in, 33–­47, 198; scientific basis of, 5; unique features of, x–­xi competitive social rank, xi conditioning: operant, 80–­82; respondent, 82–­83 consequences: of behavior, 81; unintended, 176–­177 contextual behavioral science (CBS), 197 coping strategies, 30 core fears/threats, 173–­175 countertransference, 200 courage, vii, 26, 42 credibility, therapist, 35 D Dalai Lama, 197 debriefing exercises, 192–­193 defensive behaviors, 175–­176 derived relationships, 84–­85 dialectical behavior therapy (DBT), 10, 43, 91 discriminative stimuli, 80 distress tolerance, 28, 163 downward arrow method, 174–­175 drive system: explanation of, 63–­64; inspiring through therapy, 200 E eating mindfully, 102 emotional brain, 50, 52 emotional courage, 26, 42Index emotional inertia, 57 emotional tone, vii–­viii emotion-­focused therapy (EFT), 10, 155, 163 emotion-­regulation systems, ix, 19–­20; evolution of, 52; three-­circles model of, 62–­65 emotions: breathing and, 57, 59; care-­oriented, viii; chair work for working with, 155; compassionate feelings and, 30; evolutionary function of, x, 18; mindful awareness of, 92–­93; Multiple Selves practice and, 181–­193; organization of mind and, 65–­71; shown by therapists, 151; threat, 20, 35, 63; three types of, ix, 61–­73; understanding vs. judging, 56 empathy, 29 empiricism, 196, 197 empty-­chair work, 156–­159 environments: childhood development and, 75; goal for therapeutic, 200; insecure or invalidating, 20 evidence base for CFT, 4–­5, 205, 206 evolution: CFT approach and, 3, 8, 197; client beliefs about, 7–­10; cognitive challenges related to, 18; teaching clients about, 35, 198 evolutionary functional analysis, ix, 35, 61 exercising mindfully, 102 experience: case formulation related to, 173; emotions and the organization of, 65–­71 experiential avoidance, 14 experiential exercises, 11, 38; Compassionate Letter-­ Writing, 124–­127, 214–­215; Connecting with Compassionate Qualities, 44; Ideal Compassionate Image Practice, 147–­151; Mindful Checking-­In, 94–­97; Multiple Selves practice, 181–­193; Soothing Rhythm Breathing, 58; Two Teachers vignette, 110–­113; Working with Motivation and Intention, 11–­12 exposure therapy, 11, 196, 201–­202 external shame, 14, 23 external threats, 173 F failure, feelings of, 104–­105 fears: of compassion, 41, 87–­89; exposure therapy for, 201–­202; identifying key, 173–­175 feelings: cultivating compassionate, 30; mindful awareness of, 92–­93. See also emotions flow of compassion, 152 forgetting to practice, 103 forms, 209–­216; CFT Case Formulation Worksheet, 172, 178, 210; Compassion Practice Journal, 216; Instructions for Compassionate Letter-­Writing, 214–­215; Threat Emotion Monitoring, 124, 211–­212, 213 frozen prawns metaphor, 88 functional analysis of behavior, 80–­82 functional analytic psychotherapy (FAP), 10, 35, 197 functional contextualism, 197 G Germer, Chris, 195 Gibran, Kahlil, 1 Gilbert, Paul, xii, 2, 5, 13, 59, 72, 141, 172, 181 Good Will Hunting (film), 19 Greenberg, Leslie, 155 guided discovery, 37–­39; experiential exercises for, 38; exploring interpersonal dynamics for, 38–­39; Socratic dialogue for, 37–­38; working with obstacles for, 39 H Hayes, Steven C., 206 heartfelt motivation, viii helpfulness, viii, 29 historical influences, 173 home practice: compassionate self, 123–­124; soothing rhythm breathing, 59; supplementary materials for, 36–­37; threat emotion monitoring, 124, 211–­213 humility, 198 I imagery, 30, 141–­154; compassion for distress, threat feelings, and pain practice, 152; compassion for others practice, 153–­154; compassion for the self practice, 152–­153; exposure therapy using, 201; introducing clients to, 141–­143; perfect nurturer practice, 147–­151; safe place created with, 143–­147 implicit processing systems, 52 innate influences, 173 Inside Out (film), x 227CFT Made Simple Instructions for Compassionate Letter-­Writing (form), 214–­215 intention, exercise on working with, 11–­12 internal affiliative relationship, x internal shame, 14, 23 internal threats, 173, 175 internal working models, 40, 173 interpersonal dynamics, 38–­39 invalidating environments, 20 J judging thoughts/emotions, 56 K Kabat-­Zinn, Jon, 92 key fears, 173–­175 L layered processes and practices, 5–­7 learned responses, 30 learning: prepared, 83; social, 85–­87 learning theory, 80–­87 Lee, Deborah, 147 letter-­w riting. See compassionate letter-­w riting lifestyles, compassionate, 115 lightheartedness, 43 limbic system, 49–­50 loving-­kindness practices, 153–­154 M Maclean, Paul, 49 maladaptive consequences, 176 memories: case formulation drawing on, 173; emotions shaped by, 71; exposure therapy and, 201–­202; reconsolidation of, 196, 201–­202 mental experiences, 141. See also imagery mental “palate cleanser,” 183, 186, 191 mentalizing, 135 metaphors: captain of the ship, 183, 190, 192; cardboard cutout, 131–­132, 133; frozen prawns, 88; path in the woods, 136–­138 method-­acting approach, 116 Mikulincer, Mario, 40 228 mind: emotions and the organization of, 65–­71; mindfully noticing movement in, 105. See also brain mindful breathing, 97–­102; soothing rhythm breathing vs., 57–­58; teaching to clients, 98–­101; therapist practice of, 102 Mindful Checking-­In exercise, 94–­97 Mindful Compassion (Gilbert and Choden), 43 Mindful Self-­Compassion program, 195 mindful task completion, 102 mindfulness, 91–­105; attention and, 29–­30, 93–­94; benefits of practicing, 92–­93; breathing based on, 97–­102; Checking-­In exercise, 94–­97; common activities utilizing, 102–­103; compassionate thought work and, 130; definition of, 92; facilitating with the three circles, 199; obstacles to practicing, 103–­105; preparing clients for, 93–­94 mindfulness-­based cognitive therapy (MBCT), 10, 91 motivation: brain evolution and, 52; compassionate, viii, 12, 28, 201; exercise on working with, 11–­12; guiding force of, xi; mindfulness practice and, 103–­104; self-­criticism used for, 163; social mentalities and, 72–­73 Multiple Selves practice, 181–­193; captain of the ship metaphor and, 183, 190, 192; debriefing with clients, 192–­193; example dialogue illustrating, 183–­191; explanation of, 181–­182; potential objectives of, 182; tips for facilitating, 182–­183 N Neff, Kristin, 42, 195 negative punishment, 81 neo-­mammalian brain, 50 neuroscience, affective, 19, 53, 61, 197 New Harbinger website, 36 nonjudgment, 28 O obstacles: in mindfulness training, 103–­105; working collaboratively with, 39 old vs. new brain, 50–­56 operant conditioning, 80–­82 organization of experience, 65–­71; compassionate mind and, 130; safeness system and, 68–­71; threat system and, 65, 66–­68, 130Index other-­directed compassion, 153–­154 other-­schemas, 173 P paleo-­mammalian brain, 49 parasympathetic nervous system, ix, 196 path in the woods metaphor, 136–­138 peer-­supervision process, 48 perfect nurturer practice, 147–­151 phrases, compassionate, 152–­153 polyvagal theory, 196 Porges, Stephen, 196 positive punishment, 81 prepared learning, 83 present-­moment affective work, 35 progressive muscle relaxation, 59 Prophet, The (Gibran), 1 punishment, 81 R randomized controlled trials (RCTs), 4 reasoning, compassionate, 56, 103, 134–­135. See also compassionate thinking and reasoning reconsolidation of memories, 196, 201–­202 reinforcement, 81 relational frame theory (RFT), 84–­85, 196 relational safeness, 31 relationships: affiliative, x; derived, 84–­85. See also therapeutic relationship relaxation exercises, 58–­59 reptilian brain, 49 respondent conditioning, 82–­83 response cost, 81 roles of CFT therapist, 33–­47; considering the functions of, 198; facilitator of guided discovery, 37–­39; model of compassionate self, 41–­44; provider of secure base, 40–­41; putting into play with clients, 44–­47; teacher of CFT model, 34–­37 S sadness, 72, 188 safe haven, ix safe place imagery, 143–­147 safeness: creating feelings of, 19–­23, 200; emotion-­ regulation system for, 64–­65; imagery practice for, 143–­147; secure base related to, 40–­41; social connectedness and, 64–­65; therapeutic environment of, 31 safeness system: explanation of, 64–­65; organization of the mind and, 68–­71 safeness-­drive-­threat ratio, 200 safety strategies, 77, 175–­177; recognizing in clients, 175–­176; self and other relating and, 177; unintended consequences of, 176–­177 Schoendorff, Benji, 196 secure attachment, 77 secure base, ix, 40–­41 self: different versions of, 76; emotions and the organization of, 68; multiple versions of, 181–­193; practicing compassion for, 152–­153; social shaping of, 18–­19, 75–­89 self-­attacking, 199 self-­compassion: chair work for experiencing, 159; common humanity as core component of, 42, 47; imagery practice for developing, 152–­153; Two Teachers vignette for developing, 110–­113; understanding as foundational layer of, 89. See also compassionate self self-­criticism, 107–­113; chair work for, 155, 156, 159, 163–­170; crippling effect of, 14–­16; discovering the motivation behind, 163; Socratic dialog for exploring, 108–­110, 112–­113, 163; Two Teachers vignette on, 110–­113 self-­disclosure, 47–­48 self-­harm, 176 self-­schemas, 173 self-­stigma, 15 sensitivity, 27 sensory anchors, 146 sensory focusing, 30 sexual fantasies, 52 shame: crippling effect of, 14–­16; internal vs. external, 14, 23; process of overcoming, 3 Shaver, Philip, 40 showering mindfully, 102 Silberstein, Laura, 196 slowing, creating a sense of, 58 229CFT Made Simple social experiences: safeness system related to, 64–­65; the self shaped through, 18–­19, 23 social influences, 173 social learning, 85–­87 social mentalities, 72–­73, 115 social shaping of the self, 18–­19, 76–­87; attachment history/style and, 76–­79; learning theory/behavior therapy and, 80–­87 Socratic dialogue, 37–­38; safety strategies and, 176; self-­criticism and, 108–­110, 112–­113, 163; undermining self-­attacks through, 199 soothing rhythm breathing, 30, 57–­59; instructions for practicing, 58; mindful breathing vs., 57–­58; safe place imagery and, 146 stimulus functions, 84 substance abuse, 176, 177 suffering, CFT orientation to, 25–­26 supplementary materials, 36–­37 sympathy, 27–­28, 139 T teacher role in CFT, 34–­37; client’s lived experience and, 35–­36; supplementary materials related to, 36–­37 temperaments, 75 therapeutic relationship, 33–­48; guided discovery in, 37–­39; modeling the compassionate self in, 41–­44; roles of the therapist in, 33–­47, 198; secure base provided in, 40–­41; teaching the CFT model in, 34–­37; therapist self-­disclosure in, 47–­48; three-­ circles model and, 199–­200 therapists: characteristics of CFT, 195–­196; credibility of, 35; emotion shown by, 151; mindful breathing practice of, 102; roles performed by, 33–­47, 198; self-­disclosure used by, 47–­48 “third wave” therapies, 10, 91, 197 thoughts: cultivating compassionate, 29, 129–­140; mindful awareness of, 92–­93; threat-­based vs. compassionate, 134–­135; understanding vs. 230 judging, 56; working with threat-­focused, 130–­ 134. See also compassionate thinking and reasoning Threat Emotion Monitoring form, 124, 211–­212, 213 threat emotions: effects of, 20, 35; form for monitoring, 124, 211–­212, 213; softening the intensity of, 30, 58, 59 threat system: explanation of, 63; organization of the mind and, 65, 66–­68, 130; therapy experience and, 200 threat-­focused thoughts, 130–­135; compassionate thoughts vs., 134–­135; example of working with, 130–­134 three-­circles model of emotions, 62–­65; client interactions and, 199–­200; drive system in, 63–­64; mindfulness and, 199; safeness system in, 64–­65; threat system in, 62 Tirch, Dennis, 196 treatment planning, 179 triune brain, 49 True Strength program, vii Two Teachers vignette, 110–­113 two-­chair work, 159–­170; with compassionate and vulnerable selves, 159–­163; with compassionate, vulnerable, and self-­critical selves, 163–­170 U understanding. See compassionate understanding unintended consequences, 176–­177 V vulnerable self: chair work with, 159–­170; extending compassion to, 119–­123 W walking mindfully, 102 warmth, 16, 196; modeling with clients, 42; therapeutic context of, 26, 41 worksheets. See formsMOR E BOOK S from NE W HA R BI NGER PUBLICATIONS DBT MADE SIMPLE A Step-by-Step Guide to Dialectical Behavior Therapy ACT MADE SIMPLE An Easy-To-Read Primer on Acceptance & Commitment Therapy ISBN: 978-1608821648 / US $39.95 ISBN: 978-1572247055 / US $39.95 THE ACT PRACTITIONER’S GUIDE TO THE SCIENCE OF COMPASSION Tools for Fostering Psychological Flexibility ISBN: 978-1626250550 / US $49.95 THE COMPASSIONATE MIND A New Approach to Life’s Challenges ISBN: 978-1572248403 / US $24.95 MINDFUL COMPASSION How the Science of Compassion Can Help You Understand Your Emotions, Live in the Present, and Connect Deeply with Others ISBN: 978-1626250611 / US $18.95 MINDFULNESS MEDITATION IN PSYCHOTHERAPY An Integrated Model for Clinicians ISBN: 978-1626252752 / US $39.95 An Imprint of New Harbinger Publications newharbingerpublications 1-800-748-6273 / newharbinger.com (VISA, MC, AMEX / prices subject to change without notice) Follow Us Don’t miss out on new books in the subjects that interest you. 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