Dieter Dvorak - Registered Clinical Phsycologist - Auckland

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Dieter Dvorak
A strong personal commitment to and experience with mindfulness is absolutely necessary to deliver high quality coaching of this approach.
My personal experience and practise with mindfulness reaches back to 1981 and I have also undergone professional training in the application and teaching of mindfulness and mindfulness based stress reduction.

Stress Reduction

For all those clients who would like to reduce the amount and intensity of stress in their daily lives but do not experience clinical depression, anxiety, or behavioural difficulties, I do provide mindfulness-based stress reduction training. This is not psychological therapy but teaching of extremely useful skills to "keep it together" under stress.

Mindfulness Based Stress Reduction

Mindfulness: "The undivided and non-judgmental awareness of what happens in us and around us in this moment"
The practise and application of mindfulness consists of observing without judgement what actually happens in this moment. The skill is to keep one's mind on the facts in the present moment. This is THE antidote to the otherwise automatically unfolding process of unhelpful reactions to stressful life events. These reactions represent natural self-protection mechanisms ("flight or fight or freeze"), which — unfortunately — turn against us when triggered by today's stressful environment.

Becoming fully aware of our personal experience of being stressed is the starting point. Next the causes of this stress experience are identified. This means that we quickly explore our negative judgements about an object, person, situation or experience. We also learn to pay attention to the process of comparing the object, person etc. to our personal standards of how we feel things "should be" which is the basis for our judgements.

Finally, we develop the ability to suspend our judgements for this moment through an act of personal choice and to refocus on the facts as received through our senses.

Doing this involves our willingness to suspend — for this moment — our beliefs about how life ideally should be. Mindfulness, therefore is a combination of technical skills around controlling one's awareness and attention together with a set of constructive attitudes that one needs to bring to the practise and application of these technical skills.

The highly structured learning process is designed to make mindfulness accessible to almost everyone irrespective of their personal beliefs or pre-existing knowledge and skills. All that is required is a commitment to regular practise.

Supporting relaxation techniques:

Mindfulness itself will give you the best chance to experience clarity, calmness, and control when faced with stressful situations. However, especially in the early stages of mindfulness training, it can be quite helpful to use tried and proven techniques to calm and steady yourself to support your practise.

I am able to provide my clients with additional training and advice in such relaxation methods. Typically a mix of healthy breathing techniques and muscular based relaxation exercises will be most helpful.

Mindfulness based stress reduction on the web:

Mindfulness as a search word will result in a variety of hits. Many of those will refer to spiritually based approaches, which may or may not be of use for you. Here is a list of internet resources on mindfulness as practiced and studied from a western and scientific viewpoint. (Also see the research section on this page):

Centre for Mindfulness

Homepage of D. Fresco Please follow the links through RESEARCH to Mindfulness links for more detailed information.

Research

Anyone who wants to explore further the scientific basis for mindfulness skills training will find here a list of recent scientific articles and studies about mindfulness:

"The empirical literature… suggests that mindfulness interventions may lead to reductions in a variety of problematic conditions, including pain, stress, anxiety, depressive relapse, and disordered eating."

"… findings show statistically significant improvements in ratings of pain, other medical symptoms, and general psychological symptoms."

"…patients showed statistically significant improvements in several measures of eating and mood."

"Two studies have investigated effects of MBSR on fibromyalgia, both reported improvements in a variety of symptoms."

"… effects of MBSR in a group of cancer patients and reported significant reductions in mood disturbance and stress levels… changes were maintained at 6-month follow-up."

Baer, R.A. (2003) Mindfulness Training as a Clinical Intervention: A Conceptual and Empirical Review, 125-143, Clinical Psychology: Science and Practice, (V10), Summer 2003

Beth, R. & Robbins, D. (2004). Mindfulness-based stress reduction and health related quality of life: findings from a bilingual inner-city patient population, Psychosomatic Medicine, Vol 66(1), pp113-123

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D.,& Devins, G. (2004) Mindfulness: A proposed operational Definition.230-241, Clinical Psychology: Science and Practice, (V11), No 3

Breslin F. C., Zack, M., & McMain, S. (2002) An information-processing analysis of mindfulness: implications for relapse prevention in the treatment of substance abuse, Clinical Psychology: Science and Practice, Vol 9, No. 3, Fall 2002.

Brown, K. W. & Ryan, R. M. (2003) The benefits of being present: Mindfulness and its role in psychological well-being, 822-848, Journal of Personality and Social Psychology, (V84), No 4.

Carlson L., Speca, M., Patel, K.D., & Goodey, E. (2004) Mindfulness-Based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisols, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients, Psychoneuroendocrinology, Vol 29(4), 448-474

Carlson L., Speca, M., Patel, K.D., & Goodey, E. (2003) Mindfulness Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and immune parameters in Breast and Prostate Cancer Outpatients, Psychosomatic Medicine,(V 65/4) 571-581

Carson, J. W., Carson, K. M., Gil, K. M., & Baucom, D.H. (2004) Mindfulness-Based Relationship Enhancement, Behavior Therapy,35,471-494

Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz M., Muller, D., Santorelli, S., Urbanowski, F., Harrington, A., Bonus, K., & Sheridan, J. (2003) Alterations in Brain and Immune Function Produced by Mindfulness Meditation, Psychosomatic Medicine, (V65), 564-570

Hayes, A. M., & Feldmann, G. (2004) clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy,255-262, Clinical Psychology: Science and Practice, (V11), No 3

Hayes, S. C. (2003) Mindfulness: Method and Process, 161 - 165 Clinical Psychology: Science and Practice, (V10), Summer 2003

Jacobson, N. S., Christiansen, A., Prince, S.E., Cordova, J., & Eldridge, K. (2000), Integrative behavioral couple therapy: an acceptance based, promising new treatment for couple discord, Journal of Consulting and Clinical Psychology, 68, 351- 355

Kabat Zinn, J. (2003) Mindfulness-Based Interventions in Context: Past, Present, and Future, 144-156, Clinical Psychology: Science and Practice, (V10), Summer 2003

Ma, S. H., & Teasdale J. D. (2004) Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects, Journal of Consulting and Clinical Psychology, 72, 31-40

Marcus, M., Fine, M., Moeller, G., Khan, M. M., Pitts, K., Swank, P.,R., & Liehr, P. (2003) Change in Stress levels following Mindfulness-based Stress Reduction in a Therapeutic Community, Addictive Disorders & Their Treatment Vol (2), No.3, 63-68

Marlatt, G. A., & Kristeller, J. (1999). Mindfulness and meditation. In W.R. Miller (Ed.). Integrating spirituality in treatment:Resources for practitioners (pp.67-84). Washington, D.C.: American Psychological Association Books.

Marlatt, G. A. (1994). Addiction, mindfulness, and acceptance. In S. C. Hayes, N.S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: content and context in psychotherapy (pp175 -197). Reno, NV: Context Press.

Roemer L,& Orsillo, S. M. (2002) Expanding our conceptualisation of and treatment for Generalized Anxiety Disorder: Integrating Mindfulness/Acceptance-Based approaches with existing Cognitive-Behavioural Models, 54-68, Clinical Psychology: Science and Practice, (V9), Spring 2002

Tacon, A. T., McComb, J., Caldera, Y., & Randolph, P. (2003) Mindfulness Meditation, anxiety reduction, and heart disease — a pilot study, 25-33, Family Community Health, 26 (1)

Ramel, W., Goldin, P.R., Carmona, P.E., & Mc Quaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28,433-455.

Robinson, F. P., (2002). Psycho-endocrine-immune response to mindfulness-based stress reduction in HIV-infected individuals, Dissertation Abstracts International: Section B: the Sciences & Engineering. Vol 63 (1-B), Jul 2002,179, US: Univ Microfilms International

Segal, Z., Williams, J. M.,& Teasdale, J. D. (2002), Mindfulness-Based Cognitive Therapy for Depression, New York: Guilford Press

Shapiro, S. L., Bootzin, R.,R., Figuerdo, A.,J., Aurelio, J.,Lopez, A. M., & Schwartz, G.E. (2003). The efficacy of mindfulness-based stress reduction in the treatment of sleep disturbance in women with breast cancer: an exploratory study, Journal of psychosomatic Research, Vol 54 (1), 85-91

Weissbecker, I., Salmon, P., Studts, J., Floyd, A. R., Dedert, E. A., & Septhon, S. E. (2002) Mindfulness-based stress reduction and sense of coherence among women with fibromyalgia, Journal of Clinical Psychology in Medical Settings, Vol 9., No 4, Dec 2002

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Phone : 09 817 5947              Email : dieter@bwell.co.nz

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