Integrating Mindfulness Meditation with Cognitive and Behavioural Therapies: The Challenge of Combining Acceptance- and Change-Based Strategies
Open accessAbstract
Recent innovations in psychological treatments have integrated mindfulness meditation techniques with traditional cognitive and behavioural therapies, challenging traditional cognitive and behavioural therapists to integrate acceptance- and change-based strategies. This article details how 2 treatments, mindfulness-based cognitive therapy and dialectical behaviour therapy, have met this challenge. We review the integration rationale underlying the 2 treatments, how the treatments combine strategies from each modality to accomplish treatment goals, implications for therapist training, and treatment effectiveness. In addition, we discuss the challenges of assessing the benefits of incorporating acceptance-based strategies. Both therapies have integrated acceptance-based mindfulness approaches with change-based cognitive and behavioural therapies to create efficacious treatments.
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Compared to change-based cognitive behavioral approaches, ACT seems more congruent with mindfulness approaches because each shares nonjudgmental and open noticing of present-moment experiences of body, mind, and environment.
“However, compared to change-based cognitive behavioral approaches, ACT seems to be more congruent with mindfulness approaches as each shares nonjudgmental and open noticing of the present moment experiences of the body, mind, and environment. 48”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [48]
The Abstract contrasts mindfulness’s open, nonjudgmental attention to the present moment with change-based cognitive therapy. The Discussion says ACT pursues similar goals to mindfulness-based treatments, but it does not establish that ACT specifically shares open noticing of experiences of the body, mind, and environment. (LLM, conf=0.82)
Experimental — accuracy not yet measuredFour ACT processes-de-fusion, acceptance, present moment awareness, and self-as-context-are directly shared with mindfulness perspectives.
“Four of the ACT processes (de-fusion, acceptance, present moment awareness, and self-as-context) are directly shared with mindfulness perspectives.”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [48]
The Discussion (page not provided) says acceptance and commitment therapy attains goals similar to mindfulness-based treatments, while the Abstract describes mindfulness in terms of acceptance, present-moment awareness, and relating differently to thoughts. Neither passage identifies four ACT processes or says that de-fusion and self-as-context are directly shared with mindfulness perspectives. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe addition of mindfulness practices to cognitive behavioral therapies has resulted in effective treatments.
“The addition of mindfulness practices to cognitive behavioral therapies has resulted in effective treatments. 48”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [48]
This shift in perspective can lead to greater acceptance of oneself, others, and one's circumstances.
“This shift in perspective can lead to greater acceptance of oneself, others, and of one’s circumstances. 48”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [48]
These processes and mindfulness teachings may help a person adopt a more flexible attitude accepting the moment as it is, with insight into how thoughts and sensations may occur without defining the totality of oneself.
“These processes and mindfulness teachings may help the person adopt a more flexible attitude accepting the moment to unfold as it is with insight into how thoughts and sensations may occur in the body or mind without these stimuli (e.g. pain) defining the totality of oneself. 48”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [48]
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References 41 · Cited by 112
Research works printed but not linked: 3
- Frijda NH. The emotions. Cambridge (UK): Cambridge University Press; 1986.
- Wilson GT. Acceptance and change in the treatment of eating disorders. In: Hayes SC, Follette VM, Linehan MM, editors. Mindfulness and acceptance: expanding the cognitive-behavioral tradition. New York (NY): Guilford Press; 2004. p 243-60.
- Christensen A, Sevier M, Simpson LE, Gattis KS. Acceptance, mindfulness, and change in couple therapy. In: Hayes SC, Follette VM, Linehan MM, editors. Mindfulness and acceptance: expanding the cognitive-behavioral tradition. New York (NY): Guilford Press; 2004. p 288-309.
- Authors
- Lau, M. A., & McMain, S. F.
- Affiliations
- Centre for Addiction and Mental Health (CA)
- Corresponding author
- Lau, Mark A
- ORCID
- McMain, Shelley F
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2005-11
- Volume
- 50
- Issue
- 13
- Pages
- 863-869
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- OpenAlex
- W2161599680
- Cited by
- 112
- References
- 41
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 8 · 2023: 2 · 2022: 9 · 2021: 6 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 5 · 2016: 1 · 2015: 1 · 2014: 7 · 2013: 6 · 2012: 7
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- mindfulness meditation, mindfulness-based cognitive therapy, dialectical behavior therapy, integrative psychotherapy, cognitive behavioral therapy, therapist training, treatment effectiveness, treatment outcome assessment
- MeSH terms
- Behavior Therapy, Depressive Disorder, Humans, Cognitive Behavioral Therapy, Meditation
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