Can’t Get Therapy? Try Gratitude and Kindness

Greater Good: Science of Meaningful Life – http://greatergood.berkeley.edu/

By Lauren Klein | July 7, 2014 | 0 Comments

A new study finds that troubled people can reap enormous benefits from keeping a journal that focuses their attention on the good things in life.

 

Waiting times for psychological counseling can be long. That makes it doubly hard on those who are seeking therapy: not only is treatment delayed, they’re also more likely to drop out prior to their initial appointment—and less likely to go on to seek help elsewhere.

So it’s urgent that those who are on a wait-list know if there’s something they can do to help themselves in the meantime. But is there?

Well, according to a paper published just earlier this year in the Journal of Happiness Studies, there might be a way to turn this unhappy waiting time into a healthy self-guided treatment all its own.

The researchers rounded up 48 people who were on a waiting list to receive psychotherapy, who reported problems ranging from depression and anxiety to substance abuse and eating disorders. Participants were assigned to one of three groups:

  • In the first, they were asked to keep a gratitude journal. “There are many things in our lives, both large and small, that we might be grateful about,” read the instructions. “Think back over the past day and write down up to five things in your life that you are grateful or thankful for.”
  • The second group kept a journal about kindness: “Kind acts are behaviors that benefit other people, or make others happy. They usually involve some effort on our part. Be sure to include at least one kind act that you did intentionally.” Like the first group, they were also asked to talk about their moods that day.
  • The third group—which acted as a control—was asked to write about their daily mood, noting their expectations for the following day, their sense of connectedness with others, and their overall satisfaction with life.

So, did this 14-day intervention help people waiting for therapy? Did it make them more grateful, kinder, and happier?

The researchers were looking for yes to all these questions—but that’s not the story their data gave them. Those in the gratitude group did report feeling more grateful at the end of these two weeks, but those in the kindness group didn’t get the same kind of benefit. That is, those who counted their kindnesses didn’t come out kinder because of it, suggesting that gratitude, but not kindness, can be cultivated in this short amount of time.

Despite this asymmetry, at least both the kindness and gratitude groups showed measurable improvements over those who simply monitored their mood. Both the kindness and gratitude groups enjoyed a higher percent of happy days, where they felt optimistic and expected the best. They were also more satisfied with their lives, which they perceived to be more meaningful, and they felt more connected with others each day.

In effect, all of these positive outcomes—this increased sense of connectedness, enhanced satisfaction with daily life, optimism, and reduced anxiety—address in some way the problems which qualified participants for the study in the first place. (Remember, they were all clinically distressed and seeking therapy that was at least more than a month out.)

So these results suggest that this brief intervention—which was self-guided, and lasted only two weeks—didn’t just increase feelings of gratitude. Keeping lists of gratitude and kindness made people feel happier, more connected, and more meaningful—doing the work that therapy is partly designed to do, all before a single professional session.

This isn’t the first study to suggest that gratitude and kindness interventions are beneficial. But it is perhaps the first to suggest that these brief, self-administered positive psychological strategies aren’t just for happy people who are looking to be happier. They can work for a group that needs help—“not [just] as end states,” write the authors, “but as emotional experiences that themselves have the capacity to stimulate positive change.”

The GGSC’s coverage of gratitude is sponsored by the John Templeton Foundation as part of our Expanding Gratitude project.

Does Short-Term Meditation Work? Here’s What New Research Found

I regularly encourage the people I work with to practice meditation. It builds a kind of inner “shock absorber” that helps you maintain calm and focus in the midst of daily stress and the multiple demands of living in today’s world. While that’s not the true purpose of meditation (another subject altogether), it’s certainly a by-product benefit. The problem for many people is that they say it takes too much time to devote to regular meditative practice.

Well, some new research looked the results of short-term meditation for your thought processes — your judgment in making decisions — and also your level of resilience in the face of negative emotional states. Here’s what they discovered:

Research conducted at INSEAD and The Wharton School, and published inPsychological Science, found that even short-term mindfulness meditative practice of about 15 minutes can help you make wiser choices when making decisions. In mindfulness meditation, you build awareness of the present moment and try to let go of other thoughts that intrude and distract.

The researchers found that meditation can help counteract the tendency to people to “have trouble admitting they were wrong when their initial decisions lead to undesirable outcomes,” according to the lead author Andrew Hafenbrack, from INSEAD. “They don’t want to feel wasteful or that their initial investment was a loss. Ironically, this kind of thinking often causes people to waste or lose more resources in an attempt to regain their initial investment or try to ‘break even.'” The researchers referred to this tendency as the sunk-cost bias — commonly known as “throwing good money after bad.”

Co-author Zoe Kinias added:

We found that a brief period of mindfulness meditation can encourage people to make more rational decisions by considering the information available in the present moment. Meditation reduced how much people focused on the past and future, and this psychological shift led to less negative emotion. The reduced negative emotion then facilitated their ability to let go of “sunk costs.”

 
 

“This tool is very practical,” added co-author Sigal Barsade. “Our findings hold great promise for research on how mindfulness can influence emotions and behavior, and how employees can use it to feel and perform better.”

Then, in the realm of your emotional well-being, one recent study found that a brief mindfulness mediation practiced for 25 minutes for three consecutive days diminished participants’ stress level. Published in the journal Psychoneuroendocrinology, this study was different from most that have focused on longer periods of meditative practice, over a span of weeks. That’s significant because the latter studies have already added to the evidence that mediation does build more effective stress management, especially when dealing with troubling emotions or the multitasking challenges of everyday life. This new study showed similar benefits over a shorter period of practice.

In another study, published in the Journal of the American Medical Association,researchers focused on 47 clinical trials performed among 3,515 participants. They underwent what was typically an eight-week training program in mindfulness meditation. The researchers found evidence of improvement in symptoms of anxiety and depression after just 30 or so minutes per day of meditation. The findings heldeven as the researchers controlled for the possibility of the placebo effect.

“A lot of people have this idea that meditation means sitting down and doing nothing. But that’s not true,” says Madhav Goyal of Johns Hopkins University, and a lead researcher in the study. He adds, “Meditation is an active training of the mind to increase awareness, and different meditation programs approach this in different ways.”

So if you’ve put off practicing meditation because you envision that it requires long periods of practice before realizing any benefit, take heart: These studies show even a short period a day — probably less than what you spend surfing the Internet — increases your cognitive judgment and your emotional resilience.

Douglas LaBier, Ph.D., is director of the Center for Progressive Development, and writes its blog, Progressive Impact[email protected]. For more about him on The Huffington Post, click here.

Three Ways Mindfulness Reduces Depression

By Emily Nauman | June 2, 2014 | Greater Good

Research says that Mindfulness-Based Cognitive Therapy is an effective treatment for depression. A new study finds out why.

Sixty percent of people who experience a single episode of depression are likely to experience a second. Ninety percent of people who go through three episodes of depression are likely to have a fourth. But help is available: The 8-week Mindfulness-Based Cognitive Therapy (MBCT) program been shown to reduce the risk of relapse.

How does it work? To find out, researchers in the United Kingdom interviewed 11 adults who had experienced three or more episodes of severe depression, and had undergone MBCT within the previous three years.

They analyzed the interviews to create a model, published in the journal Mindfulness, to demonstrate how MBCT enables people to relate mindfully to the self and with others. The key, it seems, lies in the way MBCT enhances relationships: Less stress about relationships in turn helps prevent future episodes of depression. Three specific themes emerged from the study:

1. Being present to the self: Learning to pause, identify, and respond

Mindfulness practices of MBCT allowed people to be more intentionally aware of the present moment, which gave them space to pause before reacting automatically to others. Instead of becoming distressed about rejection or criticism, they stepped back to understand their own automatic reactions—and to become more attuned to others’ needs and emotions. Awareness gave them more choice in how to respond, instead of becoming swept up in escalating negative emotion.

2. Facing fears: It’s ok to say “no”

Participants also reported that they became more assertive in saying ‘no’ to others in order to lessen their load of responsibility, allowing them to become more balanced in acknowledging their own as well as others’ needs. The authors speculate that bringing mindful awareness to uncomfortable experiences helped people to approach situations that they would previously avoid, which fostered self-confidence and assertiveness.

3. Being present with others

Study participants also described having more energy, feeling less overwhelmed by negative emotion, and being in a better position to cope with and support others. Getting through difficulties with significant others through mindful communication helped them feel closer, and having the energy and emotional stamina to spend more time with family members helped them grow together.

Many participants said that as time went on, the benefits of MBCT permeated their whole life. “Through relating mindfully to their own experiences and to others, they were feeling more confident and were engaging with an increased range of social activity and involvement,” write the authors.

The researchers write that in the future, interventions could be place a more explicit focus on approaching relationships with mindfulness. This focus could reinforce the benefit of MBCT, and perhaps lead to even better outcomes in reducing the risk of relapse for people with chronic depression.

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AN ANTIDOTE FOR MINDLESSNESS

In the mid-nineteen-seventies, the cognitive psychologist Ellen Langer noticed that elderly people who envisioned themselves as younger versions of themselves often began to feel, and even think, like they had actually become younger. Men with trouble walking quickly were playing touch football. Memories were improving and blood pressure was dropping. The mind, Langer realized, could have a strong effect on the body. That realization led her to study the Buddhist principle of mindfulness, or awareness, which she characterizes as “a heightened state of involvement and wakefulness.”But mindfulness is different from the hyperalert way you might feel after a great night’s sleep or a strong cup of coffee. Rather, Langer writes, it is “a state of conscious awareness in which the individual is implicitly aware of the context and content of information.” To illustrate the concept—or, rather, its opposite—Langer often recounts a shopping experience. Once, when Langer was paying for an item at a store, a clerk noticed that the back of her credit card wasn’t signed. After asking her to sign it, the clerk compared the scrawl on the receipt with the one on the card, to insure that no fraud was being committed. That, says Langer, is perfect mindlessness.

One of the first cognitive scientists to study mindfulness in an experimental setting, divorced from its spiritual trappings, Langer remained for years a lonely voice. But the past decade or so has seen a tremendous uptick in empirical research, as scientific collaborations with nontraditional schools, like the Dalai Lama’s Mind and Life Institute, have become more mainstream. We now know, for instance, that even brief mindfulness practice—typically, a kind of meditation that focusses on a particular aspect of the present moment, like your breath, your body, or a particular sensation—has a substantial positive effect on mental well-being and memory. It also appears to physically improve the brain, strengthening certain neural structures that are tied to heightened attention and focus, and bolstering connectivity in the brain’s default mode network, which is linked to self-monitoring and control.

When Amishi Jha, a neuroscientist who directs the University of Miami’s Contemplative Neuroscience, Mindfulness Research, and Practice Initiative, first began researching the effects of mindfulness on cognitive performance, in the early aughts, most of the existing studies focussed on what could be easily tested: the effects of short bouts of intense practice onimmediate cognitive performance. There had been comparatively little work done on the lasting impacts of mindfulness training, especially under conditions of high stress—the equivalent of evaluating the impact of a week of training on the results of a two-hundred-yard dash versus examining the effects of months of training on a marathon time. “The bulk of my work looks at high-stress cohorts, to see how mindfulness training can be protective against long-term stress,” Jha told me. It was also unclear how little meditation one could get away with and still emerge more mindful. “How low can you go? How little time can it take to sufficiently train people?” Jha said.

To test both the long-term impact of mindfulness and whether there might be a meditation equivalent of “Seven-Minute Abs,” Jha took a set of University of Miami students and split them into two groups, one that would receive mindfulness training and another that wouldn’t. “Their stress goes up throughout the semester, so you can really track performance over time—the natural decline caused by stress,” she said. The semester-long test would allow her to see whether mindfulness could benefit people in an increasingly hostile mental environment.

Jha designed a series of short, weekly training sessions, where students learned the basics of mindfulness theory and how to practice it—for instance, learning to focus on their breath while dismissing any intruding thoughts. In addition to a twenty-minute session with an instructor, they were asked to come in for two twenty-minute practice sessions each week, for seven weeks. The combined hour of instruction and practice each week was far less extreme than previous mindfulness-training courses that Jha had developed; one that she created for the military totalled twenty-four hours of practice.

About two weeks into the semester, before the training began, the students were asked to complete several tests. First, they performed a series of tasks that required sustained attention. In one, they watched a string of digits appear on a screen, and were told to press the keyboard’s space bar every time a new digit appeared, unless that digit was a “3.” At a few points in the study, the flow of digits was interrupted by questions about the participant’s attention span. In two subsequent tests, the students were assessed on their working memory capacity (how many letters in a list could they remember after solving an unrelated math problem?) and delayed-recognition working memory (could they quickly and accurately distinguish a face they had already seen from a set of new faces?). All of the students performed at roughly the same level.

Nine weeks later, when the students were tested again, large performance gaps had emerged: as the semester dragged on, the control group performed worse than they had originally, while the students who received mindfulness training became more accurate and focussed. Jha’s regimen, it seemed, wasn’t just a way to get better; it was a way to keep from getting worse.

Mindfulness training, Jha hypothesizes, may work as a protective factor against the typical stresses of student life—or any stress, for that matter, since it improves emotional equilibrium and enables people to better handle distractions. “It’s similar to how physical exercise can change the body,” Jha said. “We know that physical activity helps our bodies, but we’re just coming to the understanding that mental exercise is also critical to promoting mental well-being. It’s a cultural shift.”