ABSTRACT

We investigated the impact of a 1.5 hr workshop based on mindfulness-based compassion practices (MBCP) for 6 doctoral student therapists, followed by these therapists engaging in pre-session preparation for each of their clients in one of 3 randomly assigned conditions (MBCP, self-supervision, preparation-as-usual) over a 1-month period. State mindfulness and meditation self-efficacy increased following the workshop. Therapist ratings of session effectiveness were higher following pre-session meditation relative to preparation-as-usual, although there were no client-rated differences in session outcome. In a focus group, therapists reported that the workshop was generally helpful, and noted that pre-session MBCP led to a positive state of being and increased self-care. However, they felt rushed to fit in the exercises and some doubted their meditation self-efficacy. They suggested that longer, at-home practice might be more beneficial than pre-session exercises. We encourage replication in larger samples varying the amount and format of meditation training for improving outcomes.

Practical Implications

• Therapist engagement in 2 minutes of meditation immediately prior to sessions may support therapy effectiveness

• Brief meditation provides an opportunity for therapists to engage in self-care and grow positive inner states

• Therapists who implement pre-session meditation may encounter challenges, such as tiredness and difficulty fitting in meditation between therapy sessions

摘要

我们调查了基于正念慈悲实践 (MBCP) 的 1.5 小时研讨会对 6 名博士生治疗师的影响，随后这些治疗师在 3 种随机分配的条件（MBCP，MBCP，自我监督，照常准备）超过 1 个月。研讨会后，状态正念和冥想自我效能得到提高。相对于常规准备，治疗师对会前冥想后的疗程效果评分更高，尽管来访者对疗程结果的评价没有差异。在焦点小组中，治疗师报告说研讨会总体上很有帮助，并指出会前 MBCP 导致了积极的存在状态并增加了自我保健。然而，他们感到急于适应练习，有些人怀疑他们的冥想自我效能。他们建议，在家进行更长时间的练习可能比课前练习更有益。我们鼓励在更大的样本中复制，改变冥想训练的数量和形式以改善结果。

实际影响

• 治疗师在会议开始前进行 2 分钟的冥想可能有助于提高治疗效果

• 简短的冥想为治疗师提供了进行自我保健和培养积极的内心状态的机会

• 实施会前冥想的治疗师可能会遇到挑战，例如在治疗期间的冥想中感到疲倦和困难