If it does so, a large body of work is currently available to guide a new strategic approach. In the context of such challenges, it is wise for the field to refocus on its purpose.
#Mindful synonym full
Full genomic mapping of hundreds of thousands of persons is failing to support a prominent role of genes in the etiology of common mental conditions 5. Concern over side effects and unhealthy physiological opponent processes fostered by the long‐term use of common classes of psychoactive medications is growing 4. Depression is now the number one cause of disability around the world 1 and rates of common mental health struggles have increased rapidly, especially among the young 2.Īt the same time, biomedical treatments are becoming more generic rather than more specific, and effect size improvements for both psychosocial and biomedical interventions are minimal or absent 3. By virtually every metric, the incidence and prevalence of mental health problems is increasing worldwide, and our approaches to producing improvement are being challenged. Such is the current situation in modern mental health science and practice. Tailoring intervention strategies to target the appropriate processes in a given individual would be a major advance in psychiatry and an important step toward precision mental health care.įor a field to progress over the long term, it needs to distinguish clearly its purposes from its strategies, so that new strategies can be adopted when progress bogs down in important areas. Several important processes of change combine two or more of these dimensions. Psychological processes of change can be organized into six dimensions: cognition, affect, attention, self, motivation and overt behavior. We argue that these newer methods can be considered in the context of an idiographic approach to process‐based functional analysis. an approach to signs and symptoms applying processes to the clinician, not just the client and expanding into more complex issues historically more characteristic of humanistic, existential, analytic, or system‐oriented approaches. Five key features of “third‐wave” therapies are underlined: a focus on context and function the view that new models and methods should build on other strands of CBT a focus on broad and flexible repertoires vs.
Here we review the context for this historic progress and evaluate the impact of these newer methods and models, not as protocols for treating syndromes, but as ways of targeting an expanded range of processes of change. This picture appears now to be evolving, due both to a collapse of the idea that mental disorders can be classified into distinct, discrete categories, and to the more central attention given to processes of change in newer, so‐called “third‐wave” CBTs. Although these protocols were more effective as compared to psychological control conditions, placebo treatments, and even active pharmacotherapies, further advancement in efficacy and dissemination has been inhibited by a failure to focus on processes of change. For decades, cognitive and behavioral therapies (CBTs) have been tested in randomized controlled trials for specific psychiatric syndromes that were assumed to represent expressions of latent diseases.
0 kommentar(er)
