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Emotional processing, three modes of mind and the prevention of relapse in depression
Abstract
Rachman's (1980) analysis [Rachman, S. (1980). Emotional processing. Behaviour Research and Therapy, 18, 51-60] of emotional processing is extended and applied to the prevention of relapse and recurrence in depression. It is proposed that effective emotional processing leads to changes in the ability of triggering cues to reactivate depressogenic processing cycles at times of potential relapse. Available evidence supports the usefulness of the probe methodology of the emotional processing framework as a way to investigate processes mediating relapse prevention by cognitive therapy. It is proposed that effective emotional processing involves creation of modified affect-related schematic mental models and that this occurs most effectively only within certain processing configurations or modes of mind. Within the Interacting Cognitive Subsystems (ICS) framework, three modes of processing emotional material can be distinguished: 'mindless emoting'; 'conceptualising/doing' and 'mindful experiencing/being'. Only the last of these facilitates emotional processing; the second may prevent effective emotional processing and perpetuate depression by ruminative, conceptually dominated processing. This analysis suggests a further strategy to prevent relapse, in addition to modifying depressogenic schematic models, by teaching recovered depressed patients skills to switch processing modes by intentional redeployment of attention. Results of a recent trial of mindfulness-based cognitive therapy support the effectiveness of this novel alternative strategy.
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“This is consistent with suggestions that there may be more than one mode of self-focus (Teasdale, 1999), in that participants in the current study seemed to be able to use MBCT techniques and focus on bodily sensations without being drawn into a ruminative spiral.”
From Mindfulness-based cognitive therapy for severe health anxiety (hypochondriasis): An interpretative phenomenological analysis of patients' experiences (2011) · cites this paper as Teasdale, 1999
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“According to interaction cognitive systems by Teasdale and Barnard (1993) and Teasdale (1999), the best results are obtained in the intermediate state between over-emotion (mindless emoting) and over-attention (feeless thinking; Greenberg and Safran, 1987; Shapiro, 2001).”
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“They may not easily alter the way they retrieve episodic memories, much as depression is not easily cured by simply encouraging patients to avoid negative thinking (Teasdale, 1999).”
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“Teasdale (1999) argues that when effective emotional processing of negative information is prevented, the consequence is sustained rumination, which serves to perpetuate depression.”
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“Teasdale (1999) argued that the “mindful” mode is adaptive and leads to helpful emotional processing, that reduces and alleviates distress, whereas the “evaluative” mode leads to maladaptive emotional processing and maintains or exacerbates distress.”
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BackgroundSystematic Review of In-Session Affect Experience in Cognitive Behavioral Therapy for Depression
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“In order to strengthen the induction of the desired mood state, all statements were conveyed in an emotion-congruent way (Teasdale 1999) and presented through headphones in a dimly lit room.”
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Rest-Related Dynamics of Risk and Protective Factors for Depression
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“Ruminative self-focus is defined as a temporary maladaptive analytical process characterized by “thinking about” experience (Teasdale, 1999).”
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The Impact of Ruminative Processing on the Development of Intrusive Memories
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BackgroundMethodInfluentialMindfulness Training as a Clinical Intervention with Homeless Adults: a Pilot Study
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“…non-depressogenic, non-anxious and more compassionate schematic models may be created in memory which may be triggered instead of depressogenic and anxious maladaptive schemas at times when rumination and worry would typically take over (Teasdale 1999; Sanders and Lam 2010; Neff and Dahm 2015).”
BackgroundA little less talk, a little more action: a dialogical approach to cognitive therapy
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“More concerningly, analytic reappraisal procedures have the capacity to deactivate affect-laden schematic beliefs and inhibit emotional processing, thus obstructing cognitive modification (Salas-Auvert and Felgoise, 2003; Teasdale, 1999).”
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BackgroundHow Mindfulness Training May Help to Reduce Vulnerability for Recurrent Depression
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Hopkins, V., & Kuyken, W. (2012) · Mindfulness · doi:10.1007/s12671-012-0088-3 · Cited by 19
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Glancing and Then Looking: On the Role of Body, Affect, and Meaning in Cognitive Control
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“Should such effects be found, it would provide an encouraging convergence between basic laboratory tasks and the literature on attention to meaning and affect in emotional disorders, using a non-computationally specified version of our current proposal (Teasdale, 1999).”
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“Heightened self-focus can be both adaptive and maladaptive depending on the type of self-focus one is engaged in (Teasdale, 1999).”
BackgroundMeasurement of Negativity Bias in Personal Narratives Using Corpus-Based Emotion Dictionaries
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“…processing of negative information (for reviews see Clark et al. 1999; Blaney 1986; Segal and Ingram 1994; Rusting 1999; Rector et al. 1998; Martin 1985; Teasdale 1999; Beck 2002; Scher et al. 2004) has not been demonstrated reliably in most previous computerized text-analytical studies.”
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“In line with Baker et al. (2010) model of emotional processing (see also Rachman, 1980), concerns associated with the daily management of CD would contribute to fatigue, taking the form of intrusive and/or repetitive thoughts that are associated with negative emotions when different stages of…”
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“This increases focus on the negative aspects of the event and hinders effective cognitive and emotional processing of traumatic information (Foa & Kozak, 1986; Teasdale, 1999), thereby exacerbating psychological distress and increasing the risk of PTSS (Zhu, Zhang, Zhou, Li, & Yang, 2021).”
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The effect of positive and negative memory bias on anxiety and depression symptoms among adolescents
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“Epstein (1994, 2014), Teasdale and Barnard (1993); Teasdale (1999), and other dual process theorists (Power and Dalgleish, 2008) have suggested that there is a fundamental distinction between two types of information processing system: Epstein termed these a “rational system” and an emotionally…”
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“Elle se base sur la théorie des sous-systèmes connectés et interactifs (Teasdale et Barnard, 1993 ; Teasdale, 1999), qui explique, entre autres, que chez les patients déprimés en rémission, la dysphorie réactive des schémas de pensée similaires à ceux présents dans la dépression aiguë et que ces…”
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“Finally, focusing attention away from the self reduces the possibility of knowing what one is thinking and feeling and of developing alternative interpretations of experiences on which long-term treatment effects may be based (Beck, Rush, Shaw, & Emery, 1979; Teasdale, 1999).”
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“However, it has been recognized that emotional arousal and processing may be a crucial component across approaches to effect profound change (Frank & Frank, 1991; Lane, Ryan, Nadel, & Greenberg, 2015; Pascual-Leone, 2018; Teasdale, 1999).”
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“Rumination, a type of repetitive thought, is commonly defined as a self-focused, negative thinking style about past negative experiences and/or mood that is intrusive, repetitive, cyclical, and uncontrollable (e.g., Nolen-Hoeksema, 1991; Papageorgiou & Wells, 2003; Teasdale, 1999).”
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“…presented at the International Congress of Cognitive Psychotherapy in Catania, Italy, 23 June, 2000. new treatment models that have developed recently within cognitive-behaviour therapy in terms of “mindfulness” (Linehan, 1993; Teasdale, 1999a,b) and “ acceptance” (Hayes, Strosahl, & Wilson, 1999).”
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“Teasdale (1999) has suggested that promoting a stabilized observer stance may facilitate emotional processing.”
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“Mediation research is especially in order because Teasdale (1999) has argued for the converse: for different therapeutic mechanisms between the two approaches.”
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“Once the schemas are activated, previously depressed individuals might catastrophize the early arrival of depressive symptoms and, perhaps in an attempt to understand and reduce the symptoms, inadvertently amplify mild dysphoric states into clinical depression through ruminative processing (Teasdale, 1999).”
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“Whether body awareness is beneficial or maladaptive may depend on ‘‘distinct and incompatible modes of mind’’ [9–11] associated with brain functions that are habitually integrated but may be uncoupled after, for example, a few weeks of meditation [12].”
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“Validity In the last decades, mindfulness has become an increasingly important field of research with large applications in Psychology (e.g., Kabat-Zinn 1990, 2003; Segal et al. 2002; Shapiro et al. 1998; Teasdale 1999).”
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Sundararajan, L. (2007) · Journal of Humanistic Psychology · doi:10.1177/0022167807305549 · Cited by 8
“(personal communication, September 2005) Second, savoring has some affinities with cognitive therapies that use the experiential self-focus approach (Teasdale, 1999) that emphasizes attention to the experience of feelings (Watkins & Moulds, 2005).”
BackgroundPsychometric Properties of Iranian Version of Emotional Processing Scale
Kharamin, S., Shokraeezadeh, A. A., Shirazi, Y. G., & MALEKZADEH, M. H. (2021) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2021.5902 · Cited by 7
“The role of emotional mechanism in the emersion or maintenance of several psychological disorders such as PTSD [4], panic disorder [5], and depression [6], [7] has been investigated in many studies.”
BackgroundLomax, C. L., Barnard, P. J., & Lam, D. (2008) · Psychological Medicine · doi:10.1017/s003329170800425x · Cited by 9
“This may leave an individual prone to affective disturbance, although further research is required to replicate this finding.”
Yoga and mental health: A dialogue between ancient wisdom and modern psychology
Vorkapic, C. F. (2015) · International Journal of Yoga · doi:10.4103/0973-6131.171720 · Cited by 8
“practiced during meditation seems to interfere with the so called ruminative patterns, typical of mental disorders such as anxiety and depression, resulting in positive cognitive changes.[19] Furthermore, this perspective (of one's own thoughts) is described as “metacognitive insight.”
BackgroundEmotion-focused mindfulness therapy
Gayner, B. (2019) · Person-Centered & Experiential Psychotherapies · doi:10.1080/14779757.2019.1572026 · Cited by 7
“…and out of touch with subjective feelings, or (2) being too immersed in and driven by difficult emotions and thoughts, by shifting into (3) mindful experiencing where working memory is engaged with implicit subjective experiencing and integrated affective/cognitive processes (Teasdale, 1999).”
BackgroundInfluentialSweeney, T., Morriss, R. K., Nixon, E., Guo, B., & Callaghan, P. (2021) · Mindfulness · doi:10.1007/s12671-020-01573-6 · Cited by 9
A cognitive model of peritraumatic dissociation
Lun, L. M. W. (2008) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1348/147608308x304484 · Cited by 8
Body awareness and mental health: a body psychotherapy case study
Fujino, H. (2016) · Body Movement and Dance in Psychotherapy · doi:10.1080/17432979.2016.1150882 · Cited by 10
“The beneficial or maladaptive aspects of body awareness may depend on individuals’ ‘modes of mind’1 (Teasdale, 1999).”
BackgroundA Study of Why Anomic Employees Harm Co-workers: Do Uncompassionate Feelings Matter?
Zoghbi‐Manrique‐de‐Lara, P., & Guerra-Báez, R. M. (2016) · Journal of Business Ethics · doi:10.1007/s10551-016-3313-5 · Cited by 9
Experiential Self‐Focus in Social Anxiety Disorder: Is it Beneficial?
Norton, A. R., & Abbott, M. J. (2017) · Journal of Clinical Psychology · doi:10.1002/jclp.22503 · Cited by 7
Transcranial direct current stimulation and emotion processing deficits in psychosis and depression
Gupta, T., & Mittal, V. (2020) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-020-01146-7 · Cited by 7
Roe, C., & Garland, A. (2011) · Mental Health Review Journal · doi:10.1108/13619321111178032 · Cited by 8
Caregiver Factors in Children’s Trauma Treatment: A Review of the Literature
Clark, C. A., & Nadeem, E. (2022) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-021-00812-6 · Cited by 4
Schematherapie für chronische Depressionen
Renner, F., Arntz, A. R., Leeuw, I., & Huibers, M. J. H. (2014) · Verhaltenstherapie · doi:10.1159/000365472 · Cited by 7
“Diese verschiedenen Verarbeitungsebenen beruhen auf der Annahme, dass es verschiede Ebenen von Bedeutung gibt; rational-propositionale Bedeutungen (etwas kognitiv wissen) und holistisch-implikationale Bedeutungen (etwas emotional wissen) [Teasdale, 1999].”
BackgroundAn exploration of mindfulness theories in Eastern and Western philosophies
Chen, I., Scott, N., & Benckendorff, P. J. (2014) · doi:10.14264/349341 · Cited by 7
“Back to Full Paper Index 170 Meditative mindfulness training has been found to be beneficial for individuals undergoing emotional therapy for conditions such as depression, and to help people relax and to attain positive mental health (Brown & Ryan, 2003) and well-being (Teasdale, 1999).”
Background
Metadata
- Authors
- Teasdale, J. D.
- Affiliations
- MRC Cognition and Brain Sciences Unit (GB)
- Corresponding author
- Teasdale, John D.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1999-07
- Volume
- 37
- Pages
- S53-S77
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2076940846
- Semantic Scholar
- 57e0373609a90ad1c04935e7e8ac50f0ac5441e4
- Cited by
- 481
- References
- 0
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 7 · 2023: 5 · 2022: 26 · 2021: 20 · 2020: 16 · 2019: 23 · 2018: 15 · 2017: 14 · 2016: 27 · 2015: 23 · 2014: 24 · 2013: 23 · 2012: 39
- FWCI
- 10.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- emotional processing, depression relapse prevention, depression recurrence, mindfulness-based cognitive therapy
- MeSH terms
- Affect, Attention, Defense Mechanisms, Depression, Female, Humans, Male, Mental Processes, Models, Psychological, Cognitive Behavioral Therapy, Self Efficacy, Secondary Prevention
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