“Treating Impulsive, Addictive, and Self-Destructive Behaviors: Mindfulness and Modification Therapy” by Peggilee Wupperman tackles the challenging task of treating multiple forms of highly resistant, dysregulated behavior. The book describes Mindfulness and Modification Therapy (MMT) for the treatment of any dysregulated behavior that clients have extreme trouble resisting despite long-term harmful consequences. The MMT protocol is well-grounded in evidencebased principles and Dr. Wupperman provides a wealth of clinical wisdom along with step-by-step guidance on the implementation of MMT. The book has 13 chapters divided into three parts that leave therapists well-prepared for what to expect when helping clients overcome their dysregulated behavior on their destination towards a more satisfying, fulfilling life. The standard MMT protocol consists of 20 weekly individual sessions focused on mindfulness-based exercises to develop awareness of emotions, sensations and thoughts while increasing distress tolerance and acceptance of life situations. Four flex sessions respect therapist clinical judgment to determine the focus. Each session has the same structure, which helps clients know what to expect. Modified 16-week and 12-week versions are available if needed and MMT can be conducted without time limits. The hybrid MMT protocol integrates key principles and techniques from the following six treatments with evidence for modifying dysregulated behavior: Motivational Interviewing; Mindfulness-Based Relapse Prevention; Dialectical Behavior Therapy; Acceptance and Commitment Therapy; Cognitive-Behavioral Therapy and; Mentalization-Based Psychotherapy. Although MMT draws from these evidencebased treatments, there are a number of key differences including that every MMT session involves mindfulness with structured home practices. There are guided audios, a client-friendly set of skills that build on each other successively and all of the interventions are focused on the goal of decreasing dysregulated behaviors. Preliminary MMT findings suggest that strategically selecting key principles and techniques from existing treatments with evidence for modifying dysregulated behavior to target primary contributing factors and common constructs that underlie multiple dysregulated behaviors appears feasible and effective. The book was written for mental health professionals. Some form of mindfulness training is required for MMT and therapists are encouraged to maintain their own mindfulness practice but this is not required. MMT workshop training opportunities can be found on the MMT website (mindfulnessandmodificationtherapy.com). There are few limitations of MMT which can be applied to a broad range of dysregulated behaviors that fit the conceptual model. The use of motivational interviewing techniques in MMT allows intake of clients actively involved in dysregulated behavior. At the same time, this may limit treatment to those behaviors on the Harmful Behavior Continuum that can be decreased gradually and are not so severe that they require abstinence for outpatient admission. Strengths of the MMT protocol include addressing a number of important contemporary issues in harmful behavior-specific treatment. In strategically selecting principles and techniques that have been found effective with multiple types of dysregulated behavior, MMT addresses the harmful behavior comorbidity problem (i.e., that the referral dysregulated behavior is often not the only dysregulated behavior). This makes the need to implement other behavior-specific treatments for co-occurring dysregulated behaviors unnecessary. The need for increased intervention intensity to modify * James M. Yokley jmy9@case.edu

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Peggilee Wupperman：治疗冲动、上瘾和自毁行为：正念和修正疗法

Peggilee Wupperman 的“治疗冲动、上瘾和自毁行为：正念和修正疗法”解决了治疗多种形式的高度抵抗、失调行为的挑战性任务。这本书描述了正念和修正疗法（MMT），用于治疗任何失调的行为，尽管这些行为会产生长期的有害后果，但客户却难以抗拒。MMT 协议以循证原则为基础，Wupperman 博士提供了丰富的临床智慧以及 MMT 实施的分步指导。这本书共有 13 章，分为三个部分，让治疗师做好充分准备，帮助客户克服他们在目的地的失调行为，实现更令人满意、更充实的生活。标准的 MMT 协议包括每周 20 次的个人课程，侧重于基于正念的练习，以培养对情绪、感觉和思想的意识，同时提高对痛苦的容忍度和对生活情况的接受度。四个弹性会议尊重治疗师的临床判断来确定重点。每个会话都有相同的结构，这有助于客户知道会发生什么。如果需要，可以使用修改后的 16 周和 12 周版本，并且可以无时间限制地进行 MMT。混合 MMT 协议将以下六种治疗方法的关键原则和技术与改变失调行为的证据相结合： 动机访谈；基于正念的复发预防；辩证行为疗法；接纳与承诺疗法；认知行为疗法和；基于心智化的心理治疗。尽管 MMT 借鉴了这些循证治疗，但存在许多关键差异，包括每个 MMT 课程都涉及正念和结构化的家庭练习。有引导式音频，一套对客户友好的技能，它们相继建立起来，所有的干预措施都集中在减少失调行为的目标上。初步的 MMT 研究结果表明，从现有治疗中战略性地选择关键原则和技术，并有证据可以改变失调的行为，以针对主要促成因素和构成多种失调行为的常见结构，这似乎是可行和有效的。这本书是为心理健康专业人士写的。MMT 需要某种形式的正念训练，鼓励治疗师保持自己的正念练习，但这不是必需的。MMT 研讨会培训机会可以在 MMT 网站 (mindfulnessandmodificationtherapy.com) 上找到。MMT 几乎没有限制，可以应用于适合概念模型的广泛失调行为。在 MMT 中使用动机访谈技术可以让客户积极参与失调的行为。同时，这可能会将治疗​​限制在有害行为连续体上的那些可以逐渐减少且不会严重到需要在门诊入院时禁欲的行为。MMT 协议的优势包括解决有害行为特定治疗中的许多重要当代问题。在战略性地选择对多种类型的失调行为有效的原则和技术时，MMT 解决了有害行为的共病问题（即，转介失调行为通常不是唯一失调的行为）。这使得需要对同时发生的失调行为实施其他特定于行为的治疗方法。需要增加干预强度来修改 * James M. Yokley jmy9@case.edu 这使得需要对同时发生的失调行为实施其他特定于行为的治疗方法。需要增加干预强度来修改 * James M. Yokley jmy9@case.edu 这使得需要对同时发生的失调行为实施其他特定于行为的治疗方法。需要增加干预强度来修改 * James M. Yokley jmy9@case.edu