Mindfulness and Performance

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Author: Amy L. Baltzell

Publisher: Cambridge University Press

ISBN: 1316495388

Category: Psychology

Page: N.A

View: 2029

Incorporating the theoretical conceptualizations of Jon Kabat-Zinn and Ellen Langer, this volume illustrates how performers from a variety of disciplines - including sport, dance and music - can use mindfulness to achieve peak performance and improve personal well-being. Leading scholars in the field present cutting-edge research and outline their unique approach to mindfulness that is supported by both theory and practice. They provide an overview of current mindfulness-based manuals and programs used around the globe in countries such as the United States, China and Australia, exploring their effectiveness across cultures. Mindfulness and Performance will be a beneficial reference for practitioners, social and sport psychologists, coaches, athletes, teachers and students.

The Mindful and Effective Employee

An Acceptance and Commitment Therapy Training Manual for Improving Well-Being and Performance

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Author: Paul E. Flaxman,Frank W. Bond,Fredrik Livheim

Publisher: New Harbinger Publications

ISBN: 1608826325

Category: Psychology

Page: 248

View: 3278

The importance of improving and maintaining employees’ psychological health is now widely recognized by occupational health researchers and practitioners, business leaders, human resource professionals, and policy makers alike. Indeed, a growing body of research has established that psychological well-being is one of the most important factors in job performance. The Mindful and Effective Employee offers an evidence-based workplace training program based on acceptance and commitment therapy (ACT). The program is specifically designed to improve employees’ psychological health—as well as their effectiveness at work and in their personal lives—through a combination of mindfulness and values-guided behavioral skills. This book is designed for use by psychologists, coaches, occupational health practitioners, and human resource professionals who are interested in improving employee well-being, performance, and quality of life. The training program described in this book is designed to: • Promote employee self-awareness • Help employees find purpose, direction, and meaning • Offer new ways to improve work and life effectiveness • Help employees identify and pursue valued goals and actions

Mindful Sport Performance Enhancement

Mental Training for Athletes and Coaches

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Author: Keith A. Kaufman,Carol R. Glass,Timothy R. Pineau

Publisher: American Psychological Association (APA)

ISBN: 9781433827877

Category: Body, Mind & Spirit

Page: 304

View: 6948

This book is a comprehensive resource on the history, theory, and practice of mindfulness in sport. The authors present their empirically-supported, six-session mindfulness program adapted for specific athletic populations.

The Power of Mindfulness

Mindfulness Meditation Training in Sport (MMTS)

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Author: Amy Baltzell,Joshua Summers

Publisher: Springer

ISBN: 3319704109

Category: Psychology

Page: 196

View: 6437

This book offers both sport psychology practitioners and sport athletes a clear understanding of mindfulness to help athletes optimize sport performance. It provides a clear insight how sport athletes can learn to increase their ability to concentrate, be fully present during high pressure competition and how to effectively respond to distracting thoughts and emotions (e.g. performance anxiety; dread). The strategies offered in the chapters are based on Mindfulness Meditation Training for Sport (MMTS), an empirically supported mindfulness intervention for sport, which was created by the authors. MMTS has been adopted internationally by practicing sport psychologists – used with collegiate, club, and Olympic teams. Through offering a clear explanation of mindfulness and self-compassion (an essential element of MMTS), brief mindfulness based practices, and consistently offering how such practices link to performance – the reader learns to implement all of MMTS or elements of MMTS to help the increase their ability to focus, cope with difficult emotions, and perform their best when it matters.

Learning to Breathe

A Mindfulness Curriculum for Adolescents to Cultivate Emotion Regulation, Attention, and Performance

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Author: Patricia C. Broderick

Publisher: New Harbinger Publications

ISBN: 1608827852

Category: Education

Page: 224

View: 3950

Disruptive behavior in the classroom, poor academic performance, out-of-control emotions: if you work with adolescents, you are well-aware of the challenges this age group presents. What if there was a way to calm these students down and arm them with the mindfulness skills needed to really excel in school and life? Written by mindfulness expert and licensed clinical psychologist Patricia C. Broderick, Learning to Breatheis a secular program that tailors the teaching of mindfulness to the developmental needs of adolescents to help them understand their thoughts and feelings and manage distressing emotions. Students will be empowered by learning important mindfulness meditation skills that help them improve emotion regulation, reduce stress, improve overall performance, and, perhaps most importantly, develop their attention. The book also includes a website link with student handouts and homework assignments, making it an ideal classroom tool. The book integrates certain themes of mindfulness-based stress reduction (MBSR), developed by Jon Kabat-Zinn, into a program that is shorter, more accessible to students, and compatible with school curricula. Students will learn to pay attention in the moment, manage emotions as they are perceived, and gain greater control over their own feelings and actions. These mindfulness practices offer the opportunity to develop hardiness in the face of uncomfortable feelings that otherwise might provoke a response that could be harmful (e.g. acting out by taking drugs, displaying violent behavior or acting in by becoming more depressed). This easy-to-use manual is designed to be used by teachers, but can also be used by any mental health provider teaching adolescents emotion regulation, stress reduction and mindfulness skills. The author is a graduate of the MBSR advanced practicum at the Center for Mindfulness in Massachusetts, led by Jon Kabat-Zinn. She is also a clinical psychologist and a certified school psychologist and counselor for grades K-12. In the book, Broderick calls on her years of experience working with adolescents to outline the best strategies for dealing with disruption in the classroom and emotions that are out of hand. The book is structured around six themes built upon the acronym BREATHE, and each theme has a core message. The program allows for themes to be delivered in 6 longer or 18 shorter sessions, depending upon time and needs of students. The 6 core lessons are: Body, Reflection, Emotions, Attention, Tenderness, and Healthy Mind Habits. Learning to Breathe is the perfect tool for empowering students as they grapple with the psychological tasks of adolescence.

The Psychology of Enhancing Human Performance

The Mindfulness-Acceptance-Commitment (MAC) Approach

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Author: Frank L. Gardner, PhD, ABPP,Zella E. Moore, PsyD

Publisher: Springer Publishing Company

ISBN: 9780826103369

Category: Psychology

Page: 312

View: 3589

The MAC approach developed by connecting the more traditional scientific knowledge base on human performance and self-regulation to more contemporary findings to do with meta-cognitive processes, emotion regulation, and acceptance-based behavioral interventions. Written by the originators of the MAC model, this book will provide both the necessary theory, empirical background, and a structured step-by-step, easy-to-use protocol for the understanding, assessment, conceptualization, and enhancement of human performance. It is a protocol that can be readily adapted for a wide variety of high-performing clientele--from athletes and business people, to sales people, professionals in a variety of fields, and emergency/military personnel. The material can be integrated by practicing clinicians as an adjunctive intervention strategy to help clients with specific performance problems. Numerous case examples, forms, handouts, in- and out-of-session assignments and activities, and verbatim client instructions are included.

One Second Ahead

Enhance Your Performance at Work with Mindfulness

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Author: Rasmus Hougaard,Jacqueline Carter,Gillian Coutts

Publisher: Springer

ISBN: 1137551925

Category: Psychology

Page: 234

View: 9506

Researchers have found that the accelerated pace of modern office life is taking its toll on productivity, employee engagement, creativity and well-being. Faced with a relentless flood of information and distractions, our brains try to process everything at once increasing our stress, decreasing our effectiveness and negatively impacting our performance. Ironically, we have become too overworked, unfocused, and busy to stop and ask ourselves the most important question: What can we do to break the cycle of being constantly under pressure, always-on, overloaded with information and in environments filled with distractions? Do we need to accept this as the new workplace reality and continue to survive rather than thrive in modern day work environments? Thankfully, the answer is no. In their new book, ONE SECOND AHEAD: Enhance Your Performance at Work with Mindfulness (Palgrave Macmillan; November 2015), Rasmus Hougaard, Jacqueline Carter, and Gillian Coutts demonstrate that it is possible to train the brain to respond differently to today's constant pressures and distraction. All it takes is one second. They propose that we need to learn to work differently so we are more focused, calm and have less clutter in our mind so we can better manage our time and attention. What if we could hit the 'pause' button on our day, step back, and meet challenges with a sense of clarity and purpose? And what if there was a way not just of 'getting things done,' but ensuring that what does get done are the right things to do? Based on a program in corporate mindfulness designed by Hougaard and the partners of The Potential Project, One Second Ahead provides practical tools and techniques as well as real-world examples and lessons from organizations that have implemented mindfulness on a large scale. Thoroughly tested in a diverse range of industries, this program has resulted in measurable increases in productivity, effectiveness, and job satisfaction. With the new mindset proposed in One Second Ahead, readers will be able to put an end to ineffective multitasking, unproductive meetings, poor communication, and other unhealthy workplace behaviors by applying mindfulness to every day work life. All too often, we think that being mindful requires engaging in a special activity like meditation or yoga. Sure, these activities are beneficial and important to train the mind, but there are many simple things we can do to be mindful all day long. One Second Ahead is a handbook for more mindful work that offers: Practical, easy to apply, tools and techniques to enhance performance and effectiveness in day to day work activities such as meetings, emails, communication, planning, creativity and more Real-world stories of how mindfulness changed the workdays of leaders and front line employees Tips for cultivating mental strategies and routines that can reduce clutter, increase focus, and rewire your brain to enhance presence, patience, kindness and other valuable mind states Simple yet detailed step-by-step instructions for a more systematic approach to mindfulness training to enhance focus and awareness Guidelines for a 10-minute-per-day mindfulness program that can reshape your life both at work and at home; A reproducible planning worksheet and further resources in the Appendix. One Second Ahead can transform daily work life by helping individuals and teams realize more of their potential through greater focus and awareness. The tools and techniques in this book can transform individual and organizational performance one mind at a time.

The Mindful Athlete

Secrets to Pure Performance

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Author: George Mumford

Publisher: Parallax Press

ISBN: 1941529070

Category: Sports & Recreation

Page: 256

View: 6865

Michael Jordan credits George Mumford with transforming his on-court leadership of the Bulls, helping Jordan lead the team to six NBA championships. Mumford also helped Kobe Bryant, Andrew Bynum, and Lamar Odom and countless other NBA players turn around their games. A widely respected public speaker and coach, Mumford is sharing his own story and the strategies that have made these athletes into stars in The Mindful Athlete: The Secret to Pure Performance. His proven, gentle but groundbreaking mindfulness techniques can transform the performance of anyone with a goal, be they an Olympian, weekend warrior, executive, hacker, or artist. Mumford’s deeply moving personal story is unforgettable. A basketball player at the University of Massachusetts (where he roomed with Dr. J, Julius Erving), injuries forced Mumford out of the game he loved. The meds that relieved the pain of his injuries also numbed him to the emptiness he felt without the game and eventually led him to heroin. After years as a functioning addict, Mumford enrolled in Dr. Jon Kabat-Zinn’s Mindfulness Based Stress Reduction program, and made meditation, on and off the cushion, the center of his life. He kicked drugs, earned a master’s degree in counseling psychology and began teaching meditation to inmates and others. When Michael Jordan left the Chicago Bulls to play baseball in 1993, the team was in crisis. Coach Phil Jackson, a long-time mindfulness practitioner, contacted Dr. Kabat-Zinn to find someone who could teach mindfulness techniques to the struggling team—someone who would have credibility and could speak the language of his players. Kabat-Zinn led Jackson to Mumford and their partnership began. Mumford has worked with Jackson and each of the eleven teams he coached to become NBA champions. His roster of champion clients has since blossomed way beyond basketball to include corporate executives, Olympians, and athletes in many different sports. With a charismatic teaching style that combines techniques of engaged mindfulness with lessons from popular culture icons such as Yoda, Indiana Jones, and Bruce Lee, Mumford tells illuminating stories about his larger than life clients. His writing is down-to-earth and easy to understand and apply. The Mindful Athlete is an engrossing story and an invaluable resource for anyone looking to elevate their game, no matter what the pursuit, and includes a foreword by Phil Jackson. "Self-consciousness is when you’re focused on how you’re doing instead of what you’re doing. We have to learn how to push and challenge ourselves, but not in an insensitive way. Honing your performance really comes down to being comfortable with being uncomfortable."—George Mumford

Trade Mindfully

Achieve Your Optimum Trading Performance with Mindfulness and Cutting Edge Psychology

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Author: Gary Dayton

Publisher: John Wiley & Sons

ISBN: 1118991036

Category: Business & Economics

Page: 312

View: 1288

Overcome psychological obstacles to increase trading success Successful traders need to be well-versed and skilled in a wide range of business and economic areas. But now, in addition to effective trading strategies and sound money management techniques, traders need to possess the know-how to handle the mental and emotional challenges of working in a highly volatile environment. Trade Mindfully is a unique resource that applies cutting-edge psychological techniques to trading skills, allowing readers to improve their mental outlooks and maximize the potential of their trading strategies. This book draws upon recent psychological research in behaviorism to teach new approaches that call for better focus, more confidence, and more positive perspectives and outcomes. One of the key concepts covered in the book is mindfulness, a state of mind traditionally touted in the East for its ability to reduce stress and increase perspective, useful qualities for traders looking to rise above emotional obstacles and the poor results they cause. The author also discusses the importance of High Value Trading Actions (HVAs), specific actions that are under a trader's control. With this guide, trading professionals will be able to form solid strategies based on a combination of these notions and practices, leading to higher levels of trading performance. Applies sound psychological practice and evidence-based research to the trading profession Covers the psychological perspectives and mental skills needed to succeed in today's trading world Focuses on key concepts that lead to deliberate practice, specific trading activities, and increased awareness and focus Designed to help traders deal with the emotional challenges that come with uncertainty and risk Trade Mindfully touches on the most essential concepts for anyone intrigued by what trading psychology has to offer, and delivers the best strategies for achieving the right mental skills for peak performance.

A Still Quiet Place for Athletes

Mindfulness Skills for Achieving Peak Performance and Finding Flow in Sports and Life

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Author: Amy Saltzman

Publisher: New Harbinger Publications

ISBN: 1684030226

Category: Sports & Recreation

Page: 256

View: 9724

Find flow and reach peak performance—in sports and in life. Based on the groundbreaking Still Quiet Place mindfulness program, this workbook provides practical, step-by-step exercises and skills to help you gain present-moment awareness and achieve your athletic goals. Are you looking for unique ways to "get into the game"? To enhance your training and find focus? You aren’t alone. Increasingly, athletes and coaches—from amateur leagues to professional football champs to Olympic athletes—are incorporating mindfulness practices into their training. That’s because mindfulness can help you lower your stress levels, connect with the moment, and mentally bounce back after setbacks. So whether you're a sports enthusiast or a professional athlete, mindfulness can also help you deal with physical aspects of training, such as fatigue, aches, pains, injury, burnout, and exhaustion. Written by holistic physician, mindfulness coach, and long-time athlete Amy Saltzman, this practical workbook offers mindfulness-based skills you can use any time throughout your athletic career, as well as in daily life. You’ll discover what the author fondly refers to as the “still quiet place,” and from the vantage point of that stillness, you’ll be able to observe your thoughts, feelings, and physical sensations—before and during practice and competition, between events, after a miss or significant loss, or exhilarating win. You’ll also find skills for dealing effectively with teammates and coaches, as well as skills for coaching mindfully. A parents guide is also included. No matter what sport you play, 90 percent of performance is mental. With this workbook as your guide, you can use mindfulness to enhance your training, competitive performance, and your life beyond athletics.

Fully Present

The Science, Art, and Practice of Mindfulness

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Author: Susan L. Smalley,Diana Winston

Publisher: Da Capo Lifelong Books

ISBN: 0738213241

Category: Psychology

Page: 263

View: 8461

Explores the practical art and science of mindfulness as it relates to the traditions of Buddhism with a helpful guide to improving a mindful stance and an awareness of life experiences in any situation or circumstance.

Mindful Learning

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Author: Dr. Craig Hassed,Dr. Richard Chambers

Publisher: Shambhala Publications

ISBN: 0834800276

Category: Body, Mind & Spirit

Page: 272

View: 3762

Mindfulness-based stress reduction (MBSR), as pioneered by Jon Kabat-Zinn and others, is now being successfully applied in myriad areas of human activity—and most recently, in education. It’s no surprise that psychologists and educators have found that mindfulness-based practices improve attention and performance and reduce stress in the classroom and in other school-based activities. This practical guide explains mindfulness and its applications and shows educators how it can be used with students. Topics include • cultivating resilience and managing stress • emotional development • communication and relationships • mindful use of technology • mindfulness for enhancing creativity • mindfulness and sports • teaching with attention • working with resistance • managing personal stress in the classroom • and much more This book is essential reading for teachers, counselors, parents of children high-school-age and above, and college and graduate students.

Mindfulness and Psychotherapy, Second Edition

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Author: Christopher Germer,Ronald D. Siegel,Paul R. Fulton

Publisher: Guilford Publications

ISBN: 1462528376

Category: Psychology

Page: 382

View: 1465

This practical book has given tens of thousands of clinicians and students a comprehensive introduction to mindfulness and its clinical applications. The book describes the philosophical underpinnings of mindfulness and reviews the growing body of treatment studies and neuroscientific research. Leading practitioners and researchers present clear-cut procedures for implementing mindfulness techniques and teaching them to patients experiencing depression, anxiety, chronic pain, and other problems. Also addressed are ways that mindfulness practices can increase acceptance and empathy in the therapeutic relationship. User-friendly features include illustrative case examples and practice exercises. New to This Edition *Incorporates significant empirical advances--mindfulness has become one of the most-researched areas in psychotherapy.ÿ *Most chapters extensively revised or rewritten. *Chapters on practical ethics, trauma, and addictions. *Greater emphasis on the role of acceptance and compassion in mindfulness. See also Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy, by Susan M. Pollak, Thomas Pedulla, and Ronald D. Siegel, a hands-on guide to incorporating mindfulness practices into psychotherapy.

Mindfulness and Sport Psychology for Athletes

Consider Awareness Your Most Important Mental Tool

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Author: Kristine M. Eiring,Colleen M. Hathaway

Publisher: Lulu.com

ISBN: 0557564220

Category: Sports & Recreation

Page: 38

View: 2972

This book is an excellent resource for any athlete looking for a performance edge and a way to utilize mental tools. A simple read and an endless resource to help you tap into your inner awareness. Once you train your mind to be in the present moment your efficiency and athletic potential increase exponentially.

Mindfulness in Positive Psychology

The Science of Meditation and Wellbeing

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Author: Itai Ivtzan,Tim Lomas

Publisher: Routledge

ISBN: 1317600657

Category: Psychology

Page: 360

View: 7283

Mindfulness in Positive Psychology brings together the latest thinking in these two important disciplines. Positive psychology, the science of wellbeing and strengths, is the fastest growing branch of psychology, offering an optimal home for the research and application of mindfulness. As we contemplate mindfulness in the context of positive psychology, meaningful insights are being revealed in relation to our mental and physical health. The book features chapters from leading figures from mindfulness and positive psychology, offering an exciting combination of topics. Mindfulness is explored in relation to flow, meaning, parenthood, performance, sports, obesity, depression, pregnancy, spirituality, happiness, mortality, and many other ground-breaking topics. This is an invitation to rethink about mindfulness in ways that truly expands our understanding of wellbeing. Mindfulness in Positive Psychology will appeal to a readership of students and practitioners, as well as those interested in mindfulness, positive psychology, or other relevant areas such as education, healthcare, clinical psychology, counselling psychology, occupational psychology, and coaching. The book explores cutting edge theories, research, and practical exercises, which will be relevant to all people interested in this area, and particularly those who wish to enhance their wellbeing via mindfulness.

Mindful Running

How Meditative Running can Improve Performance and Make you a Happier, More Fulfilled Person

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Author: Mackenzie L. Havey

Publisher: Bloomsbury Publishing

ISBN: 1472944887

Category: Sports & Recreation

Page: 208

View: 8103

Discover how mindfulness can enhance your running and make you a happier, more fulfilled person. By applying mental fitness training to your running regime, you tap into a powerful mind-body connection that not only optimizes sporting performance, but also boosts happiness both on and off the running trails. Mindful Running brings together scientific research, expert analysis, and elite athlete contributions to reveal how relating to your mind, body, and surroundings in a new way can help you run longer and faster, as well as offer a boost to your overall mental, emotional, and physical health. Devised with both the competitive and everyday runner in mind, Mackenzie L. Havey introduces an innovative, approachable, and authoritative guide designed to increase self-awareness, develop concentration, and improve endurance. Not only does this have the potential to translate into better running, it can also play a role in training you to endure life's challenges with greater ease and find joy in all things big and small. Mindful Running is a total body and mind fitness regime.

Critical Mindfulness

Exploring Langerian Models

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Author: Sayyed Mohsen Fatemi

Publisher: Springer

ISBN: 3319307827

Category: Psychology

Page: 212

View: 6850

Expanding on the trailblazing ideas of Ellen Langer, this provocative volume explores the implications of critical mindfulness for making psychology more responsive and its practice more meaningful. Powerful critiques take the discipline to task for positioning therapists as experts over their clients and focusing on outcomes to the detriment of therapeutic process. Contributors use the principles of Langerian mindfulness to inform self-understanding and relationships, areas such as athletic performance and consumer decision making, and basic and complex forms of cognitive engagement. The mindfulness demonstrated here is not only critical but also creative, inclusive, and humane, with the potential to transform the consciousness of psychology and other mind-based fields. Included in the coverage: · Critical mindfulness of psychology’s mindlessness. · The construct of mindfulness amidst and along conceptions of rationality. · Understanding confidence: its roots and role in performance. · Mindfulness in action: the emergence of distinctive thought and behavior. · Langerian mindfulness and optimal sport performance. · Health and the psychology of possibility. Critical Mindfulness is bracing and insightful reading for undergraduate and graduate students, psychologists, psychiatrists, physicians, clinicians, neurologists, and educators within and outside positive psychology. These pages challenge the wider community of professionals to rethink their perspectives on practice—as well as their long-held tenets of living.

Mindfulness and Meditation for Adolescents

Practices and Programs

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Author: Betsy L. Wisner

Publisher: Springer

ISBN: 1349952079

Category: Psychology

Page: 174

View: 9202

This book describes mindfulness and meditation practices and programs for adolescents by situating the topic in a bio-psychosocial-cultural approach. Using this framework, the benefits of these practices and programs for adolescents— with an emphasis on evidence-based practices—are explored. In addition to programs based on mindfulness, meditation programs using Transcendental Meditation, Herbert Benson’s Relaxation Response, and the Center for Mind Body Medicine’s group programs are discussed. The book is targeted toward educators, mental health professionals, researchers, and graduate students interested in the application, development, and study of mindfulness and meditation practices and programs for adolescents.

Global Practices and Training in Applied Sport, Exercise, and Performance Psychology

A Case Study Approach

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Author: J. Gualberto Cremades,Lauren S. Tashman

Publisher: Psychology Press

ISBN: 1317230582

Category: Psychology

Page: 462

View: 1720

Global Practices and Training in Applied Sport, Exercise, and Performance Psychology offers case analysis as a vehicle to address issues and experiences in the application of sport, exercise, and performance psychology (SEPP) and the supervision/training of individuals to become professionals in the field. A follow-up to Becoming a Sport, Exercise, and Performance Psychology Professional (2014), this book features a discussion of real-world case examples which highlight various aspects of professional practice as well as supervision and training. Professionals from around the world, including the United States and Canada, Europe, Asia, Africa, and Australia share diverse experiences, providing a uniquely in-depth, global perspective. The case studies contained in the book were selected to provide insight into specific elements of applied practice and supervision/training through a global lens as well as demonstrate the value of incorporating case analysis and reflection into one’s training and continued professional development. Case analysis is an essential part of learning and instruction. Beyond educating the reader about theories and research on related topics in the field, case analysis allows for more complex levels of learning, including analysis, synthesis, and evaluation of diverse scenarios. In Part I of this book, the cases focus on applied SEPP practice; Part II is comprised of cases that focus on training and supervision. This book is essential reading for graduate students and neophyte professionals in the field for whom it is critical to learn how to effectively apply knowledge to real-world sport, exercise, and performance psychology scenarios. In addition, the book is a useful resource for seasoned and expert practitioners and supervisors who can use case analysis as a means of continuing their professional development.

Mindfulness and the Therapeutic Relationship

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Author: Steven F. Hick,Thomas Bien

Publisher: Guilford Press

ISBN: 1609180194

Category: Psychology

Page: 240

View: 9825

A number of books have explored the ways psychotherapy clients can benefit from learning and practicing mindfulness. This is the first volume to focus specifically on how mindfulness can deepen the therapeutic relationship. Grounded in research, chapters demonstrate how therapists' own mindfulness practice can help them to listen more attentively and be more fully present. Leading proponents of different treatment approaches—including behavioral, psychodynamic, and family systems perspectives—illustrate a variety of ways that mindfulness principles can complement standard techniques and improve outcomes by strengthening the connection between therapist and client. Also presented are practical strategies for integrating mindfulness into clinical training.