文章基本信息

标题：The evolution of a fundamentally mindfulness-based treatment methodology: From DBT and ACT to MDT and beyond.
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作者：Jerry L. Jennings ; Jack A. Apsche
期刊名称：International Journal of Behavioral Consultation and Therapy
印刷版ISSN：1555-7855
出版年度：2014
卷号：9
期号：2
页码：1-3
DOI：10.1037/h0100990
出版社：Behavior Analyst Today
摘要：Historically, the “third wave” of cognitive behavioral therapies was a revolution against the primacy of disputing irrational cognitions as applied in traditional CBT. Collectively, these newer approaches have sought, instead, to incorporate mindful acceptance of dysphoric and dysfunctional thoughts and feelings. In two instances, the originators were driven to make innovations to better treat specific clinical populations: DBT applied meditation skills training, validation and radical acceptance to treat borderline personality disordered women, while MDT was created for conduct disordered adolescents. MDT expanded mindfulness training to include a wider variety of mindfulness skills that adolescents could learn more quickly and easily than meditation, while adapting the DBT principles of validation and radical acceptance into its distinctive procedure called validation, clarification and redirection. At the same time, MDT shares mindfulness and acceptance concepts with ACT, and drew from some of its principles, such as cognitive diffusion. There is an important difference, however, in that ACT deemphasizes the past as unchangeable, whereas MDT embraces the exploration, experiencing and acceptance of the pain of the traumatic past in the here-and-now. The rich cross-fertilization of mindfulness ideas among DBT, ACT and MDT is discussed.