ICM Asia Pacific 2019 Pre-Conference Workshop: The transdiagnostic elements of MiCBT and their applications to crisis and comorbidity in clinical practice

  Dr Bruno Cayoun and Alice Shires

  Sunday 10 February 2019

  1:30pm - 4:30pm

 Auckland Univeristy of Technology, City Campus - Sir Paul Reeves Building (WG) Auckland, New Zealand

  Register here

 Organiser: International Conference on Mindfulness Asia Pacific 2019. The conference organising committee consists of a team of individuals from Auckland University of Technology (AUT), the University of Auckland (UoA) and Victoria University of Wellington (Vic). 

As mindfulness-based interventions are increasingly used to address a wide range of psychological disorders, therapists need as much training as possible with complex conditions, especially those accompanied by chronic pain and trauma history. Mindfulness-integrated Cognitive Behaviour Therapy (MiCBT) is an established transdiagnostic intervention specifically designed to address a wide range of clinical and subclinical conditions and prevent relapse. It is an evidence-based integration of traditional CBT and mindfulness meditation in the Burmese Vipassana tradition of Ledi Sayadaw, U Ba Khin and S. N. Goenka, developed into a four-stage approach between 2001 and 2003 and continually piloted and improved across disorders since. 

MiCBT is one of the so-called “second-generation mindfulness-based interventions”, as it was developed in a way that maximally preserves the principal teachings of Buddhist psychology while excluding Buddhist religious rituals and cultural assumptions. New and established exposure and cognitive reappraisal techniques are tightly integrated with the practice of ethics, the four-fold cultivation of mindfulness, and the development of insight. Recent studies in India and Iran demonstrate that MiCBT remains efficacious across various cultures. Controlled studies investigating MiCBT show improvements in people with depression, generalised anxiety, PTSD, performance anxiety, perfectionism, alcoholism, chronic pain, and type-2 diabetes, among other conditions. 

The purpose of this workshop is to gain a general understanding of MiCBT and then learn a specific skillset to reduce distress. We will first examine the co-emergence model of reinforcement, which describes the active mechanisms of mindfulness meditation through awareness and equanimity toward spontaneously co-emerging cognition and interoception. This will provide a deeper understanding of operant conditioning and its neural correlates during mindfulness meditation. We will also examine the advantages and effects of including novel mindfulness-based exposure and cognitive reappraisal techniques to decrease avoidance and reduce the distress caused by physical pain, panic attacks and traumatic memories. Video demonstrations will be included.