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Compassion-Focused Therapy to dissolve shame and self-hate

Posted by admin on February 25, 2015

If you want others to be happy- practice compassion.  If you want yourself to be happy- practice compassion

Dalai Lama

Paul Gilbert, a British Clinical Psychologist, is the founder of Compassion Focused Therapy (CFT), Compassionate Mind Training (CMT) and author of various books. Until 2011, Dr Paul Gilbert was head of the Mental Health Research Unit, Derbyshire Healthcare NHS Foundation Trust. He made his mark in Mental Healthcare and was awarded in 2011 Gilbert the Order of the British Empire (OBE).

Definition

Compassion-Focused Therapy (CFT) can be defined as an evidence-based, third-wave Cognitive Behavioral Therapy (using concepts from Mindfulness and Acceptance-Commitment Therapy) aiming to reduce shame and self-hate which are at the core of many psychological conditions. It assist those who are highly self-critical who suffer from anxiety, depression and obsessive compulsive disorders. Studies have shown that we learn to be more kind to ourselves and to especially replace the inner critic with a compassionate voice to ease difficult emotions, to build inner resources, strengths and motivation. It has been found that people who rate higher in self-compassion experiences more positive emotions, more well-being, better quality of life and more satisfying relationships.

CFT uses a definition of compassion grounded in Buddhist tradition, which defines compassion as a response to suffering in self and others, with a commitment to try to alleviate and prevent it (The Dalai Lama,2001). CFT is part of a growing global movement that recognizes the potential of compassion to provide benefits in a range of sectors, from business, education and healthcare to science, research and the environment (Charter for Compassion; http://charterforcompassion.org/).

Findings from the research

The application of compassion as a psychotherapeutic intervention has received increasing attention. Compassion-based therapy involves enabling individuals to develop self-compassion, as well as being able to be compassionate to others, and to be open to receive compassion from others, in particular in response to adversity or threatening situations. The research indicate that compassion to self and others can be taught and learned, fear of compassion alleviated and that self-compassion can help reduce, stress, depression  promoting coping strategies and improve relationships. ( J. Leaviss and L. Uttley, Psychological Medicine, Page 1 of 19. © Cambridge University Press 2014. Psychotherapeutic benefits of compassion-focused therapy: an early systematic review).

Compassion as a Psychotherapeutic intervention

We have known for many centuries that compassion is key to counselling. But it is only recently that it was developed as the main focus for clinical intervention and research. Paul Gilbert, over 20 years ago, while applying Cognitive Behavior Therapy (CBT), noticed that some individuals, even if they found some valid alternative way of thinking about their situation, still did not feel any better. This led him to explore ways we can train our mind to feel comforted by developing a helpful, friendly, compassionate voice, as well as practicing a range of mindfulness exercises and visualizations to assist in managing difficult emotions. In CFT, the aim is to care for our own well-being, to attend to our needs and distress and to give warmth and understanding to ourselves when we struggle rather than punishing ourselves. The Mindfulness techniques used are varied, but key is the use of self-comforting inner language. In developing a compassionate voice, we are able to cultivate a calm and peaceful self which is encouraging, motivating and uplifting.

Paul Gilbert says: “It is not your fault… but you are responsible!”.  Evolution has left us with a flawed system. We are stuck with a brain that we did not designed, which contributes to reacting in ways we don’t want.  In addition, we did not choose our family of origin nor did we want all the life experiences that shaped us, but despite this, we are still responsible for what we make of our life and how we react to the world.  We are all in this life together, with the same human condition so we need to support ourselves and others because life is tough for all of us.

We know that the way we behave and feel are in part conditioned reactions from our brain that have evolved over millions of years as well as being a consequence of our own early childhood experiences. Dr Paul Gilbert proposed that we have three main types of emotion regulation systems (see the 3 circles model below):

(1) the threat detection- protection system

(2) the drive-wanting- excitement system; and

(3) the soothing-contentment-caring system

The first two systems belong to the early or reptilian brain while the latter was developed in our brain later (mammalian brain) with the evolution of the attachment behavior such as the way a mother attends to her baby(caring) as well as the way we seek to be with one another(affiliative). We naturally seek kindness and support from others to calm away threats and to feel safe. Paul Gilbert believes that the caring-affiliative system was designed as a threat regulator to help us relax and manage difficult feelings.  We feel safe with our loved one, especially, when under threat because we know intuitively that we will relax when we are with them. Neurobiology has demonstrated that when we feel good with others, specific endorphin and oxytocin systems (soothing system) are produced which can also be activated when we care for others or we attend to ourselves with kindness. The absence of threat does not necessarily trigger the soothing-safe system or the calming-reassuring affiliative response.  The 3 systems are necessary and the aim in Compassion-Focused therapy is to restore balance because often the threat-system or wanting-system are over active causing excessive anxiety, anger or depression while the soothing-caring system is under active, especially if we are constantly stressed. The aim of Compassion-Focused Therapy is to understand how the 3 emotional system affect us and to develop ways to activate  the soothing system to regulate the other two systems to build up psychological acceptance, resilience and flexibility.

 

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Books written by Dr Paul Gilbert

Overcoming Depression: A self- help guide using Cognitive Behavioural Techniques, 2009

Compassion Focused Therapy: Distinctive Features, 2010

The compassionate mind a new approach to life challenges, 2014

Mindful Compassion: How the Science of Compassion Can Help You Understand Your Emotions, Live in the Present, and Connect Deeply with Others, 2014 (written in collaboration with Choden)