The Well Being Challenges 1in 7 scots on anti depressants Declining social mobility, Conflict between attainment and well-being in schools Relationship between status and ill health A pervading sense of pressure and lack of agency in many workplaces and organisations Zero Hours culture Some of longest working hours in Europe
A User Guide To Your Brain “ I used to think that the brain was the most wonderful organ in my body. Then I realized what was telling me this.” -Emo Phillips
The term mindfulness derives from the Pali language word sati meaning “to remember” as a mode of consciousness it commonly signifies presence of mind Mindfulness as a receptive attention to and awareness of present events and experience (Brown & Ryan, 2003).
Definition A moment-to-moment awareness of one’s experience without judgment. A state not a trait (although…..) May be promoted by certain practices or activities (e.g., meditation). Not equivalent to or synonymous with them and has no link to any belief system. (Davis and Hayes 2011)
Premise supporting children and adults with chronic and acute behavioral distress can be traumatic and stressful pressures arising can cause dysfunction in the individual, team and the service Compassion fatigue, burntout staff, split teams and failed services
Stages of countertransference (Maier and Ryebroek) Novice ------------------------------------------------------------------------------Experienced Sequence Neutral to hopeful attitude - empathy Percolating Negative feelings i.e. fear and anger Contained feelings (e.g. dislike, hate) Defenses i.e. denial and projection Expressed acting out against others e.g. children or other staff Rationalisation e.g. secret shame and guilt InterventionSelf Self and Peers Self Peers and Staff Self and Supervisor Self and therapist Intervention Outcomes Accept feelings Acknowledge feelings Reality Checks Acknowledge and express to others Express towards child appropriately Resolve Understand Self Acceptance
Mindfulness training for staff Mindfulness and challenging behaviour –care staff working with aggression –reduce the use of physical restraint, with patients with aggression mental health problems –learning disabilities and aggression,).
Four Facets Mindfulness of the Body Mindfulness of Feelings Mindfulness of Mind Mindfulness of Dhamma
Selfcare "intrapersonal work, interpersonal support, professional development and support, and physical/recreational activities" (Carrol et al. Murra 1999) physical psychological spiritual support
Organisations are not machines They are living organisms whose influence may must be recognised, understood and consciously managed as otherwise it can undermine any therapeutic initiative
Bloom (2008) Organizational DynamicTrauma-based Parallel Process Communication networks tend to break down under stress and as this occurs, service delivery becomes increasingly fragmented, and organizational memory is lost. DISSOCIATION, FRAGMENTATION, AMNESIA When communication networks break down so too do the feedback loops that are necessary for consistent and timely error correction. SYSTEMATIC ERROR As decision making becomes increasingly non-participatory and problem solving more reactive an increasing number of short sighted policy decisions are made that appear to compound existing problems LOSS OF DEMOCRATIC PROCESSES AND PARTICIPATORY MANAGEMENT, LOSS OF COMPLEXITY, IMPAIRED COGNITION
Bloom (2008) Organizational DynamicTrauma-based Parallel Process As decision making becomes non- participatory and problem solving more reactive an increasing number of short sighted policy decisions are made that appear to compound existing problems LOSS OF DEMOCRATIC PROCESSES AND PARTICIPATORY MANAGEMENT, LOSS OF COMPLEXITY, IMPAIRED COGNITION Unresolved interpersonal conflicts increase and are not resolved. IMPOVERISHED RELATIONSHIPS As the situation feels increasingly out of control, organizational leaders become more controlling,. INCREASED AUTHORITARIANISM, LOSS OF CRITICAL JUDGMENT, SILENCING OF DISSENT, INCREASED CONFORMITY
An early study was with magazine salespeople: The mindful ones sold more. Naturally opens hearts to greater compassion and develops the desire to end the suffering of others. Bad Vs Good in Mindfulness
Mindfulness and our Society Through increased economic fears we work harder for longer hours What materialistic needs are realistic and essential. Voluntary simplification
References Brown, K.W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. Cook R (2013) The Changing Face of Youth Unemployment and Employment in Scotland 1992-2012. Glasgow. The Scotland Institute. Daly, M., Boyce, C., & Wood, A. (2014, August 18). A Social Rank Explanation of How Money Influences Health. Health Psychology. Advance online publication. http://dx.doi.org/10.1037/hea0000098. http://dx.doi.org/10.1037/hea0000098 Prilleltensky, I., and Nelson, G. (2002). Doing psychology critically: Making a difference in diverse settings. London: Palgrave.
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