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Index
Cover
Contents
Foreword:Trading Illusions for Actions
Introduction: A Mindful Approach to Depression
A New Perspective on Depression
The Acceptance and Commitment Therapy Approach
Mindfulness and Depression
But Is This Approach Right for Me?
A Mantra: Accept, Choose, and Take Action
Accepting the Uncertainty of Change
How This Book Is Organized
How to Use This Book
Ask Others to Support You
A Little Story
Part 1: Preparing for Radical Change
Chapter 1: New Perspectives on Depression
Five Contemporary Perspectives on Depression
The ACT Perspective
The Mindfulness Perspective
The Self-Compassion Perspective
The Positive Psychology Perspective
The Neuroscience Perspective
Default Mode Network
Task Positive Network
Executive Control Network
A Neuroscience Framework for Intervention
Combining Perspectives: A New Start
Loss of Attention Control and Rule Following
Avoidance Promotes Depression
Depressed Behavior Generates Depressed Mood
Flaws of the Biomedical Perspective
Is Depression a Biological Illness?
Is Depression the Result of a Chemical Imbalance?
Are Medications the Best Treatment for Depression?
Do Medications Work Faster?
What Role Do Medications Play?
Trading Illusions for Actions
Ideas to Cultivate
Chapter 2: Human Vulnerabilities in Depression
The Match: Coping with Life Stress and Daily Hassles
Dealing with Interpersonal Loss
Coping with Trauma
Lifestyle Choices and Depression
Risky Business: Depression Triggers
The Gasoline: Rule Following
How Language Controls Behavior
Rule-Governed Behavior
Rule Following and Living on Autopilot
The Gasoline: Avoidance
Why Avoidance Doesn’t Work
Private Experiences Are Automatic
Avoidance Leads to a Rebound Effect
Moving Mindfully Through Depression: Dare to Imagine
Ideas to Cultivate
Chapter 3: It’s All About Workability
The Four Cornerstones of Health
Workability: The Nemesis of Rule Following
Workability and Values Go Hand in Hand
Workability Is About Results, Not Promises
Workability in Daily Life: The Yardstick
The Choice Point: Short-Term Relief, Long-Term Grief
Judy’s Results
Judy’s Journey Toward a Vital Life
Use Workability as a Life Mantra
Ideas to Cultivate
Chapter 4: Understanding the Mind and Mindfulness
Welcome to Your Mind!
The Two Modes of Mind
Reactive Mind
Wise Mind
Wise Mind and Psychological Flexibility
Being Aware
Being Open
Being Engaged
Five Facets of Mindfulness
Targets for Mindfulness Practice
A Formula For Radical Change
Ideas to Cultivate
Part 2: 9 Mindful Steps to Transcend Depression
Chapter 5: Step 1: Find Your True North
What Are Values?
NeuroNote: Values Produce Intrinsically Positive Motivation
Running on Empty
How Values Get Lost in the Shuffle of Living
Values and Depression
Amy’s Results
Amy’s Journey Toward a Vital Life
Brain Training to Point You Toward True North
Reminder: Be Gentle with Yourself
Ideas to Cultivate
Chapter 6: Step 2: Use the Present Moment as Your Anchor
The Importance of Paying Attention
NeuroNotes: The Continuum of Attention
The Three Perspectives of Experience
Be an Observer
Simple Awareness
Brain Training to Strengthen Your Inner Observer
Ideas to Cultivate
Chapter 7: Step 3: Practice Nonjudgmental Acceptance
Acceptance: The Alternative to Emotional Avoidance
NeuroNotes: Emotion Recognition Is a Key Mindfulness Skill
What Can Be Changed
What Must Be Accepted
Fostering Emotional Resilience
Describe What You See
Be a Witness
Regulate Instant Appraisals and Action Tendencies
Willingness: The Alternative to Behavioral Avoidance
Bill’s Journey Toward a Vital Life
Brain Training Emotional Acceptance
Ideas to Cultivate
Chapter 8: Step 4: Detach and Let Go
Detachment and the Sanctuary of Wise Mind
NeuroNotes: Detachment Is a Powerful Emotion Regulation Strategy
Sticky Thoughts
Qualities of Sticky Thoughts
Put Reactive Mind in a Time-Out
Brain Training to Strengthen Detachment
Ideas to Cultivate
Chapter 9: Step 5: Don’t Believe Your Reasons
Reason Giving
NeuroNotes: Biases in Emotionally Based Cause-and-Effect Reasoning
The Problem with Reasons
The Illusion of Cause and Effect
Reasons Are Social Creations
Reasons Are Easily Programmed
The Myth of Emotions as Reasons
Four Poison Pills: Moral Reason Giving
Right versus Wrong
Good versus Bad
Fair versus Unfair
Responsibility versus Blame
Brain Training for Holding Your Reasons Lightly
Ideas to Cultivate
Chapter 10: Step 6: Hold Your Stories Lightly
Self-Stories: Reason Giving on Steroids
NeuroNotes: Neural Pathways Support Positive and Negative Stories
How Self-Stories Work
The “Truthiness” Effect
The Truth Is Not Out There
The Problem with Stories
Rumination and Memory Suppression
Let’s Work Out Your Storyteller
Kevin’s Results
Ruth’s Journey Toward a Vital Life
Brain Training to Play with Stories
Ideas to Cultivate
Chapter 11: Step 7: The Leap: Practice Self-Compassion
What Is Self-Compassion?
The Benefits of Self-Compassion
NeuroNotes: Self-Compassion Regulates Distressing Emotions
Joan’s Results
Ways to Cultivate Self-Compassion
Practicing Self-Kindness
Joan’s Results
Joan’s Results
Softening Self-Judgment
Joan’s Results
Connecting with Common Humanity
Joan’s Results
The Middle Path
Joan’s Results
Joan’s Journey Toward a Vital Life
Brain Training Exercises for Self-Compassion
Ideas to Cultivate
Chapter 12: Step 8: Live with Vision and Intention
What Is a Life Vision?
NeuroNotes: Imagination is the Most Complex of all Brain Activities
Example: Ruth’s Experience
Form Your Life Vision
Ruth’s Results
Relationships
Work/Study
Leisure/Play
Health
Cultivating Intention
Ruth’s Experience
Brain Training For Vision and Intention
Ideas to Cultivate
Chapter 13: Step 9: Make and Keep Promises to Yourself
NeuroNotes: Choice, Free Will, and Free Won’t
The Power of Choice
Choice Originates in Wise Mind
Choices Originate in Your Values
Choice Is a Process, Not an Outcome
We Don’t Choose Perfectly
Choice Doesn’t Give You a Hall Pass!
Hidden Barriers to Promise Keeping
“I Lack Self-Confidence.”
“I Need Justice in Order to Move Forward.”
“I’ve Wasted My Life”
When Promises Get Broken
Can’t versus Won’t
Make Another Promise
Broken Promises as Opportunities
Luke’s Journey Toward a Vital Life
Brain Training for Promise Keeping
Ideas to Cultivate
Part 3: Creating the Life You Want to Live
Chapter 14: Promote Positivity, Prevent Relapse
Positivity Resonates
Hedonic and Eudaimonic Pleasure
Anatomy of Positivity
The Principle of Emotional Inertia
Savoring in Daily Life
Lifestyle Change Pointers
Be SMART
Create Behavioral Intention
Learn Bit by Bit
Develop Cues
Just in Case: Positivity as Protection Against Relapse
Building the Protective Shield
Andy’s Journey Toward a Vital Life
A Sneak Preview of Your Future
Ideas to Cultivate
Accessing Further Treatment and Support Resources
Internet-Based Treatment Programs
Mobile Apps
General ACT Apps
Mindfulness Apps
Depression Apps
Enlist Professional Help
Rally Your Social Support
Look for Competent Social Support
Find a Vitality Partner
Acknowledgments
References
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