Adult Daugters and Long Term Care Facilities by Dupuis

By Dupuis

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The personal experiential learning is integrated within a wider framework of understanding. This understanding relates both to the nature of general human vulnerability and suffering and to the particular nature of vulnerability to depressive relapse. During the MBCT sessions this integration is facilitated through dialogue, re¯ection, group exercises, and teaching. 1 This led them to the recognition that a key protective mechanism in preventing depressive relapse is the ability to ``de-centre'' or step back from our thought processes.

This shift of ``mind mode'' enables participants to relate to existing experience from a different perspectiveÐa ``different place''. This new way of seeing experience involves recognising that our experience is not necessarily what creates our identity. In this way dif®culty arising in any aspect of our experienceÐ physical pain, painful emotions or negative thoughtsÐcan be seen as an aspect of our experience in this moment. This can create a shift in perception from seeing the dif®culty as an allencompassing experience, which eliminates awareness of everything else and which becomes the way we identify ourselves, to seeing it as part of the ``tapestry'' and ¯ux of one's life.

12 DISTINCTIVE THEORETICAL FEATURES OF MBCT Summary The three main areas that have been outlined in this Point are: 1 2 3 The nature of depression as a recurring condition. The main psychological pattern that creates vulnerability to depressive relapse is the way in which a small amount of sad mood can trigger old habitual patterns of self-denigrating thinking, leading to repetitive cycles of ruminative thinking and experiential avoidance. Together these form a general pattern of processing experience, which although motivated by the wish to remove depression actually keeps it in place.

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