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Mindfulness as a way of addressing the deficits in clinical psychology training programmes: A review

Published online by Cambridge University Press:  10 June 2015

Pooja Hemanth  and
Paul Fisher
Pooja Hemanth*
Affiliation:
Department of Psychology, James Cook University Singapore, Singapore and Department of Psychological Sciences, Norwich Medical School, Faculty of Medicine and Health Science, University of East Anglia, Norwich, United Kingdom
Paul Fisher
Affiliation:
Department of Psychology, James Cook University Singapore, Singapore and Department of Psychological Sciences, Norwich Medical School, Faculty of Medicine and Health Science, University of East Anglia, Norwich, United Kingdom
*
corresponding author: Pooja Hemanth, 149 Sims Drive, Singapore 387380. Email: [email protected]
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Abstract

Research suggests that there is a lack of focus on developing trainees’ intrapersonal skills or adequately fostering self-care. Mindfulness training may help address the gaps in training programmes. Quantitative and qualitative studies involving mindfulness training for postgraduate trainees were reviewed. There is a need to explore different designs of mindfulness training groups to ascertain what would be feasible and effective, given the trainees’ existing time constraints. Furthermore, the current understanding is limited due to the difficulties defining and operationalising mindfulness. Qualitative research would help to explore what mindfulness training means to trainees and how it impacts on their lives.

Keywords

mindfulnessclinical psychology trainingtraineesself-careprofessional development
Type
Review Article
Information
Journal of Tropical Psychology , Volume 5 , 2015 , e5
Copyright
Copyright © The Author(s) 2015 

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References

Aggs, C. & Bambling, M. (2010). Teaching mindfulness to psychotherapists in clinical practice: the mindful therapy programme. Counselling and Psychotherapy Research, 10 (4), 278–286.Google Scholar
Adams, S. A., & Riggs, S. A. (2008). An exploratory study of vicarious trauma among therapist trainees. Training and Education in Professional Psychology, 2 (1), 26–4.Google Scholar
Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.Google Scholar
Barnett, J. E. (2008). Impaired professionals: Distress, professional impairment, self-care, and psychological wellness. In Herson, M. & Gross, A. M. (eds.), Handbook of Clinical Psychology (Vol. 1, pp. 857–884). New York, NY: John Wiley & Sons.Google Scholar
Bickley, J. (1998). Care for the caregiver: The art of self-care. Seminars in Perioperative Nursing, 7, 114–121.Google Scholar
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J.et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11 (3), 230–241.Google Scholar
Brown, K. W. & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84 (4), 822–848.Google Scholar
Bruce, N. G., Manber, R., Shapiro, S. L., & Constantino, M. J. (2010). Psychotherapist mindfulness and the psychotherapist process. Psychotherapy, Theory, Research, Practice, and Training, 47, 83–97.Google Scholar
Carmody, J. & Baer, R. A. (2009). How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of Clinical Psychology, 65 (6), 627–638.Google Scholar
Chrisman, J. A., Christopher, J. C., & Lichtenstein, S. J. (2009). Qigong as a mindfulness practice for counseling students: A qualitative study. Journal of Humanistic Psychology, 49, 236–257.Google Scholar
Christopher, J. C., Chrisman, J., Trotter-Mathison, M., Schure, M., Dahlen, P., & Christopher, S. (2011). Perceptions of the long-term influence of mindfulness training on counselors and psychotherapists: A qualitative inquiry. Journal of Humanistic Psychology, 51, 318–349.Google Scholar
Christopher, J. C., Christopher, S. E., Dunnagan, T., & Schure, M. (2006). Teaching self-care through mindfulness practices: The application of yoga, meditation, and qigong to counselor training. Journal of Humanistic Psychology, 46, 494–509.Google Scholar
Christopher, J. C. & Maris, J. (2010). Integrating mindfulness as self-care into counselling and psychotherapy training. Counselling and Psychotherapy Research, 10, 114–125.Google Scholar
Cigolla, F. & Brown, D. (2011). A way of being: bringing mindfulness into individual therapy. Psychotherapy Research, 21 (6), 709–721.Google Scholar
Collard, P., Avny, N., & Boniwell, I. (2008). Teaching mindfulness based cognitive therapy (MBCT) to students. The effects of MBCT on the levels of mindfulness and subjective well-being. Counselling Psychology Quarterly, 21, 323–336.Google Scholar
Cornell, A. W. (2013). Focusing in Clinical Practice. The Essence of Change. New York, NY: W. W. Norton and Co.Google Scholar
Cushway, D. (1992). Stress in clinical psychology trainees. British Journal of Clinical Psychology, 31, 169–179.Google Scholar
Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F., et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 564–570.Google Scholar
Davis, D. M. & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48, 198–208.Google Scholar
El-Ghoroury, N. H., Galper, D. I., Sawaqdeh, A., & Bufka, L. F. (2012). Stress, coping, and barriers to wellness among psychology graduate students. Training and Education in Professional Psychology, 6 (2), 122–134.Google Scholar
Fulton, P. R. (2005). Mindfulness as clinical training. In Germer, C. K., Siegel, R. D., & Fulton, P. R. (eds.), Mindfulness and Psychotherapy (pp. 55–72). New York, NY: Guilford Press.Google Scholar
Gehart, D. R. & McCollum, E. E. (2008). Teaching therapeutic presence: A mindfulness-based approach. In Hick, S. & Bien, T. (eds.), Mindfulness and the Therapeutic Relationship (pp. 176–194). New York, NY: Guilford.Google Scholar
Geller, S. M. & Greenberg, L. S. (2002). Therapeutic presence: Therapists’ experience of presence in the psychotherapy encounter. Person-Centered and Experiential Psychotherapies, 1, 71–86.Google Scholar
Gelso, C. J., & Hayes, J. A. (2007). Countertransference and the Therapist's Inner Experience: Perils and Possibilities. Mahwah, NJ: Erlbaum.Google Scholar
Gendlin, E.T. (1998). Focusing-Oriented Psychotherapy: A Manual of the Experiential Method. New York, NY: Guilford Press.Google Scholar
Germer, C. K. (2005). Mindfulness. What is it? What does it matter? In Germer, C. K., Siegel, R. D. & Fulton, P. R. (eds.), Mindfulness and Psychotherapy (pp. 3–27). New York, NY: Guilford Press.Google Scholar
Gockel, A. (2010). The promise of mindfulness for clinical practice education. Smith College Studies in Social Work, 80, 248–268.Google Scholar
Greason, P. & Cashwell, C. (2009). Mindfulness and counseling self-efficacy: The mediating role of attention and empathy. Counselor Education & Supervision, 49, 2–19.Google Scholar
Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: A randomized, double-blind, controlled study. Psychotherapy and Psychosomatics, 76, 332–338.Google Scholar
Gunuratana, B. H. (2002). Mindfulness in Plain English. Somerville, MA: Wisdom Publications.Google Scholar
Hayes, S. C., Strosdahl, K. D., & Wilson, K. D. (1999). Acceptance and Commitment Therapy: An experiential approach to behavioural change. New York, NY: Guilford Press.Google Scholar
Hick, S. (2008). Cultivating Therapeutic Relationships: The role of mindfulness. In Hick, S. & Bien, T. (eds.), Mindfulness and the Therapeutic Relationship (pp 176–194). New York, NY: Guilford.Google Scholar
Irving, J. A., Dobkin, P. L., & Park, J. (2009).Cultivating mindfulness in health care professionals: A review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15, 61–66.Google Scholar
Ivey, A., Ivey, M., & Zalaquett, C. (2010). Intentional Interviewing and Counseling: Facilitating Client Development in a Multicultural World (7th edn.). Belmont, CA: Brooks/Cole/Cengage.Google Scholar
Kabat-Zinn, J. (1984). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. ReVISION, 7, 71–72.Google Scholar
Kabat-Zinn, J. (1994). Wherever You Go There You Are. New York, NY: Hyperion.Google Scholar
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10 (2), 144–156.Google Scholar
Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31 (6), 1041–56.Google Scholar
Kramer, G., Meleo-Meyer, F., & Turner, M. L. (2008). Cultivating mindfulness in relation: Insight dialogue and the interpersonal mindfulness program. In Hick, S. & Bien, T. (eds.), Mindfulness and the Therapeutic Relationship (pp. 195–214). New York, NY: Guilford.Google Scholar
Kristeller, J. L. & Hallett, C. B. (1999). An exploratory study of a meditation-based intervention for binge eating disorder. Journal of Health Psychology, 4, 357–363.Google Scholar
Lambert, M. J. & Simon, W. (2008). The therapeutic relationship. In Hick, S. F. & Bien, T. (eds.), Mindfulness and the Therapeutic Relationship (pp. 19–33). New York, NY: Guilford Press.Google Scholar
Linehan, M. M. (1993). Cognitive Behavioral Treatment of Borderline Personality Disorder. New York, NY: The Guilford Press.Google Scholar
Luoma, J. B. & Villatte, J. L. (2012). Mindfulness in the freatment of suicidal individuals. Cognitive and Behavioral Practice, 19, 265–276.Google Scholar
Maris, J. A. (2009). The impact of a mind/body medicine class on counselor training: A personal journey. Journal of Humanistic Psychology, 49, 229–235.Google Scholar
Massion, A. O., Teas, J., Hebert, J. R., Wertheimer, M. D., & Kabat-Zinn, J. (1995). Meditation, melatonin, and breast/prostate cancer: Hypothesis and preliminary data. Medical Hypotheses, 44, 39–46.Google Scholar
May, S. & O’Donovan, A. (2007). The advantages of the mindful therapist. Psychotherapy in Australia, 13 (4), 46–53.Google Scholar
McCollum, E. E. & Gehart, D. R. (2010). Using mindfulness meditation to teach beginning therapists therapeutic presence: A qualitative study. Journal of Marital & Family Therapy, 36 (3), 347–360.Google Scholar
McKenzie, S. P, Hassed, C. S., & Gear, J. L. (2012). Medical and psychology students’ knowledge of and attitudes towards mindfulness as a clinical intervention. Explore (NY), 8 (6), 360–367.Google Scholar
McKinzie, C., Altamura, V., Burgoon, E., & Bishop, C. (2006). Exploring the effect of stress on mood, self-esteem, and daily habits with psychology graduate students. Psychological Reports, 99, 439–448.Google Scholar
Moore, P. (2008). Introducing mindfulness to clinical psychologists in training: An experiential course of brief exercises. Journal of Clinical Psychology in Medical Settings, 15, 331–337.Google Scholar
Munsey, C. (2006). Questions of balance: An APA survey finds a lack of attention to self-care among training programs. GradPSYCH, 4. Retrieved from http://gradpsych.apags.org/nov06/cover-balance.htmlGoogle Scholar
Myers, S. B., Sweeney, A. C., Popick, V., Wesley, K., Bordfeld, A., & Fingerhut, R. (2012). Self-care practices and perceived stress levels among psychology graduate students. Training and Education in Professional Psychology, 6, 55–66.Google Scholar
Nelson, N. G., Dell’Oliver, C., Koch, C., & Buckler, R. (2001). Stress, coping, and success among graduate students in clinical psychology. Psychological Reports, 88, 759–767.Google Scholar
Norcross, J. C. (2002). Empirically supported therapy relationships. In Norcross, J. C. (Ed.), Psychotherapy Relationships That Work (pp. 3–16). New York, NY: Oxford University Press.Google Scholar
Nutt-Williams, E. N. (2008). A psychotherapy researcher's perspective on therapist self-awareness and self-focused attention after a decade of research. Psychotherapy Research, 18, 139–146.Google Scholar
Pakenham, K. I., & Stafford-Brown, J. (2012). Stress in clinical psychology trainees: Current research status and future directions. Australian Psychologist, 47 (3), 147–155.Google Scholar
Rimes, K. A., & Wingrove, J. (2011). Pilot study of Mindfulness-Based Cognitive Therapy for trainee clinical psychologists. Behavioural and Cognitive Psychotherapy, 39 (2), 235–241.Google Scholar
Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting and Clinical Psychology, 21 (2), 95–103.Google Scholar
Rothaupt, J. & Morgan, M. (2007). Counselor's Experiences with Mindfulness Practices. Journal of Counseling and Values, 52, 40–54.Google Scholar
Rubin, A., & Babbie, E. R. (2009). Essential research methods for social work, Belmont, CA: Wadsworth/Thomson Learning.Google Scholar
Ryan, A., Safran, J. D., Doran, J. M., & Muran, J. D. (2012). Therapist mindfulness, alliance and treatment outcome. Psychotherapy Research, 22, 289–297.Google Scholar
Safran, J. D. & Reading, R. (2008). Mindfulness, metacommunication and affect regulation in psychoanalytic treatment. In Hick, S. & Bien, T. (eds.), Mindfulness and the Therapeutic Relationship (pp. 122–140). New York, NY: The Guilford Press.Google Scholar
Segal, Z. V., Williams, M. G., & Teasdale, J. D. (2001). Mindfulness Based Therapy For Depression. New York, NY: Guilford Press.Google Scholar
Schure, M. B., Christopher, J., & Christopher, S. (2008). Mind-body medicine and the art of self-care: Teaching mindfulness to counseling students through yoga, meditation and Qigong. Journal of Counseling and Development, 86, 47–56.Google Scholar
Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. International Journal of Stress Management, 12, 164–176.Google Scholar
Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to care-givers: Effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1, 105–115.Google Scholar
Shapiro, S. L., Carlson, L., Astin, J., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62 (3), 373–386.Google Scholar
Shapiro, S., Schwartz, G., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581–599.CrossRefGoogle ScholarPubMed
Skovholt, T. M. & Ronnestad, M. H. (2003). Struggles of the novice counselor and therapist. Journal of Career Development, 30, 44–58.Google Scholar
Speca, M., Carlson, L. E., Goodey, E., & Angen, M. (2000). A randomized, wait-list controlled clinical trial: The effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62, 613–622.Google Scholar
Stafford-Brown, J., & Pakenham, K. I. (2012). The effectiveness of an ACT informed intervention for managing stress and improving therapist qualities in clinical psychology trainees. Journal of Clinical Psychology, 68, 592–613.Google Scholar
Thorne, B. (1992). Carl Rogers. London, UK: Sage.Google Scholar
Vakoch, D. A. & Strupp, H. H. (2000). The evolution of psychotherapy training: Reflections on manual-based learning and future alternatives. Journal of Clinical Psychology, 56, 309–318.Google Scholar
Williams, E. N. & Fauth, J. (2005). A psychotherapy process study of therapist in session self-awareness. Psychotherapy Research, 15, 374–381.Google Scholar