The origins and nature of compassion focused therapy
Abstract
Compassion focused therapy (CFT) is rooted in an evolutionary, functional analysis of basic social motivational systems (e.g., to live in groups, form hierarchies and ranks, seek out sexual, partners help and share with alliances, and care for kin) and different functional emotional systems (e.g., to respond to threats, seek out resources, and for states of contentment/safeness). In addition, about 2 million years ago, (pre-)humans began to evolve a range of cognitive competencies for reasoning, reflection, anticipating, imagining, mentalizing, and creating a socially contextualized sense of self. These new competencies can cause major difficulties in the organization of (older) motivation and emotional systems. CFT suggests that our evolved brain is therefore potentially problematic because of its basic 'design,' being easily triggered into destructive behaviours and mental health problems (called 'tricky brain'). However, mammals and especially humans have also evolved motives and emotions for affiliative, caring and altruistic behaviour that can organize our brain in such a way as to significantly offset our destructive potentials. CFT therefore highlights the importance of developing people's capacity to (mindfully) access, tolerate, and direct affiliative motives and emotions, for themselves and others, and cultivate inner compassion as a way for organizing our human 'tricky brain' in prosocial and mentally healthy ways.
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The current findings support the use of a trauma-informed, compassionate care approach when working psychologically with fathers following perinatal death, with additional considerations for themes such as isolation.
“The current findings thus support the use of a trauma-informed, compassionate care approach when working psychologically with fathers following perinatal death with additional considerations for themes such as isolation (Evans et al., 2021;Gilbert, 2014).”
From Fathers’ experiences of perinatal death following miscarriage, stillbirth, and neonatal death: A meta-ethnography (2026) · cites this paper as Gilbert, 2014
Compassion-focused and mindfulness-based approaches may help reduce self-criticism and facilitate emotional regulation.
“while compassion-focused and mindfulness-based approaches may help reduce self-criticism and facilitate emotional regulation (90, 91).”
From Coping strategies and psychological outcomes following the 2023 Kahramanmaraş earthquakes: a systematic review with meta-analytic synthesis (2026) · cites this paper as [90]
Compassion-focused therapy relies on the same evolutionary stress systems as PVT, helping people to reduce their own stress levels and experience (self-) connection, warmth, safety, and reassurance by developing a supportive inner voice.
“Compassion-focused therapy (CFT; Gilbert, 2009, 2014), for example, relies on the same evolutionary stress systems, helping people to reduce their own stress levels and experience (self-) connection, warmth, safety, and reassurance by developing a supportive inner voice.”
From A theoretical exploration of polyvagal theory in creative arts and psychomotor therapies for emotion regulation in stress and trauma (2024) · cites this paper as Gilbert, 2014
CFT highlights the importance of developing people's capacity to access, tolerate, and direct affiliative motives and emotions, for themselves and others, and cultivate inner compassion as a way for organizing our human 'tricky brain' in prosocial and mentally healthy ways.
“CFT therefore highlights the importance of developing people’s capacity to (mindfully) access, tolerate, and direct affiliative motives and emotions, for themselves and others, and cultivate inner compassion as a way for organizing our human ‘tricky brain’ in prosocial and mentally healthy ways (Gilbert, 2014).”
From A theoretical exploration of polyvagal theory in creative arts and psychomotor therapies for emotion regulation in stress and trauma (2024) · cites this paper as Gilbert, 2014
Humans need to feel content and safe.
“As Gilbert argued, humans not only have the need to acquire new things and to protect themselves from harm, they also need to feel content and safe—a need that self-soothing touch can ease [52].”
From Self-soothing touch and being hugged reduce cortisol responses to stress: A randomized controlled trial on stress, physical touch, and social identity (2021) · cites this paper as [52]
As humans, we need to be touched from the moment we are born to fulfill our need to feel content and safe.
“As humans, we need to be touched from the moment we are born to fulfill our need to feel content and safe [52,55].”
From Self-soothing touch and being hugged reduce cortisol responses to stress: A randomized controlled trial on stress, physical touch, and social identity (2021) · cites this paper as [52]
The ACT enriched with CFT treatment framework was prepared based on therapeutic guidelines and its validity was confirmed by four expert university professors.
“The general framework of the treatment sessions based on ACT was prepared based on the therapeutic guidelines of Hayes et al. (1999), Tuohy (2007), and Gilbert (2014), in addition, four expert university professors confirmed its validity.”
From Venlafaxine plus acceptance and commitment therapy enriched with compassion focus therapy in opioid-addicted patients undergoing methadone maintenance treatment: a clinical trial (2023) · cites this paper as Gilbert (2014)
These findings align with Gilbert's (2014) theoretical framework, which proposes that self-compassion enhances emotional regulation by reducing an overactive threat and drive system and activating the affiliative system.
“These findings align with Gilbert's (2014) theoretical framework, which proposes that self‐compassion enhances emotional regulation by reducing an overactive threat and drive system and activating the affiliative system.”
From The Mechanisms Underlying the Relationship Between Self‐Compassion and Psychological Outcomes in Adult Populations: A Systematic Review. (2025) · cites this paper as Gilbert 2014
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References 165 · Cited by 1,593
- Authors
- Gilbert, P.
- Affiliations
- Mental Health Research Unit Asbourne Centre Kingsway Hospital Derby UK
- Corresponding author
- Gilbert, Paul
- ORCID
- Gilbert, Paul
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2014-02-21
- Volume
- 53
- Issue
- 1
- Pages
- 6-41
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W2060224295
- Cited by
- 1,593
- References
- 165
- Citations by year
- 2026: 195 · 2025: 229 · 2024: 200 · 2023: 203 · 2022: 168 · 2021: 170 · 2020: 129 · 2019: 102 · 2018: 76 · 2017: 53 · 2016: 32 · 2015: 21 · 2014: 13
- FWCI
- 46.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- University of Derby Online Research Archive. (University of Derby) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- compassion-focused therapy, evolutionary psychology, emotional systems, prosocial behavior, self-compassion, selfhood, affiliation, shame, self-criticism, mentalization
- MeSH terms
- Affect, Emotions, Empathy, Humans, Motivation, Psychotherapy
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