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Four aspects of helpful inner focus: 2.) nourishing positive states (part A)

Ten days ago, on this blog, I wrote about "Reducing negative states" as one aspect of a simple model entitled "Four aspects of helpful inner focus" (see below).  The model is a method I've evolved to help me organize and think about the many facets of deliberately induced altered states of consciousness.  I'm using terms loosely here.  I remember a hypnotist I came across many years ago, calling himself a "de-hypnotist".  He claimed that we walk around "hypnotised" most of the time and that he saw his job as trying to help us "wake up" from this hypnosis.  I mention this to illustrate how terms in this field - for example "inner focus" and "altered state of consciousness" - tend to creak rather a lot if one pushes at them for precise meanings. 

Handouts & questionnaires for “outcomes toolkit” (IAPT)

The "Improving Access to Psychological Therapies" (IAPT) initiative is very ambitious and exciting.  It states its principal aim is to support English Primary Care Trusts in implementing "National Institute for Health and Clinical Excellence" (NICE) guidelines for people suffering from depression and anxiety disorders.  IAPT go on to say that "At present, only a quarter of the 6 million people in the UK with these conditions are in treatment, with debilitating effects on society."

One aspect of this carefully planned initiative is strong encouragement to assess and monitor the progress of those who are getting help.  Visiting the IAPT "Outcomes Toolkit and FAQ" web page provides access to several freely downloadable documents.  The emphasis is on good assessment measures that are free to use.  See below:

IAPT Outcomes Toolkit 2008/9 PDF - this 81 page 1.1Mb Adobe PDF is the September 08 version with amended IAPT Paper Based Data Set Questionnaires.

NICE guidelines: attention deficit hyperactivity disorder (ADHD) in children, young people & adults

Last month, NICE - the National Institute for Health and Clinical Excellence in England & Wales - issued a guideline on Attention Deficit Hyperactivity Disorder (ADHD).  In the associated press release they commented "ADHD is a common behavioural disorder in children and young people estimated to affect up to 3% of school-age children and young people in the UK, and about 2% of adults worldwide. It usually starts in early childhood and some people will continue to have ADHD as adults. Severe ADHD is sometimes known as ‘hyperkinetic disorder'. The symptoms of ADHD include: being inattentive (unable to concentrate for very long or finish a task); hyperactivity (fidgety and unable to sit still); and impulsive (speaking without thinking about the consequences). It is an extremely distressing disorder, affecting the person as well as their families and carers."

Research: a step forward for open access

For much too long it has been hard to access published research without having to pay large amounts of money for journal subscriptions or single article fees.  Since a large proportion of this research is government, hence taxpayer, funded, it seems very wrong that we should then have to pay a lot to find out what the research discovered.

Handouts & questionnaires for sleep, ADHD & fatigue

Here are a collection of handouts, questionnaires and information sheets about sleep, ADHD, and fatigue.  The sleep handouts are mostly based on Colin Espie's excellent self-help book "Overcoming insomnia and sleep problems" and the intention is that the handouts would be used in conjunction with this book - see the bottom of the page for more details. 

Sleep diary and instructions - a key component of Espie's CBT programme is the use of this weekly diary form to both assess the sleep problem initially and then monitor progress.

Sleep diary, measuring progress - this is a form that can be helpful when measuring overall progress using information from the sleep diaries.

Sleep advice - fairly standard general advice about improving sleep. 

Sleep stimulus control - this and sleep restriction (see below) are probably both the most challenging and the most useful components of a CBT approach for insomnia.  

Vegged out & fruitless: lifestyle & health

Last month's BMJ published another in the long line of research articles that highlight the huge importance of lifestyle choices for our health:

Dam, R. M. v., T. Li, et al. (2008). "Combined impact of lifestyle factors on mortality: prospective cohort study in US women." BMJ 337(sep16_2): a1440-  [Free Full Text]

Recent research: four happiness studies on traditional advice, health benefits, and the particular value of safety & contentment

It seemed time to post on recent research involving happiness and wellbeing.  Here are four studies from the current issues of the Journal of Happiness Studies (the September edition is open access with all full articles freely viewable) and the Journal of Positive Psychology.  Ad Bergsma discusses advice on how to be happy given across the ages.  He refers to some of the other articles in this edition of the Journal of Happiness studies, including papers on the happiness advice of Epicurus, Schopenhauer, and the ancient Chinese philosphers.  Maarten Berg looks at the possible value of ‘New Age' suggestions on happiness.  Paul Gilbert and colleagues look, very interestingly, at different types of positive emotion and suggest that it may be what they call "safe/content" feelings that are particulary protective against a variety of unhappy emotional states.  Veenhoven reviews thirty studies on happiness and longevity and argues that, although happiness does not seem to cure illness, it does a good job of reducing the chances of getting ill - with a similar effect size to the benefits of being a non-smoker rather than a smoker.

Handouts & questionnaires for wellbeing and calming skills

I continue to slowly add handouts & questionnaires to the relevant area in the website's "Good Knowledge" section.  Here are a some that I use largely in the territory of wellbeing, mindfulness and relaxation.  Some are assessment and monitoring questionnaires.  Some provide orientating information.  Some describe specific exercises to do.

Attention, focus & time - this is a Powerpoint slide that I put together and use as a printed-out handout when discussing what we spend our time paying attention to, and how certain forms of attention focus are likely to be more helpful than others.

Four aspects of inner focus - this is another Powerpoint slide I print out to illustrate some overlapping aspects of mindfulness, meditation, relaxation, self-hypnosis, and other related practices.

Transdiagnostic wellbeing therapy - I put this Powerpoint picture together in a rather tongue in cheek way in a discussion with Tom Borkovec.  Despite its quite light-hearted origin, the diagram makes some useful points. 

Recent research: a mixed bag of studies on personality, paranoia, burnout, somatization, and relationships

This week's recent research post is a mixed bag of six studies covering the physiological & psychological changes triggered by being separated from one's partner, why similar levels of anxiety & interpersonal sensitivity can lead to social anxiety in some individuals and paranoia in others, how difficulty identifying feelings is associated with increased somatization, the frequency of burnout in family doctors around Europe, personality factors that predict a longer life, and how wrong the old saying is that "Sticks & stones may break my bones, but words will never hurt me"!