26. October 2011 by John Schinnerer.

For years, I’ve been teaching clients simple frameworks to manage the emotional mind. These frameworks have to be accessible within 1/3rd of a second, before the emotional mind hijacks the rational mind.

A powerful example of this is the framework developed by Phillip Zimbardo at Stanford regarding time perspectives and valence, which is a fancy way of saying that our attention can take you certain places - internal (e.g., monitoring your heart rate, your thoughts) or external (e.g., the room you are in, the people you are with); past, present or future; and/or positive or negative emphasis.

From Ken Pope’s excellent newsletter…

*CNS Neuroscience & Therapeutics* has scheduled an article for publication in a future issue: “Treating Major Depression by Creating Positive Expectations for the Future: A Pilot Study for the Effectiveness of Future-Directed Therapy (FDT) on Symptom Severity and Quality of Life.”

The authors are Jennice S. Vilhauer, Sabrina Young, Chanel Kealoha, Josefine Borrmann, Waguih W. IsHak, Mark H. Rapaport, Narineh Hartoonian, & Jim Mirocha.

Here’s the abstract:

[begin excerpt]

Introduction: This nonrandomized pilot study assesses the efficacy of a new future-oriented form of therapy, known as future-directed therapy (FDT), as a treatment for patients with Major Depressive Disorder (MDD) in a naturalistic hospital-based outpatient psychiatry clinic. The study measured symptom severity of depression and anxiety, in addition to quality of life pre- and posttreatment.

Aims: The study examined a new manualized treatment designed to help people anticipate a more positive future. The intervention consists of twenty 90-min group sessions administered twice a week over 10 weeks. The intervention was compared to depressed patients in the same clinic who enrolled in traditional cognitive-based group psychotherapy. Sixteen patients with MDD completed the FDT intervention as part of their outpatient treatment for depression. Seventeen patients with MDD participated in treatment as usual (TAU) cognitive-based group therapy. The Quick Inventory of Depressive Symptoms, the Beck Anxiety Inventory, and the Quality-of-Life Enjoyment and Satisfaction Questionnaire short form, self-report instruments were administered prior to and immediately after the completion of therapy.

Results: Patients treated with FDT demonstrated significant improvements in depression (P= 0.001), anxiety (P= 0.021) and quality of life (P= 0.035), and also reported high satisfaction with the therapy. Compared to the TAU group, patients treated with FDT showed greater improvements in depressive symptoms (P= 0.049).

Conclusions: FDT may have the potential of becoming an additional treatment option for patients with MDD.

[end excerpt]

On the Cedars-Sinai (where the research was conducted) web site there was the following additional information:

[begin Cedars-Sinai info]

Patients with major depression do better by learning to create a more positive outlook about the future, rather than by focusing on negative thoughts about their past experiences, researchers at Cedars-Sinai say after developing a new treatment that helps patients do this.

While Major Depressive Disorder patients traditionally undergo cognitive-behavior therapy care that seeks to alter their irrational, negative thoughts about past experiences, patients who were treated with the newly-developed Future-Directed Therapy(TM) demonstrated significant improvement in depression and anxiety, as well as improvement in overall reported quality of life, the researchers found.

Results were published recently in the peer-reviewed journal CNS Neuroscience & Therapeutics.

“Recent imaging studies show that depressed patients have reduced functioning in the regions of the brain responsible for optimism,” said Jennice Vilhauer, PhD, study author and clinical director of Adult Outpatient Programs for the Cedars-Sinai Department of Psychiatry and Behavioral Neurosciences. “Also, people with depression tend to have fewer skills to help them develop a better future. They have less ability to set goals, problem solve or plan for future events.”

According to the U.S. Centers for Disease Control and Prevention, an estimated one in 10 American adults meet the diagnostic criteria for depression.

Anand Pandya, MD, interim chair of Cedars-Sinai’s Department of Psychiatry and Behavioral Neurosciences, said, “Future-Directed Therapy is designed to reduce depression by teaching people the skills they need to think more positively about the future and take the action required to create positive future experiences.  This is the first study that demonstrates this intervention intended to increase positive expectations about the future can reduce symptoms of Major Depressive Disorder.”

When people talk only about the negative aspects of their lives, it causes them to focus more attention on what makes them unhappy, Vilhauer said.

“Talking about what makes you unhappy in life doesn’t generate the necessary thinking patterns or action needed to promote a state of thriving and create a more positive future,” Vilhauer said.  “Future-Directed Therapy helps people shift their attention constructing visions of what they want more of in the future and it helps them develop the skills that they will need to eventually get there.”

In the study conducted at Cedars-Sinai, 16 adult patients diagnosed with Major Depressive Disorder attended future-directed group therapy sessions led by a licensed psychologist twice a week for 10 weeks.  Each week, patients read a chapter from a Future-Directed Therapy manual and completed worksheets aimed at improving certain skills, such as goal-setting.  Another group of 17 patients diagnosed with depression underwent standard cognitive group therapy. The study team measured the severity of depression and anxiety symptoms, and quality of life before and after treatment, using the Quick Inventory of Depressive Symptoms, the Beck Anxiety Inventory, and the Quality-of-Life Enjoyment and Satisfaction Questionnaire short form.

Results include:

Patients in the Future-Directed Therapy group experienced on average a 5.4 point reduction in their depressive symptoms on the Quick Inventory of Depressive Symptoms scale, compared to a two point reduction in the cognitive therapy group.

Patients in the Future-Directed Therapy group on average reported a 5.4 point reduction in anxiety symptoms on the Beck Anxiety Inventory, compared to a reduction of 1.7 points in the cognitive therapy group.

Patients in the Future-Directed Therapy group reported on average an 8.4 point improvement in their self-reported quality of life on the Quality of Life Enjoyment and Satisfaction scale, compared to a 1.2 point improvement in the cognitive therapy group.

[end Cedars-Sinai info]

The author note provides the following contact information: Jennice Vilhauer, Ph.D., Cedars-Sinai Medical Center, Department of Psychiatry and Behavioral Neurosciences, 8730 W. Alden Drive, Thalians W-101, Los Angeles, CA, USA. Tel.: +(310) 423-2620; Fax: +(310) 423-0114; E-mail:

<vilhauerj@cshs.org>.

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7. May 2011 by John Schinnerer.

Brene’ Brown is my new hero(ine). You must check out this fantastic talk she did at TED in 2010.

I’m currently ordering numerous copies of her recent book, The Gifts of Imperfection, for all the mothers I know for Mother’s Day.

Emminently readable, vastly significant and life-changing.

If you’d like a FREE copy of my award-winning book, Guide to Self: The Beginner’s Guide to Managing Emotion and Thought, simply go to www.GuideToSelf.com, click on the yellow book icon on the left side of the page and enter your name and email address.

Have a relaxing Mother’s Day!

To life, love and laughter,

John Schinnerer, Ph.D.
Founder Guide to Self, Inc.
Award-winning author and blogger
Anger management coach
http://webangermanagement.com

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18. December 2010 by John Schinnerer.

How Positive Emotion Protects Against Poor Health in Later Life

The new issue of the journal ‘Current Directions in Psychological Science’ includes an article entitled,
‘Pathways Linking Positive Emotion and Health in Later Life.’

The author is Anthony D. Ong.

The article begins as follows…

‘There is growing empirical evidence that positive emotion protects against poor health outcomes in later life.

Two recent reviews have documented a robust association between positive emotion and improved health (Chida & Steptoe, 2008; Pressman & Cohen, 2005).

Across experimental and large-scale prospective studies, significant aspects of adult health predicted by positive emotion include self- reported health, physiological responses, physical functioning, disease severity, and mortality.

In this article, I review the biobehavioral and psychosocial pathways that may account for the relationship between positive emotion and health in later adulthood.

Although the literature is not without theoretical gaps and methodological inconsistencies (see Pressman & Cohen, 2005, for a discussion), overall, the data suggest that positive emotions have demonstrable health benefits in later life, the net effect of which may be to slow or delay the rate of functional decline in resilience.’

The article concludes like this…

‘Three decades ago, Lazarus, Kanner, and Folkman (1980) suggested that under intensely stressful conditions, positive emotions may provide an important psychological time-out, help to sustain continued coping efforts, and replenish vital resources that have been depleted by stress. Until recently, there has been little empirical support for these ideas. Foundational evidence for the adaptive function of positive emotion is now beginning to accrue, however. Taken together, the available data indicate that there is no single answer to the question of how positive emotion influences health outcomes in later adulthood. Instead, findings suggest that health behaviors, physiological systems, stressor exposure, and stress undoing may be among the key pathways underlying disparities in physical health, psychological well-being, and even longevity in later life.

Future work building on these findings will require greater attention to the interaction between increasing positive emotion and the presence of decreasing resilience with aging. Targeted prevention and intervention strategies that enhance positive emotions, particularly among the most vulnerable, are likely to play an important role in preventing serious physical illness, minimizing the burden of stress, and improving overall functioning in older adults.’

In addition to the reference section, there’s a small bit on ‘Recommended Reading’:

Charles, S.T., & Carstensen, L.L. (2009). Social and emotional aging.
Annual Review of Psychology, 61, 383-409. A comprehensive, highly accessible overview of what is known about socioemotional development.

Fredrickson, B.L. (2003). The value of positive emotions. American Scientist, 91, 330-335. A clearly written review for readers who wish to expand their knowledge on positive emotions.

Ong, A.D., Bergeman, C.S., & Chow, S.M. (2009). Positive emotions as a basic building block of resilience in adulthood. In J. Reich, A. Zautra, & J. Hall (Eds.), Handbook of adult resilience: Concepts, methods, and applications (pp. 81-93). New York, NY: Guilford. A highly accessible overview of what is known about positive emotions and resilience in later life.

Zautra, A.J. (2003). Emotions, stress, and health. New York, NY: Oxford University Press. A thorough, far-reaching theoretical analysis of the relationships between stress, emotions, and health.

The author note provides the following contact information: Anthony D. Ong, Department of Human Development, G77 Martha Van Rensselaer Hall, Cornell University, Ithaca, NY 14853-4401; <ado4@cornell.edu>.

Increasingly, science is proving the necessity of positive emotions (e.g., pride, love, curiosity, interest, passion) for a thriving, meaningful, happy life. Currently, there are more than 70,000 empirical studies looking at these very topics (e.g., self-compassion, mindfulness, love, life satisfaction, curiosity, engagement, the zone, passion, strengths, purpose and meaning) under the umbrella term positive psychology.

For more information on ways to cultivate more positive emotions in your life, visit http://www.GuidetoSelf.com to get a free copy of Dr. John’s award-winning self-help book, ‘Guide to Self: The Beginner’s Guide to Managing Emotion and Thought.’ It has the latest in positive psychology and tools to make you more aware of and ways to create more positive emotions in your life.

Positive emotions are an instrumental part of any top-notch anger management program as well for the same reasons (e.g., they act as a hidden Reset button for negative physiological effects of destructive emotions, they make us feel more connected and they build enduring resources within). For more information on the best anger management programs which include a positive psychology perspective and ways to create more positive emotions in your life, visit Dr. John’s recently developed online anger management course at http://www.webangermanagement.com. There you will find several free videos sharing the latest tools to turn down the volume on anger AS WELL AS the latest tools to turn up the volume on positive emotions.

Happy holidays!!!

To life, love and laughter,

John Schinnerer, Ph.D.
Founder Guide to Self, Inc.
Award-winning author, blogger and mental health coach

The simple joy of bubbles!

P.S. Also be sure to check out John’s other fantastic blog on free online anger management classes at http://drjohnsblog.wordpress.com.

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20. November 2010 by John Schinnerer.

Fantastic and uplifting reminder about the unifying power and necessity of compassion in today’s world. Compassion is the antidote to anger.

Have a compassionate weekend!

To life, love and laughter,

John Schinnerer, Ph.D.
Founder Guide to Self, Inc.
http://www.GuideToSelf.com

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13. November 2010 by John Schinnerer.

From Ken Pope’s listserv…

Subject: recommended: *Science*: “A Wandering Mind Is an Unhappy Mind” by Matthew Killingsworth & Dan Gilbert at Harvard University

Today’s new issue of the American association for the Advancement of Science’s journal *Science* (Vol. 330. no. 6006) includes an article: “A Wandering Mind Is an Unhappy Mind.”

The authors are Matthew A. Killingsworth and Daniel T. Gilbert.

Here are some excerpts:

Many philosophical and religious traditions teach that happiness is to be found by living in the moment, and practitioners are trained to resist mind wandering and “to be here now.”

These traditions suggest that a wandering mind is an unhappy mind.

Are they right?

Laboratory experiments have revealed a great deal about the cognitive and neural bases of mind wandering (3-7), but little about its emotional consequences in everyday life.

The most reliable method for investigating real-world emotion is experience sampling, which involves contacting people as they engage in their everyday activities and asking them to report their thoughts, feelings, and actions at that moment.

<snip>

We solved this problem by developing a Web application for the iPhone (Apple Incorporated, Cupertino, California), which we used to create an unusually large database of real-time reports of thoughts, feelings, and actions of a broad range of people as they went about their daily activities.

The application contacts participants through their iPhones at random moments during their waking hours, presents them with questions, and records their answers to a database at www.trackyourhappiness.org.

The database currently contains nearly a quarter of a million samples from about 5000 people from 83 different countries who range in age from 18 to 88 and who collectively represent every one of 86 major occupational categories.

To find out how often people’s minds wander, what topics they wander to, and how those wanderings affect their happiness, we analyzed samples from 2250 adults (58.8% male, 73.9% residing in the United States, mean age of 34 years) who were randomly assigned to answer a happiness question (”How are you feeling right now?”) answered on a continuous sliding scale from very bad (0) to very good (100), an activity question (”What are you doing right

now?”) answered by endorsing one or more of 22 activities adapted from the day reconstruction method (10, 11), and a mind-wandering question (”Are you thinking about something other than what you’re currently doing?”) answered with one of four options: no; yes, something pleasant; yes, something neutral; or yes, something unpleasant.

Our analyses revealed three facts.

First, people’s minds wandered frequently, regardless of what they were doing.

Mind wandering occurred in 46.9% of the samples and in at least 30% of the samples taken during every activity except making love.

The frequency of mind wandering in our real-world sample was considerably higher than is typically seen in laboratory experiments.

<snip>

Second, multilevel regression revealed that people were less happy when their minds were wandering than when they were not [slope (b) = -8.79, P < 0.001], and this was true during all activities, including the least enjoyable.

Although people’s minds were more likely to wander to pleasant topics (42.5% of samples) than to unpleasant topics (26.5% of samples) or neutral topics (31% of samples), people were no happier when thinking about pleasant topics than about their current activity (b = -0.52, not

significant) and were considerably unhappier when thinking about neutral topics (b = -7.2, P < 0.001) or unpleasant topics (b = -23.9, P < 0.001) than about their current activity (Fig. 1, bottom).

Although negative moods are known to cause mind wandering (13), time-lag analyses strongly suggested that mind wandering in our sample was generally the cause, and not merely the consequence, of unhappiness (12).

Third, what people were thinking was a better predictor of their happiness than was what they were doing.

The nature of people’s activities explained 4.6% of the within-person variance in happiness and 3.2% of the between-person variance in happiness, but mind wandering explained 10.8% of within-person variance in happiness and 17.7% of between-person variance in happiness.

The variance explained by mind wandering was largely independent of the variance explained by the nature of activities, suggesting that the two were independent influences on happiness.

In conclusion, a human mind is a wandering mind, and a wandering mind is an unhappy mind.

[end excerpts]

The author note provides the following contact info:

<mkilling@fas.harvard.edu>.

Ken Pope

To life, love and laughter,

John Schinnerer, Ph.D.

Founder of Guide to Self

P.S. For a free PDF copy of John’s award-winning self-help book on ways to focus the mind, turn down negative emotions, and turn up positive emotions simply visit http://www.GuideToSelf.com, click on the yellow book icon on the left side of the page, and enter your email and name. You will be granted instant access to 216 pages of life-improving scientifically-proven tools to focus your mind!

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