NON-JUDGMENTAL ATTENTION
A UNIVERSAL BEST PRACTICE
Jaisa Sulit BPHE BEd MScOT
GTA REHAB NETWORK BEST PRACTICES DAY 2018
Translating Best Practices Into Action
May 25th 2018
Chestnut Conference Centre
Neuro-Rehab OT since 2005
My dad is a biker So in 2010hellip
Itrsquos all about
relationships
August 28 2010 Burst Fracture T12 with 60 spinal cord compression
Despite progress in the first yearhellip
Teaching Mindfulness
with Dr Robinson at Bridgepoint
Progressing with Mindfulness
Training with Jon Kabat-Zinn
What Is Mindfulness
What is Mindfulness
Definitions of Mindfulness
Oldest definition (Pali) ldquoto rememberrdquo where your mind is or what the state of the mind is
Paying attention in a certain way on purpose in the present moment non-judgmentally
(Jon Kabat-Zinn 1996)
Choosing to pay attention to the present moment with kindness amp curiosity
(Carla Naumberg)
hellipthe body is not always experiencing
the reality of the present
Illustrator unknown (retrieved from the internet)
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Neuro-Rehab OT since 2005
My dad is a biker So in 2010hellip
Itrsquos all about
relationships
August 28 2010 Burst Fracture T12 with 60 spinal cord compression
Despite progress in the first yearhellip
Teaching Mindfulness
with Dr Robinson at Bridgepoint
Progressing with Mindfulness
Training with Jon Kabat-Zinn
What Is Mindfulness
What is Mindfulness
Definitions of Mindfulness
Oldest definition (Pali) ldquoto rememberrdquo where your mind is or what the state of the mind is
Paying attention in a certain way on purpose in the present moment non-judgmentally
(Jon Kabat-Zinn 1996)
Choosing to pay attention to the present moment with kindness amp curiosity
(Carla Naumberg)
hellipthe body is not always experiencing
the reality of the present
Illustrator unknown (retrieved from the internet)
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
My dad is a biker So in 2010hellip
Itrsquos all about
relationships
August 28 2010 Burst Fracture T12 with 60 spinal cord compression
Despite progress in the first yearhellip
Teaching Mindfulness
with Dr Robinson at Bridgepoint
Progressing with Mindfulness
Training with Jon Kabat-Zinn
What Is Mindfulness
What is Mindfulness
Definitions of Mindfulness
Oldest definition (Pali) ldquoto rememberrdquo where your mind is or what the state of the mind is
Paying attention in a certain way on purpose in the present moment non-judgmentally
(Jon Kabat-Zinn 1996)
Choosing to pay attention to the present moment with kindness amp curiosity
(Carla Naumberg)
hellipthe body is not always experiencing
the reality of the present
Illustrator unknown (retrieved from the internet)
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Itrsquos all about
relationships
August 28 2010 Burst Fracture T12 with 60 spinal cord compression
Despite progress in the first yearhellip
Teaching Mindfulness
with Dr Robinson at Bridgepoint
Progressing with Mindfulness
Training with Jon Kabat-Zinn
What Is Mindfulness
What is Mindfulness
Definitions of Mindfulness
Oldest definition (Pali) ldquoto rememberrdquo where your mind is or what the state of the mind is
Paying attention in a certain way on purpose in the present moment non-judgmentally
(Jon Kabat-Zinn 1996)
Choosing to pay attention to the present moment with kindness amp curiosity
(Carla Naumberg)
hellipthe body is not always experiencing
the reality of the present
Illustrator unknown (retrieved from the internet)
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
August 28 2010 Burst Fracture T12 with 60 spinal cord compression
Despite progress in the first yearhellip
Teaching Mindfulness
with Dr Robinson at Bridgepoint
Progressing with Mindfulness
Training with Jon Kabat-Zinn
What Is Mindfulness
What is Mindfulness
Definitions of Mindfulness
Oldest definition (Pali) ldquoto rememberrdquo where your mind is or what the state of the mind is
Paying attention in a certain way on purpose in the present moment non-judgmentally
(Jon Kabat-Zinn 1996)
Choosing to pay attention to the present moment with kindness amp curiosity
(Carla Naumberg)
hellipthe body is not always experiencing
the reality of the present
Illustrator unknown (retrieved from the internet)
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Despite progress in the first yearhellip
Teaching Mindfulness
with Dr Robinson at Bridgepoint
Progressing with Mindfulness
Training with Jon Kabat-Zinn
What Is Mindfulness
What is Mindfulness
Definitions of Mindfulness
Oldest definition (Pali) ldquoto rememberrdquo where your mind is or what the state of the mind is
Paying attention in a certain way on purpose in the present moment non-judgmentally
(Jon Kabat-Zinn 1996)
Choosing to pay attention to the present moment with kindness amp curiosity
(Carla Naumberg)
hellipthe body is not always experiencing
the reality of the present
Illustrator unknown (retrieved from the internet)
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Teaching Mindfulness
with Dr Robinson at Bridgepoint
Progressing with Mindfulness
Training with Jon Kabat-Zinn
What Is Mindfulness
What is Mindfulness
Definitions of Mindfulness
Oldest definition (Pali) ldquoto rememberrdquo where your mind is or what the state of the mind is
Paying attention in a certain way on purpose in the present moment non-judgmentally
(Jon Kabat-Zinn 1996)
Choosing to pay attention to the present moment with kindness amp curiosity
(Carla Naumberg)
hellipthe body is not always experiencing
the reality of the present
Illustrator unknown (retrieved from the internet)
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
What Is Mindfulness
What is Mindfulness
Definitions of Mindfulness
Oldest definition (Pali) ldquoto rememberrdquo where your mind is or what the state of the mind is
Paying attention in a certain way on purpose in the present moment non-judgmentally
(Jon Kabat-Zinn 1996)
Choosing to pay attention to the present moment with kindness amp curiosity
(Carla Naumberg)
hellipthe body is not always experiencing
the reality of the present
Illustrator unknown (retrieved from the internet)
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Definitions of Mindfulness
Oldest definition (Pali) ldquoto rememberrdquo where your mind is or what the state of the mind is
Paying attention in a certain way on purpose in the present moment non-judgmentally
(Jon Kabat-Zinn 1996)
Choosing to pay attention to the present moment with kindness amp curiosity
(Carla Naumberg)
hellipthe body is not always experiencing
the reality of the present
Illustrator unknown (retrieved from the internet)
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
hellipthe body is not always experiencing
the reality of the present
Illustrator unknown (retrieved from the internet)
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
hellipand move into awareness mode
One conscious breath to disengage from autopilot mode
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
A meta-analysis of 115 RCTs (Gotnik et al 2015) found MBCT amp MBSR to significantly reduce stress amp depression improve quality of life amp physical functioning
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
A meta-analyis of 47 RCTs (Goyal et al 2014) found meditation programs beneficial for physical amp mental conditions including stress anxiety depression lower back pain amp heart disease
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
The 7 Foundational Attitudes of Mindfulness
1 Beginnerrsquos Mind (curiosity)
2 Acceptance (acknowledging amp allowing)
3 Trust
4 Patience
5 Letting Go
6 Non-Striving
7 Non-judgment
(From Full Catastrophe Living by Jon Kabat-Zinn)
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Judgmental attention is like seeing through lenses that shape our experiences of reality
Images from strangelensescom
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Our non-judgmental attention puts us on the same pagehellip
hellipto find creative amp innovative solutions to operationalize best practices
in the light of the reality of limited resources
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
The Two Arrows
Pain is inevitable But with Non-judgmental attention suffering is an option
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
A Non-Judgmental Relationship with Pain
React on autopilot Shoot the 2nd arrow
Respond wnon-judgment Donrsquot shoot the 2nd arrow
Resist ignore amp turning away
Acknowledge allow amp turn towards
Fear of assumed danger No sense of control
Trust amp curiosity to understand Sense of choice amp control
Up-regulates the Nervous System = increased sensitivity
Down-regulates the Nervous System = decreased sensitivity
Suffering from chronic pain Living well with chronic pain
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Evidence for Mindfulness amp Chronic Pain
bull pain intensity amp sensitivity
bull re-interpretation of pain sensations
bull positive re-appraisal of pain
bull non-reactivity
bull pain-attentional bias
bull opioid craving and misuse
bull in pain related functional interference
bull Neural changes in the brain amp neuron itself
(Zeidan et al 2015 Kabat-Zinn 1982 Kabat-Zinn Lipworth
amp Burney 1985)
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Mobility amp
Function
hellipleads to
emotional
suppression
Painful
emotionshellip
hellip if met with
judgmental
attentionhellip
Pain amp
Fatigue
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Non-Judgmental attention
opened me up to receiving
bull Psychotherapy from a social worker
bull Non-traditional modalities
o Expressive Arts Therapy
o Therapeutic Writing
o Cranial Sacral Therapy
o Visceral Manipulation
o Accupuncture amp Reflexology
o Energy Healing via
bull Reiki Medical Qigong Bodytalk amp Reconnective
Healing
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Mobility amp
Function
hellipleads to
emotional
release
Repressed
emotionshellip
hellip if met with
Non-judgment
Pain amp
Fatigue
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Non-Judgmental
Attention
Heals
Judgmental
Attention
Harms
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
The Take Awayhellip
bull Itrsquos all about relationships amp the
space between you amp who you are
in relation to
bull We are response-able for keeping
this space safe through non-
judgmental attention
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
The Take Away (contrsquod)
bull Safe space contributes to therapeutic
presence
ldquoThe capacity to hold a healing space for
another with your calm amp centred state of being This presence amplifies the effectiveness
of whatever technical skills you already have amp
contributes to healthy treatment outcomes It is a quality of being a rapport which feels
healing steady amp saferdquo
Suzanne Scurlock-Durana CMT CST-D Author of Fully Body
Presence and Developer of Healing From the Core
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
The creation of
safe space through
non-judgmental attention
has to be something
WE ALL PRACTISE
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
What Irsquod Like To Seehellip
hellip is more Mindfulness amp Self-Compassion based
employee wellness programs
bull Together the practices of both mindfulness amp self-
compassion are shown to be amongst the most
powerful agents of brain change known to science
bull Research shows reduced stress amp improved
wellbeing amp emotional resiliency
Neff amp Germer (2013) Baer (2012)
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Implications for Moving Forward
Practise Daily
At Home
Formally
(takes time)
Informally
(takes no time)
At Work At Work At Home
bull Brushing teeth
bull Washing Dishes
bull Mindful lunch
bull Mindful documentation
bull Breathing Space
bull Mindful Walk
bull Yoga bull Body
Scan
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Breathing Space - Letrsquos Practise
4 Steps
1 Bring non-judgmental attention to bodily sensations emotions amp thoughts
1 Focus on the breath
1 Expand awareness to sense of body as a whole
1 Compassion-Based Action Step
ldquoHow can I best take care of my needs right now Today This weekrdquo
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Clinical Applications
bull When the 1st arrows occur with your clients
use non-judgmental cues o Put the welcome mat out allow it to be here
o Statements of acknowledgement
ldquooh hellordquo ldquoyoursquore backrdquo ldquoI see you are hererdquo
bull Be aware of shooting the 2nd arrow at your
client o ldquodonrsquot cryrdquo ldquodonrsquot be sadangryrdquo
o ldquoshould be gratefulhappyrdquo
o ldquoignore the painrdquo
o ldquoyoursquore balance is not goodrdquo
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Clinical Applications Contrsquod
bull Teach Formal Practices
oBreathing Space bull (From MBSR curriculum)
o STOP
bull Stop Take a few breaths Observe Proceed with compassion
bull (From Elisha Goldstein)
oRAIN
bull Recognize Allow Investigate with interest amp care Nourish with compassion
bull (From Tara Brach)
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Clinical Applications Contrsquod
bull Teach Formal Practices (contrsquod)
o2 Feet 1 Breath
bull Feel feet on the ground
bull Bring mindfulness to 1 breath cycle bull (From Mindfulness Northwest)
oName It to Tame It
bull ldquoIn the brain naming an emotion can help to calm ithelliprdquo
bull (From Dr Dan Sigel)
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Clinical Applications Contrsquod
bull Provide education
o Stress and Relaxation Response
oNeuroscience of mindfulness
bull ie) how non-judgmental attention
deactivates the SNS
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Resources within the GTA
bull wwwmindfulnesstorontonet
bull University of Toronto - School of Continuing Studies Faculty of Social Work
bull wwwmindfulnessstudiescom
bull Jaisa Sulit ndash memoirsofajaisagmailcom
o Presentation slides
o Free PDF chapters on mindfulness from the book ldquoPurpose In Paralysis From Chronic Pain to Universal Gainrdquo
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
References Baer RA (2012) Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators The Journal of Positive Psychology Dedicated to furthering
research and promoting good practice 7(3) 230-238 Gotink RA Chu P Busschbach JJV Benson H Fricchione GL Hunink MGM (2015) Standardised Mindfulness-Based Interventions in Healthcare An Overview of Systematic Reviews and Meta-Analyses of RCTs PLoS One 10(4) 1-17 GoyalM et al (2014) Meditation programs for psychological stress and well-being A systematic review and meta-analysis JAMA Internal Medicine 174(3) 357-368 Kabat-Zinn J (1982) An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation Theoretical considerations and preliminary results General Hospital Psychiatry 4 33-47 Kabat-Zinn J Lipworth L amp Burney R (1985) The clinical use of mindfulness meditation for the self- regulation of chronic pain Journal of Behavioural Medicine 8(2) 163-190 Neff KD amp Germer CK (2013) A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program Journal of Clinical Psychology 69 28ndash44 Zeidan F Emerson NM Farris SR Ray JN Jung Y McHaffie J G amp Coghill R C (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia Journal of Neuroscience 35 (46) 15307-15325
Questions
Your Take Away
Questions
Your Take Away
