Cultivating compassion in psychological therapists: the potential of loving-kindness meditation

Section A: summarises theory and research relevant to the role of compassion in the work of psychological therapists. Two approaches that are thought to cultivate compassion, namely, mindfulness meditation and loving-kindness meditation (LKM), are introduced and their potential for fostering compassion in therapists is explored. Following this, extant empirical studies examining the effects of mindfulness-based and loving-kindness interventions on compassion are critically evaluated. Limitations and gaps in the existing evidence base are discussed, and the need for further research, such as studies using LKM with therapists, is outlined. Section B: Objectives. Emerging research suggests that loving-kindness meditation (LKM) increases well-being and compassion whilst being difficult to engage with. Since there is a need to cultivate self-care and compassion in trainee therapists (TT), this study aimed to explore how TT experience a course of LKM. Design. A qualitative design using Interpretative Phenomenological Analysis was applied in order to gain a detailed understanding of the experience of LKM and the meaning participants gave to it. Methods. Twelve TT who had previously attended a mindfulness-based cognitive therapy course took part in a six-session long LKM course and were interviewed about their experience. Results. Five master themes were identified ‘Engaging with the practice’, ‘Impact on self’, ‘Impact on relationships’, ‘Bringing compassion into the therapy room’, and ‘Integrating LKM into life’. Participants perceived LKM to have led to increased self-awareness, compassion for self and others, and therapeutic presence and skills. At the same time, LKM was experienced as emotionally challenging. Conclusions. LKM may be a useful tool for enhancing self-care and compassion in TT. Further research is needed to extend the findings and implications for the use of LKM with TT and other populations are discussed. Section C: summarises critical reflections on the process of conducting this research study, including the researcher‟s learning experience, implications for training and clinical practice, and further research

Cultivating compassion in psychological therapists : the potential of loving-kindness meditation

Section A: summarises theory and research relevant to the role of compassion in the work of psychological therapists. Two approaches that are thought to cultivate compassion, namely, mindfulness meditation and loving-kindness meditation (LKM), are introduced and their potential for fostering compassion in therapists is explored. Following this, extant empirical studies examining the effects of mindfulness-based and loving-kindness interventions on compassion are critically evaluated. Limitations and gaps in the existing evidence base are discussed, and the need for further research, such as studies using LKM with therapists, is outlined. Section B: Objectives. Emerging research suggests that loving-kindness meditation (LKM) increases well-being and compassion whilst being difficult to engage with. Since there is a need to cultivate self-care and compassion in trainee therapists (TT), this study aimed to explore how TT experience a course of LKM. Design. A qualitative design using Interpretative Phenomenological Analysis was applied in order to gain a detailed understanding of the experience of LKM and the meaning participants gave to it. Methods. Twelve TT who had previously attended a mindfulness-based cognitive therapy course took part in a six-session long LKM course and were interviewed about their experience. Results. Five master themes were identified ‘Engaging with the practice’, ‘Impact on self’, ‘Impact on relationships’, ‘Bringing compassion into the therapy room’, and ‘Integrating LKM into life’. Participants perceived LKM to have led to increased self-awareness, compassion for self and others, and therapeutic presence and skills. At the same time, LKM was experienced as emotionally challenging. Conclusions. LKM may be a useful tool for enhancing self-care and compassion in TT. Further research is needed to extend the findings and implications for the use of LKM with TT and other populations are discussed. Section C: summarises critical reflections on the process of conducting this research study, including the researcher‟s learning experience, implications for training and clinical practice, and further research.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

A grounded theory analysis of the experience of therapy in the context of negative change

Negative change occurring during psychotherapy is relatively underresearched and current theories take little account of social context. Eight clients and four therapists were interviewed about their therapy experience when reliable score deterioration on an outcome measure was observed, with the aim of generating a Grounded Theory model of negative change. The emerging model identified three major themes: a context of adversity, the therapeutic experience, and help withdrawn (within the context of positive outcomes). Difficulties included wanting therapy to provide more advice, talking about distressing issues, relationship difficulties, ambivalence, and a wish for support instead of change. Client context merits increased attention. Changes in outcome measures used, more diverse supervision models, training to use outcome measures constructively, and sensitive, routine analysis of negative change are indicated. Increased availability of therapies able to address clients’ interpersonal and social context and a wider choice of therapy type would allow interventions to better fit the individual in context

Cultivating compassion in psychological therapists : the potential of loving-kindness meditation

Section A: summarises theory and research relevant to the role of compassion in the work of psychological therapists. Two approaches that are thought to cultivate compassion, namely, mindfulness meditation and loving-kindness meditation (LKM), are introduced and their potential for fostering compassion in therapists is explored. Following this, extant empirical studies examining the effects of mindfulness-based and loving-kindness interventions on compassion are critically evaluated. Limitations and gaps in the existing evidence base are discussed, and the need for further research, such as studies using LKM with therapists, is outlined. Section B: Objectives. Emerging research suggests that loving-kindness meditation (LKM) increases well-being and compassion whilst being difficult to engage with. Since there is a need to cultivate self-care and compassion in trainee therapists (TT), this study aimed to explore how TT experience a course of LKM. Design. A qualitative design using Interpretative Phenomenological Analysis was applied in order to gain a detailed understanding of the experience of LKM and the meaning participants gave to it. Methods. Twelve TT who had previously attended a mindfulness-based cognitive therapy course took part in a six-session long LKM course and were interviewed about their experience. Results. Five master themes were identified ‘Engaging with the practice’, ‘Impact on self’, ‘Impact on relationships’, ‘Bringing compassion into the therapy room’, and ‘Integrating LKM into life’. Participants perceived LKM to have led to increased self-awareness, compassion for self and others, and therapeutic presence and skills. At the same time, LKM was experienced as emotionally challenging. Conclusions. LKM may be a useful tool for enhancing self-care and compassion in TT. Further research is needed to extend the findings and implications for the use of LKM with TT and other populations are discussed. Section C: summarises critical reflections on the process of conducting this research study, including the researcher‟s learning experience, implications for training and clinical practice, and further research.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Getting the strain under control: Trans-Varestraint tests for hot cracking susceptibility

A new method for conducting Trans-Varestraint tests for assessing hot cracking susceptibility is proposed. Experiments were carried out, to validate the new method, with an industrial scale rig using tungsten inert gas welding. The hot cracking susceptibility of API-5L X65 and EN3B steel was compared. The results indicated that, by using the new method, the strain applied to the welding bead and consequently to the solidification front was controlled in a repeatable and reliable way. The results also indicated that EN3B has a maximum crack length (a parameter in the test) higher than X65 and it is reached at lower augmented strain thus demonstrating it is more susceptible to hot cracking, while also indicating that there is a capability of predicting the initiation position of hot cracks during welding. By using the method proposed, the capability of setting standardized test procedures for Trans-Varestraint tests is improved. It is recommended that future tests for assessing hot cracking susceptibility should employ the proposed method in order for the results to be comparable and to also study the effect of strain rate in hot cracking of materials

Self-Compassion, emotion regulation and stress among australian psychologists: Testing an emotion regulation model of self-compassion using structural equation modeling

Psychologists tend to report high levels of occupational stress, with serious implications for themselves, their clients, and the discipline as a whole. Recent research suggests that selfcompassion is a promising construct for psychologists in terms of its ability to promote psychological wellbeing and resilience to stress; however, the potential benefits of self-compassion are yet to be thoroughly explored amongst this occupational group. Additionally, while a growing body of research supports self-compassion as a key predictor of psychopathology, understanding of the processes by which self-compassion exerts effects on mental health outcomes is limited. Structural equation modelling (SEM) was used to test an emotion regulation model of self-compassion and stress among psychologists, including postgraduate trainees undertaking clinical work (n = 198). Self-compassion significantly negatively predicted emotion regulation difficulties and stress symptoms. Support was also found for our preliminary explanatory model of self-compassion, which demonstrates the mediating role of emotion regulation difficulties in the self-compassion-stress relationship. The final self-compassion model accounted for 26.2% of variance in stress symptoms. Implications of the findings and limitations of the study are discussed

Measuring relationships between self-compassion, compassion fatigue, burnout and well-being in student counsellors and student cognitive behavioural psychotherapists: a quantitative survey

Background: Prolonged deficiency in self-care strategies puts counsellors and psychotherapists at risk of burnout and compassion fatigue. Aim: To measure associations between self-compassion, compassion fatigue, wellbeing and burnout in student counsellors and student cognitive behavioural psychotherapists. Method: A quantitative survey using four validated data collection instruments: (1) Professional Quality of Life Scale; (2) Self-Compassion Scale; (3) short Warwick and Edinburgh Mental Well-being Scale; (4) Compassion For Others scale, was used to measure relationships between self-compassion, compassion fatigue, well-being and burnout. Participants: A mixed sample of student counsellors and student cognitive behavioural psychotherapists (n = 54) in their final year of study. Results: This preliminary study shows that student counsellors and student cognitive behavioural psychotherapists who reported high on measures of self-compassion and well-being also reported less compassion fatigue and burnout. Implications for practice: Compassion fatigue and burnout are found in many modern-day, highly stressful healthcare professions. The practice of self-compassion could help student practitioners manage these symptoms and subsequently improve their professional quality of life

Self-compassion and adjustment in epilepsy and psychogenic nonepileptic seizures

Purpose Self-compassion has been associated with a set of adaptive coping strategies, which in turn explain better adjustment in individuals with chronic illnesses such as inflammatory bowel disease and arthritis. The aim of this study was to investigate whether self-compassion is associated with adjustment in people with epilepsy (PWE) and people with psychogenic nonepileptic seizures (PWPNES). Adjustment was measured via coping efficacy, quality of life (QoL), anxiety, and depression. Method A cross-sectional questionnaire design was employed. People with epilepsy (N = 74), PWPNES (N = 46), and controls (N = 89), recruited from outpatient seizure clinics and online, completed questionnaires about their self-compassion, coping efficacy, QoL, anxiety, and depression levels. Results Overall, self-compassion was associated with adjustment in PWE and PWPNES. Self-compassion was negatively related to anxiety and depression in PWE, PWPNES, and controls and positively related to coping efficacy in PWE and PWPNES. Self-compassion was also positively related to QoL in PWE and controls; however, this relationship was not significant in PWPNES. Conclusion Self-compassion is associated with better adjustment in PWE and PWPNES. Implications of these findings for psychotherapeutic interventions for individuals with seizure disorders and future research are discussed

A Systematic Review and Meta-analysis of the Impact of Mindfulness-Based Interventions on the Well-Being of Healthcare Professionals

Efforts to improve the wellbeing of healthcare professionals include mindfulness-based interventions (MBIs). To understand the value of such initiatives, we conducted a systematic review and meta-analysis of empirical studies pertaining to the use of MBIs with healthcare professionals. Databases were reviewed from the start of records to January 2016 (PROSPERO registration number: CRD42016032899). Eligibility criteria included empirical analyses of wellbeing outcomes acquired in relation to MBIs. Forty-two papers met the eligibility criteria, consisting of a total of 2,101 participants. Studies were examined for two broad classes of wellbeing outcomes: (a) “negative” mental health measures such as anxiety, depression, and stress; (b) “positive” indices of wellbeing, such as life satisfaction, together with outcomes associated with wellbeing, such as emotional intelligence. MBIs were generally associated with positive outcomes in relation to most measures, and mindfulness does appear to improve the wellbeing of healthcare professionals. However, the quality of the studies was inconsistent, so further research is needed, particularly high-quality randomised control trials