Category: mindfulness

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Mindfulness Group Therapy MGT is as good as Cognitive Behavioural Therapy CBT

Group Therapy
Group Therapy

Article in PsychCentral

An article by Traci Pedersen in PsychCentral reports that researchers at the Centre for Primary Health Care Research (CPF) in Malmo, Sweden in collaboration with Lund University have found Mindfulness Group Therapy MGT just as effective as individual CBT (Cognitive Behavioural Therapy) for a wide range of psychiatric symptoms including depression, anxiety, obsessive-compulsive symptoms, aggression and paranoid ideation.

How were psychiatric symptoms measured?

Researchers looked at a wide range of psychiatric symptoms (measured by several types of questionnaires) and studied how these symptoms responded to treatment, either with mindfulness in group therapy or individual CBT.

They found that the average score for all 15 different subscales/indexes in the various questionnaires decreased significantly in both scales. The various scales measured, among others, symptoms of depression, general anxiety, stress and somatization, obsessive-compulsive disorder, interpersonal sensitivity, aggression, phobic anxiety, paranoid ideation, and psychoticism.

They found no difference in treatment outcomes between the two groups.

How many patients and which area. The study was an eight-week randomised controlled trial involving 215 patients from 16 different healthcare centres across Scania in southern Sweden. Psychiatric symptoms were measured by several types of questionnaire. The new findings are published in the journal European Psychiatry.

“Our new research shows that mindfulness group therapy has the equivalent effect as individual CBT for a wide range of psychiatric symptoms that are common among this patient group,” says Professor Jan Sundquist, who led the research group in the study which has been published in European Psychiatry.

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Contemplative Counselling and Psychotherapy

Treating the cause or the symptoms

I like what Karen Kissel Wegela says in her piece in the Lion’s Roar about basic sanity and neurosis; You’re Basically Good – The Benefits of Contemplative Psychotherapy. I was taught that given the right conditions we as human beings move towards health.  There is so much talk about sickness and treating the symptoms that the causes seem to be forgotten about.

Using Brilliant Sanity

In her presentation of what she calls “contemplative counselling and psychotherapy” there is a focus on the inherent sanity which she also refers to as Brilliant Sanity. The contemplative therapist uses their capacity to hold clarity, compassion, mindfulness and awareness. Karen says Thich Nhat Hanh says that we are “inter-are” when in relationship and explains that there is an exchange between the present experience of the therapist and the client. Our “ego” tries to hold onto a separate abiding sense of self, this is doomed to failure as we are always changing.  Brilliant Sanity does not always stay with the therapist, this is where the challenge is for the therapist to be vulnerable and let the client hold the brilliant sanity sometimes.

Easing the pain through loving kindness

Of course the past has an importance in the therapy work but the emphasis once again is on enquiry – why is the past that happened in the past manifesting in the present? Karen talks about the Buddhist teaching of that there is pain in life, but we add unnecessary suffering by trying to hold onto our sense of who we are. What eases the pain is loving kindness which can be towards ourselves and others. Repressing emotions only gives rise to them bursting out inappropriately. The therapeutic relationship needs to be robust and have enough trust within it to allow the repressed emotions to be processed. Karen also champions the value of the therapist having a mindfulness based meditation practice. The practice develops the ability for the therapist to be more friendly with their own issues, and once again the shared experience of this with the client promotes the clients’ ability to hold their issues with non-judgemental mindfulness, awareness, curiosity and compassion.